The Effect of Information, Motivation, and Behavioral Skills Model on Tertiary Prevention Behavior among Hypertension Patients

Authors

  • Disa Lintang Sari Universitas Sebelas Maret
  • Setyo Sri Rahardjo Universitas Sebelas Maret
  • Arsita Eka Prasetyawati Universitas Sebelas Maret
  • Argyo Demartoto Universitas Sebelas Maret
  • Dhoni Akbar Ghozali Universitas Sebelas Maret

DOI:

https://doi.org/10.37287/ijghr.v8i5.2294

Keywords:

behavioral skills, hypertension, IMB model, motivation, tertiary prevention

Abstract

Hypertension is a medical condition in which blood pressure increases above 140/80 mmHg. If it is not controlled, it can have negative effects on health and may develop into a chronic disease. Hypertension control depends on tertiary prevention behavior. This study used the Information Motivation Behavioral Skills construct to analyze tertiary prevention behavior among patients with hypertension. This study used a cross-sectional design conducted in Boyolali Regency. The sampling technique used stratified random sampling. Five community health centers were selected, with a total sample of 200 respondents. Data were collected using a questionnaire that had been tested for validity and reliability. Multivariate data analysis was performed using path analysis. The results of the study showed that behavioral skills had a direct association with tertiary prevention behavior among patients with hypertension (b = 0.40; 95% CI = 0.28–0.51; p < 0.001). Motivation was also directly and significantly associated with tertiary prevention behavior (b = 0.26; 95% CI = 0.14–0.38; p < 0.001). Information had an indirect association with tertiary prevention behavior through behavioral skills (b = 0.17; CI 95% = 0.06–0.28; p = 0.003), while motivation also had an indirect association with tertiary prevention behavior through behavioral skills (b = 0.40; 95% CI = 0.29–0.51; p < 0.001). In addition, information had a direct association with tertiary prevention behavior (b = 0.17; 95% CI = 0.06–0.28; p = 0.006). The path model demonstrated a good fit to the data (CFI = 1.00; TLI = 1.00; RMSEA = 0.00; SRMR = 0.00). behavioral skills and motivation influence tertiary prevention behavior among patients with hypertension. Information has a direct effect on tertiary prevention behavior, but it has an indirect effect through behavioral skills. Behavioral skills also mediate the effect of motivation on tertiary prevention behavior.

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Hamilton, S. J., Ross, M., & Campbell, T. (2023). A qualitative exploration of patient motivation and behavioral skill acquisition in hypertension self-management. Chronic Illness, 19(2), 143–156. https://doi.org/10.1177/17423953221110409

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Horvat, M., Lawrence, K., & Becker, J. (2023). How patients translate hypertension awareness into daily habits: A qualitative analysis of behavioral skills. Chronic Illness, 19(3), 215-228. https://doi.org/10.1177/17423953231158402

Jaemi, J. (2020). Kepatuhan Orang dengan HIV/AIDS (ODHA) terhadap Pengobatan Antiretroviral (ARV). JHeS (Journal of Health Studies), 72-84.

Kartika, I. R., & Dewi, R. (2018). Manajemen Keseimbangan Gaya Hidup Dan Kestabilan Tekanan Darah Masyarakat Usia Produktif. REAL in Nursing Journal, 1(1), 12. https://doi.org/10.32883/rnj.v1i1.177

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2026-09-24

How to Cite

Sari, D. L., Rahardjo, S. S., Prasetyawati, A. E., Demartoto, A., & Ghozali, D. A. (2026). The Effect of Information, Motivation, and Behavioral Skills Model on Tertiary Prevention Behavior among Hypertension Patients. Indonesian Journal of Global Health Research, 8(5), 633–650. https://doi.org/10.37287/ijghr.v8i5.2294

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