Believe, Know, Act: The Role of the Health Belief Model in Stroke Prevention Behavior Among Hypertensive Patients

Tahapan Penelitian : Complete
Sponsor:
Mitra Pelaksana:
Not Specified
No Registry
INA-3RCQ1H9D
Tanggal Input Registry : 14-08-2025

21-04-2025
This study utilized four structured instruments to collect data on participant characteristics, stroke-related knowledge SKT, stroke self-efficacy questionnaires (SSEQ), and the Hypertension Self-Management Behavior Questionnaire (HSMBQ) . All instruments were adapted to the Indonesian context and used Bahasa Indonesia for ease of understanding.
 
Believe, Know, Act: The Role of the Health Belief Model in Stroke Prevention Behavior Among Hypertensive Patients
Believe, Know, Act: The Role of the Health Belief Model in Stroke Prevention Behavior Among Hypertensive Patients
Interventional
The intervention group received a Self-Management Support Education Program based on the Health Belief Model (HBM), delivered over three weeks in five online sessions via WhatsApp. Participants received a tailored educational booklet covering: (1) hypertension concepts, (2) healthy diet, (3) physical activity, (4) medication and blood pressure monitoring, and (5) stroke prevention strategies. Sessions were conducted on Mondays and Tuesdays each week. Attendance was recorded, and engagement was encouraged through structured discussions and task reminders. Before conducting the study, the researcher submitted a request letter for research permission to the research site. After receiving approval, the researcher requested initial data to support the data included in the research proposal. Prior to data collection, the researcher applied for an ethical clearance letter as required for data collection, providing the ethics approval issued by the ethics committee. Sampling was conducted from the population of hypertensive patients who had visited in the past two months. The sample was selected based on inclusion and exclusion criteria, and then randomized. The resulting sample was divided into two groups: the treatment group and the control group, using purposive sampling. During the respondent visit, the researcher explained the study's purpose and objectives before obtaining informed consent. After respondents consented, validated by signed informed consent, they were given a pre-test questionnaire. Once the required sample size was met, the respondents were divided into the treatment and control groups. After group assignment, each respondent was invited to a WhatsApp group where they would receive further guidance and explanations about the study. The treatment group was informed about the health education program, which would be conducted online over three weeks, with sessions held every Monday and Tuesday. Attendance was recorded at each session.
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Inclusion Criteria:

Inclusion criteria were (1) aged 18–60 years, (2) diagnosed with primary hypertension grade 2 or 3 without stroke complications, and (3) willing to participate.

Exclusion Criteria:

Exclusion criteria included: (1) illiteracy or reading difficulties, (2) hearing impairment, and (3) inability to use a smartphone.
 
0427/HRECC.FODM/IV/2025
Not applicable
Not applicable
Dr. Yurike Septianingrum, S.Kep., Ns., M.Kep.