Original Articles

E-learning health management on behavior to prevent tuberculosis transmission

Publisher's note
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: 31 July 2025
Published: 14 July 2026
62
Views
19
Downloads

Authors

Inadequate information of pulmonary tuberculosis prevention contributes to poor conduct in controlling its spread. E-learning health management education is an effective way to change individuals' attitudes toward improved health. This study sought to assess the effects of E-learning health management education on behaviors targeted at avoiding the spread of pulmonary tuberculosis. The research design used was pre-experimental, with a one-group pre-post-test procedure. The Wonokromo Community Health Center had a population of 37 patients with pulmonary tuberculosis, and the sample included all 37 respondents chosen using a non-probability sampling approach called total sampling. The independent variable is E-learning health management education, and the dependent variable is behavior aimed at limiting the spread of pulmonary tuberculosis. A Likert scale questionnaire was employed as the study tool. The data was analyzed using a T-test, with significance defined at α = < 0.05. The consequence. The E-learning health management education intervention had a significant impact in preventing tuberculosis transmission (p < 0.001). This demonstrates a link between e-learning health management education and preventative behavior for pulmonary tuberculosis transmission. Prior to administering the E-learning health management education program among patients, the majority of participants had negative attitudes on limiting the spread of pulmonary tuberculosis.

Downloads

Download data is not yet available.

[1] Minsarnawati AAM. Pola Penyakit Tuberkulosis (TBC) di Provinsi Jawa Timur_ Analisis Spasial dan Determinannya 2023.

[2] Dinas Kesehatan Provinsi Jawa Timur. Profil Kesehatan Provinsi Jawa Timur 2019. [East Java Province Health Profile 2019.] Dinas Kesehatan Provinsi Jawa Timur, 2020:tabel 53.

[3] Dorjee K, Topgyal S, Tsewang T, et al. Risk of developing active tuberculosis following tuberculosis screening and preventive therapy for Tibetan refugee children and adolescents in India : An impact assessment. PLoS Med 2021;18:e1003502. DOI: https://doi.org/10.1371/journal.pmed.1003502

[4] Huang S, Xiang H, Yang W, et al. Short‐term effect of air pollution on tuberculosis based on kriged data: A time‐series analysis. Int J Environ Res Public Health 2020;17:1522. DOI: https://doi.org/10.3390/ijerph17051522

[5] Id OO, Adepoju V, Emeka F, Id A. Treatment outcomes of drug susceptible Tuberculosis in private health facilities in. PLoS One 2021;16:e0244581. DOI: https://doi.org/10.1371/journal.pone.0244581

[6] Tan C, Kallon II, Colvin CJ, Grant AD. Barriers and facilitators of tuberculosis infection prevention and control in low- And middle-income countries from the perspective of healthcare workers: A systematic review. PLoS One 2020;15:e0241039. DOI: https://doi.org/10.1371/journal.pone.0241039

[7] Kinikar A, Chandanwale A, Kadam D, et al. High risk for latent tuberculosis infection among medical residents and nursing students in India. PLoS One 2019;14:e0219131. DOI: https://doi.org/10.1371/journal.pone.0219131

[8] Tesema T, Seyoum D, Ejeta E, Tsegaye R. Determinants of tuberculosis treatment outcome under directly observed treatment short courses in Adama City, Ethiopia. PLoS One 2020;15:e0232468. DOI: https://doi.org/10.1371/journal.pone.0232468

[9] Setiyowati E, Hanik U NP. An overview of lifestyle in communities during the second wave of Covid-19 pandemic. J Health Sci 2021;14:257–66. DOI: https://doi.org/10.33086/jhs.v14i3.2099

[10] Setiyowati E, Anggraeni R, Winoto PM, et al. Acceptance of the covid-19 vaccine based on health belief model. Bali Med J 2022;11:1319–24. DOI: https://doi.org/10.15562/bmj.v11i3.3549

[11] Setiyowati E, Soleha U, Mulyadi M, Basuni M. Benson’s spiritual relaxation and. lavender aromatherapy toward anxiety, sleep quality, and blood pressure. Healthc Low-res S 2025;13:13182.

[12] Setiyowati E, Soleha U, Mulyadi M, Basuni M. Benson’s spiritual relaxation and lavender aromatherapy toward anxiety, sleep quality, and blood pressure. Healthc Low-res S 2025;13:13182. DOI: https://doi.org/10.4081/hls.2025.13182

[13] Setiyowati E, Khamidah N, Setianto B, et al. Preventive behaviors toward transmission of pulmonary tuberculosis. Bali Med J 2023;12:3376–81. DOI: https://doi.org/10.15562/bmj.v12i3.4429

[14] Aggarwal AN. Quality of life with tuberculosis. J Clin Tuberc Other Mycobact Dis 2019;17:121. DOI: https://doi.org/10.1016/j.jctube.2019.100121

[15] Mordekai Rangkoratat M, Melda Suhita B, Ana Anggraini N. Improving self-efficacy and behavior to prevent transmission in pulmonary tuberculosis patients through health coaching based on social cognitive theory. J Appl Nurs Health 2024;6:75–87. DOI: https://doi.org/10.55018/janh.v6i2.242

[16] Pérez LV, Díaz MJF. An immersive research activity for undergraduate nursing students: an educational innovation. Teaching Learning Nurs 2025;21:e411-5. DOI: https://doi.org/10.1016/j.teln.2025.11.015

[17] Waters VJ, Stanojevic S, Sonneveld N, et al. Factors associated with response to treatment of pulmonary exacerbations in cystic fibrosis patients. J Cystic Fibrosis 2015;14:755–62. DOI: https://doi.org/10.1016/j.jcf.2015.01.007

[18] Karat AS, Gregg M, Barton HE, et al. Evidence for the use of triage, respiratory isolation, and effective treatment to reduce the transmission of mycobacterium tuberculosis in healthcare settings: a systematic review. Clin Infect Dis 2021;72:155-72. DOI: https://doi.org/10.1093/cid/ciaa720

[19] Sabri A, Quistrebert J, Amrani HN, et al. Prevalence and risk factors for latent tuberculosis infection among healthcare workers in Morocco. PLoS One 2019;14:1081. DOI: https://doi.org/10.1371/journal.pone.0221081

[20] MacPherson P, Lebina L, Motsomi K, et al. Prevalence and risk factors for latent tuberculosis infection among household contacts of index cases in two South African provinces: Analysis of baseline data from a cluster-randomised trial. PLoS One 2020;15:23066. DOI: https://doi.org/10.1371/journal.pone.0230376

[21] Castro-Carrasco P, Cuadra-Martínez D, Gubbins V, et al. Subjective theories of the Chilean teachers’ union about school climate and violence after the pandemic: a study of web news. Front Educ (Lausanne) 2024;9:1455837. DOI: https://doi.org/10.3389/feduc.2024.1455387

[22] Citron K, Johnson M, Matheson BE, et al. Study protocol for training providers in private practice in family-based treatment for adolescents with anorexia nervosa: A randomized controlled feasibility trial. Contemp Clin Trials 2022;120:106889. DOI: https://doi.org/10.1016/j.cct.2022.106889

[23] Melisse B, van den Berg E, de Beurs E. Effectiveness of web-based guided self-help cognitive behavioral therapy-enhanced for binge-eating disorder: An implementation study. Int J Eating Dis 2024;57:1379–89. DOI: https://doi.org/10.1002/eat.24079

[24] Chourasiya L, Lillohre UK, Pandey AK, et al. Enhancing healthcare classification with hybrid multimedia data processing and deep learning TNBO FCNN approach in IoT-enabled environments. Sci Rep. 2025;16:3286. DOI: https://doi.org/10.1038/s41598-025-33141-0

[25] Purba C, Sinaga I, Rawung S, et al. Nurses’ perceived knowledge, self-confidence, and attitudes in using telemedicine: A case study from West Indonesia. Enferm Clin 2023;33:S12–6. DOI: https://doi.org/10.1016/j.enfcli.2023.01.006

[26] Dai L, Xu H, Zhang Y. Automated classification of clinical diagnoses in electronic health records using transformer. PLoS One 2025;20:e0329963. DOI: https://doi.org/10.1371/journal.pone.0329963

Ethics Approval

The Ethics Committee of Universitas Nahdlatul Ulama Surabaya approved this study No. 0503/EC/KEPK/UNUSA/2025 The study is conformed with the Helsinki Declaration of 1964, as revised in 2013, concerning human and animal rights.

CRediT authorship contribution

Eppy Setiyowati, Erika Martining Wardani, Asmaul Lutfauziah, concepts, definition of intellectual content, experimental studies, manuscript preparation; Eppy Setiyowati, Erika Martining Wardani, design, data analysis; Eppy Setiyowati, literature search; Erika Martining Wardani, Asmaul Lutfauziah, clinical studies; Eppy Setiyowati, Asmaul Lutfauziah, data acquisition; Erika Martining Wardani, manuscript editing; Asmaul Lutfauziah, manuscript review.

Supporting Agencies

Funding of the study from Rector Universitas Nahdlatul Ulama Surabaya with number letter 819.39/UNUSA-LPPM/Adm.E/V/2025.

Data Availability Statement

All data generated or analyzed during this study are included in this published article.

How to Cite



E-learning health management on behavior to prevent tuberculosis transmission. (2026). Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2026.14211