Journal of Health Promotion and Behavior
Vol. 10 No. 2 (2025)

Implementation of the Health Belief Model as a Predictor of Acupuncture Therapy Adherence in Post-Stroke Patients

Efa Yusfi Asrifa (Master’s of Public Health, Sebelas Maret University, Indonesia)
Bhisma Murti (Master’s of Public Health, Sebelas Maret University, Indonesia)
Haryani Saptaningtyas (Community Development/Empowerment Extension Study Program, Sebelas Maret University)
Hanung Prasetya (Acupuncture Study Program, Health Polytechnic, Ministry of Health, Surakarta, Indonesia)
Argyo Demartoto (Faculty of Social and Political Science, Sebelas Maret University, Indonesia)
Ika Sumiyarsi Sukamto (Midwifery Study Program, Applied Undergraduate Program, Faculty of Medicine, Sebelas Maret University)



Article Info

Publish Date
16 Apr 2025

Abstract

Background: Post-stroke symptoms include limb weakness, paralysis, loss of balance, pain and numbness, memory and cognitive disorders, and urinary and digestive problems. The recovery process in post-stroke patients takes a long time, therefore, the patient needs to adhere to acupuncture therapy for recovery. This study aims to analyze the influence of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action on acupuncture therapy adherence in post-stroke patients. Subjects and Method: This study was a cross-sectional study conducted in Yogyakarta, from November to December 2024. A total of 205 patients were selected using random sampling. The dependent variable was adherence to acupuncture therapy in post-stroke patients. Independent variables were perceived vulnerability, perceived severity, perceived benefits, perceived benefits, self-efficacy, and cues to action. The data were analyzed using path analysis. Results: Adherence to acupuncture therapy increased with increased perceived susceptibility (b= 1.19; 95% CI= -0.13 to 2.27; p=0.081), perceived severity (b= 2.16; 95% CI= 0.81 to 3.31; p= 0.001), perceived benefits (b= 1.71; 95% CI= 0.98 to 2.45; p<0.001), self-efficacy (b= 0.73; 95% CI= 0.11 to 1.36; p= 0.022) and cues to action (b= 1.77; 95% CI= 1.08 to 2.45; p<0.001). Conclusion: There is a positive relationship between perceived susceptibility, perceived severity, perceived benefits, self-efficacy, and cues to action on adherence to acupuncture therapy in post-stroke patients. The perceived benefits and self-efficacy are a direct influence on adherence to acupuncture therapy in post-stroke patients, while the perceived susceptibility, perceived severity, and cues to action are indirect influences.

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Journal Info

Abbrev

thejhpb

Publisher

Subject

Medicine & Pharmacology Public Health

Description

Journal of Health Promotion and Behavior (JHPB) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on health promotion and health-related behaviors. It began its publication on May 21, 2015. The journal is published four times yearly. It seeks to understand ...