The Effect of Family Centered Empowerment Model based on Virtual Education to Improve on Strengthening the Family Role as DOTS Supervisor in Children with Pulmonary TB
Main Article Content
Abstract
ABSTRACT
Background: Tuberculosis (TB) remains a major public health problem in Indonesia, particularly among children. Effective treatment adherence requires family involvement, where the role of Directly Observed Treatment Short-course (DOTS) supervisors is crucial. Innovative empowerment strategies are needed to strengthen family participation. This study aimed to examine the effect of the Family-Centered Empowerment Model (FCEM) based on virtual education to strengthen the role of families as DOTS supervisors for children with pulmonary TB.
Methods: A quasi-experimental design with control and intervention groups was conducted. A total of 74 respondents were recruited using a total sampling approach. The intervention group received FCEM-based virtual education, while the control group received routine care. Data were collected using the FCEM questionnaire and analyzed with the Wilcoxon Signed Rank Test and Mann–Whitney U test.
Results: The results showed that elderly respondents predominated in both groups, accounting for 62.2% in the control group and 67.6% in the intervention group. In the control group, most families remained in the low category (64.9%), whereas in the intervention group, the majority shifted to the high category (75.7%). The findings confirmed a significant difference between the two groups after the FCEM based on virtual education intervention (p-value 0,011).
Conclusion: It should not contain any references or displayed equations. The FCEM based on virtual education has more effectively strengthened the role of families as DOTS supervisors in children with pulmonary TB. This approach can be used as an innovative strategy to improve treatment success and accelerate progress toward TB elimination targets in Indonesia.
Article Details
How to Cite
References
Abidin, Z. (2018). Health Education dengan Pendekatan Sosial Media Reminder dan Audiovisula terhadap Kepatuhan dan Kadar Glukosa Darah Pasien DM Tipe 2 di Rumah Sakit Universitas Airlangga Surabaya. Jurnal Perpustakaan Universitas Airlangga, 1–135.
Anderson, C., Hartman, E., & Ralston, D. J. (2021). The Family Empowerment Model : Improving Employment for Youth Receiving Supplemental Security Income ( SSI ). SSI Youth Solutions.
Bekti, Y. (2017). Penerapan Model Family-Centered Nursing Terhadap Pelaksanaan Tugas Kesehatan Keluarga Dalam Pencegahan ISPA Pada Balita Di Wilayah Kerja Puskesmas Simpang Tiga Kabupaten Aceh Besar Application Of Family-Centered Nursing Model On The Execution Of Family He. Jurnal Kedokteran Yarsi, 23(2), 165–186.
Belarminus, P., Santoso, S. D. R. P., & Riti, D. N. (2023). The Effect of Health Education through Family Centered Care on the Motivation and Behavior of Tuberculosis Patients in Tuberculosis Recovery. Babali Nursing Research, 4(4), 618–626. https://doi.org/10.37363/bnr.2023.44304
Butler, A. E., Ridgway, L., Henderson, E. M., Hokke, S., Edvardsson, K., Adams, C., Greenwood, E., East, C., Safari, K., Arefadib, N., McKenna, L., & Copnell, B. (2025). Family-centred care research in paediatrics: A scoping review. Journal of Child Health Care, 1–17. https://doi.org/10.1177/13674935251337492
Dianti, Y. (2023). Keperawatan keluarga. In Angewandte Chemie International Edition, 6(11), 951–952. http://repo.iain-tulungagung.ac.id/5510/5/BAB 2.pdf
Kemenkes RI. (2023). Laporan Penangulangan tuberkulosis. Kemenkes RI, 1–156.
Khakhong, S., Lirtmunlikaporn, S., Unahalekhaka, A., & Wichaikhum, O. A. (2023). Effects of the Family Empowerment Program on Medication Adherence and Treatment Success Among Adults with Pulmonary Tuberculosis: A Randomized Controlled Trial. Pacific Rim International Journal of Nursing Research, 27(4), 654–670. https://doi.org/10.60099/prijnr.2023.262115
Komunitas, K., Kesehatan, D. A. N., Konsep, B. A. B., Keperawatan, D., Konsep, B. A. B., Masyarakat, P., Ukbm, B. A. B., Kesehatan, U., Masyarakat, B., Model, B. A. B., Keperawatan, D., Penyuluhan, B. A. B., & Dalam, K. (n.d.). Keperawatan komunitas.
Latif, A. I., & Tiala, N. H. (2022). Efektivitas Video Edukasi Melalui Whatsapp Dalam Meningkatkan Pengetahuan Tentang Pencegahan Penularan Pasien Tuberkulosis Paru. Jurnal Kesehatan, 14(2), 111. https://doi.org/10.24252/kesehatan.v14i2.24920
Lisum, K., Agung Waluyo, Astuti Yuni Nursasi, & Sudibyo Supardi. (2023). Peningkatan Pengetahuan, Sikap, Tindakan Pengobatan dan Perawatan Klien Tuberkulosis Menggunakan Model Penguatan Kapasitas Pemuda. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(9), 1818–1826. https://doi.org/10.56338/mppki.v6i9.3608
Maemunah, N., Metrikayanto, W. D., & Helly, C. (2021). Pemberian edukasi melalui animasi tentang tb (tuberculosis) paru terhadap pengetahuan anak sekolah dasar negeri Merjosari 02 Kota Malang (Effect of tb animation education on knowledge of of primary school students’ of Merjosari 02 Malang City). Jurnal Kesehatan Mesencephalon, 7(1), 46–55. http://dx.doi.org/10.36053/mesencephalon.v7i1.245
Mailani, F. (2023). Tuberkulosis Konsep, Pencegahan, dan Perawatan. 1–97.
Mariani, H., Afriandi, I., Setiawati, E. P., Gondodiputro, S., Wiwaha, G., Nataprawira, H. M., Arisanti, N., & Sumantri, S. (2022). Tuberculosis Family Support Training’s (TB FaST) Influence on Encouraging TB Treatment Compliance. The Open Public Health Journal, 15(1), 1–9. https://doi.org/10.2174/18749445-v15-e2208041
Marwansyah, M., & Sholikhah, H. H. (2016). The Infl uence of Empowering TB (Tuberculosis) Patients’ Family on Capability of Implementing The Family Health Task in Martapura and Astambul Public Health Center Areas in Banjar District. Buletin Penelitian Sistem Kesehatan, 18(4), 407–419. https://doi.org/10.22435/hsr.v18i4.4574.407-419
Nuriyanto, A., & Rahayuwati, L. (2019). Family Nursing as an Improvement Strategy of Family Health Index in Indonesia: A Literature Review. Asian Community Health Nursing Research, 1(3), 7. https://doi.org/10.29253/achnr.2019.1721
Perhimpunan Dokter Paru Indonesia. (2021). Tuberkulosis Pedoman Diagnosis dan Penatalaksanaan di Indonesia. In Perhimpunan Dokter Paru Indonesia (Vol. 001, Issue 2014).
R, A. P., Erika, K. A., & Saleh, U. (2020). Pemberdayaan Keluarga dalam Perawatan Tuberkulosis. Media Karya Kesehatan, 3(1), 50–58. https://doi.org/10.24198/mkk.v3i1.24040
Rosiyatul, A., & Asri. (2024). Pengaruh Family Empowerment Terhadap Family Support Pada Keluarga Hipertensi Di Wilayah Kerja Puskesmas Mojo Surabaya. 0731108102, 1–85.
Rostaminasab, S., Nematollahi, M., Jahani, Y., & Mehdipour-Rabori, R. (2023). The effect of family-centered empowerment model on burden of care in parents and blood glucose level of children with type I diabetes family empowerment on burden of care and HbA1C. BMC Nursing, 22(1), 1–9. https://doi.org/10.1186/s12912-023-01375-w
Saftarina, F., & Fitri, H. (2020). Edukasi Online tentang Keterampilan Perawatan Mandiri pada Pasien Tuberculosis Paru di Masa Pandemi Covid-19. JPM (Jurnal Pengabdian Masyakat) Ruwa Jurai, 5(1), 26–30.
Sari, D. A., Sabri, R., & Yuliharni, S. (2024). Pengaruh Home Visit dengan Pendekatan 5 Tugas Kesehatan Keluarga terhadap Kemandirian dalam Merawat Anggita Keluarga dengan TB Paru. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKE Kendal14, 14(1), 215–226.
Section, P., Item, T., Descriptor, N., & Title, A. (n.d.). TREND statement checklist (Transparent Reporting of Evaluations with Nonrandomized Designs). 8–10. http://www.cdc.gov/trendstatement/
Seniwati, T., Rustina, Y., Nurhaeni, N., & Wanda, D. (2023). Patient and family-centered care for children: A concept analysis. Belitung Nursing Journal, 9(1), 17–24. https://doi.org/10.33546/bnj.2350
Susanti, F. dkk. (2024). Metodologi Penelitian Klinis. In Angewandte Chemie International Edition, 6(11), 951–952. (Vol. 21, Issue 4). https://www-1tandfonline-1com-1mijdrsul0a52.hps.bj.uj.edu.pl/doi/abs/10.1080/09688080.2018.1467361%0Ahttps://about.jstor.org/terms%0Ahttps://www.jstor.org/stable/3174448?seq=1
World Health Organization. (2024). 2024 Global Tuberculosis (TB) Report.