Patient Adherence to Tuberculosis Treatment: A Relation between Family Support and Patient Behavior

Introduction: Knowledge, family support, and behavior have a significant impact on an individual's and community's health. They play a critical part in deciding disease control programs and transmission prevention of tuberculosis. The purpose of the study was to determine the association between family support, patient behavior, and tuberculosis treatment compliance in the Baing Primary Health Care of Wulla-Waijilu DistrictMethods:The study design was cross-sectional using the Spearman Rho test. The sample was 123 respondents with purposive sampling technique. The data collection was using sociodemographic questionnaires, family support, behavior, TB treatment adherence and MMAS-8. The dependent variable in this study was family support. The independent variables in this study were patient behavior and TB treatment adherence.Result:There was a relationship between family support and patient behavior (p=0.025), a relationship between family support and compliance with TB treatment (p=0.042)Conclusion:It can be concluded that there was a relationship between family support and TB patient behavior and there was a strong and significant relationship between family support and the level of TB treatment adherence.

Exploring and Characterizing Patient Multi-Behavior Engagement Trails and Patient Behavior Preference Patterns in the Pathway-Based mHealth Hypertension Self-Management: Analysis of Usage Data (Preprint)

BACKGROUND Hypertension is a long-term medical condition. Mobile health services can help out-of-hospital patients to self-manage. However, not all management is effective, which may be because the behavior mechanism and behavior preferences of patients with various characteristics in hypertension management were unclear. OBJECTIVE The purpose of this study was to (1) explore patient multi-behavior engagement trails in the pathway-based hypertension self-management; (2) discover patient behavior preference patterns; (3) identify the characteristics of patients with different behavior preferences. METHODS This study included 863 hypertensive patients who generated 295,855 usage records in the mHealth app from December 28, 2016 to July 2, 2020. Markov Chain was used to infer the patient multi-behavior engagement trails, which contained the type, quantity, time spent, sequence, and transition probability of patient behavior. K-means algorithm was used to group patients by the normalized behavior preference features: the number of behavioral states that a patient performed in each trail. The pages in the app represented the behavior states. Chi-square tests, Z-test, analysis of variances, and Bonferroni multiple comparisons were conducted to characterize the patient behavior preference patterns. RESULTS Markov Chain analysis revealed 3 types of behavior transition (one-way transition, cycle-transition, and self-transition) and 4 trails of patient multi-behavior engagement. In perform task trail (PT-T), Patients preferred to start self-management from the states of Task BP (0.29), Task Drug (0.18), and Task Weight (0.20), and spent more time on the Task Food state (35.87s). Some patients entered the states of Task BP (0.20) and Task Drug (0.25) from the Reminder Item state. In result-oriented trail (RO-T), patients spent more energy on the Ranking state (19.66s) compared the Health Report state (13.52s). In knowledge learning trail (KL-T), there was a high probability of cycle-transition (0.47, 0.31) between the states of Knowledge List and Knowledge Content. In support acquisition trail (SA-T), there was a high probability of self-transition in the Questionnaire (0.29) state. K-means analysis discovered 3 patient behavior preference patterns: only PT-T, PT-T and KL-T, and PT-T and SA-T. There were statistically significant associations between the behavior preference pattern and gender, education level, and blood pressure (BP). CONCLUSIONS This study identified the dynamic, longitudinal, and multi-dimension characteristics of patient behavior. Patients preferred to focus on BP, medications, and weight conditions, and pay attention to BP and medications using reminders. The diet management and questionnaires were complicated and difficult to implement and record. Competitive methods such as ranking were more likely to attract patients to pay attention to their own self-management states. Female patients with lower education level and poor-controlled BP were more likely to be highly involved in hypertension health education.

Menggali Jejak Psikologi Lokal Perempuan Jawa dalam Sastra Indonesia: Evidensi pada Novel Kita Masih Punya Bulan Karya Nurinwa KSH

This article is part of a research on Indonesian literature in East Java which is studied from the perspective of local psychology. This study aims to explore local Javanese women in Indonesian literature. The research method used in this research is qualitative which leads to literature. The data collection technique was carried out in a documentative manner. The data analysis technique was carried out through the stages of identification, sorting, and exposure. The results showed that local Javanese women appeared in two segmentations, namely (1) Javanese local women as mother figures, having empathetic and patient behavior and (2) Javanese local women as child figures who had filial and patient behavior. This research shows that the local psychology of Javanese women that appears in literature leads to the psychology of eastern women which tends to strengthen intuition and ethical psychology.