Using Integrated Intervention Strategies for Improvement of Health Behavior: A Case Study Across Community Health Service in Indonesia

Abstract

Health behaviour in hypertension sufferers, a non-communicable disease (NCDs), becomes a serious health problem if it is not followed by good knowledge and treatment skills. Improvement of this condition requires several interventions that must be integrated but require scientific evidence. This research aims to prove scientifically and provide solutions to improve health behaviour problems at risk in society. We used some interventions that were applied and integrated with community health service based on a mutual agreement: health education, group therapy, and the promotion of physical exercise. The number of research subjects was 53 adults at risk of hypertension in Wedomartani Village, Sleman, Yogyakarta. Data collection was carried out in June-July 2022 and used interview and observation techniques using outcome indicators, knowledge level and health maintenance skills. The results showed an increase of 32.0% in knowledge and health maintenance of 36.0% for non-communicable disease prevention behaviour by making warm water therapy combined with basil leaf infusion to lower blood pressure. There is an increased understanding of the processing of meat ingredients and the calculation of healthy eating portions. Likewise, there was an increase in the subjects’ activity to participate in physical exercise activities for hypertension exercise. The result was a decreasing prevalence of hypertension -24.5%. This study concluded that the combination of the three intervention strategies that have been given could be a choice of solution to the problem of health behaviour in adults with a risk of hypertension.