Effect of Structured Multicomponent Health Education on Tuberculosis Prevention Knowledge and Attitudes in Indonesian Primary Care

Aims: This study aimed to evaluate baseline-adjusted between-group differences in tuberculosis prevention knowledge and attitudes following structured, multicomponent health education in Indonesian primary care. Materials & Methods: This nonrandomized, quasi-experimental, pretest–posttest control-group study was conducted at Lubuk Alung Health Center, Padang Pariaman, from November to December ۲۰۲۴. Forty registered patients with active tuberculosis were purposively recruited and nonrandomly allocated to intervention (n=۲۰) and control (n=۲۰) groups. The intervention consisted of a ۱۵-۲۰-minute structured education package integrating tuberculosis information with behavioral and household environmental risk-reduction messages. The control group received routine counseling. Knowledge was measured using ۸ items scored from ۱ to ۳, and attitude was measured using ۱۵ items scored from ۱ to ۵. Separate ANCOVA models were used to compare posttest scores between groups while adjusting for the corresponding pretest score. Findings: Mean knowledge scores increased from ۱۷.۲۵±۲.۱۰ to ۲۰.۴۵±۱.۵۷ in the intervention group and from ۱۶.۸۰±۲.۲۴ to ۱۹.۸۰±۱.۵۸ in the control group. The baseline-adjusted difference was ۰.۴۰ points (۹۵% CI -۰.۲۷ to ۱.۰۸), F(۱,۳۷)=۱.۴۷, p=۰.۲۳۳, partial η²=۰.۰۳۸. Mean attitude scores increased from ۴۸.۷۰±۵.۳۱ to ۵۵.۹۵±۵.۰۸ in the intervention group and from ۴۵.۲۰±۴.۰۷ to ۴۹.۲۰±۳.۷۵ in the control group. The baseline-adjusted attitude difference was ۴.۱۹ points (۹۵% CI ۲.۲۳ to ۶.۱۶), F(۱,۳۷)=۱۸.۷۲, p<۰.۰۰۱, partial η²=۰.۳۳۶; HC۳-robust inference remained significant (p=۰.۰۰۲). Conclusion: Structured multicomponent health education is associated with improved posttest attitudes but not knowledge.

کلیدواژه ها:

Tuberculosis ، Health education ، Health Knowledge ، Attitudes ، Practice ، Patient Education as Topic ، Tuberculosis ، Pulmonary