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. 2025 Apr 7;19(2):43-49.
doi: 10.21010/Ajidv19i2.5. eCollection 2025.

FAMILY SUPPORT, MOTIVATION, AND PATIENT ADHERENCE TO TUBERCULOSIS TREATMENT: INSIGHTS FROM INDONESIA

Nindrea Ricvan Dana  1 , Ming Long Chiau  2 , Agustian Dede Rahman  1   3
Affiliations

FAMILY SUPPORT, MOTIVATION, AND PATIENT ADHERENCE TO TUBERCULOSIS TREATMENT: INSIGHTS FROM INDONESIA

Nindrea Ricvan Dana et al. Afr J Infect Dis. .

Abstract

Background: Tuberculosis (TB) remains a significant public health issue globally, with patient adherence to treatment being critical for successful outcomes.This study aimed to investigate the roles of family support and motivation in influencing adherence to TB treatment in Indonesia.

Materials and methods: A cross-sectional study was conducted among patients at four health centers in Padang Municipality, Indonesia, between January and November 2024. A total of 125 respondents diagnosed with drug-sensitive TB and in the second stage of treatment participated. Data were collected through structured interviews using validated questionnaires, assessing family support, motivation, and treatment adherence. Structural Equation Modeling (SEM) was used to analyze the relationships between variables.

Results: The findings revealed significant relationships between family support and motivation (β = 0.931, t-value = 47.016, P<0.001), family support and adherence to TB treatment (β = 0.229, t-value = 2.743, P=0.006), and motivation and adherence to TB treatment (β = 0.775, t-value = 9.334, P<0.001).

Conclusion: Family support and motivation play crucial roles in enhancing patient adherence to TB treatment. Strategies to strengthen family involvement and patient motivation should be integrated into TB control programs to improve treatment outcomes. Further research is recommended to explore additional factors influencing adherence in different contexts.

Keywords: Family support; Motivation; Treatment adherence; Tuberculosis.

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Conflict of interest statement

The authors declare that there is no conflict of interest associated with this study. List of Abbreviations0:AVE:Average Variance Extracted:CR:Composite Reliability:DS-TB:Drug-sensitive tuberculosis:MDR TB:Multidrug-Resistant Tuberculosis:SEM:Structural Equation Modeling:TB:TuberculosisXDR TB:Extensively Drug-Resistant Tuberculosis.

Figures

Figure 1
Figure 1
A path analysis of the relationship between family support, motivation, and patient adherence to TB treatment in Indonesia.
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