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ONLINE APPLICATION BASED ON KING INTERACTION SYSTEM THEORY TO INCREASE TREATMENT ADHERENCE AND CLINICAL INDICATORS IN TB CHILDREN

The Indonesian Journal of Public Health · Vol. 19 No. 2 (2024) · hlm. 369–380

DOI
10.20473/ijph.v19i2.2024.369-380
ISSN
2540-8836, 1829-7005
Terbit
2024-08-01
Penerbit
Universitas Airlangga
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-nc-sa/4.0

Abstrak

Introduction: Non-adherence to treatment among TB children in Indonesia varied 40.5%-57.2%. An innovative method of education might improve treatment adherence and clinical recovery of TB children. The aims of this study were to compare the treatment adherence and clinical indicators of TB children who received an intervention using an online application based on King's theory with a conventional method. Methods: This is a quasi-experimental study to educate 55 TB school-age children using a validated online application based on King's interaction system theory, compared with the conventional method in 55 TB children as the control group. The medication regularity and control discipline were observed four times in weeks 2, 4, 6, and 8. Measurements of acid-fast bacilli (AFB) smear sputum examination, TB scoring, chest X-ray examination, level of Hb, and nutritional status were done twice in pre- and post-intervention. Data analysis used chi-square, paired t-test, independent t-test, Mann Whitney, McNemarᵇ. or Wilcoxon test. Results: The results of this study revealed that the intervention group was significantly successful compared to the control group in several indicators, such as increasing treatment adherence (p=0.001), controlling discipline (p=0.001), reducing AFB positive (p=0.001), TB scoring (p=0.001), infiltrate in chest X-ray examination ((p=0.013), and increasing Hb levels (p=0.001). Meanwhile, nutritional status could not be compared because, from the beginning of the study, the nutritional status was unbalanced and benefited the intervention group. Conclusion: The online application based on King's theory has succeeded in increasing medication adherence and clinical improvement of pulmonary TB in children.

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  • Diponegoro University
  • Institut Teknologi dan Kesehatan Bali
  • Universitas Gadjah Mada
  • University of Indonesia
  • State University of Semarang
  • Universitas Jambi
  • Padjadjaran University
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Rekan penulisOrganisasiArtikel bersama
Diana Nur AfifahDiponegoro University3
Fatikhu Yatuni AsmaraDiponegoro University3
Dian Puspita DewiDiponegoro University3
Ni Luh Putu Inca Buntari AgustiniInstitut Teknologi dan Kesehatan Bali1
Israfil IsrafilInstitut Teknologi dan Kesehatan Bali1
I Gede Putu Darma SuyasaInstitut Teknologi dan Kesehatan Bali1
Saiful RidloState University of Semarang1
Andra NovitasariState University of Semarang1
Dwiko Budi PermadiUniversitas Gadjah Mada1
SanudinAfiliasi tidak diketahui1
Dwi HastutiUniversitas Jambi1
Anggorowati AnggorowatiDiponegoro University1
Zubaidah ZubaidahDiponegoro University1
Siti Yuyun Rahayu FitriPadjadjaran University1
Mursid RaharjoDiponegoro University1
Nur Endah WahyuningsihDiponegoro University1
HansenDiponegoro University1
Sri Hananto Ponco NugrohoAfiliasi tidak diketahui1
Endang LestariSultan Agung Islamic University1
Eti Poncorini PamungkasariSebelas Maret University1
Saekhol BakrieDiponegoro University1
Doni WidyandanaUniversitas Gadjah Mada1
Fitriana MawardiUniversitas Gadjah Mada1
Rendi Editya DarmawanPoliteknik Kesehatan Kemenkes Surakarta1
Nana RochanaDiponegoro University1
Niken Safitri Dyan KusumaningrumDiponegoro University1
Avin MariaDiponegoro University1
Madya SulisnoDiponegoro University1
Richal Grace Zefanya UlyDiponegoro University1
Aryu CandraDiponegoro University1
Puspo Palupi Yekti HangujiwatDiponegoro University1
Elly NurachmahUniversity of Indonesia1
Dewi GayatriUniversity of Indonesia1
Arcellia Farosyah PutriRumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo1
Amelia KiminUniversity of Indonesia1

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Sumber metadata: OAI-PMH (metadata jurnal) https://e-journal.unair.ac.id/IJPH/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">ONLINE APPLICATION BASED ON KING INTERACTION SYSTEM THEORY  TO INCREASE TREATMENT ADHERENCE AND CLINICAL INDICATORS  IN TB CHILDREN</dc:title>
	<dc:creator>Sari, Ethyca </dc:creator>
	<dc:creator>Nur Kristina, Tri</dc:creator>
	<dc:creator> Sujianto, Untung</dc:creator>
	<dc:creator>Suhartono</dc:creator>
	<dc:creator>Sakti, Hastaning </dc:creator>
	<dc:subject xml:lang="en-US">TB children</dc:subject>
	<dc:subject xml:lang="en-US">treatment adherence</dc:subject>
	<dc:subject xml:lang="en-US">clinical indicators</dc:subject>
	<dc:subject xml:lang="en-US">online application</dc:subject>
	<dc:description xml:lang="en-US">Introduction:  Non-adherence to treatment among TB children in Indonesia varied 40.5%-57.2%. An innovative method of education might improve treatment adherence and clinical recovery of TB children. The aims of this study were to compare the treatment adherence and clinical indicators of TB children who received an intervention using an online application based on King's theory with a conventional method. Methods: This is a quasi-experimental study to educate 55 TB school-age children using a validated online application based on King's interaction system theory, compared with the conventional method in 55 TB children as the control group. The medication regularity and control discipline were observed four times in weeks 2, 4, 6, and 8. Measurements of acid-fast bacilli (AFB) smear sputum examination, TB scoring, chest X-ray examination, level of Hb, and nutritional status were done twice in pre- and post-intervention. Data analysis used chi-square, paired t-test, independent t-test, Mann Whitney, McNemarᵇ. or Wilcoxon test. Results: The results of this study revealed that the intervention group was significantly successful compared to the control group in several indicators, such as increasing treatment adherence (p=0.001), controlling discipline (p=0.001), reducing AFB positive (p=0.001), TB scoring (p=0.001), infiltrate in chest X-ray examination ((p=0.013), and increasing Hb levels (p=0.001). Meanwhile, nutritional status could not be compared because, from the beginning of the study, the nutritional status was unbalanced and benefited the intervention group. Conclusion: The online application based on King's theory has succeeded in increasing medication adherence and clinical improvement of pulmonary TB in children.</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Airlangga</dc:publisher>
	<dc:date>2024-08-01</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>text/xml</dc:format>
	<dc:format>application/pdf</dc:format>
	<dc:format>text/xml</dc:format>
	<dc:identifier>https://e-journal.unair.ac.id/IJPH/article/view/55228</dc:identifier>
	<dc:identifier>10.20473/ijph.v19i2.2024.369-380</dc:identifier>
	<dc:source xml:lang="en-US">The Indonesian Journal of Public Health; Vol. 19 No. 2 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH; 369-380</dc:source>
	<dc:source>2540-8836</dc:source>
	<dc:source>1829-7005</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/IJPH/article/view/55228/31402</dc:relation>
	<dc:relation>https://e-journal.unair.ac.id/IJPH/article/view/55228/29657</dc:relation>
	<dc:relation>https://e-journal.unair.ac.id/IJPH/article/view/55228/29659</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2024 The Indonesian Journal of Public Health</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-nc-sa/4.0</dc:rights>
</oai_dc:dc>