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Volume 12, Issue 2 (Spring--In Press 2026)
JCCNC 2026, 12(2): 5-5 |
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Hudiyawati D, Musa M, Sudaryanto A, Widodo A, Faozi E, Nur Rosyid F et al . Applying Theory of Planned Behaviour in Heart Disease Prevention: An Educational Intervention Study. JCCNC 2026; 12 (2) :5-5
URL: http://jccnc.iums.ac.ir/article-1-873-en.html
URL: http://jccnc.iums.ac.ir/article-1-873-en.html
Dian Hudiyawati *1 
, Mazlinda Musa2 , Agus Sudaryanto3 , Arif Widodo3 , Ekan Faozi3 , Fahrun Nur Rosyid3 , Ida Imamah4
, Mazlinda Musa2 , Agus Sudaryanto3 , Arif Widodo3 , Ekan Faozi3 , Fahrun Nur Rosyid3 , Ida Imamah4
1- Department of Medical Surgical Nursing, School of Nursing, Universitas Muhammadiyah Surakarta, Kartasura, Central Java, Indonesia , dian.hudiyawati
2- Nursing Department, Faculty Medicine Health Science, University Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
3- Department of Medical Surgical Nursing, School of Nursing, Universitas Muhammadiyah Surakarta, Kartasura, Central Java, Indonesia
4- Departement of Medical Surgical Nursing, School of Nursing, Universitas Aisyiyah Surakarta, Central Java, Indonesia
2- Nursing Department, Faculty Medicine Health Science, University Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
3- Department of Medical Surgical Nursing, School of Nursing, Universitas Muhammadiyah Surakarta, Kartasura, Central Java, Indonesia
4- Departement of Medical Surgical Nursing, School of Nursing, Universitas Aisyiyah Surakarta, Central Java, Indonesia
Abstract: (32 Views)
Background: Most of the burden of morbidity and mortality from cardiovascular disease is related to modifiable risk factors. Healthy lifestyle behaviour to be consistent and directed can be helped by implementing the theory of planned behaviour (TPB). This study aimed to determine the effects of an educational intervention based on the TPB on coronary heart disease preventive behaviours and knowledge.
Methods: This non-randomized controlled trial with a pretest-posttest design was conducted on 46 participants with risk factors of coronary heart disease at Banyuanyar and Nusukan Primary Health Centers, Surakarta City, Central Java, Indonesia, from June to October 2024. Participants were non-randomly assigned to intervention (n=23) and control (n=23) groups. The educational intervention based on the TPB included risk screening, health education via electronic module, focus group discussion, and three individual counseling sessions via WhatsApp, which were implemented over a four-week period. Data were collected using the TPB questionnaire and the Heart Disease Fact Questionnaire (HDFQ) before intervention and at the end of forth week. Data analysis was conducted using paired t-test, independent t-test, Wilcoxon, and Mann–Whitney U tests with a significance level of < 0.05 in IBM SPPS Statistic version 26.
Results: All core components of the TPB construct including "attitude" (Mann–Whitney = 0.000, p < 0.001), "perceived behavioural control" (Mann–Whitney = 106.00, p < 0.001), "subjective norm" (Mann–Whitney = 141.500, p < 0.006), and "behavioral intention" (t = 6.527, p < 0.001), showed higher post-test scores for respondents in the intervention group than in the control group.
Conclusion: This study suggests that a TPB-based educational intervention delivered by nurses is an effective strategy for improving knowledge and promoting heart disease preventive behaviours among high-risk individuals.
Methods: This non-randomized controlled trial with a pretest-posttest design was conducted on 46 participants with risk factors of coronary heart disease at Banyuanyar and Nusukan Primary Health Centers, Surakarta City, Central Java, Indonesia, from June to October 2024. Participants were non-randomly assigned to intervention (n=23) and control (n=23) groups. The educational intervention based on the TPB included risk screening, health education via electronic module, focus group discussion, and three individual counseling sessions via WhatsApp, which were implemented over a four-week period. Data were collected using the TPB questionnaire and the Heart Disease Fact Questionnaire (HDFQ) before intervention and at the end of forth week. Data analysis was conducted using paired t-test, independent t-test, Wilcoxon, and Mann–Whitney U tests with a significance level of < 0.05 in IBM SPPS Statistic version 26.
Results: All core components of the TPB construct including "attitude" (Mann–Whitney = 0.000, p < 0.001), "perceived behavioural control" (Mann–Whitney = 106.00, p < 0.001), "subjective norm" (Mann–Whitney = 141.500, p < 0.006), and "behavioral intention" (t = 6.527, p < 0.001), showed higher post-test scores for respondents in the intervention group than in the control group.
Conclusion: This study suggests that a TPB-based educational intervention delivered by nurses is an effective strategy for improving knowledge and promoting heart disease preventive behaviours among high-risk individuals.
Type of Study: Research |
Subject:
General
Received: 2025/04/14 | Accepted: 2025/10/15 | Published: 2026/04/21
Received: 2025/04/14 | Accepted: 2025/10/15 | Published: 2026/04/21
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