Integrating Health Belief Model and Social Cognitive Theory in Tuberculosis Prevention in Urban Indonesia

Abstract

Good prevention of TB depends on changing how people see the risks and making sure they take action consistently.  This study wanted to create and check a model for preventing TB by using important ideas from the HBM and SCT.  A survey was done with 325 TB patients from 17 city health clinics in Surakarta, Indonesia.  The study looked at how people see threats and benefits, what stops them, how confident they feel, the support they get from others, their intentions, and their actions to prevent TB.  They used a specific analysis method called PLS-SEM with 5,000 samples to help with their findings.  The results showed strong links between the factors Self-confidence was the biggest factor in deciding someone’s intention This was followed by how much they felt threatened and the benefits they saw On the other hand, perceived obstacles had a negative impact People’s intentions greatly influenced their chances of taking preventive actions, and having support from others also had a strong direct impact The model explained 64% of the differences in people’s intentions and actions.  The combination of HBM and SCT showed that just having the intention to act is not enough.  Being confident in oneself and having support from others are important for actually taking action.  This gives useful information for TB programs on how to help people and communicate risks.