Motivation and self-efficacy as key factors influencing self-care in
hypertensive adults: A cross-sectional study in Indonesia
Dublin Core
Title
Motivation and self-efficacy as key factors influencing self-care in
hypertensive adults: A cross-sectional study in Indonesia
hypertensive adults: A cross-sectional study in Indonesia
Subject
hypertension; motivation; self-care behavior; self-efficacy
Description
Background: Self-care is crucial for enhancing life quality and and
preventing cardiovascular, renal, and vascular complications in individuals
with hypertension. However, self-care among patient’s hypertension remains
suboptimal.
Purpose: Our research aimed to identify the determinants of self-care
practice among hypertensive patients in Indonesia.
Methods: A survey that was cross-sectional. It carried out among 209 adults
with hypertension attending community health centers in Central Java,
Indonesia. Self-care behaviors, motivation, self-efficacy, and knowledge
were assessed using the validated Hypertension Self-Care Profile (HBP-
SCP) and Hypertension Knowledge-Level Scale (HKLS). Chi-square and
multivariable logistic regression tests were used to evaluate the data.
Results: Bivariate analysis revealed significant correlation between self-
care behavior and motivation (p<0.001), self-efficacy (p<0.001), and history
of hypertension in the family (p=0.018). No significant associations were
observed for age, gender, education, occupation, body mass index, blood
pressure, or knowledge (all p>0.05). Multivariable analysis demonstrated
that motivation (OR=2.22, 95% CI=1.10–4.45, p=0.025) and self-efficacy
(OR=7.84, 95% CI=3.99–15.39, p<0.001) were independent determinants
of good self-care.
Conclusion: Motivation and self-efficacy are key determinants of
hypertension self-care behaviors among Indonesian adults. Interventions
should prioritize strengthening motivation and building self-efficacy through
motivational interviewing, skills training, and structured follow-up by nurses
and other healthcare professionals.
preventing cardiovascular, renal, and vascular complications in individuals
with hypertension. However, self-care among patient’s hypertension remains
suboptimal.
Purpose: Our research aimed to identify the determinants of self-care
practice among hypertensive patients in Indonesia.
Methods: A survey that was cross-sectional. It carried out among 209 adults
with hypertension attending community health centers in Central Java,
Indonesia. Self-care behaviors, motivation, self-efficacy, and knowledge
were assessed using the validated Hypertension Self-Care Profile (HBP-
SCP) and Hypertension Knowledge-Level Scale (HKLS). Chi-square and
multivariable logistic regression tests were used to evaluate the data.
Results: Bivariate analysis revealed significant correlation between self-
care behavior and motivation (p<0.001), self-efficacy (p<0.001), and history
of hypertension in the family (p=0.018). No significant associations were
observed for age, gender, education, occupation, body mass index, blood
pressure, or knowledge (all p>0.05). Multivariable analysis demonstrated
that motivation (OR=2.22, 95% CI=1.10–4.45, p=0.025) and self-efficacy
(OR=7.84, 95% CI=3.99–15.39, p<0.001) were independent determinants
of good self-care.
Conclusion: Motivation and self-efficacy are key determinants of
hypertension self-care behaviors among Indonesian adults. Interventions
should prioritize strengthening motivation and building self-efficacy through
motivational interviewing, skills training, and structured follow-up by nurses
and other healthcare professionals.
Creator
Arif Setyo Upoyo1* , Yunita Sari1 , Eman Sutrisna2 , Agis Taufik1 ,
Hae-Ra Han3
Hae-Ra Han3
Source
http://jkp.fkep.unpad.ac.id/index.
php/jkp
php/jkp
Date
August 30, 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Arif Setyo Upoyo1* , Yunita Sari1 , Eman Sutrisna2 , Agis Taufik1 ,
Hae-Ra Han3, “Motivation and self-efficacy as key factors influencing self-care in
hypertensive adults: A cross-sectional study in Indonesia,” Repository Horizon University Indonesia, accessed February 12, 2026, https://repository.horizon.ac.id/items/show/10799.
hypertensive adults: A cross-sectional study in Indonesia,” Repository Horizon University Indonesia, accessed February 12, 2026, https://repository.horizon.ac.id/items/show/10799.