Journals Information
Universal Journal of Public Health Vol. 13(4), pp. 1040 - 1047
DOI: 10.13189/ujph.2025.130426
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A Health Behaviour Knowledge Reinforcement Model to Improve Healthy Living Knowledge in Semi-Urban Communities, Primary Health Dayeuhkolot, Bandung Regency, Indonesia: A Quasi Experimental Study
Susanti Niman 1, Yura Witsqa Firmansyah 2,*, Whisnu Trie Seno Ajie 3, Tina Shinta Parulian 4, Friska Sinaga 4
1 Faculty of Nursing, Institut Kesehatan Immanuel, Indonesia
2 Department of Hospital Administration, College of Health Sciences (STIKES) Adi Husada, Indonesia
3 Department of Physiotherapy, Faculty of Health Science, Universitas Santo Borromeus, Indonesia
4 Department of Nursing, Faculty of Health Science, Universitas Santo Borromeus, Indonesia
ABSTRACT
Non-communicable diseases (NCDs) remain a leading cause of death globally, driven largely by unhealthy lifestyles and low health literacy, particularly in semi-urban communities. This study aimed to develop and evaluate the effectiveness of a Healthy Behavior Knowledge Reinforcement Model to improve health literacy in semi-urban communities. A quasi-experimental design was applied in Dayeuhkolot Subdistrict, Bandung Regency, involving 138 adults divided equally into intervention and control groups. The intervention included interactive training, independent practice, and modular learning, grounded in reinforcement theory, health promotion, and community-based nursing. Pre- and post-intervention assessments were conducted using a validated instrument. The intervention group showed a statistically significant increase in mean knowledge scores (from 53.78 to 56.38; p = 0.005), while the control group experienced a decrease (from 53.26 to 52.68). Significant associations were observed between knowledge improvement and demographic factors such as gender, age, and marital status. These findings demonstrate that the model is effective in enhancing health behavior knowledge and supporting the use of structured, community-based interventions to promote sustainable health literacy improvements in semi-urban populations.
KEYWORDS
Community Action, Community Health, Health Behavior, Health Literacy, Positive Reinforcement
Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Susanti Niman , Yura Witsqa Firmansyah , Whisnu Trie Seno Ajie , Tina Shinta Parulian , Friska Sinaga , "A Health Behaviour Knowledge Reinforcement Model to Improve Healthy Living Knowledge in Semi-Urban Communities, Primary Health Dayeuhkolot, Bandung Regency, Indonesia: A Quasi Experimental Study," Universal Journal of Public Health, Vol. 13, No. 4, pp. 1040 - 1047, 2025. DOI: 10.13189/ujph.2025.130426.
(b). APA Format:
Susanti Niman , Yura Witsqa Firmansyah , Whisnu Trie Seno Ajie , Tina Shinta Parulian , Friska Sinaga (2025). A Health Behaviour Knowledge Reinforcement Model to Improve Healthy Living Knowledge in Semi-Urban Communities, Primary Health Dayeuhkolot, Bandung Regency, Indonesia: A Quasi Experimental Study. Universal Journal of Public Health, 13(4), 1040 - 1047. DOI: 10.13189/ujph.2025.130426.