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The Effect Of My Therapy Digital Application On Medication Compliance In Tuberculosis Patients Dapakuri, Irene; Luma, Sarlina; Liunokas, Oklan; Namuwali, Domianus; Selasa, Pius
Journal of Tropical Diseases and Health Science Vol. 5 No. 1 (2025): Journal of Tropical Diseases and Health Science
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jtdhs.v5i1.2202

Abstract

Tuberculosis (TB) remains a major health problem in Indonesia, including at Puskesmas Oesapa in Kupang City. One of the challenges in TB treatment is the low adherence of patients in routinely consuming Anti-Tuberculosis Drugs (OAT). The use of a digital application such as My Therapy is expected to help patients remember their medication schedules and monitor their adherence. The objective is to analyze the effect of using the My Therapy digital application on medication adherence among Tuberculosis patients at Puskesmas Oesapa, Kota Kupang. This study used a quasi-experimental design with a one-group pre-test and post- test approach. The sample consisted of 47 Tuberculosis patients who were selected through purposive sampling based on inclusion criteria. Data was collected using the Morisky Medication Adherence Scale (MMAS-8) questionnaire. Bivariate analysis was performed using the Wilcoxon Signed- Rank Test because the data was not normally distributed. The results showed that the average medication adherence score increased after the intervention using the My Therapy application. The Wilcoxon test yielded a p-value of 0.000, indicating a significant difference in adherence levels before and after the intervention. Conclusion: The use of the My Therapy digital application is effective in improving medication adherence among Tuberculosis patients at Puskesmas Oesapa, Kota Kupang. This application is expected to be a supportive innovation in efforts to control TB in then community.
The Effectiveness of Swanson's Caring Behavioral Approach on Tuberculosis Treatment Compliance in Families with Children with Tuberculosis at the Children's Clinic of Ende Regional General Hospital Pota, Agnes Ervina Satya; Rambu Roku, Roswita Victoria; Teli, Margareta; Namuwali, Domianus; Nugroho, Febtian Cendradevi
Journal of Tropical Diseases and Health Science Vol. 5 No. 1 (2025): Journal of Tropical Diseases and Health Science
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jtdhs.v5i1.2225

Abstract

Tuberculosis (TB) in children is a public health challenge that requires special attention, especially due to low levels of family compliance with treatment. This non-compliance risks treatment failure, recurrence, and drug resistance, which are dangerous for children. The role of the family as the primary caregiver is significant in ensuring optimal treatment. Swanson's caring theory, which emphasizes empathy and emotional support, is considered capable of increasing family compliance in accompanying children during TB treatment. This study aims to determine the effectiveness of Swanson's caring behavioral approach on TB treatment compliance in families with children suffering from TB at the Ende Regional General Hospital Pediatric Clinic. The method is quantitative, with a quasi-experimental design featuring a one-group pre-test and post-test design. A total of 30 families were selected using purposive sampling. The intervention was carried out for 12 days through the five dimensions of Swanson's caring, namely maintaining belief, knowing, being with, doing for, and enabling. The measurement instrument uses the Morisky Medication Adherence Scale (MMAS-8) questionnaire to assess treatment adherence before and after the intervention. Data analysis used the Wilcoxon Signed Rank Test. The study showed a significant increase in the level of family adherence in providing TB treatment to children after the Swanson caring intervention (p < 0.05). The application of the Swanson caring behavioral approach was effective in increasing TB treatment adherence in children, so it can be recommended as a family-based intervention strategy to improve the success of TB therapy in children at health facilities.