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Journal : Journal of Health Promotion and Behavior

Application of Health Belief Model on Preventive Behaviors of Patients with Low Back Pain Sari, Septi Ayu Arum Yuspita; Indarto, Dono; Wijaya, Mahendra
Journal of Health Promotion and Behavior Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Low back pain (LBP) has different negative impacts in some people around the world. There are many risk factors of LBP, either biology, psychology, or social economics. A psychological theory (Health Belief Model/HBM) can be applied for preventive behaviors of some human diseases. This study aimed to analyze the application of HBM on preventive behaviors of patients with LBP.Subjects and Method: This was a case-control study conducted at the medical rehabilitation policlinic, Dr. Moewardi Hospital, Surakarta, from October to November 2018. A sample of 50 LBP patients and 100 non-LBP patients was selected by fixed exposure sampling. The dependent variable was preventive behaviors. The independent variables were perceived severity, susceptibility, benefit, barrier, threat, cues to action, and self-efficacy. Data on LBP was obtained from medical record. The other data were collected by questionnaire and analyzed by path analysis.Results: LBP preventive behaviors were directly and positively associated with perceived threat (b= 0.46; 95% CI= 0.24 to 0.68; p<0.001), perceived benefit (b= 0.29; 95% CI= 0.18 to 0.40; p<0.001), and self-efficacy (b= 0.16; 95% CI= 0.08 to 0.23; p<0.001). It was indirectly associated with perceived susceptibility, perceived severity, perceived barrier, and cues to action.Conclusion: LBP preventive behaviors are directly and positively associated with perceived threat, perceived benefit, and self-efficacy. It is indirectly associated with perceived susceptibility, perceived severity, perceived barrier, and cues to action. This study supports the application of HBM to explain LBP preventive behaviors.Keywords: low back pain, Health Belief Model, path analysisCorrespondence: Septi Ayu Arum Yuspita Sari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email:yuspitasari020993@gmail.com. Mobile: +6282338986991.Journal of Health Promotion and Behavior (2018), 3(3): 192-198https://doi.org/10.26911/thejhpb.2018.03.03.06
Factors Associated with Exercise among Elderly in Boyolali, Indonesia Puspitosari, Aniek; Soemanto, RB; Wijaya, Mahendra
Journal of Health Promotion and Behavior Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The elderly will face more problems by getting older. One of which is degenerative disease due to of aging process, such as cardiovascular disease. In the year 2001 (SKRT) data indicated that there were 26.4% elderly suffered from hypertension disease. Exercise for elderly is one of primary preventive actions. Research should be done related to the practice exercise for elderly. This study was aimed to determine the factors of physical exercise for elderly based on health belief model (HBM).Subjects and Method: This was an analytic qualitative study with cross-sectional design. This conducted in Sobokerto, Ngemplak, Boyolali, Central Java, Indonesia. A total sample of 80 elderly with hypertension and participate in physical exercises. Data analysis used chi square and logistic regression.Results: The results showed that the perceived susceptibility, perceived benefits, perceived barriers and cues to action have relationship with physical exercise. There is positive relationship and statically significant between perceived susceptibility with high phycical exercise (OR= 27.01; 95% CI= 2.04 to 357.91; p= 0.012), high perceived benefits (OR= 26.95; 95% CI= 2.20 to 392.05; p= 0.010), high perceived barriers (OR= 0.021; 95% CI= 0.00 to 0.90 p= 0.044), cues to action (OR= 21.37; 95% CI= 1.94 to 259.92; p = 0.044).Conclusion: The HBM constructs on the physical exercise of elderly who are at risk for hypertension. The most important HBM predictors of physical exercise were perceived susceptibility.Keywords: physical exercise, elderly, hypertension, health belief modelCorrespondence: Aniek Puspitosari. Health Polytechnic, Poltekkes of Surakarta Indonesia.Journal of Health Promotion and Behavior (2016), 1(1): 41-45https://doi.org/10.26911/thejhpb.2016.01.01.06
The Roles of Batang Public Hospital, HIV Case Manager, People Living with HIV, Partners, and Peer Support Group, in the Prevention of HIV/AIDS Transmission Kusumawardani, Dian; Budihastuti, Uki Retno; Wijaya, Mahendra
Journal of Health Promotion and Behavior Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Batang Public Hospital is one of the referal hospitals for People Living with HIV (PLHIV). It provides outpatient and inpatient care service for PLHIV. Batang Public Hospital is expected to play its role as a referal hospital in collaboration with the HIV case manager to provide a comprehensive care to PLHIV, including mobile Voluntary Counseling and Test (VCT), and facilitating HIV/ AIDS peer support group. The study aimed to investigate the dynamic interaction between Batang Public Hospital, HIV case manager, VCT nurse, HIV/ AIDS peer support group, and PLHIV, to prevent and control HIV/ AIDS.Subjects and Method: This was a qualitative study with phenomenology approach, conducted in Batang District, Central Java, Indonesia. Study subjects were selected purposively, which included  PLHIV, VCT nurses, Batang Public Hospital administrators, and HIV case manager. The data were collected by in-depth interview.Result: Batang Public Hospital provides health services with VCT clinics, mobile VCT, PICT (Provider Initiative Counselling and Test), PMTCT (Preventive Mother to Child Transmission). However, PMTCT implementation for birthing mothers with HIV/AIDS is referred to Dr. Karyadi Hospital in Semarang. Batang Public Hospital cooperated with HIV case manager in the implementation of mobile VCT. PLHIV have been participating in the prevention of HIV/AIDS program by using condom.Conclusion: Batang Public Hospital and HIV case manager have been collaborating in the provision of and health social services for PLHIV. Peer support group provide assistant to PLHIV to improve the quality of life. PLHIV have been participating in the prevention of HIV/AIDS transmission program by using condom and playing their role in the PMTCT program.Keywords: PLHIV, health care, peer support group, health behavior, HIV/AIDS case managerCorrespondence: Dian Kusumawardani. Academy of Midwifery Harapan Ibu, Pekalongan, Central Java.Journal of Health Promotion and Behavior(2016), 1(2): 79-86https://doi.org/10.26911/thejhpb.2016.01.02.03