The Effect of M-Health Utilization with Audiovisual Education Approach on Treatment Adherence Behavior in Tuberculosis Patients

Rivaldo I. Berahim; Herlina Jusuf; Sri Manovita Pateda

doi:10.37287/ijghr.v7i2.5893

Rivaldo I. Berahim Universitas Negeri Gorontalo
Herlina Jusuf Universitas Negeri Gorontalo
Sri Manovita Pateda Universitas Negeri Gorontalo

DOI: https://doi.org/10.37287/ijghr.v7i2.5893

Keywords: audiovisual education, behavior;, m-health, tuberculosis treatment adherence, whatsapp

Abstract

In Indonesia, the success rate of TB treatment in 2023 has not yet reached the national target. Treatment of TB aims to cure the patient, prevent death, and prevent drug resistance. However, patients often fail to adhere to treatment due to the lengthy treatment period and side effects of the medication. The utilization of M-Health as a medium for audiovisual education is one of the efforts that can be made to improve treatment adherence behavior. The purpose of this study is to determine the effect of utilizing WhatsApp-based M-Health with an audiovisual education approach on treatment adherence behavior, reviewed from the aspects of knowledge, attitude, and action, in tuberculosis patients. This study uses a Quasi-experimental design with a pre-test and post-test with control group design. The sample in this study consisted of TB patients undergoing Anti-Tuberculosis treatment in North Bolaang Mongondow Regency, with a total of 80 respondents, comprising 40 treatment group respondents and 40 control group respondents. The sample was selected using the purposive sampling technique. The research instrument used was a questionnaire administered to respondents to measure their knowledge, attitudes, and action. Statistical analysis was conducted using Paired t-test, Wilcoxon signed-rank test, and Mann-Whitney test. The results of this study indicated a statistically significant difference in knowledge, attitude, and action scores pre- and post-intervention (p = 0.000). Additionally, the Mann-Whitney test demonstrated a significant difference in knowledge, attitude, and action between the intervention and control groups (p = 0.000). The utilization of M-Health with an audiovisual education approach has a positive impact on improving treatment adherence behavior in terms of knowledge, attitude, and action.

References

Amukti, D. P., Humolungo, D. T. W. S., Ardilla, M., Bachri, M. S., & Ma’ruf, M. (2024). Pemberian edukasi pada usia remaja terhadap penyakit hipertensi. Jurnal Pembelajaran Pemberdayaan Masyarakat (JP2M), 5(2), 251–258. https://doi.org/10.33474/jp2m.v5i2.21600

Alvionita, S., Wongkar, D., & Pasiak, T. F. (2022). Pengaruh Relaksasi Otot Progresif terhadap Kecemasan. EBiomedik, 10(1), 42–49. https://ejournal.unsrat.ac.id/v3/index.php/ebiomedik/article/view/37507/41351

Arief, I., & Amin, F. A. (2024). Faktor Yang Berhubungan Dengan Kejadian Hipertensi Di Gampong Lampulo Banda Aceh. Jurnal Kesehatan Tambusai, 5(2), 5184–5191. https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/29736/20743

Arani, A. M., Bakhtiary, M., Ghadyani, M. H., & Karimi, R. (2020). Investigating the effectiveness of emotional regulation techniques along with drug therapy on reducing blood pressure, anxiety symptoms, depression and hostility in patients with hypertension compared to drug therapy alone. Researcher Bulletin of Medical Sciences, 25(1), e4–e4.

Aulia, U., Boekoesoe, L., Amalia, L., Bialangi, S., & Abudi, R. (2023). Faktor Yang Mempengaruhi Kejadian Hipertensi Pada Lansia di Wilayah Kerja Puskesmas Bulango Timur Kabupaten Bone Bolango. Graha Medika Public Health Journal, 2(1), 1–6. https://journal.iktgm.ac.id/index.php/publichealth/article/view/116/84

Brahim, L. O., Lambert, S., Feeley, N., Coumoundouros, C., Schaffler, J., McCusker, J., Moodie, E., Kayser, J., Kolne, K., & Belzile, E. (2021). The Effects of Self-Management Interventions on Depressive Symptoms In Adults With Chronic Physical Disease (S) Experiencing Depressive Symptomatology: A Systematic Review And Meta-Analysis.

Butarbutar, M. H., Chaniago, A. D., Ferusgel, A., & Hutabarat, N. I. (2021). Factors Associated with the Incidence of Hypertension in the Elderly at the Millenium Clinic in Medan. Science Midwifery, 9(2), 237–242.

Fabanyo, R. A., Torey, S. R., & Momot, S. L. (2024). Pengaruh Senam Lansia Terhadap Tekanan Darah Pada Lansia Penderita Hipertensi. Jurnal Nursing ARTS, 18(1), 1–9. https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/24024/18420

Ghanbari, E., Yektatalab, S., & Mehrabi, M. (2021). Effects of psychoeducational interventions using mobile apps and mobile-based online group discussions on anxiety and self-esteem in women with breast cancer: Randomized controlled trial. JMIR MHealth and UHealth, 9(5), 1–16. https://doi.org/10.2196/19262

Moghadam, S. H., & Ganji, J. (2019). Evaluation of the nursing process utilization in a teaching hospital, Ogun State, Nigeria. Journal of Nursing and Midwifery Sciences, 6(3), 149–155. https://doi.org/10.4103/JNMS.JNMS

Musahilla, S. A., & Azmi, S. (2021). Karakteristik Sosiodemografi Pasien Penderita Hipertensi di Indonesia. Social and Health Protection Journal, 1(2), 1–3.

Nainggolan, I., & Sitompul, M. (2024). Pengaruh Terapi Relaksasi Otot Progresif pada Tekanan Darah Pasien Hipertensi di Rumah Sakit Advent Medan. Jurnal Pendidikan Tambusai, 8(2), 17179–17187. https://jptam.org/index.php/jptam/article/view/14785/11300

Nurhayati, U. A., & Andry Ariyanto, F. S. (2023). Hubungan Usia Dan Jenis Kelamin Terhadap Kejadian Hipertensi. Jurnal Kedokteran STM (Sains Dan Teknologi Medik), 6(1), 53–59. https://doi.org/10.30743/stm.v6i1.349

Pauzana, N., Ilmi, M. B., & Rahman, E. (2024). Determinan Kejadian Hipertensi Di Puskesmas Sungai Andai Tahun 2023. Health Research Journal of Indonesia (HRJI), 3(2), 50–57. https://wpcpublisher.com/jurnal/index.php/HRJI/article/view/450/409

Putri, F., Hasanah, U., & Ludiana. (2025). Implementasi Terapi Rendam Kaki Air Hangat Dan Relaksasi Nafas Dalam Terhadap Tekanan Darah Pada Pasien Hipertensi. Jurnal Cendekia Muda, 5(2), 268–278. https://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/718

Putri, W. S., Wardojo, S. S. I., & Selviana, A. (2024). Edukasi dan Penyuluhan Kesehatan untuk Meningkatkan Pengetahuan dan Pencegahan Hipertensi di Puskesmas Rampal Celaket. Journal of Community Service, 2(2), 138–144. https://healthcare.renaciptamandiri.org/index.php/ojs/article/view/47/42

Ramdhika, M. R., Widiastuti, W., Hasni, D., Febrianto, B. Y., & Jelmila, S. (2023). Hubungan Aktivitas Fisik dengan Kejadian Hipertensi pada Perempuan Etnis Minangkabau di Kota PadangHubungan Aktivitas Fisik dengan Kejadian Hipertensi pada Perempuan Etnis Minangkabau di Kota Padang. Jurnal Kedokteran Dan Kesehatan, 19(1), 91. https://doi.org/10.24853/jkk.19.1.91-97

Ria, N., Manurung, N. K., & Simaremare, S. A. (2024). Edukasi Menggunakan Panduan “Pola Hidup Sehat Atasi Hipertensi” Pada Wanita Usia Subur Di Pematangsiantar. GEMAKES: Jurnal Pengabdian Kepada Masyarakat, 4(2), 233–242. https://doi.org/10.36082/gemakes.v4i2.1622

Santi, T. D., & Fahdhienie, F. (2024). Puskesmas Bies Kecamatan Bies Kabupaten Aceh Tengah Tahun 2023. Jurnal Kesehatan Tanbusai, 5(1), 1111–1118. https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/24024/18420

Savitri, I., Trustisari, H., & Timur, K. J. (2024). Dampak Kecemasan Terhadap Kemandirian Lansia: Deskriptif. Jurnal …, 1(3), 734–743. https://ejurnal.kampusakademik.co.id/index.php/jmia/article/download/1670/1560

Setyowibowo, H., Yudiana, W., Hunfeld, J. A. M., Iskandarsyah, A., Passchier, J., Arzomand, H., Sadarjoen, S. S., de Vries, R., & Sijbrandij, M. (2022). Psychoeducation for breast cancer: A systematic review and meta-analysis. Breast, 62, 36–51. https://doi.org/10.1016/j.breast.2022.01.005

Suprayitno, Emdat, & Huzaimah, N. (2020). Pendampingan lansia dalam pencegahan komplikasi hipertensi. SELAPARANG Jurnal Pengabdian Masyarakat Berkemajuan, 4(1), 518–521

Tama, M. M. L., & Cherina, N. A. (2024). Psikoedukasi Self-Management Untuk Meningkatkan Kualitas Hidup Lansia Di Wilayah Kerja UTP Puskesmas Pagar Agung Kabupaten Lahat. Jurnal Pengabdian Masyarakat, 1(1), 134–140. http://ojs.uninus.ac.id/index.php/JPKM/article/view/3483/1953

Tanaya, V. Y., & Yuniartika, W. (2023). Cognitive Behavior Therapy (CBT) sebagai Terapi Tingkat Kecemasan pada Lansia. Jurnal Keperawatan Silampari, 6(2), 1419–1429. https://doi.org/10.31539/jks.v6i2.5422

Musahilla, S. A., & Azmi, S. (2021). Karakteristik Sosiodemografi Pasien Penderita Hipertensi di Indonesia. Social and Health Protection Journal, 1(2), 1–3.