Impact of Instrumental Support from Family on Medication Adherence among Tuberculosis Patients

Abstract

Abstract Instrumental support is concrete and tangible, for instance, helping in providing food or accompanying patients to health care facilities. Its impact on medication adherence among tuberculosis (TB) patients in Indonesia needs to be explored. This study aimed to examine the instrumental support impact from family on TB patients’ adherence to medication in Bogor City, West Java Province, Indonesia. A cross-sectional study involving 106 participants with an age a verage of 39.7 was conducted in 12 primary health cares (PHCs). The independent variables (age, sex, education, employment status, wealth index, and the distance between home and PHC) of instrumental support from family were assessed using MMAS-8. The dependent variable of medication adherence was assessed using a self-reported instrument. Multivariate binary logistic regression was used in the analysis and indicated that participants receiving family support were more likely to adhere to medication protocol (95% CI = 1.1–6.3; p-value = 0.029). Instrumental support from family was associated with medication adherence among tuberculosis patients in Bogor City, West Java Province, Indonesia. It is necessary to design further comprehensive interventions in the community setting to encourage the family to support tuberculosis patients following medication protocol. Keywords: family support, instrumental support, medication adherence, tuberculosis