Quality of life is an elemental factor for individuals with diabetes to improve health and reduce the risk of complications. Diabetics need to maintain their behavior to control blood sugar. With a locus of control and good self-concept, they will be able to improve their quality of life. The purpose of this study is to examine the role of self-concept and health locus of control on the quality of life among individuals with diabetes. This study used a quantitative approach involving 157 diabetics Jabodetabek. Nonprobability sampling technique, precisely the purposive sampling technique, was used to select the study sample. In collecting the data, three instruments were administered which consisted of a World Health Organization Quality of Life (WHOQOL-BREF) instrument with 26 items (α = .92), Revised Generalized Health-Related Self Concept Scale (RGHRSCS) with 25 items (α = .76), and Diabetes Locus of Control Scale (DLOCS) with 18 items (mean α = .71). The multiple regression analysis applied to answer the research questions. The findings of this study indicate that there was a significant effect of self-concept and locus of health control on the quality of life of people with diabetes. Based on the minor hypothesis test, there were five significant variables, namely disposition of health protector (b=.433, p<.001), motivation to maintain health (b=.176, p=.007), extrinsic motivation avoidance (b=-.141, p=.033), internality (b=.289, p<.001), and other strong externalities (b=.105, p=.017), whereas the other three variables are not significant, specifically vulnerability, health-risky habits, and chance externality.
Penyakit Tidak Menular (PTM) penyebab kematian nomor satu setiap tahun adalah penyakit kardiovaskuler. Hipertensi merupakan penyakit kardiovaskuler yang disebabkan oleh faktor gaya hidup. Hipertensi juga ditanggung oleh BPJS Kesehatan dalam upaya promotif dan preventife melalui Progam Pengendalian Penyakit Kronis (Prolanis).Tujuan penelitian adalah mengetahui pengaruh langsung atau tidak langsung pengaruh peran petugas kesehatan, fungsi keluarga, lingkungan kerja, motivasi diri terhadap gaya hidup hipertensi peserta Prolanis BPJS Kesehatan di Wilayah Puskesmas Ciracas.Metode penelitian ini adalah pendekatan kuantitatif dengan desain cross-sectional. Jumlah sampel 82 penderita hipertensi. Metode analisis denganStructural Equation Model (SEM) mengunakan SmartPLS 2.0.Hasil pengujian hipotesis menghasilkan temuan penelitian yaitu variabel-variabel gaya hidup penderita hipertensi peserta Prolanis BPJS Kesehatan dipengaruhi oleh peran petugas kesehatan (11,22%), fungsi keluarga (38,81%), lingkungan kerja (12,93%) dan motivasi diri (26,93%). Total besaran pengaruh langsung terhadap gaya hidup penderita hipertensi peserta sebesar 89,89% dan pengaruh tidak langsung sebesar 8,60%. Fungsi keluarga dan motivasi diri merupakan faktor yang dominan mempengaruhi gaya hidup penderita hipertensi.Model hasil analisis dapat menjelaskan (99,96%) keragaman data dan mampu mengkaji fenomena yang dipakai dalam penelitian, sedangkan (0,04%) dijelaskan komponen lain yang tidak ada dalam penelitian ini.Saran penelitian adalah agar meningkatkan fungsi keluarga untuk mendorong terhadap gaya hidup yang baik pada penderita hipertensi.
Kata Kunci: Fungsi Keluarga, Gaya Hidup, Lingkungan Kerja, Motivasi Diri, Peran Petugas Kesehatan
Rasch model is a method that has a long history in its application in the fields of social and behavioral sciences including educational measurement. Under certain circumstances, Rasch models are known as a special case of Item response theory (IRT), while IRT is equivalent to the Item Factor Analysis (IFA) models as a special case of Structural Equation Models (SEM), although there are other ‘tradition’ that consider Rasch measurement models not part of both. In this study, a simulation study was conducted to using simulated data to explain how the interrelationships between the Rasch model as a constraint version of 2-parameter logistic (2-PL) IRT, Rasch model as an item factor analysis were compared with the Rasch measurement model using Mplus, IRTPRO and WINSTEPS program, each of which came from its own 'tradition'. The results of this study indicate that Rasch models and IFA as a special case of SEM are mathematically equal, as well as the Rasch measurement model, but due to different philosophical perspectives people might vary in their understanding about this concept. Given the findings of this study, it is expected that confusion and misunderstanding between the three can be overcome.
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