scholarly journals A Health Belief Model-Based Motivational Interviewing for Medication Adherence and Treatment Success in Pulmonary Tuberculosis Patients

2021 ◽  
Vol 18 (24) ◽  
pp. 13238
Author(s):  
Ni Parwati ◽  
I Bakta ◽  
Pande Januraga ◽  
I Made Wirawan
Keyword(s):  
Logistic Regression ◽  
Medication Adherence ◽  
Motivational Interviewing ◽  
Health Belief Model ◽  
Treatment Success ◽  
Health Belief ◽  
Control Group ◽  
Belief Model ◽  
Motivation Model

Medication adherence behavior plays a central role in the success of tuberculosis (TB) treatment. Conventional motivation is not optimal in strengthening long-term medication adherence. A motivational interviewing (MI) communication motivation model based on the Health Belief Model (HBM) was designed with the main objective of improving medication adherence and treatment success. This study used an experimental design with a randomized posttest-only control group design. The intervention and control groups consisted of 107 TB patients each, who were selected by random cluster sampling. The study was conducted from November 2020 to June 2021 at 38 public health centers in Bali Province. The HBM-based MI model intervention was given in seven counseling sessions, pill count percentages were used to measure medication adherence, and treatment success was based on sputum examination results. Logistic regression was used to assess the effect of the intervention on medication adherence and treatment success. Logistic regression analysis showed that MI-based HBM and knowledge were the most influential variables for increasing medication adherence and treatment success. Medication adherence was 4.5 times greater (ARR = 4.51, p = 0.018) and treatment success was 3.8 times greater (ARR = 3.81, p < 0.038) in the intervention group compared to the control group, while the secondary outcome of knowledge of other factors together influenced medication adherence and treatment success. The conclusion is that the HBM-based MI communication motivation model creates a patient-centered relationship by overcoming the triggers of treatment barriers originating from the HBM construct, effectively increasing medication adherence and treatment success for TB patients, and it needs further development by involving families in counseling for consistent self-efficacy of patients in long-term treatment.

scholarly journals Efektivitas Audiovisual dan Booklet sebagai Media Edukasi untuk Meningkatkan Perilaku Skrining IVA

2018 ◽  
Vol 14 (3) ◽  
pp. 304 ◽  
Author(s):  
Veronica Silalahi ◽  
Mohammad Hakimi ◽  
Wiwin Lismidiati
Keyword(s):  
Health Belief Model ◽  
Health Belief ◽  
Control Group ◽  
Cluster Sampling ◽  
Chi Square ◽  
Control Group Design ◽  
Group Design ◽  
Quasi Experimental ◽  
Equivalent Control ◽  
Belief Model

Kanker serviks menjadi penyebab tingginya kematian ibu. Pencegahan kanker serviks dapat dilakukan dengan skrining Inspeksi Visual dengan Asam Asetat (IVA). Tujuan penelitian untuk menganalisis efektifitas pendidikan kesehatan dengan menerapkan Health Belief Model (HBM) menggunakan media audiovisual dan booklet terhadap perilaku wanita dalam melakukan pemeriksaan IVA di wilayah kerja Puskesmas Pacarkeling Surabaya. Metode penelitian menggunakan Quasi Experimental dengan desain Non Equivalent Control Group Design. Subjek penelitian wanita berusia 30-50 tahun yang belum pernah melakukan pemeriksaan IVA sebelumnya. Pemilihan sampel menggunakan teknik cluster sampling dengan jumlah sampel 79 responden untuk masing-masing kelompok intervensi dan kelompok kontrol. Pendidikan kesehatan menggunakan media audiovisual dan booklet. Data diolah menggunakan uji wilcoxon, chi-square, mann-whitney, dan regresi linier. Hasil penelitian menunjukkan pendidikan kesehatan menggunakan media audiovisual dan booklet efektif dalam meningkatkan perilaku responden dalam melakukan skrining IVA. Peningkatan pengetahuan, sikap, kepercayaan kesehatan kelompok intervensi lebih besar dibandingkan dengan kelompok kontrol. Perilaku wanita dalam melakukan skrining IVA pada kelompok intervensi lebih besar dibandingkan dengan kelompok kontrol setelah diberikan intervensi. Variabel luar seperti usia, pendidikan, pekerjaan, penghasilan, informasi sebelumnya memiliki pengaruh terhadap peningkatan perilaku. Pendidikan kesehatan efektif dalam meningkatkan perilaku wanita melakukan pemeriksaan IVA.

Health Belief Model and Medication Adherence in Patients with HIV

2021 ◽  
pp. 1-12
Author(s):  
Mujeeba Ashraf ◽  
Rabia Nisar Virk
Keyword(s):  
Medication Adherence ◽  
Antiretroviral Therapy ◽  
Health Belief Model ◽  
Health Belief ◽  
Hiv Positive ◽  
Awareness Campaign ◽  
Perceived Severity ◽  
Belief Scale ◽  
Belief Model ◽  
The Health Belief Model

Objectives: The aim of this study was to explore the components of the Health Belief Model (HBM) in order to predict medication adherence in patients with HIV. Method: A correlational study was conducted with 150 HIV positive patients including 109 men and 36 women with a mean age of 33. The data was collected in between March 2019 – May2019 from Jinnah Hospital Lahore. Those patients who were in between 18 to 55 years of age and taking antiretroviral therapy from atleast last three months were taken for the study. However those patients who were above age 55, and not taking antiretroviral therapy were not included in the study. They assessed through Urdu translated questionnaire of AIDS health belief scale (HBS), cues to action, and adherence determination questionnaire (ADQ). SPSS version 22 was used for data analysis. Results: The perceived severity and perceived cost significantly positively predicted medication adherence. However, other variables of the HBM model was not helpful to understand the medication adherence in the research participants. Conclusion: Perceived severity and perceived cost predicted the medication adherence in the studied sample. On the other hand these results also indicate that there is a need to introduce awareness campaign which will reflect on the importance of taking regular mediaction by HIV patients. Key Words: Health Belief Model, HIV in Pakistan, Medication Adherence, Perceived Severity, Continuous...

scholarly journals Reducing Self-Medication in Iranian Women Based on Health Belief Model: A Brief Report

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Afsaneh Behroozpour ◽  
Mohsen Shams ◽  
Masomeh Mosavi ◽  
Rahim Ostovar
Keyword(s):  
Health Belief Model ◽  
Health Belief ◽  
Control Group ◽  
Control Groups ◽  
Self Medication ◽  
Perceived Susceptibility ◽  
Healthcare Facilities ◽  
Quasi Experimental ◽  
Belief Model ◽  
And Control

: Self-medication is a serious health problem in Iran. In this quasi-experimental study with a control group, four healthcare facilities were selected and divided into intervention and control groups. Based on the health files of women in healthcare facilities, 192 women were selected randomly and completed a self-reported questionnaire to measure Health Belief Model constructs and self-medication. After analyzing the data, perceived susceptibility was found as the main predictive factor for self-medication, and an intervention was developed to increase it. The intervention consisted of lectures and group discussions, along with distributing pamphlets and sending short messages for four weeks. Three months later, the data was collected again and analyzed. Perceived susceptibility was improved, and self-reported behavior was reduced significantly in intervention groups compared to the control groups.

scholarly journals Peer-led Theoretically Desinged HIV/AIDS Prevention Intervention Among Students: A Case Of Health Belief Model

2021 ◽  
Author(s):  
Hoda Joorbonyan ◽  
Ghaffari Mohtasham ◽  
Rakhshanderou Sakineh
Keyword(s):  
High Risk ◽  
Health Belief Model ◽  
Behavioral Intention ◽  
Self Efficacy ◽  
Intervention Group ◽  
Health Belief ◽  
Perceived Barriers ◽  
Control Group ◽  
Belief Model ◽  
Awareness Level

Abstract Background & Aim: HIV/AIDS is one of the most dangerous viruses known in the world. In addition, considering its fatality rate and high cost of care, it is a serious threat to the health and economy of social communities. Adolescents are one of the high-risk groups. One of the most effective ways to prevent this disease is to promote healthcare, raise awareness, and change health-related beliefs and attitudes. This study aims at determining the effect of peer education, based on the health belief model, on the preventative measures against AIDS adopted by girls. Methods & Materials: In this empirical-interventionist study two schools were randomly selected, one of which was considered as the intervention group and the other as the control group. The classes were also randomly selected and 80 students from each school took part in the project following the entry criterion. A questionnaire with acceptable validity and reliability was used to collect data. In this study a few bright students were chosen as peer educators after being trained. The intervention group received 4 sessions of 60-minute education through training, lectures, question and answer, and group discussion. The posttest was administered two months after the treatment. The data was fed into the SPSS 16. Finally, T-test, Chi-Square, and ANCOVA were employed to analyze the data. 2 Results: The average scores obtained from the intervention group and the control group were not significantly different in terms of awareness level, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, behavioral intention, and pre-intervention behavior (P˃0.05). Two months after the intervention there was a significant increase in the average scores of all the variables in the experimental group (P>0.05). However, there was no significant change in the scores of the control group (P>0.05). Conclusion: Following a health belief model focusing on peer eduaction among high school girls, the intervention eduaction can affect awareness level, susceptibility, severity, benefits, perceived barriers, perceived self-efficacy, behavioral intention, and finally avoidance of high-risk behavior.

scholarly journals Pengaruh Keterampilan Bidan Konseling Berdasar Health Belief Model (HBM) Pada Ibu Terhadap Perubahan Perilaku Penanganan Balita Diare Tanpa Dehidrasi

2021 ◽  
Vol 11 (1) ◽  
pp. 30-40
Author(s):  
Elvina Indah Syafriani ◽  
Desi Hariani
Keyword(s):  
Health Belief Model ◽  
Health Belief ◽  
Control Group ◽  
Control Group Design ◽  
Group Design ◽  
Post Test ◽  
Belief Model ◽  
Test Control

Untuk menurunkan angka kematian dan angka kesakitan balita karena diare diperlukan strategi efektif yang dapat merubah perilaku ibu dalam merawat balita sakit diare, yaitu melalui keterampilan konseling oleh tenaga kesehatan. Tujuan penelitian ini adalah untuk menganalisis pengaruh keterampilan konseling bidan berdasar Health Belief Model (HBM) pada ibu terhadap perubahan perilaku penanganan balita diare tanpa dehidrasi. Penelitian ini quasi eksperimental dengan Pre-Post test control Group Design. Sampel dalam penelitian ini adalah ibu balita diare tanpa dehidrasi yang memenuhi kriteria inklusi dengan 65 responden kelompok perlakuan dan 65 responden kelompok kontrol. Analisis data dengan menggunakan uji komparatif numerik dan kategorik. Perbedaan rerata dianalisis dengan uji Mann-Whitney tidak berpasangan dan uji Wilcoxon berpasangan, dengan kemaknaan hasil uji ditentukan berdasarkan nilai p<0,05.Hasil penelitian didapatkan bahwa peningkatan keterampilan konseling bidan pada kelompok perlakuan lebih tinggi bila dibandingkan kelompok kontrol (p<0,05). Peningkatan nilai perubahan perilaku penanganan pada kelompok perlakuan lebih tinggi bila dibandingkan kelompok kontrol (p<0,05). Keterampilan bidan konseling berdasar Health Belief Model (HBM) berpengaruh terhadap perubahan perilaku penanganan balita diare tanpa dehidrasi.

scholarly journals PENERAPAN TERAPI PERILAKU:TOKEN EKONOMI PADA KLIEN DENGAN GANGGUAN SENSORI PERSEPSIHALUSINASI DENGAN PENDEKATAN HEALTH BELIEF MODEL

2014 ◽  
Vol 3 (1) ◽  
pp. 15-20
Author(s):  
Ari Damayanti Wahyuningrum
Keyword(s):  
Health Belief Model ◽  
Health Belief ◽  
Rank Test ◽  
Control Group ◽  
Consecutive Sampling ◽  
Wilcoxon Sign Rank Test ◽  
Post Test ◽  
Wilcoxon Sign Rank ◽  
Sign Rank Test ◽  
Belief Model

Gangguan jiwa merupakan penyakit multi kausal bervariasi. Klien gangguan jiwa banyak mengalami distorsi kognitif yang akhirnya mengarah ke gangguan perilaku. Hal tersebut disebabkan oleh kesalahan logika, kekeliruan penggunaan alasan atau pandangan individu yang tidak sesuai dengan kenyataan, tidak merasa memiliki perilaku menyimpang, tidak bisa membina hubungan relasi dengan orang lain. Gangguan halusinasi mengarah pada perilaku membahayakan orang lain, klien sendiri dan lingkungan sekitar. Halusinasi merupakan gangguan persepsi dimana klien mempersepsikan sesuatu yang lain yang sebenarnya tidak terjadi. Terapi perilaku bersifat reedukasi yang memodifikasi perilaku klien dengan perilaku lain yang lebih menguntungkan didasarkan pada sistematik reinforcement positif pada target perilaku. Token-token dapat ditukar untuk mendapatkan sesuatu yang diinginkan dan dinikmati. Tujuan penelitian ini adalah untuk mengidentifikasi dan menganalisis penerapan terapi perilaku: token ekonomi pada klien dengan gangguan sensori persepsi: halusinasi di Rumah Sakit Jiwa Dr.Radjiman Wediodiningrat Lawang. Desain yang digunakan dalam penelitian ini adalah Pre dan Post Test tanpa Control Group yang melibatkan 40 responden dengan metode pengambilan consecutive sampling. Variabel penelitian meliputi terapi perilaku: token ekonomi dan kemampuan mengendalikan halusinasi. Sedangkan alat ukur yang digunakan adalah lembar observasi dan wawancara. Data yang diperoleh dianalisis dengan menggunakan uji Wilcoxon Sign Rank Test dengan hasil ρ=0,000 < 0,05 yang artinya ada perbedaan kategori halusinasi yang signifikan sebelum dan sesudah perlakuan. Kesimpulan dari penelitian ini adalah bahwa pemberian perlakuan terapi perilaku: token ekonomi dengan pendekatan teori Health Belief Model dapat mengubah perilaku klien ke arah adaptif sehingga klien dapat mengontrol halusinasi. Berdasarkan hasil penelitian, disaran kepada para perawat utuk dapat mengaplikasikan terapi perilaku : token ekonomi pada kasus selain halusinasi.

scholarly journals The effect of educational intervention based on health belief model and social support on testicular self-examination in sample of Iranian men

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ali Khani Jeihooni ◽  
Hanieh Jormand ◽  
Mehdi Ansari ◽  
Pooyan Afzali Harsini ◽  
Tayebeh Rakhshani
Keyword(s):  
Social Support ◽  
Testicular Cancer ◽  
Health Belief Model ◽  
Educational Intervention ◽  
Health Belief ◽  
Control Group ◽  
Fars Province ◽  
Belief Model ◽  
Self Examination ◽  
Experimental Group

Abstract Background Testicular Self-Examination (TSE) causes earlier diagnosis of Testicular cancer (TC). Hence, all men aged between15 to 35 years should perform TSE every month. This study aims to survey the effect of educational intervention based on health belief model and social support on testicular self-examination in men aged between 15 to 35 years of Fasa City, Fars province, Iran. Methods In this quasi-experimental study, 200 men (100 in the experimental group and 100 in the control group) in Fasa City, Fars, Iran, were conducted from June 2018 to August 2019. The educational intervention for the experimental group consisted of six training sessions (testicular cancer, its prevalence and types, its risk factors, symptoms, infected areas, diagnosis, side-effects and its severity, understanding about testicular self-examination and its importance, benefits, and barriers of self-examination and correct way of doing TSE were discussed, role of social support). A questionnaire consisting of demographic information, knowledge, HBM construct, and social support was used to measure testicular self-examination before, 3 months after the intervention, and 6 months later. Data were analyzed using SPSS-22 via chi-squared, independent samples t-test, Mann-Whitney, and repeated measures ANOVA at a significance level of 0.5. Results The mean age of the men was 27.26 ± 3.16 years in the experimental group and 27.39 ± 3.12 years in the control group. Three months after the intervention and 6 months after the intervention, the experimental group showed a significant increase in knowledge, perceived susceptibility, perceived severity, perceived benefits, self-efficacy, cues to action, social support, and testicular self-examination performance compared to the control group. Conclusion This study showed the effectiveness of the intervention based on the HBM constructs and social support in the adoption of testicular self-examination in 3 and 6 months post-intervention in men aged between 15 to 35 years. Hence, these models can act as a framework for designing and implementing educational interventions for testicular self-examination.

scholarly journals Health Belief Model Factors to Medication Adherence among Hypertensive Patients in Punti Kayu Public Health Center Palembang, Indonesia

2020 ◽  
Vol 11 (1) ◽  
pp. 26
Author(s):  
Dewi Rury Arindari ◽  
Dessy Suswitha
Keyword(s):  
Medication Adherence ◽  
Health Belief Model ◽  
Health Belief ◽  
Perceived Barriers ◽  
Perceived Benefits ◽  
Perceived Susceptibility ◽  
Hypertensive Patients ◽  
Perceived Severity ◽  
The World ◽  
Belief Model

Introduction: Health Belief Model is one of the factors that influence medication adherence. The World Health Organization (WHO) has identified medication adherence as the primary indication of treatments effectiveness for hypertensive patients. The number of medication adherence on people with hypertension is decreasing in the world, including Indonesia. Objective: The aims of this paper was to examine the relationship between perceived susceptibility to develop the complications of hypertension, perceived severity of hypertension complications, perceived benefits of medication adherence, perceived barriers to medication adherence and medication adherence. Result: There were significant statistically relationships between perceived susceptibility to develop the complications of hypertension, perceived severity of hypertension complications, perceived benefits of medication adherence, perceived barriers to medication adherence and medication adherence. Discusion: The patients who have high perceptions about susceptibility to develop the hypertension complication, severity of the complications of hypertension, the benefit of medication adherence, reduce barriers to medication adherence more likely adhering to their medications.

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