Optimisation of the role of families of chronic hypertension patients based on the mcmaster model of family functioning in self-care agency
Dublin Core
Title
Optimisation of the role of families of chronic hypertension patients based on the mcmaster model of family functioning in self-care agency
Subject
McMaster model of family functioning, self-care agency, chronic hypertension, family
Description
Introduction: Hypertension, often symptomless, poses a deadly risk if poorly managed, especially when family support
in helping patients adhere to treatment and maintain a healthy lifestyle is insufficient. This study aims to analyse the
impact of the McMaster Model of Family Functioning (MMFF) on the self-care agency of patients with chronic
hypertension in Surabaya.
Methods: This study employs an analytical observational design with a cross-sectional approach, involving 300
respondents from families of patients with hypertension who meet the inclusion criteria. The independent variables
examined include the six dimensions of the McMaster Model of Family Functioning (MMFF): problem-solving,
communication, family roles, affective responsiveness, affective involvement, and behaviour control. Meanwhile, the
dependent variable is self-care agency, which consists of medication, physical activity, and diet. Hypothesis testing was
conducted using SEM-PLS, which was processed with SmartPLS 4.0.4 software.
Results: The analysis results indicate that the MMFF has a positive and significant effect on self-care agency, with a
coefficient of 0.340 (CI = 0.247 – 0.445). The effect size result obtained an effect size value of 0.131. Structured and
adaptive family support, particularly in communication and affective involvement, has enhanced patients' motivation
to adhere to medication and engage in self-care activities.
Conclusions: This study expands on previous research on the role of family support in self-care agencies, by involving
the McMaster Family Function Model (MMFF) to analyse the specific role of family functions in improving self-care
agencies in chronic hypertension patients, thus providing a more comprehensive, contextual, and relevant perspective
for family-based interventions. These results also enrich other theoretical studies, namely the Family-Centred Care
(FCC) Model, Social Support Theory, and Health Belief Model (HBM).
in helping patients adhere to treatment and maintain a healthy lifestyle is insufficient. This study aims to analyse the
impact of the McMaster Model of Family Functioning (MMFF) on the self-care agency of patients with chronic
hypertension in Surabaya.
Methods: This study employs an analytical observational design with a cross-sectional approach, involving 300
respondents from families of patients with hypertension who meet the inclusion criteria. The independent variables
examined include the six dimensions of the McMaster Model of Family Functioning (MMFF): problem-solving,
communication, family roles, affective responsiveness, affective involvement, and behaviour control. Meanwhile, the
dependent variable is self-care agency, which consists of medication, physical activity, and diet. Hypothesis testing was
conducted using SEM-PLS, which was processed with SmartPLS 4.0.4 software.
Results: The analysis results indicate that the MMFF has a positive and significant effect on self-care agency, with a
coefficient of 0.340 (CI = 0.247 – 0.445). The effect size result obtained an effect size value of 0.131. Structured and
adaptive family support, particularly in communication and affective involvement, has enhanced patients' motivation
to adhere to medication and engage in self-care activities.
Conclusions: This study expands on previous research on the role of family support in self-care agencies, by involving
the McMaster Family Function Model (MMFF) to analyse the specific role of family functions in improving self-care
agencies in chronic hypertension patients, thus providing a more comprehensive, contextual, and relevant perspective
for family-based interventions. These results also enrich other theoretical studies, namely the Family-Centred Care
(FCC) Model, Social Support Theory, and Health Belief Model (HBM).
Creator
Jujuk Proboningsih1* , Sriyono Sriyono2
, Rini Ambarwati1
, Sri Hardi Wuryaningsih1
, and
Anita Joeliantina1*
, Rini Ambarwati1
, Sri Hardi Wuryaningsih1
, and
Anita Joeliantina1*
Source
http://dx.doi.org/10.20473/jn.v20i2.65083
Date
16 May 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Jujuk Proboningsih1* , Sriyono Sriyono2
, Rini Ambarwati1
, Sri Hardi Wuryaningsih1
, and
Anita Joeliantina1*, “Optimisation of the role of families of chronic hypertension patients based on the mcmaster model of family functioning in self-care agency,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11130.