This qualitative case study explores the application of the Health Belief Model (HBM) in understanding the decision-making processes of individuals in Sleman, Yogyakarta Special Region, who utilize prayer-based water spiritual alternative treatments for healing. Using purposive sampling, three primary subjects and their significant others were selected based on their exclusive use of prayer water, Islamic faith, and local upbringing. Data were collected through in-depth interviews and analyzed to identify HBM dimensions: perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. Findings reveal that unexplained symptoms heightened perceived susceptibility, while severe physical and psychological impacts underscored perceived severity. Perceived benefits, including inner peace and spiritual enhancement, were the primary motivators, supported by low barriers due to cultural acceptance. Cues to action, such as family and religious leader support, and high self-efficacy further drove treatment adoption. These results highlight the interplay of personal health perceptions, spiritual beliefs, and socio-cultural influences in shaping health behaviors. The study underscores the HBM’s relevance in explaining spiritual health practices and offers insights for culturally sensitive health education to balance traditional beliefs with evidence-based medical care.
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