Leprosy is a chronic infectious disease that requires high adherence to multidrug therapy (MDT) to prevent further complications and transmission. However, the level of patient compliance in undergoing treatment is still a challenge, especially in areas with limited access such as Sarmi Regency, Papua Province. This study aims to analyze the determinants of leprosy treatment adherence based on Lawrence Green's theory, which includes predisposition, enabling, and reinforcing factors. This study uses a quantitative method with the Partial Least Squares - Structural Equation Modeling (PLS-SEM) approach. Data was collected through a questionnaire given to 100 respondents with leprosy in Sarmi Regency. The results of the analysis showed that predisposing factors (knowledge, attitudes, and beliefs) had a significant effect on treatment adherence with a pathway coefficient of 0.434 and a T-Statistic of 12.635. The enabling factor also had a significant effect with a path coefficient of 0.576 and a T-Statistic of 2.87, which shows that the better the access to health services, the higher the patient compliance rate. The reinforcing factor, which includes social support from families and health workers, has a pathway coefficient of 0.250 and a T-Statistic of 3.624, which means that the stronger the support the patient receives, the higher their compliance rate. These findings show that improving patient adherence to leprosy treatment can be achieved through educational strategies that increase patient understanding, improve access to health services, and optimize social support from families and medical personnel. Therefore, community-based interventions and health policies that support ease of access and sustainable education are needed to increase the effectiveness of leprosy treatment in Sarmi Regency.
BT - STRADA : Jurnal Ilmiah Kesehatan DA - 05/2026 IS - 1 LA - ENG M3 - Article N2 -Leprosy is a chronic infectious disease that requires high adherence to multidrug therapy (MDT) to prevent further complications and transmission. However, the level of patient compliance in undergoing treatment is still a challenge, especially in areas with limited access such as Sarmi Regency, Papua Province. This study aims to analyze the determinants of leprosy treatment adherence based on Lawrence Green's theory, which includes predisposition, enabling, and reinforcing factors. This study uses a quantitative method with the Partial Least Squares - Structural Equation Modeling (PLS-SEM) approach. Data was collected through a questionnaire given to 100 respondents with leprosy in Sarmi Regency. The results of the analysis showed that predisposing factors (knowledge, attitudes, and beliefs) had a significant effect on treatment adherence with a pathway coefficient of 0.434 and a T-Statistic of 12.635. The enabling factor also had a significant effect with a path coefficient of 0.576 and a T-Statistic of 2.87, which shows that the better the access to health services, the higher the patient compliance rate. The reinforcing factor, which includes social support from families and health workers, has a pathway coefficient of 0.250 and a T-Statistic of 3.624, which means that the stronger the support the patient receives, the higher their compliance rate. These findings show that improving patient adherence to leprosy treatment can be achieved through educational strategies that increase patient understanding, improve access to health services, and optimize social support from families and medical personnel. Therefore, community-based interventions and health policies that support ease of access and sustainable education are needed to increase the effectiveness of leprosy treatment in Sarmi Regency.
PY - 2026 SP - 11 EP - 17 T2 - STRADA : Jurnal Ilmiah Kesehatan TI - Determinants of Compliance with Lawrence Green Theory-Based Leprosy Treatment in Leprosy Patients in Sarmi Regency, Papua Province UR - https://scholar.google.nl/scholar_url?url=https://www.sjik.org/index.php/sjik/article/download/1242/717&hl=nl&sa=X&d=18386665271482186288&ei=JCEjaoz9IJLwieoPg8Kf8Qk&scisig=ANDmEU4S3mVeUMxvEpnCg6vcnapM&oi=scholaralrt&hist=732gnZIAAAAJ:2504567022825440215:A VL - 15 ER -