An Evaluation of The Effectiveness of Chronic Illness Prevention Program: Multiple Logistic Regression Analysis

Abstract

Background: The chronic illness prevention program (Prolanis) is a proactive health service system in chronic diseases that can affect the control of hypertension. This stu­dy aimed to analyze the effectiveness of chronic illness prevention program using health belief model (HBM). Subjects and Method: This was a retrospective cohort study carried at 4 community health centers in Ngawi, East Java, from April to May 2019. A sample of 200 elderly aged 60-74 years old was selected by fixed exposure sampling. The dependent variable was hyper­tension prevention. The independent variables were prolanis participation, per­ceived susceptibility, perceived seriousness, and self efficacy. The data were col­lected by questionnaire and analyzed by a multiple logistic regression. Results: Hypertension prevention increased with prolanis participation (b= 2.79; 95% CI= 0.55 to 5.03; p= 0.015), perceived susceptibility (b= 1.35; 95%CI= 0.18 to 2.53; p= 0.024), perceived seriousness (b= 0.82; 95%CI= 0.04 to 1.61; p= 0.039), and self efficacy (b= 1.00; 95%CI= 0.16 to 1.85; p= 0.019). Conclusion: Hypertension prevention increases with prolanis participation, perceived susceptibility, perceived seriousness, and self efficacy. Keywords: hypertension, prevention program, health belief model