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All Journal Jurnal Keterapian Fisik Journal of Health Promotion and Behavior
Puspitaningrum, Cynthia Ayu Dian
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Medicine & Pharmacology Physics Public Health

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Relationships Between the Health Belief Model Constructs and Post-Stroke Patient Preferences in Choosing Acupuncture Therapy in Ngawi East Java Puspitaningrum, Cynthia Ayu Dian; Prasetya , Hanung; Demartoto , Argyo; Murti, Bhisma; Novika , Revi Gama Hatta
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.08

Abstract

Background: Stroke is a serious medical condition that poses a significant risk of mortality and long-term disability, making it one of the leading causes of death and disability worldwide. Select­ing an appropriate therapy is crucial to enhancing the quality of life among post-stroke patients. The Health Belief Model (HBM), which emphasizes individual beliefs regarding health and illness, is thought to play a pivotal role in influencing patients' decisions when choosing therapeutic inter­ventions. This study aims to analyze the application of the Health Belief Model in the selection of acupuncture therapy among post-stroke patients. Subjects and Method: This study employed a cross-sectional design and was conducted in Ngawi Regency from October to December 2024. 200 samples of post-stroke patients were taken using the fixed disease sampling technique, consisting of 100 patients undergoing acupuncture and 100 patients undergoing physiotherapy. Dependent variables were the preference of acupuncture therapy and physiotherapy. Independent variables were perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Data was collected using questionnaires and analyzed using path analysis on STATA 17. Results: The preference for acupuncture therapy was directly influenced by self-efficacy (b=3.41; CI95%=2.59 to 4.23; p<0.001). Self-efficacy to undergo acupuncture therapy was influenced by the perceived benefits (=2.75; CI95%=1.74 to 3.75; p<0.001), perceived barrier (b=-0.94; CI95%=-1.96 to 0.80; p<0.001), and cues to action (b=3.36; CI95%=2.32 to 4.40; p<0.001). Perceived benefit was influenced by perceived severity (b=1.25; CI95%=0.62 to 1.88; p<0.001). Conclusion: Self-efficacy directly influences the preference for acupuncture therapy. Meanwhile, the perceived benefit, the perceived barrier, and cues of action indirectly affect the preference for acupuncture therapy through self-efficacy. Perceived benefit was influenced by severity perception.
Effectiveness of Jin’s 3 Needles and INMAS Acupuncture in Reducing Low Back Pain Puspitaningrum, Cynthia Ayu Dian; Purwanto; Widyastari, Sri
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 10 Issue 1 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v10i1.427

Abstract

Background: Low back pain is one of the musculoskeletal disorders caused by poor body activity. Acupuncture for low back pain can stimulate the body to secrete endorphins which cause the body to become comfortable and relaxed, so that the degree of pain in the low back can be reduced. This study aims to compare the effect of Jin's 3 needles acupuncture therapy with Integrative Neuromuscular Acupoint System (INMAS) on changes in the degree of low back pain. Methods: This study used the two groups pre and post test design. The sample was 36 research subjects who met the inclusion and exclusion criteria and were selected using a simple random sampling technique, divided into 2 groups, namely the Jin's 3 needles group and the INMAS group. The data were analysed using the Wilcoxon test for changes within groups and the Mann–Whitney test for comparisons between groups. Results: The acupuncture therapy intervention of the Jin's 3 Needles method and the INMAS method is effective in reducing the degree of low back pain (p-value:<0.001). There is no significant difference between acupuncture therapy interventions Jin's 3 Needles method and INMAS in reducing the degree of low back pain (p value 0.769). Conclusion: There is an effect of acupuncture therapy Jin's 3 Needles and INMAS on changes in the degree of low back pain and there is no significant difference between the two interventions. Both interventions can be considered as non-pharmacological treatment options for lower back pain.
Relationships Between the Health Belief Model Constructs and Post-Stroke Patient Preferences in Choosing Acupuncture Therapy in Ngawi East Java Puspitaningrum, Cynthia Ayu Dian; Prasetya , Hanung; Demartoto , Argyo; Murti, Bhisma; Novika , Revi Gama Hatta
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.08

Abstract

Background: Stroke is a serious medical condition that poses a significant risk of mortality and long-term disability, making it one of the leading causes of death and disability worldwide. Select­ing an appropriate therapy is crucial to enhancing the quality of life among post-stroke patients. The Health Belief Model (HBM), which emphasizes individual beliefs regarding health and illness, is thought to play a pivotal role in influencing patients' decisions when choosing therapeutic inter­ventions. This study aims to analyze the application of the Health Belief Model in the selection of acupuncture therapy among post-stroke patients. Subjects and Method: This study employed a cross-sectional design and was conducted in Ngawi Regency from October to December 2024. 200 samples of post-stroke patients were taken using the fixed disease sampling technique, consisting of 100 patients undergoing acupuncture and 100 patients undergoing physiotherapy. Dependent variables were the preference of acupuncture therapy and physiotherapy. Independent variables were perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Data was collected using questionnaires and analyzed using path analysis on STATA 17. Results: The preference for acupuncture therapy was directly influenced by self-efficacy (b=3.41; CI95%=2.59 to 4.23; p<0.001). Self-efficacy to undergo acupuncture therapy was influenced by the perceived benefits (=2.75; CI95%=1.74 to 3.75; p<0.001), perceived barrier (b=-0.94; CI95%=-1.96 to 0.80; p<0.001), and cues to action (b=3.36; CI95%=2.32 to 4.40; p<0.001). Perceived benefit was influenced by perceived severity (b=1.25; CI95%=0.62 to 1.88; p<0.001). Conclusion: Self-efficacy directly influences the preference for acupuncture therapy. Meanwhile, the perceived benefit, the perceived barrier, and cues of action indirectly affect the preference for acupuncture therapy through self-efficacy. Perceived benefit was influenced by severity perception.
Effectiveness of Jin’s 3 Needles and INMAS Acupuncture in Reducing Low Back Pain Puspitaningrum, Cynthia Ayu Dian; Purwanto; Widyastari, Sri
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 10 Issue 1 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v10i1.427

Abstract

Background: Low back pain is one of the musculoskeletal disorders caused by poor body activity. Acupuncture for low back pain can stimulate the body to secrete endorphins which cause the body to become comfortable and relaxed, so that the degree of pain in the low back can be reduced. This study aims to compare the effect of Jin's 3 needles acupuncture therapy with Integrative Neuromuscular Acupoint System (INMAS) on changes in the degree of low back pain. Methods: This study used the two groups pre and post test design. The sample was 36 research subjects who met the inclusion and exclusion criteria and were selected using a simple random sampling technique, divided into 2 groups, namely the Jin's 3 needles group and the INMAS group. The data were analysed using the Wilcoxon test for changes within groups and the Mann–Whitney test for comparisons between groups. Results: The acupuncture therapy intervention of the Jin's 3 Needles method and the INMAS method is effective in reducing the degree of low back pain (p-value:<0.001). There is no significant difference between acupuncture therapy interventions Jin's 3 Needles method and INMAS in reducing the degree of low back pain (p value 0.769). Conclusion: There is an effect of acupuncture therapy Jin's 3 Needles and INMAS on changes in the degree of low back pain and there is no significant difference between the two interventions. Both interventions can be considered as non-pharmacological treatment options for lower back pain.
Co-Authors Bhisma Murti Demartoto , Argyo Novika , Revi Gama Hatta Prasetya , Hanung Purwanto Widyastari, Sri