Association of Family Support with Treatment Adherence in Tuberculosis Patients
DOI:
10.65277/ohj.v3i1.233Downloads
Abstract
Background: Tuberculosis (TB) remains a major public health problem that requires long-term treatment and sustained patient adherence. Non-adherence to TB therapy can lead to treatment failure and drug resistance, and is influenced by various factors, including family support as a key social determinant of health.
Objective: To examine the association between family support and treatment adherence among tuberculosis (TB) patients.
Methods: This quantitative observational study employed a cross-sectional design and was conducted among 120 pulmonary TB patients undergoing treatment at a primary health care facility. Data were collected using a family support questionnaire and a medication adherence scale (Morisky Medication Adherence Scale). Statistical analysis was performed using the Chi-square test with a significance level of p < 0.05.
Results: The results showed that patients with good family support had significantly higher levels of medication adherence compared to those with poor family support (p < 0.05).
Conclusion: Family support is significantly associated with treatment adherence in TB patients. These findings highlight the importance of incorporating family empowerment and involvement strategies into TB control programs to improve treatment adherence and outcomes.
Keywords:
Family support medication adherence tuberculosisReferences
Alinaitwe, B., et al. (2025). Treatment adherence and its association with family support among tuberculosis patients: baseline cross-sectional study.
Amelya, N., & Mukminan, S. (2024). Optimalisasi Edukasi Kesehatan dalam Pencegahan dan Penanganan Tuberkulosis Paru. Omni Pengabdian Masyarakat, 1(2), 31-35.
Aulia, G., Rafie, R., Mandala, Z., & Hermawan, D. (2023). The relationship between family support and medication adherence to tuberculosis patients in the working area of the Kedaton Health Center, Bandar Lampung.
Datiko, D. G., Yassin, M. A., & Chekol, L. T. (2015). Role of family supporters in tuberculosis treatment adherence in Ethiopia. BMC Public Health, 15(1), 1–9. https://doi.org/10.1186/s12889-015-2104-3
Gurusinga, R., Afrizal, A., Bachtiar, A., Firdawati, F., Machmud, R., Burhan, E., Semiarty, R. (2022). The relationship between family support and treatment adherence in patients with tuberculosis in Deli Serdang Regency, Indonesia.
Irnawati, N. M., Siagian, I. E. T., & Ottay, R. I. (2016). The effect of family support on medication adherence to tuberculosis patients at the Motoboi Kecil Health Center. JKKT, 4(1).
Jember, E., Feleke, A., Debie, A., & Asrade, G. (2018). Self-efficacy and medication adherence among tuberculosis patients. Patient Preference and Adherence, 12, 593–600. https://doi.org/10.2147/PPA.S153268
Kigozi, N. G., Heunis, J. C., Chikobvu, P., Botha, S., & van Rensburg, H. C. J. (2019). Factors influencing treatment adherence among tuberculosis patients. BMC Infectious Diseases, 19(1), 1–11. https://doi.org/10.1186/s12879-019-3838-0
Lutfian, L., (2025). The role of family support in medication adherence and quality of life of TB patients.
Manurung, N., Harahap, R. H., Siregar, F. A., & Andayani, L. S. (2024). Family support in increasing adherence to treatment of tuberculosis patients: A phenomenological study.
Mukminan, S., Zahra, W., & Amelya, N. (2024). Upaya Meningkatkan Kesehatan Keluarga Melalui Edukasi dan Simulasi Perilaku Hidup Bersih dan Sehat (PHBS). Omni Pengabdian Masyarakat, 1(2), 41-45.
Munro, S. A., Lewin, S. A., Smith, H. J., Engel, M. E., Fretheim, A., & Volmink, J. (2007). Patient adherence to tuberculosis treatment: A systematic review. PLoS Medicine, 4(7), e238. https://doi.org/10.1371/journal.pmed.0040238
Nugiawati, C., & Deasy, A. (2021). The relationship between family support and the level of treatment adherence of patients with pulmonary TB. Journal of Health Budi Luhur, 15(2).
Pitoy, F. F. (2021). Family support and medication adherence to pulmonary tuberculosis at the Sagerat Health Center, Bitung.
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the Health Belief Model. Health Education Quarterly, 15(2), 175–183. https://doi.org/10.1177/109019818801500203
Rosidah, H. (2024). The relationship between family support and medication adherence in TB patients
Sari, P. K. (2025). Analysis of factors affecting tuberculosis treatment: family support, proximity to health services, and gender.
Siregar, I. (2019). The relationship of family support with medication adherence of pulmonary TB patients in North Tapanuli Regency.
Sugiyanto, S. (2023). Analysis of the role of family support in treatment adherence of pulmonary TB clients.
Suryanto, S. (2023). Analysis of the role of family support and adherence to pulmonary TB treatment clients in Palopo, South Sulawesi.
Tola, H. H., Shojaeizadeh, D., Tol, A., Garmaroudi, G., Yekaninejad, M. S., Ejeta, L. T., & Kebede, A. (2016). Psychological and educational intervention to improve tuberculosis treatment adherence. BMC Public Health, 16(1), 1–10. https://doi.org/10.1186/s12889-016-3048-4
Warjiman, W., Berniati, B., & Er Unja, E. (2022). The relationship of family support to medication adherence to pulmonary tuberculosis patients at the Sungai Bilu Health Center. Journal of Human Asylum Nursing, 7(2), 163–168.
World Health Organization. (2021). Consolidated guidelines on tuberculosis: Module 1: Prevention. WHO Press.
Zamaa, M. S. (2023). Relationship between family support and medication adherence in TB patients — a study in Gowa Regency
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