A Health Belief Model-Based Motivational Interviewing for Medication Adherence and Treatment Success in Pulmonary Tuberculosis Patients
Open accessAbstract
Medication adherence behavior plays a central role in the success of tuberculosis (TB) treatment. Conventional motivation is not optimal in strengthening long-term medication adherence. A motivational interviewing (MI) communication motivation model based on the Health Belief Model (HBM) was designed with the main objective of improving medication adherence and treatment success. This study used an experimental design with a randomized posttest-only control group design. The intervention and control groups consisted of 107 TB patients each, who were selected by random cluster sampling. The study was conducted from November 2020 to June 2021 at 38 public health centers in Bali Province. The HBM-based MI model intervention was given in seven counseling sessions, pill count percentages were used to measure medication adherence, and treatment success was based on sputum examination results. Logistic regression was used to assess the effect of the intervention on medication adherence and treatment success. Logistic regression analysis showed that MI-based HBM and knowledge were the most influential variables for increasing medication adherence and treatment success. Medication adherence was 4.5 times greater (ARR = 4.51, p = 0.018) and treatment success was 3.8 times greater (ARR = 3.81, p < 0.038) in the intervention group compared to the control group, while the secondary outcome of knowledge of other factors together influenced medication adherence and treatment success. The conclusion is that the HBM-based MI communication motivation model creates a patient-centered relationship by overcoming the triggers of treatment barriers originating from the HBM construct, effectively increasing medication adherence and treatment success for TB patients, and it needs further development by involving families in counseling for consistent self-efficacy of patients in long-term treatment.
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When used to guide intervention design, Health Belief Model constructs are operationalized into concrete counseling components: educational sessions, messages, structured problem-solving and adherence aids, reminders and encouragement, and skills training and goal setting.
“When used to guide intervention design, these constructs are operationalized into concrete counseling components: educational sessions that strengthen perceived susceptibility and severity by clarifying transmission and complication risks; messages that highlight the personal and family-level benefits of cure; structured problem-solving and adherence aids that reduce perceived barriers; reminders”
From Psychosocial Interventions for Improving Treatment Adherence in Tuberculosis Patients: A Scoping Review of Evidence-Based Approaches. (2026) · cites this paper as [49]
Methods §§2.1 and 2.6 describe HBM-guided counseling that identifies adherence barriers, provides motivation, and helps patients make plans; the Discussion also links knowledge and advice to behavior change. The copy does not specify the claimed educational content about transmission or complications, family-level benefits of cure, adherence aids, reminders, or patient skills training and goal setting as counseling components. The training it describes is for counselors. (LLM, conf=0.84)
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ESTRATÉGIAS PARA MELHORAR A AVALIAÇÃO DO PÉ DIABÉTICO NA ATENÇÃO PRIMÁRIA
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- Authors
- Parwati, N. M., Bakta, I. M., Januraga, P. P., & Wirawan, I. M. A.
- Affiliations
- Udayana University (ID)
- Corresponding author
- Parwati, Ni Made
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2021-12-15
- Volume
- 18
- Issue
- 24
- Pages
- 13238
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC8701142
- OpenAlex
- W4200242884
- Cited by
- 56
- References
- 26
- Citations by year
- 2026: 16 · 2025: 15 · 2024: 11 · 2023: 11 · 2022: 3
- FWCI
- 6.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- pulmonary tuberculosis, medication adherence, motivational interviewing, Health Belief Model, treatment success, patient counseling, sputum examination, patient-centered care, barriers to treatment, patient knowledge
- MeSH terms
- Health Belief Model, Humans, Motivation, Tuberculosis, Pulmonary, Medication Adherence, Motivational Interviewing
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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