Implementation of the Family Health Promotion Model (FHPM) on Family Commitment in TB Transmission Preventive Action among the Heads of Familiesof TB Patients: A Structural Model
Abstract
Tuberculosis (TB) transmission prevention centering on family is an effective strategy to suppress the emergence of new clusters of pulmonary TB transmission. The commitment of family heads and several factors are related to this action. This study was conducted to identify, examine, and analyze the determinants of family commitment in preventing the transmission of pulmonary TB. This study applied a quantitative cross-sectional approach to 170 family heads of pulmonary TB patients using proportionate simple random sampling. The family health promotion model (FHPM) was used to analyze family commitment determinants in preventing TB transmission. Data were collected using a questionnaire. SEM analysis was utilized to determine the paths and the relationship between family function, perception of the disease transmission risk, as well as family support, and commitment to action to prevent TB transmission. This study recorded that 50.6% of respondents were male with an average age of 46.75 ± 46 and an age range of 36-55 years, 53% had a high school education; 25.9% were self-employed; had an average decent living need of 1.93 ± 0.85, 75.3% had nuclear family, and 47.1% were from patriarchal family. Model fit was achieved in the structural equation (Chi-square (χ2) = 173.44; df = 71, RMSEA = 0.072≤ 0.08; GFI = 0.90≥ 0.90; RMR = 0.019≤ 0.05; NFI = 0.98≥ 0.90; CFI = 0.99≥ 0.90; TLI = 0.98≥ 0.95; IFI = 0.99≥ 0.90; PGFI = 0.59; PNFI = 0,76). All dimensions and item scales are significantly related to their respective latent constructs. All factors forming the FHPM framework have a significant positive direct effect between latent variables. Factors from the FHPM framework significantly (family function t = 8.74, perception t = 4.46, and family support t = 7.37) have an influence on commitment to action to prevent pulmonary TB transmission. Family function is the most powerful factor explaining commitment to preventive action. This study reveals the paths and influences of family function, perception, and support on a commitment to prevent pulmonary TB transmission through structural model analysis.
References
Berry, L. L., Parish, J. T., & Rayburn, W. L. (2008). Physician and Why It Matters. Annals Of Family Medicine, 6–13. https://doi.org/10.1370/afm.757.2
Cavalcante, E. F. de O., & Silva, D. M. G. V. da. (2016). Nurses’ commitment to the care of tuberculosis patients. Texto e Contexto Enfermagem, 25(3), 1–10. https://doi.org/10.1590/0104-07072016003930015
Chen, X., Du, L., Wu, R., Xu, J., Ji, H., Zhang, Y., Zhu, X., & Zhou, L. (2020). The effects of family, society and national policy support on treatment adherence among newly diagnosed tuberculosis patients: a cross-sectional study. 1–11. https://doi.org/10.21203/rs.3.rs-25273/v1.
Dinas Kesehatan (Dinkes) Surakarta. (2021). Surakarta Health Profile. Dinas Kesehatan Kota Surakarta.
Dinas Kesehatan Provinsi Jawa Tengah. (2019). Profil Kesehatan Provinsi Jateng Tahun 2019. Dinas Kesehatan Provinsi Jawa Tengah, 3511351(24), 273–275. https://dinkesjatengprov.go.id/v2018/storage/2020/09/Profil-Jateng-tahun-2019.pdf.
Duran, S., Celik, I., Ertugrul, B., Ok, S., & Albayrak, S. (2021). Factors affecting nurses’ professional commitment during the COVID-19 pandemic: A cross-sectional study. Journal of Nursing Management, 29(7), 1906–1915. https://doi.org/10.1111/jonm.13327.
Fouad, N. A., Kim, S. Y., Ghosh, A., Chang, W. H., & Figueiredo, C. (2016). Family Influence on Career Decision Making: Validation in India and the United States. Journal of Career Assessment, 24(1), 197–212. https://doi.org/10.1177/1069072714565782.
Gaspar, T., Gomez-Baya, D., Trindade, J. S., Botelho Guedes, F., Cerqueira, A., & de Matos, M. G. (2022). Relationship Between Family Functioning, Parents’ Psychosocial Factors, and Children’s Well-Being. Journal of Family Issues, 43(9), 2380–2397. https://doi.org/10.1177/0192513X211030722.
Giri, D. D., Sary, L., & Perdana, A. A. (2022). Factors Associated with Commitment to Prevention of Pulmonary Tuberculosis Transmission. Health Journal, 13(1), 39. https://doi.org/10.26630/jk.v13i1.2822.
Hair, J. F. J., Black, W. C., & Anderson, R. E. (2018). Multivariate Data Analysis (Eighth Edi). RR Donnelley. https://doi.org/10.1002/9781119409137.ch4.
Huang, Y., Liu, Y., Wang, Y., & Liu, D. (2021). Family function fully mediates the relationship between social support and perinatal depression in rural Southwest China. BMC Psychiatry, 21(1), 1–10. https://doi.org/10.1186/s12888-021-03155-9
Huang, J., Xu, L., Xu, Z., Luo, Y., Liao, B., Li, Y., & Shi, Y. (2022). The relationship among pregnancy-related anxiety, perceived social support, family function and resilience in Chinese pregnant women: a structural equation modeling analysis. BMC Women’s Health, 22(1), 1–11. https://doi.org/10.1186/s12905-022-02145-7
Hatam, N., Jalali, M. T., Askarian, M., & Kharazmi, E. (2016). Relationship between family-work and work-family conflict with organizational commitment and desertion intention among nurses and paramedical staff at hospitals. International Journal of Community Based Nursing and Midwifery, 4(2), 107–118.
Kemenkes. (2020). Indonesia Health Profile 2019. Jakarta: Indonesian Ministry of Health. https://doi.org/10.5005/jp/books/11257_5.
Kementerian Kesehatan, RI. (2014). National Guidelines for Tuberculosis Control. Jakarta: Indonesian Ministry of Health.
Kim, N. R., Kim, H. J., & Lee, K. H. (2018). Social Support and Occupational Engagement Among Korean Undergraduates: The Moderating and Mediating Effect of Work Volition. Journal of Career Development, 45(3), 285–298. https://doi.org/10.1177/0894845316682319
Kurniawan, W. (2019). Jurnal Nathiqiyah |Vol. 2 No. 1 Jan-Jun 2019. Jurnal Nathiqiyah, 2(1), 13–25.
Kurt, F. (2020). The effect of tuberculosis treatment on quality of life, anxiety, and depression. The Anatolian Journal of Family Medicine, 3(2), 96–100. https://doi.org/10.5505/anatoljfm.2019.30602
Min, J., Chung, C., Jung, S. S., Park, H. K., Lee, S. S., & Lee, K. M. (2019). Understanding illness perception in pulmonary tuberculosis patients: One step towards patient-centered care. PLoS ONE, 14(6), 1–13. https://doi.org/10.1371/journal.pone.0218106
Odume, B. B., Ofoegbu, O. S., Aniwada, E. C., & Okechukwu, E. F. (2015). The influence of family characteristics on glycaemic control among adult patients with type 2 diabetes mellitus attending the general outpatient clinic, national hospital, Abuja, Nigeria. South African Family Practice, 57(6), 347–353. https://doi.org/10.1080/20786190.2015.1090688
Rachmawati, D. S., Nursalam, N., & Amin, M. (2019). Developing Family Resilience Models : Indicators and Dimensions in the Families of Pulmonary TB Patients in Surabaya. 14(2), 165–171
Sulistyono, R. E., & Tristiana, R. D. (2018). Perceived Burden of Multi Drugs Resistant Tuberculosis Patients and Their Family: A Review of The Qualitative Literature. 6(2), 27–38.
Torres, C., Vallejo-Huanga, D., & Ramírez Ocaña, X. (2021). Quantitative evaluation of family functions and changes in a postmodern context. Heliyon, 7(6), e07435. https://doi.org/10.1016/j.heliyon.2021.e07435
Yoshitake, N., Omori, M., Sugawara, M., Akishinonomiya, K., & Shimada, S. (2019). Do health beliefs, personality traits, and interpersonal concerns predict TB prevention behavior among Japanese adults? PLoS ONE, 14(2), 1–10. https://doi.org/10.1371/journal.pone.0211728.
