Pathways of Change
Vol. 13 No. s2 (2025): Pathways of Change, Part II
Correlation of self-efficacy and medication adherence with treatment continuity among tuberculosis patients in East Java, Indonesia
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 1 January 2025
Accepted: 11 March 2025
Accepted: 11 March 2025
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Tuberculosis (TB) remains a significant global health challenge, and treatment adherence is crucial for successful outcomes. This study aimed to investigate the correlation between self-efficacy, medication adherence, and treatment continuity among patients with TB in East Java, Indonesia. This cross-sectional, correlational study was conducted in four randomly selected districts of East Java in 2024. The study employed probability sampling with a simple random sampling technique. Data were collected using the Guide for Constructing Self-Efficacy Scale and Morisky Medication Adherence Scale (MMAS-8). A total of 6,792 TB patients participated in this study. Statistical analysis was performed using SPSS version 25, including frequency distribution, percentage calculation, and Spearman’s rank correlation test, with a significance level of 0.05. Among the participants, 70.3% (n=4,775) demonstrated high self-efficacy, whereas 29.7% (n=2,017) showed low self-efficacy. Regarding medication adherence, 60% (n=4,075) exhibited high adherence, and 40% (n=2,719) reported low adherence. Spearman’s rank correlation test revealed a strong positive correlation between self-efficacy and medication adherence (r=0.936, p<0.001). The study findings indicated a significant relationship between self-efficacy, medication adherence, and treatment continuity in patients with TB. These results underscore the importance of addressing psychological factors in TB management programs. Interventions aimed at enhancing patients’ self-efficacy could potentially improve medication adherence and, consequently, treatment outcomes. These results provide a strong rationale for developing comprehensive care models that incorporate medical and psychological interventions to enhance treatment continuity and improve patient outcomes.
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Marselina S, Kusmiran E, Sutisna I. the Relationship Between Self Efficacy and Medication Compliance in Tuberculosis Patient-S At Garuda Health Center in Bandung City in 2023. Indones J Community Heal Nurs 2024;9:67-72. DOI: https://doi.org/10.20473/ijchn.v9i2.49693
Marin PM, Munyeme M, Kankya C, et al. Medication nonadherence and associated factors in patients with tuberculosis in Wau, South Sudan: a cross- sectional study using the world health organization multidimensional adherence model. Arch Public Heal 2024;82:1-10. DOI: https://doi.org/10.1186/s13690-024-01339-9
Areas Lisboa Netto T, Diniz BD, Odutola P, et al. Video-observed therapy (VOT) vs directly observed therapy (DOT) for tuberculosis treatment: A systematic review on adherence, cost of treatment observation, time spent observing treatment and patient satisfaction. PLoS Negl Trop Dis 2024;18:e0012565. DOI: https://doi.org/10.1371/journal.pntd.0012565
Lim RK, Semitala FC, Atuhumuza E, et al. Patient choice improves self-efficacy and intention to complete tuberculosis preventive therapy in a routine HIV program setting in Uganda. PLoS One 2021;16:1-6. DOI: https://doi.org/10.1371/journal.pone.0246113
Ju LH, Jiyoung P. Self-care efficacy and health-related quality of life among patients on primary treatment for pulmonary tuberculosis: The mediating effects of self-care performance. Korean J Adult Nurs 2020;32:305-14. DOI: https://doi.org/10.7475/kjan.2020.32.3.305
Deshmukh AF, Deshmukh J, Gode Y, et al. Assess the Effectiveness of an Inquiry Based Learning Method in Microbiology for Undergraduate Medical Students. E3S Web Conf 2024;491. DOI: https://doi.org/10.1051/e3sconf/202449104009
Alves YM, Berra TZ, De Jezus SV, et al. Adherence to Short-Duration Treatment (3HP) for Latent Tuberculosis among International Migrants in Manaus, Amazonas: Evaluation of the Efficacy of Different Treatment Modalities. Microorganisms 2024;12. DOI: https://doi.org/10.3390/microorganisms12081629
Lienhardt C, Dooley KE, Nahid P, et al. Target regimen profiles for tuberculosis treatment. Bull World Health Organ 2024;102:600-7. DOI: https://doi.org/10.2471/BLT.24.291881
So MW, Kim AR, Lee SG. Drug Persistence and Incidence of Active Tuberculosis of Tumor Necrosis Factor Alpha Inhibitors Versus Tocilizumab as the First-Line Biological Treatment in Patients with Rheumatoid Arthritis: A Nationwide Population-Based Retrospective Cohort Analysis. Rheumatol Ther 2024;11:881-95. DOI: https://doi.org/10.1007/s40744-024-00674-1
Sodhi R, Vatsyayan V, Panibatla V, et al. Impact of a pilot mHealth intervention on treatment outcomes of TB patients seeking care in the private sector using Propensity Scores Matching-Evidence collated from New Delhi, India. PLOS Digit Health 2024;3:e0000421. DOI: https://doi.org/10.1371/journal.pdig.0000421
Xia T, Chen J, Rui J, et al. What affected Chinese parents’ decisions about tuberculosis (TB) treatment: Implications based on a cross-sectional survey. PLoS One 2021;16:1-11. DOI: https://doi.org/10.1371/journal.pone.0245691
Leyto SM, Digesa LE, Lakew S, et al. Tuberculosis patients’ satisfaction with directly observed treatment short course strategy and associated factors in Southern Ethiopia: a mixed method study. BMC Public Health 2024;24. DOI: https://doi.org/10.1186/s12889-024-19940-6
Anindhita M, Haniifah M, Putri AMN, et al. Community-based psychosocial support interventions to reduce stigma and improve mental health of people with infectious diseases: a scoping review. Infect Dis Poverty 2024;13:1-17. DOI: https://doi.org/10.1186/s40249-024-01257-6
Aryantiningsih DS, Jalinus N, Rosalina L. EduTB as an Effort to Improve Tuberculosis Treatment Adherence. Univers J Public Heal 2024;12:441-59. DOI: https://doi.org/10.13189/ujph.2024.120303
Awaluddin SM, Ismail N, Yasin SM, et al. Parents’ Experiences and Perspectives Toward Tuberculosis Treatment Success Among Children in Malaysia: A Qualitative Study. Front Public Heal 2020;8:1-8. DOI: https://doi.org/10.3389/fpubh.2020.577407
Islam F, Ahmad H, Nurbaya, et al. Factors Affecting Treatment Adherence Among Patients with Tuberculosis in Indonesia: Literature Review. J Public Heal Pharm 2024;4:28-37. DOI: https://doi.org/10.56338/jphp.v4i1.5022
Mukooza E, Schausberger B, Mmema N, et al. Understanding the role of video direct observed therapy for patients on an oral short-course regimen for multi-drug resistant tuberculosis: findings from a qualitative study in Eswatini. BMC Infect Dis 2024;24. DOI: https://doi.org/10.1186/s12879-024-09744-9
Arthur K, Christofides N, Nelson G. Development of a pre-adolescent inter-generational intervention to address HIV and obesity using intervention mapping. Health Educ J 2020;79:932-47. DOI: https://doi.org/10.1177/0017896920937042
Parwati NM, Bakta IM, Januraga PP, Wirawan IMA. A health belief model-based motivational interviewing for medication adherence and treatment success in pulmonary tuberculosis patients. Int J Environ Res Public Health 2021;18. DOI: https://doi.org/10.3390/ijerph182413238
Ro’isah, Anies, Sakundarno M, Jazuli N. TB community empowerment model instruments in finding tuberculosis (TB) suspects. Bali Med J 2022;11:551-4. DOI: https://doi.org/10.15562/bmj.v11i2.3116
Joshi B, De Lima YV, Massom DM, et al. Acceptability of decentralizing childhood tuberculosis diagnosis in low-income countries with high tuberculosis incidence: Experiences and perceptions from health care workers in Sub-Saharan Africa and South-East Asia. PLOS Glob Public Heal 2023;3:1-24. DOI: https://doi.org/10.1101/2023.01.04.23284184
Schaaf HS, Hughes J. Current Treatment of Drug-Resistant Tuberculosis in Children. Indian J Pediatr 2024;91:806-16. DOI: https://doi.org/10.1007/s12098-023-04888-z
Fuadiati LL, Sukartini T, Makhfudli, et al. Development of an EKA application to help tuberculosis patients improve medication adherence and self efficacy. Int J Public Heal Sci 2024;13:76-86. DOI: https://doi.org/10.11591/ijphs.v13i1.23309
Matos VC, Torres TS, Luz PM. Adherence to antiretroviral therapy among cisgender gay, bisexual and other men who have sex with men in Brazil: Evaluating the role of HIV-related stigma dimensions. PLoS One 2024;19:1-20. DOI: https://doi.org/10.1371/journal.pone.0308443
Khodaveisi M, Fallah SV, Amini R, Tapak L. Effect of Education Based on the Health Belief Model on Treatment Adherence in Patients With Heart Valve Replacement Surgery. J Educ Community Heal 2023;10:35-42. DOI: https://doi.org/10.34172/jech.2023.1958
Alemu GG, Tesfie TK, Yayeh AT, et al. Incidence of anaemia and its predictors among HIV-infected children receiving highly active antiretroviral treatment in North-West Ethiopia: a multicentre retrospective follow-up study. BMJ Open 2024;14:e083939. DOI: https://doi.org/10.1136/bmjopen-2024-083939
Sofiana L, Ayu SM, Wardani Y, et al. Risk factors of quality of life among tuberculosis patients. Int J Public Heal Sci 2022;11:756-62. DOI: https://doi.org/10.11591/ijphs.v11i3.21005
Gebremariam RB, Wolde M, Beyene A. Determinants of adherence to anti-TB treatment and associated factors among adult TB patients in Gondar city administration, Northwest, Ethiopia: based on health belief model perspective. J Heal Popul Nutr 2021;40:1-10. DOI: https://doi.org/10.1186/s41043-021-00275-6
Girma S, Agenagnew L, Beressa G, Tesfaye Y, Alenko A. Risk perception and precautionary health behavior toward COVID-19 among health professionals working in selected public university hospitals in Ethiopia. PLoS One 2020;15:1-9. DOI: https://doi.org/10.1371/journal.pone.0241101
Tegegnework AZ, Aemiro MT, Bilchut AH, et al. Completion of tuberculosis preventive therapy and associated factors among clients on antiretroviral therapy at Debre Berhan town health facilities, North Shoa Zone, Ethiopia. AIDS Res Ther 2024;21:1-5. DOI: https://doi.org/10.1186/s12981-024-00629-0
Phadoongmai M, Jariya W. Tuberculosis Preventive Behaviors and their Determining Factors among Household Contacts of Tuberculosis Patients in Thailand: A Cross-sectional Study. Open Public Health J 2024;17:1-10. DOI: https://doi.org/10.2174/0118749445283184240111074905
Moonsarn S, Kasetjaroen Y, Bettex-Baars AM, Phanumartwiwath A. A Communication-Based Intervention Study for Reducing Stigma and Discrimination against Tuberculosis among Thai High-School Students. Int J Environ Res Public Health 2023;20. DOI: https://doi.org/10.3390/ijerph20054136
Malini H, Huriani E, Lenggogeni DP, Herlina S. Health education on multidrug-resistant tuberculosis prevention among tuberculosis patients. Int J Public Heal Sci 2021;10:27-32. DOI: https://doi.org/10.11591/ijphs.v10i1.20423
How to Cite
Correlation of self-efficacy and medication adherence with treatment continuity among tuberculosis patients in East Java, Indonesia. (2025). Healthcare in Low-Resource Settings, 13(s2). https://doi.org/10.4081/hls.2025.13571
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