Proceedings of the Malang International Conference in Medical and Health Sciences (MICROMEDHS 2024)

The Mediating Effect of Self-Management Between Behavior-Specific Cognitions and Commitment in Outpatients with Hypertension in Malang, Indonesia

Authors
Nurma Afiani1, *, Sri Haryuni2
1Faculty of Medicine, Universitas Negeri Malang, Malang, Indonesia
2Faculty of Health Science, University of Kadiri, Kediri, Indonesia
*Corresponding author. Email: nurma.afiani.fk@um.ac.id
Corresponding Author
Nurma Afiani
Available Online 17 September 2025.
DOI
10.2991/978-94-6463-807-3_22How to use a DOI?
Keywords
behavior; cognition; commitment; hypertension; outpatient; self-management
Abstract

Objective: This study examined to explore the correlation between behavior-specific cognitions and commitment while considering the mediating role of self-management. Methods: Data from 202 hypertensive outpatients at public health centres (PHCs) was collected using a cross-sectional study with multistage cluster sampling. Multiple tools, including the benefits to health-promoting behaviour scales (BES), brief medication questionnaire (BMQ), the medication adherence self efficacy (MASES), and patient activation measure-13 (PAM-13), were used to determine perceived benefits, barriers, self-efficacy, and self-management. Descriptive statistics, Pearson correlation, and Sobel-test were used for analysis. Results: Behavior-specific cognitions and self-management showed positive effects on commitment, especially when self-management was utilized as a variable that acts as a mediator. Conclusions: This study’s outcomes clarify the determinants affecting commitment among hypertensive outpatients and provide information for primary healthcare centres to improve health promotion programs.

Copyright
© 2025 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title
Proceedings of the Malang International Conference in Medical and Health Sciences (MICROMEDHS 2024)
Series
Advances in Health Sciences Research
Publication Date
17 September 2025
ISBN
978-94-6463-807-3
ISSN
2468-5739
DOI
10.2991/978-94-6463-807-3_22How to use a DOI?
Copyright
© 2025 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

TY  - CONF
AU  - Nurma Afiani
AU  - Sri Haryuni
PY  - 2025
DA  - 2025/09/17
TI  - The Mediating Effect of Self-Management Between Behavior-Specific Cognitions and Commitment in Outpatients with Hypertension in Malang, Indonesia
BT  - Proceedings of the Malang International Conference in Medical and Health Sciences (MICROMEDHS 2024)
PB  - Atlantis Press
SP  - 259
EP  - 271
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-807-3_22
DO  - 10.2991/978-94-6463-807-3_22
ID  - Afiani2025
ER  -