Determinants of treatment motivation among tuberculosis patients at a community health center in Medan, North Sumatra, Indonesia

Year 2025, Volume: 23 Issue: 3, 254 - 262, 30.12.2025

Novita Hasiani Simanjuntak , Sailent Rizki Sari Simaremare Muhammad Nirwan Yohvi Pardamean Manik

https://doi.org/10.20518/tjph.1718806

https://izlik.org/JA53GX24EK

Abstract

Objective: The objective of this study is to identify and determine the factors influencing patients’ motivation to undergo tuberculosis (TB) treatment at a community health center in Medan, North Sumatra, Indonesia.
Method: A cross-sectional study was conducted using a total sampling design. The study included 92 pulmonary TB patients aged 18-55 years who received treatment at a community health center in Medan, Indonesia. Inclusion criteria include consenting patients (18-55 years) with pulmonary TB in the continuation phase, including new, incomplete cure, or re-treatment cases. Patients with mental disorders or multidrug-resistant TB (MDR-TB) were excluded. Data were collected using a pre-tested questionnaire and analyzed using bivariate and multivariate ordinal regression models to determine factors associated with treatment motivation.
Results: Univariate analysis showed that self-efficacy [odds ratio (OR)=1.131, plt;0.001] and perceived quality of health services (OR=1.149, p=0.009) were significantly associated with patients’ motivation for treatment. In the multivariate model, self-efficacy remained the strongest factor influencing patients’ motivation for TB treatment (OR=1.20, p=0.003).
Conclusion: Self-efficacy was the main determinant of patients’ motivation for TB treatment. These findings highlight the importance of enhancing patients’ self-efficacy through interventions that empower them to take control of their
treatment.

Keywords

Motivation , Tuberculosis , Community health center , Self efficacy

Ethical Statement

This study obtained ethical approval from the Faculty of Medicine at University of Nommensen HKBP after undergoing a thorough review process to ensure compliance with ethical standards for human subjects. The approval was granted under approval number 558/KEPK/FK/ IX/2023.

Supporting Institution

The authors received financial assistance from Research and Community Service Nommensen HKBP University.

Thanks

Directorate of Research and Community Services, HKBP Nommensen University Sentosa Baru Community Health Center, Medan

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