Health locus of control is associated with medication adherence among outpatients with type 2 diabetes mellitus in Jakarta, Indonesia

DOI: https://doi.org/10.33024/minh.v9i5.2287

Authors

  • Dita Ayu Setiya Wati Program Studi Keperawatan, Sekolah Tinggi Ilmu Kesehatan RSPAD Gatot Soebroto
  • Wilda Fauzia STIKes RSPAD Gatot Soebroto

Health Locus of Control Medication Adherence Type 2 Diabetes Mellitus

Abstract

Background: The increasing number of patients with type 2 diabetes each year indicates that early and sustained diabetes management is essential, particularly adherence to antidiabetic medication. Medication adherence in patients can be influenced by various factors, one of which is health locus of control.

Purpose: To determine the relationship between health locus of control and medication adherence among outpatients with type 2 diabetes mellitus.

Method: A cross-sectional design was applied. Participants were recruited through purposive sampling, yielding a total of 103 respondents. Data were collected using structured questionnaires and analyzed with descriptive statistics and Spearman’s rho correlation test.

Results: Analysis revealed a significant correlation between health locus of control dimensions and medication adherence. The chance health locus of control dimension demonstrated the strongest association, with a moderate correlation coefficient (r = 0.453, p = 0.001). Internal health locus of control showed a weaker correlation (r = 0.296, p = 0.004), while the powerful others dimension also exhibited a weak correlation (r = 0.296, p = 0.002).

Conclusion: Among the three dimensions, chance health locus of control showed the largest observed correlation with medication adherence, showing a moderate correlation with medication adherence. These findings suggest that interventions should prioritize enhancing patients’ awareness of controllable health factors to strengthen adherence to antidiabetic therapy.

Downloads

Download data is not yet available.

References

Anggriani, Y., Rudini, D., & Oktarina, Y. (2024). Hubungan health locus of control dengan kepatuhan minum obat pasien hipertensi di Puskesmas Sidorejo Kota Pagaralam. Malahayati Nursing Journal, 6(1), 152-165.

Ansyar, D. I., & Abdullah, A. Z. (2022). Analisis determinan kepatuhan pengobatan pada penderita diabetes mellitus tipe 2. HIGIENE: Jurnal Kesehatan Lingkungan, 8(1), 37-46.

Ariani, N., Alfian, R., & Prihandiwati, E. (2022). Tingkat perilaku pengobatan, kepatuhan minum obat, dan kadar gula darah pasien diabetes mellitus rawat jalan di RSUD Brigjend. H. Hasan Basry Kandangan. Jurnal Ilmiah Manuntung, 8(1), 156-162.

Arsad, S. F. M., Dungga, E. F., Hunawa, R. D., & Kidamu, S. C. (2023). Health locus of control with diet compliance in diabetes mellitus patients. Jambura Nursing Journal, 5(1), 101-115.

Bąk-Sosnowska, M., Gruszczyńska, M., Wyszomirska, J., & Daniel-Sielańczyk, A. (2022). The influence of selected psychological factors on medication adherence in patients with chronic diseases. Healthcare, 10(3), 426.

Banowo, A. S. (2023). Health locus of control pada manajemen diri penderita diabetes mellitus tipe II. Eureka Media Aksara. https://repository.penerbiteureka.com/publications/565561/health-locus-of-control-pada-manajemen-diri-penderita-diabetes-mellitus-tipe-ii

Botha, F., & Dahmann, S. C. (2024). Locus of control, self-control, and health outcomes. SSM-Population Health, 25, 101566.

Ekayani, N., Widyastuti, W., & Indahari, N. A. (2021). Perbedaan tingkat kepatuhan berobat penderita hipertensi: Pendekatan health locus of control internal dan health locus of control eksternal. Pinisi Journal of Art, Humanity and Social Studies, 1(6), 91-98.

Fang, Y., Gao, X., Sun, C., Gao, H., Wang, Y., & Hu, Y. (2024). The mediating role of health consciousness in the relation between time-related personality and health-promoting behavior. Current Psychology, 43(4), 3649-3656.

Febriany, F. F. F. (2023). Kualitas hidup peserta prolanis diabetes melitus tipe II: A systematic review. Jurnal Jaminan Kesehatan Nasional, 3(2), 56-64.

Harsismanto, J., Padila, P., Andri, J., Sartika, A., & Andrianto, M. B. (2021). Kualitas hidup pasien diabetes melitus Tipe 2. Jurnal Kesmas Asclepius, 3(2), 80-87.

Haskas, Y., & Suryanto, S. (2019). Locus of control: Pengendalian diabetes melitus pada penderita DM tipe 2. Jurnal Riset Kesehatan, 8(1), 13-20.

Hati, Y., Fadillah, F., & Pase, M. (2021). Health locus of control dan self-efficacy pasien DM Tipe 2 dengan penerapan modifikasi psikoedukasi. Jurnal Keperawatan Priority, 4(1), 9-17.

Jannah, R., Bahri, T. S., & Fitriani, L. (2025). Hubungan health locus of control dengan kepatuhan minum obat pada pasien diabetes mellitus tipe 2. Jurnal Assyifa: Jurnal Ilmu Kesehatan Lhokseumawe, 10(1), 33-43.

Listrikawati, M., & Harti, A. S. (2021). Efektifitas biblioterapi terhadap peningkatan kualitas hidup pada pasien dengan diabetes mellitus pada kelompok Prolanis Kartasura. Journal of Advanced Nursing and Health Sciences, 83-88.

Morisky, D. E., Ang, A., Krousel‐Wood, M., & Ward, H. J. (2008). Retracted: predictive validity of a medication adherence measure in an outpatient setting. The Journal of Clinical Hypertension, 10(5), 348-354.

Ningrum, D. K. (2020). Kepatuhan minum obat pada penderita diabetes melitus tipe II. HIGEIA (Journal of Public Health Research and Development), 4(Special 3), 492-505.

Nugroho, H., Ernawilis, E., Suheti, S., & Syamlan, S. F. (2023). Penyuluhan kesehatan tentang pengetahuan pencegahan diabetes mellitus di Desa Rawat Rengas. Jurnal Peduli Masyarakat, 5(4), 1063-1070.

Nuraini, N., Salam, A. Y., & Ro’isah, R. (2023). Hubungan health locus of control dengan kepatuhan minum obat pasien hipertensi peserta Prolanis di Puskesmas Ketapang Kota Probolinggo. Jurnal Ilmiah Kesehatan Mandira Cendikia, 2(10), 109–117. https://journal.mandiracendikia.com/index.php/JIK-MC/article/view/598

Pasha, E. Y. M., Selfiana, N., & Fatin, M. N. A. (2023). Relationship between health locus of control and medication adherence in elderly patients with type 2 diabetes mellitus at the primary healthcare centers in Bandung. Jurnal Ilmiah Farmako Bahari, 14(2), 124-135.

Prabhawaty, Y., & Herlina, S. (2023). Medication beliefs dan kepatuhan minum obat pada pasien diabetes melitus tipe II dengan BPJS. Jurnal Keperawatan Widya Gantari Indonesia, 7(3).

Rismawan, M., Handayani, N. M. T., & Rahayuni, I. G. R. (2023). Hubungan kepatuhan minum obat terhadap kadar gula darah sewaktu pada penderita diabetes mellitus tipe 2. Jurnal Riset Media Keperawatan, 6(1), 23-30.

Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., & Magliano, D. J. (2022). IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Research and Clinical Practice, 183, 109119.

Sutomo, S., & Purwanto, N. H. (2023). Pengaruh konsumsi tisane daun belimbing wuluh terhadap perubahan kadar gula dalam darah pada penderita diabetes mellitus tipe 2. Jurnal Keperawatan, 16(1), 1-15.

Triastuti, N., Irawati, D. N., Levani, Y., & Lestari, R. D. (2020). Faktor yang mempengaruhi tingkat kepatuhan konsumsi obat antidiabetes oral pada pasien diabetes melitus tipe 2 di RSUD Kabupaten Jombang. Medica Arteriana (Med Art), 2(01), 27-37.

Wallston, K. A., & Wallston, B. S. (1981). Health locus of control scales. In H. M. Lefcourt (Ed.), Research with the locus of control construct: Assessment methods (Vol. 1, pp. 189–243). Academic Press.

Wallston, K. A., Strudler Wallston, B., & DeVellis, R. (1978). Development of the multidimensional health locus of control (MHLC) scales. Health Education Monographs, 6(1), 160-170.

Widiyoga, R. C., Saichudin, S., & Andiana, O. (2020). Hubungan tingkat pengetahuan tentang penyakit diabetes melitus pada penderita terhadap pengaturan pola makan dan physical activity. Sport Science and Health, 2(2), 152-161.

Yamane, T. (1967). Statistics: An introductory analysis (2nd ed.). Harper & Row.

Downloads

Published

2026-07-31

How to Cite

Health locus of control is associated with medication adherence among outpatients with type 2 diabetes mellitus in Jakarta, Indonesia. (2026). MIN, 9(5), 954-961. https://doi.org/10.33024/minh.v9i5.2287