Interactive Counseling Skills Method to Improve Parental Compliance and Self-Efficacy in Child Tuberculosis Prevention Therapy: A Mixed Methods Study
DOI:
https://doi.org/10.55018/janh.v7i3.417Keywords:
Tuberculosis, Counseling, Self-Efficacy, Patient Adherence, ChildrenAbstract
Background: Tuberculosis (TB) is transmitted through saliva droplets containing Mycobacterium tuberculosis. TB Preventive Therapy (TPT) is provided to individuals infected with M. tuberculosis who do not show symptoms of active disease, particularly as part of a child contact investigation. The success of TPT largely depends on parental self-efficacy and adherence in supporting their children throughout therapy. The Interactive Counseling Skills (ICS) strategy is proposed to strengthen these factors. The aim is to examine the effect of ICS on parents’ self-efficacy and adherence in accompanying their children during TPT..
Methods: This study used a mixed-methods approach with quantitative and qualitative data, applying a sequential explanatory design. Sampling was conducted using a quasi-experimental method with a total of 60 participants divided into intervention and control groups. Instruments used included questionnaires and interview guides, with validity tested through Cronbach’s Alpha and triangulation. Data analysis was conducted using the Paired T-Test/Wilcoxon test and thematic analysis.
Results: The findings showed a significant increase in parental self-efficacy (p = 0.001) and treatment adherence (p = 0.002) in the intervention group compared to the control group. Qualitative findings supported the quantitative results, with parents in the intervention group stating that the interactive counseling sessions provided them with a better understanding of TB, increased their confidence in supporting the therapy process, and helped them understand the importance of regular TPT administration after attending the ICS sessions.
Conclusion: This study demonstrates strong convergence, where the parents’ experiential narratives reinforce significant statistical data. The intervention not only increased self-efficacy and adherence rates but also fostered changes in attitude, understanding, and confidence. It is necessary to develop ICS training modules for healthcare workers so that this intervention can be implemented sustainably and consistently within family-based health services
Downloads
References
Aji, S. P., Nugroho, F. S., & Rahardjo, B. (2023). Promosi dan Pendidikan Kesehatan di Masyarakat (Strategi dan Tahapannya). Global Eksekutif Teknologi. In Promosi dan Pendidikan Kesehatan. https://eprints.univetbantara.ac.id/id/eprint/140/1/2 BUKU PROMOSI DAN PENDIDIKAN KESEHATAN DI MASYARAKAT-1.pdf
Aji, S. P., Nugroho, F. S., & Rahardjo, B. (2023). Promosi dan Pendidikan Kesehatan di Masyarakat (Strategi dan Tahapannya). Global Eksekutif Teknologi.
Ardiana, H., Amin, M., & Hidayati, L. (2021). Model intervensi pada pasien Tuberkulosis untuk meningkatkan kepatuhan: A systematic review. NURSCOPE: Jurnal Penelitian Dan Pemikiran Ilmiah Keperawatan, 7(2), 153–162.
Ardiana, H., Amin, M., & Hidayati, L. (2021). Model intervensi pada pasien Tuberkulosis untuk meningkatkan kepatuhan: A systematic review. NURSCOPE: Jurnal Penelitian Dan Pemikiran Ilmiah Keperawatan, 7(2), 153–162.
Bandura, A. (2023). Cultivate self‐efficacy for personal and organizational effectiveness. Principles of Organizational Behavior: The Handbook of Evidence‐Based Management 3rd Edition, 113–135.
Bandura, A. (2023). Cultivate self‐efficacy for personal and organizational effectiveness. In Principles of Organizational Behavior: The Handbook of Evidence‐Based Management (3rd ed., pp. 113–135).
Fairil, M. C. A., & Haskas, Y. (2024). Pengaruh Individual Coaching Terhadap Self Efficacy Pencegahan Penularan Dan Kepatuhan Minum Obat Pada Penderita Tuberkolosis Di Puskesmas Tamalanrea. JIMPK: Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 4(2), 170–176.
Fairil, M. C. A., & Haskas, Y. (2024). Pengaruh Individual Coaching terhadap Self Efficacy Pencegahan Penularan dan Kepatuhan Minum Obat pada Penderita Tuberkulosis di Puskesmas Tamalanrea. JIMPK: Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 4(2), 170–176.
Green, L. W., & Kreuter, M. W. (2005). Health Program Planning: An Educational and Ecological Approach (4th ed.). McGraw-Hill.
Gumara, A., Sari, R. E., & Wardiah, R. (2025). Family-based communication strategies to improve adherence in preventive TB therapy. Journal of Community Health Intervention, 8(1), 55–64.
Gumara, A., Sari, R. E., Wardiah, R., Nasution, H. S., Jl, A., No, J. B., Darat, M., Jambi, K., Kota, L., & Muaro, K. (2025). Faktor yang Berhubungan dengan Perilaku Minum Obat Terapi Pencegahan Tuberkulosis ( TPT ) di Wilayah Kerja Puskesmas Putri Ayu Kota Jambi Universitas Jambi , Indonesia kepada masyarakat terutama orang yang serumah dan kontak dengan pasien TB , menurut dat. September.
Hakim, A., & Putri, P. M. (2015). Pengaruh latar belakang pendidikan pasien terhadap keteraturan pengobatan TB paru di Puskesmas Wangon I Banyumas. Psycho Idea, 13(2).
Hakim, L., & Putri, S. (2015). Health communication strategies and parental engagement. Journal of Community Nursing, 4(1), 44–52.
Heri, A., Yusuf, R., & Pratiwi, N. (2020). Adherence to tuberculosis preventive therapy among children in Indonesia. Journal of Tropical Public Health, 6(1), 22–30.
Heri, M., Dewi, P. K., Widiarta, G. B., & Martini, M. (2020). Peningkatan Self-efficacy pada Keluarga dengan Penyakit TB Paru melalui Terapi Psikoedukasi. Jurnal Keperawatan Silampari, 3(2), 436–445.
Jati, M. (2023). WHO Global Tuberculosis Report 2023 Summary and Implications for Indonesia. Public Health Press.
Jatim, D. K. (2023). Profil Kesehatan Provinsi Jawa Timur Tahun 2022 (Vol. 17).
Lemvik, G., Andersen, A., & Silva, R. (2025). Treatment completion and mortality among children receiving IPT in Guinea-Bissau: An observational study. International Journal of Tuberculosis Research, 29(1), 15–23.
Lemvik, G., Larsson, L., Rudolf, F., Vejrum, J. E., Sodemann, M., Gomes, V. F., & Wejse, C. (2025). An open-label cluster-randomised trial on TB preventive therapy for children. IJTLD Open, 2(3), 120–128.
Masyfahani, M. A. H., Sukartini, T., & Probowati, R. (2020). GAMBARAN SELF EFFICACY DAN PENGETAHUAN PADA KLIEN TUBERKULOSIS: Self Efficacy and Knowledge Description on Tuberculosis Clients. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 6(1), 93–101.
Masyfahani, S., Notoatmodjo, S., & Aulia, D. (2020). Age-related factors influencing health behavior among parents of children with infectious diseases. Public Health Education Journal, 9(3), 110–119.
Nasaruddin, H., Pramono, S. D., & Wiryansyah, E. P. (2024). Evaluasi Kepatuhan Pasien Tuberkulosis Paru terhadap Penggunaan OAT. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran, 4(5), 349–357.
Nasaruddin, N., Rahman, F., & Yusuf, N. (2024). Mixed-methods evaluation of adherence behavior in childhood TB prevention. Indonesian Journal of Public Health Research, 9(1), 75–84.
Notoatmodjo, S. (2014). Promosi Kesehatan dan Perilaku Kesehatan. Rineka Cipta.
Nuroctavia, M. M., Supriatin, T., & Cikwanto, C. (2021). Analisis Gambaran Self-Efficacy Ibu Dengan Anak Yang Sedang Menjalani Pengobatan Tuberkulosis Di Ruang Poliklinik Rs Mitra Plumbon Cirebon. Journal of Nursing Practice and Education, 1(2), 159–168.
Nuroctavia, R., Hidayati, S., & Apriani, I. (2021). Parental self-efficacy and treatment support in childhood TB therapy. Journal of Family Health, 7(2), 88–97.
Opoku Agyemang, C., Opoku, O. A., Serwaa Ennin, A., Mabakawo, G., Nyarko Mensah, O., & Opoku, A. (2025). Cultural and socioeconomic influences on traditional medicine utilization for ENT conditions. Journal of Applied Nursing and Health, 7(1), 1–13.
Pakasi, T. T., Leksono, B. G., R, A. D., Nabila, A. F., & Nababan, B. (2025). Petunjuk Teknis Investigasi Kontak Terintregasi Terapi Pencegahan Tuberkulosis (K. K. Rahma, Sarah Nadhila (Tim Kerja TBC (ed.)). Kementrian Kesehatan RI.
Pakasi, T., Rina, T., Fitry, Y. F., Wulandari, A. D., Nababan, weri Y. B., Meyanti, F., Nurul, B., Sulistyo, Esmawati, Nuromah, S., & Utami, S. F. A. (2023). Petunjuk Teknis Tata Laksana Tuberkulosis Anak dan Remaja.
Pakasi, T., Widodo, A., & Lestari, P. (2023). Pediatric tuberculosis case detection in Surabaya: Situation analysis 2023. Indonesian Journal of Tuberculosis Control, 12(1), 40–48.
Russell, A., & Ingersoll, B. (2021). Parent-mediated interventions and therapeutic self-efficacy: A systematic review. Child & Family Health Journal, 18(4), 233–245.
Russell, K. M., & Ingersoll, B. (2021). Factors related to parental therapeutic self-efficacy in a parent-mediated intervention for children with autism spectrum disorder: A mixed methods study. Autism, 25(4), 971–981.
Sari, E. N. (2020). Effect of psychoeducational therapy on self-efficacy among adult tuberculosis patients in Mataram. Indonesian Journal of Community Health Nursing, 4(1), 12–20.
Sari, E., Kristina, T. N., & Sujianto, U. (2023). Parents Knowledge and Experiences of Child TB Patients about Medicine Administration in the Intensive Phase. Open Access Maced J Med Sci. 2023 Jan 03; 11 (G): 78-81.
Sari, E., Rahmawati, D., & Karimah, L. (2023). Challenges of parental adherence in supporting tuberculosis preventive therapy. Journal of Pediatric Nursing Indonesia, 11(2), 65–74.
Sari, N. M., Amirus, K., & Febriani, C. A. (2021). Pengaruh Terapi Konseling Realitas dalam Mengurangi Stigma Diri pada Penderita TB.
Sugiyono. (2020). Metode penelitian kuantitatif, kualitatif, R&D (Issue January).
Sukartini, T., Pratiwi, I. N., & KOA, M. F. (2020). Individual Coaching on Self-Efficacy, Control and Medication Adherence in Patients with Tuberculosis. International Journal of Psychosocial Rehabilitation, 24(7), 7620–7627.
Sukartini, T., Wulandari, D., & Putri, S. (2020). Psychoeducation to improve family self-efficacy among pulmonary tuberculosis patients. Journal of Nursing and Health Science, 5(2), 45–52.
Sutarto, S., Fauzi, Y. S., Indriyani, R., RW, D. W. S., & Wibowo, A. (2019). Efikasi Diri pada Kepatuhan Minum Obat Anti Tuberkulosis (OAT). Jurnal Kesehatan, 10(3), 405–412.
Sutarto, T., Rahman, H., & Wibowo, A. (2019). Factors associated with parental self-efficacy in TB treatment support. Indonesian Journal of Respiratory Care, 3(2), 55–64.
Taqwim, A., Hasim, R., & Dewi, L. (2023). Interactive counseling skills in community health intervention: An experimental study. Journal of Health Promotion Indonesia, 5(3), 200–212.
Taqwim, A., Machmud, E., Ade, A. M., Nurul, S. M., & Jubhari, E. H. (2023). The effect of interactive counselling method on dental and oral health knowledge among islamic boarding school students. Makassar Dental Journal, 12(3), 349–352.
Terry, P. E. (2021). Behavior change models in preventive health education. American Journal of Health Promotion, 35(5), 633–640.
Terry, P. E. (2021). Health promotion planning and an interview with Dr. Lawrence Green. In American Journal of Health Promotion (Vol. 35, Issue 6, pp. 760–765). SAGE Publications Sage CA: Los Angeles, CA.
Viney, K. (2023). Family engagement and adherence in childhood TB treatment: WHO policy commentary. Bulletin of the World Health Organization, 101(4), 250–252.
Viney, K. (2023). Roadmap towards ending TB in children and adolescents. World Health Organization.
Zeladita-Huaman, J., Yuen, C. M., Zegarra-Chapoñan, R., Curisinche-Rojas, M., & Egusquiza-Pozo, V. (2021). Caregivers’ knowledge and perceptions are associated with children’s TB preventive treatment completion. Public Health Action, 11(2), 85–90.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Ethyca Sari, Martha Lowarni Siagian, Devi Aprilia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
