Components Of Self-efficacy Research Articles

How self-efficacy shapes professional identity among novice Arab teachers?

ABSTRACT Professional identity is a multifaceted and evolving concept that has been interpreted in various ways over time. In the context of education, teachers’ self-efficacy is seen as a key factor that can influence the development of their professional identity. The current study aimed to explore two main objectives among novice Arab teachers in Israel: (a) to examine the relationships between components of self-efficacy and factors of professional identity; and (b) to analyse the predictive power of self-efficacy components in relation to the factors that form professional identity. The study involved 279 novice teachers who participated in the research by completing three self-report questionnaires: a demographic questionnaire, a self-efficacy scale, and a professional identity questionnaire. The results revealed significant positive correlations between the components of self-efficacy and factors of professional identity. Specifically, higher levels of self-efficacy in teaching tasks, relationships, and organisation were associated with stronger professional identity. Furthermore, regression analysis showed that self-efficacy components significantly predicted professional identity factors, with general self-efficacy emerging as a strong predictor across all models. In conclusion, the study highlights the central role of self-efficacy in shaping novice teachers’ professional identity, particularly within the unique cultural context of Arab society in Israel.

Self-talk valence and motivational orientation for entrepreneurship: an exploratory study

ABSTRACT Self-talk is a well-researched component of self-efficacy that is frequently used as a motivational tool in sports. This study investigated how self-talk, as a component of entrepreneurship self-efficacy, relates to entrepreneurial motivation orientation. An online survey measured the self-talk valence of twenty-four entrepreneurs. Subsequently, interviews were conducted with the same entrepreneurs to collect narratives of their entrepreneurship start-up. The interview data were thematically coded and analysed. Links between the entrepreneurship motivation and the entrepreneurs’ net self-talk valence scores were plotted. The analysis suggests that those with positive self-talk typically had intrinsic motivation orientations, while those with negative scores had shared extrinsic motivational orientations. Contrary to the association of positive self-talk with motivation in sports, counterintuitively, negative self-talk’s link with motivation presents a novel finding. This finding is explained using the ‘push’ and ‘pull’ theories of entrepreneurial motivation. The study recommends deductive testing for this inductively explored relationship.

Network Analysis of Pain Catastrophizing, Self-Efficacy, and Kinesiophobia Among Patients After Total Knee Arthroplasty: A Cross-Sectional Study.

Kinesiophobia is common in patients after total knee arthroplasty and is an important risk factor for post-operative recovery outcomes. Little is known about the complex intercorrelations between different components of pain catastrophizing, self-efficacy, and kinesiophobia. This study aimed to identify the central components of kinesiophobia and to explore the interconnectedness between components of pain catastrophizing, self-efficacy, and kinesiophobia. A total of 216 patients after total knee arthroplasty were recruited in this study. Pain Catastrophizing Scale, Self-efficacy of Rehabilitation Outcome Scale and Tampa Scale for Kinesiophobia were used to assess pain catastrophizing, self-efficacy and kinesiophobia. R software was used to visualize the networks and analyze the centrality of the networks. The index "strength" and "bridge expected influence" were employed to identify the central components and the bridge components of the networks. In the item network of kinesiophobia, three items ("Simply being careful that I do not make any unnecessary movements is the safest thing I can do to prevent my pain from worsening", "My accident has put my body at risk for the rest of my life", and "My body is telling me I have something dangerously wrong") had the highest strength centrality. In the pain catastrophizing/self-efficacy-kinesiophobia network, rumination had the highest positive bridge expected influence, while coping self-efficacy had the highest negative value. The three central components of kinesiophobia identified in this study, as well as two bridge variables (rumination and coping self-efficacy), could be promising and effective targets for prevention and intervention of kinesiophobia.

Support of Educational Associates and Self-Efficacy for Teacher Cooperation

The aim of this research is to determine the differences in the individual components of self-assessed self-efficacy for teachers' cooperation, taking into consideration whether educational associates provide them with adequate support in working with students with disabilities or not. In addition to the calculation of basic statistical parameters, in data processing, multivariate analysis of variance, t-test and discrimination analysis were used to calculate the differences between the observed groups. The obtained results show the presence of statistically significant differences in separate components of self-assessed self-efficacy for cooperation between teachers, taking into consideration whether educational associates provide them with adequate support in working with students with disabilities or not. The differences are evident both on the manifest and latent levels. However, the variables in which teachers who receive support from educational associates show a higher level of self-efficacy for cooperation mostly relate to administrative-organizational support and freedom of expression of opinion, so it is necessary to better conceptualize this cooperation and its components, as well as the factors affecting it. The contribution of this research is twofold. It consists in acquiring results that allow insight into the structure of self-assessed self-efficacy of teachers working in inclusive conditions in the area of one region in Croatia. On the other side, this work contributes to the interpretation of the possible connection between specific components of teacher self-efficacy for cooperation in inclusive conditions with factors that could influence it when it comes to the support of educational associates.

The influence of psychological capital on innovative work behavior in islamic bank employees x

Background: In the face of intense business competition, organizations need continuous innovation in technology and services to remain competitive. This study explores how psychological capital—including self-efficacy, optimism, hope, and resilience—influences innovative work behaviour in the Islamic banking sector in Indonesia. This study aims to look at the effect of psychological capital on innovative work behaviors in employees of Bank Syariah X. Method: The sample used in the study was 135 employees working at Bank Syariah X. Innovative Work Behavior was measured using Innovative Work Behavior Indonesia version (2014). Psychological capital was measured using Psychological capital Questionnaire-24 (PCQ-24) (2007) with reliability coefficient 0.87. Findings: The results showed that there are two components of psychological capital that significantly influence the behavior of innovative work, namely self efficacy (β = .33, R2 = .21, p = .00) and hope (β = .21, R2 = .03, p = .00). Conclusion: This suggests that the components of self efficacy was the biggest influence on the innovative work behavior among employees who work at the Bank Syariah X. Novelty/Originality of this study: This research framework provides practical and measurable strategies that can be implemented by HR managers in the Islamic banking sector to drive innovation, improve employee performance, and ultimately enhance organizational competitiveness in the dynamic financial industry.

The Role of Psychological Capital Towards Work Engagement at Private University Lecturers in Bandung

The objective of this study was to explore the role of psychological capital in work engagement among lecturers at private universities in Bandung. Utilizing a quantitative research methodology, the study involved 50 lecturers, comprising 36 men and 14 women. The Utrecht Work Engagement Scale (UWES) and the Psychological Capital Questionnaire (PCQ) were employed as instruments. Initially, the research involved an in-depth review of relevant literature. Following this, the scales were distributed to the participants, and the collected data were subjected to factor analysis. The analysis was conducted using SPSS 16 software, employing linear regression techniques. The findings indicate that psychological capital significantly influences work engagement, accounting for 46.1% of the variance. Specifically, the self-efficacy component contributes 24.8% to work engagement, the hope component contributes 34.0%, the optimism component contributes 40.5%, and the resilience component contributes 25.6%. These results suggest that psychological capital plays a crucial role in enhancing work engagement among lecturers at private universities in Bandung.

Exploring the Influence of the Project-Based Learning Strategy on G9 Students' Motivation to Learn Academic Writing in a Beijing International School

This study investigates the impact of project-based learning (PBL) strategies on high school students' motivation to learn academic writing. Employing a mixed-methods approach, the research spanned two weeks. Quantitative data was collected using. Kempler's (2006) adaptation of the Internal Motivation Measurement Survey. Qualitative data was gathered through an open-ended questionnaire exploring intrinsic motivation, extrinsic motivation, and self-efficacy components. Descriptive analyses were conducted on motivation and self-efficacy measures. The findings revealed a lack of motivation among students in their traditional academic writing class, suggesting a need for pedagogical change to enhance student engagement. Additionally, interviews and classroom observations highlighted the importance of careful design and planning when implementing PBL strategies in an academic writing course.

Associations of smart device apps with and without a perceived self-efficacy component in a physical activity context with BMI.

Smart device apps can be used to promote physical activity, decrease sedentariness, or increase self-efficacy to get active in college students, possibly reducing their obesity risk. This study assessed associations of college students' smart device use with body mass index (BMI), expecting associations between physical activity parameters and self-efficacy with BMI, moderated by app type. In an online survey, app data of a week from student's devices, weight, height, physical activity, and self-efficacy to get active were collected from 120 students. Apps were categorized "physical activity," "physical activity with a self-efficacy component," or "unrelated." Use time of physical activity apps is not associated with BMI, while self-efficacy app time show negative and unrelated app time positive associations. Self-efficacy may be an important component in app design for obesity risk reduction of college students. Test economy was low, which is why future studies need to concentrate on better data extraction methods.

The Effect of Self-efficacy-Enhancing Interventions on Quality of Life of Cancer Survivors: A Systematic Review.

The influence of self-efficacy-enhancing interventions on quality of life (QOL) is not clear with recent randomized controlled trials (RCTs) because current reviews only evaluated self-efficacy as an outcome. We conducted a systematic review to examine the effect of self-efficacy-enhancing interventions on QOL among patients with cancer and to summarize the effective determinants for designing self-efficacy-enhancing interventions. A systematic search was performed on studies published from January 2003 to May 2023 using PubMed, CINAHL, PsycINFO, and Web of Science. Included studies were RCTs, adults diagnosed with cancer, interventions with explicit self-efficacy components, and QOL as the outcome. Nineteen RCTs were included. Risk-of-bias assessment revealed 12 studies with some concerns and 7 with high risk of bias. The mean intervention adherence rate was 88.2%; the most frequently listed reason for dropout was medical conditions and mortality. Self-efficacy interventions were shown to significantly improve at least 1 subscale of QOL in 9 of 19 studies, of which 7 studies used Bandura's 4 sources of self-efficacy. The interventions with between-session intervals shorter than 2 weeks, of 12-week duration, and with an in-person delivery approach were the most effective. Self-efficacy-enhancing interventions show potential beneficial effects on QOL among cancer survivors. Interventions that use Bandura's 4 sources of self-efficacy strategies and have between-session intervals shorter than 2 weeks, an in-person approach, and 12-week intervention duration are recommended. Properly designed self-efficacy-enhancing interventions can facilitate behavioral change and improve QOL in cancer survivors.

Plug and Unplugged Activities to Enhance Computational Thinking Self Efficacy of Pre-service Biology Teachers

Currently, plug-and-unplugged activities for learning statistics are needed to determine students' mindsets when solving statistical problems manually, using calculations without programming as an unplugged activity and for data analysis as a plug activity. This research analyzes computational thinking self-efficacy in pre-service biology teachers by implementing plug-and-unplugged activities in statistics learning. The research method used is a case study with a computational thinking self-efficacy questionnaire instrument. The sample used was 107 pre-service biology teachers at a university in Indonesia who received plug-and-unplugged activities in statistics learning for one semester. The programs used in plug activities are the R and SPSS applications. The research results show that 43% of pre-service biology teachers' computational thinking self-efficacy is in the good category, 26% is in the moderate category, 16% is in the very good category, 10% is in the low category, and the rest are very low. Meanwhile, if we look at each component of self-efficacy, computational thinking, decomposition, pattern recognition, abstraction, and algorithmic thinking are each in the moderate category. This indicates that plug-and-unplugged activities can initiate computational thinking skills in pre-service biology teachers. It is necessary to routinely provide activities or learning activities that can improve the computational thinking of pre-service biology teachers because of the need in this digital era

Identifying Social Network Characteristics Associated With Youth Physical Activity Skill Competency at a Summer Care Program.

While literature suggests that youth physical activity (PA) behaviors are affected by network influences, less is known about network influences on perceived skill competency, a component of physical literacy and self-efficacy. This study aims to provide an understanding of potential network characteristics which are associated with youth PA skill competency. Youth (n = 158) between the ages of 8 and 12 years recruited from two summer care programs (i.e., Boys & Girls Clubs) participated in researcher-administered surveys. Youth self-reported their age, sex, involvement in team sports, weekly PA, and skill competency assessed using a version of the PLAYself measure. Youth were also asked to report up to five people in the summer program and five out of the program with whom they interacted the most. Linear regression was used to evaluate associations between skill competency and demographics, PA, and social network characteristics. Skill competency was significantly associated (R2 = .17) with age (β = -.06, p = .01), sex (β = -.06, p = .01), sports team involvement (β = .16, p < .001), and weekly PA (β = -.20, p < .001). Skill competency was also significantly associated with the number of connections with whom the youth played frequently (β = .09, p < .001), the number of connections that helped the youth to be active (β = .18, p < .001), and the heterogeneity of the type of relationships within the youth's network (β = .11, p < .001). Skill competency scores were significantly associated with both individual variables and social network composition. In addition, youth with networks comprising several types of relationships (heterogeneity) reported a significantly high skill competency. PA interventions can be most effective when considering the reinforcing aspects of networks and skill competency.

Perioperative knowledge, self-efficacy and clinical practices related to postoperative delirium care in older people across geographical regions in Australia.

In older people undergoing surgery, there is a lower tolerance for complications. This highlights the need for documented clinical practices on proper prevention, pre-screening and management of complications such as postoperative delirium (POD). Evidence-based clinical practice guidelines exist for delirium management; however, the management of delirium in clinical settings differs widely. This study aims to develop an understanding of the knowledge, components of self-efficacy (confidence/competence), and clinical practice related to POD care among preoperative and recovery nurses across different types of geographical locations in Australia. A 27-item online survey was sent out to professional associations focused on perioperative care across Australia. The participants included practicing registered nurses specialising in perioperative care. The main outcome measures were Knowledge, confidence/competence and clinical practice relating to POD care in older patients. Respondents were categorised into two groups-major cities and rural and remote. Mean age was 46.3 years for respondents in Australian major cities and 49.5 for the comparison group. There was a statistically significant difference between Australian major cities and 'rural and remote' in confidence in detecting hyperactive delirium, 25.2% versus 11.7% respectively as well as managing hyperactive delirium, 13.8% versus 1.7%, respectively. Similar results were also observed on hypoactive delirium. Respondents from both groups did not mirror the ideal situation in managing a hyperactive delirium. Results from this study are inconclusive and there is no clear-cut observation in clinical practice or knowledge between the two geographical categories in this study. The absence of a distinct strategy with POD prevention highlights the need for a uniform approach and consensus on POD prevention and management in older people. This can be achieved by creating more awareness and education through professional development related to POD.

Future career expectations of college students - the contribution of disability status, self-advocacy, self-efficacy, and support

ABSTRACT This study examined future career expectations of college students with and without learning disabilities (LD) and/or Attention-Deficit/Hyperactivity Disorders (ADHD) while focusing on the contribution of academic self-efficacy, self-advocacy, and family and academic support. Among participants with disabilities, assistance from support centres was also examined. Participants were 342 college students: 179 with LD and/or ADHD and 163 without disabilities. They completed a self-advocacy questionnaire, a general academic self-efficacy scale, a future expectations scale, and a background questionnaire. Whereas students with LD and/or ADHD reported lower levels of academic self-efficacy than students without disabilities, there were no significant differences between the two groups in future expectations. One component of self-advocacy (knowledge of self), family support, and academic self-efficacy were significant predictors of participants’ future career expectations. When participants with disabilities were examined separately, only knowledge of self and academic self-efficacy were significant predictors. Implications for research and practice are discussed.

Thinking Actively in Social and Context Flipped Classroom Learning in Physics of Work and Energy to Improve Students' Critical Thinking, Self-Efficacy and Character Compassion

This study aims to understand, describe, analyze, and measure the increase of critical thinking skills, self-efficacy and the character compassion due to the application of the flipped classroom online learning model equipped by thinking actively in social and context (TASC). This work is quasi-experimental research using the quantitative analysis. Data was collected from several techniques, consist of observation, tests, non-test and documentation. The validity of the data in this study used normality and homogeneity tests, and hypothesis testing using t-test. The results show that the critical thinking ability obtained t-count value 1.988 with a significance 0.052, that means the average critical thinking ability of the experimental group is higher than that of control group. Then, the self-efficacy component, a t-count value of 1.843 was obtained with a significance of 0.068, which means that the average self-efficacy ability of the experimental group is higher than that of the control group. The t-count value of the character compassion component is 1.910 with a significance of 0.058, which means that the average of character compassion ability of the experimental group is higher than to that of the control group. The results of the study showed that the TASC flipped classroom online learning model in physics of work and energy matter can improve critical thinking skills, self-efficacy and character compassion of the students on senior high school.

Emotional intelligence and entrepreneurial intention among university undergraduates in Nigeria: exploring the mediating roles of self-efficacy domains

How emotional competencies influence entrepreneurial behaviour especially among college students remains an under-researched subject in the entrepreneurship literature. In a unique perspective, this study examined the mediating roles of self-efficacy belief dimensions in the relationship between emotional intelligence and entrepreneurial intention of Electrical/Electronics Technology Education (EETE) students. The study was carried out among 192 EETE university students in 4 federal universities in South-East Nigeria. The hypothesized causal relationships based on literature were tested using covariance-based structural equation modelling (CB-SEM). Andrew Hayes’ PROCESS plugin in SPSS was used to simultaneously estimate the mediating effects of the self-efficacy components (perceived competence, perceived control, and perceived persistence). Data analysis results revealed that emotional intelligence had a significant positive effect on entrepreneurial intention in isolation, while the direct effect of emotional intelligence in the structural (mediation) model was not significant. Out of the three dimensions of self-efficacy, perceived competence and perceived persistence had significant partial mediating effects. The implications of the findings and recommendations were discussed.

Dialysis nurses' knowledge, attitude, practices, and self-efficacy regarding vascular access care: A multicenter cross-sectional survey in Singapore.

Dialysis nurses play a pivotal role in the management of vascular access (VA), physician-patient liaison, and patient education for hemodialysis patients. This multicenter study aims to review the dialysis nurses' knowledge, attitude, practice, and self-efficacy toward providing care for patients' VA. A multi-centered study was conducted using a self-administered survey. Nurses from 47 Singapore dialysis centers (five hospital-based and 42 community-based) providing hemodialysis were invited to participate on a voluntary and anonymous basis from April to November 2022. The survey consists of nurses' knowledge on VA (10 items), attitude on VA care (six items), usual practices (seven items), and self-efficacy in VA cannulation and management (six items). The total scores for the knowledge, attitude, and self-efficacy components were 50, 30, and 30 respectively. The instrument has been validated in a pilot study. In total, five hundred sixteen dialysis nurses participated the survey. The mean (±SD) knowledge score of the participants toward VA care was 30.0 (±8.1) over a total score of 50. The means (±SD) of their attitude and self-efficacy scores were 24.4 (±4.1) and 24.2 (±3.1) over 30 respectively. The majority of the nurses (84.1% in hospital-based centers and 98.9% in community-based centers) conducted patient education in some aspects of VA care. The percentage of nurses indicated need for referral to access specialists due to various abnormalities varied significantly between the hospital-based and community-based settings. In the multivariable linear regression analysis, longer working experience was a significant factor for higher knowledge score (B = 0.26; p = 0.001), attitude score (B = 0.08; p = 0.01), and self-efficacy score (B = 0.34; p < 0.001). Dialysis nurses in Singapore have satisfactory knowledge, practice, and self-efficacy on VA care. The majority of them expressed positive opinions toward the VA-related training they received, new technologies, and communications. The identified knowledge and practice gaps could be incorporated into the future training programs.

Effectiveness of an Educational Package Based on the Theory of Five-Factor Positive Thinking Skills on Psychological Capital Components in Adults

Objective: This research aimed to assess the effectiveness of an educational package based on the theory of five-factor positive thinking skills on psychological capital in adults. Methods and Materials: The method was a quasi-experimental design with two groups and three stages: pre-test, post-test, and follow-up. The sample consisted of 40 individuals (20 females and 20 males), selected through purposive sampling and randomly assigned to either the experimental group (20 people, males and females) or the control group (20 people, males and females). The Psychological Capital Questionnaire by Luthans et al. (2007) was used for data collection. The training group received 8 sessions of 100 minutes each, while the control group received no training. Data were analyzed using repeated measures analysis of variance and Bonferroni post hoc test. Findings: Results indicated that in the variable of psychological capital, the components of self-efficacy, hope, optimism, and resilience showed significant differences between the pre-test and the post-test/follow-up stages (p &lt; 0.01), meaning that the training in five-factor positive thinking skills was effective in the post-test phase and this effectiveness was sustained and enhanced up to the follow-up stage. Conclusion: Given the impact of the findings, the use of this training in psychological associations and counseling centers is recommended.

Effectiveness of Emotion-Focused Therapy on Self-Efficacy and Posttraumatic Growth in Women with Breast Cancer

Objective: The aim of this study was to examine the effectiveness of emotion-focused therapy on self-efficacy and posttraumatic growth in women with breast cancer. Methods: This quasi-experimental study (pre-test - post-test with control group) involved 30 women with breast cancer in Sari (2021) who were selected through purposive sampling and randomly assigned into two groups of 15 participants each, an experimental group and a control group. The measurement instruments used were the General Self-Efficacy Scale by Schwarzer and Jerusalem (1979) and the Posttraumatic Growth Inventory by Tedeschi and Calhoun (1996), completed by the participants. Subsequently, participants in the experimental group attended 10 sessions of 60-minute emotion-focused therapy over a period of ten weeks. However, no therapy sessions were conducted for the control group. Ultimately, data analysis was performed using the covariance analysis method. Findings: The analysis revealed that after the intervention, there was a significant difference between the control and experimental groups in both variables of self-efficacy and posttraumatic growth (p ≤ .05). Significant differences were observed in the components of self-efficacy (general self-preparedness and social self-efficacy) and three components of posttraumatic growth (relating to others, personal strength, and appreciation of life) between the women in the experimental and control groups (p ≤ .05); however, no significant differences were observed in the components of new possibilities and spiritual change. Conclusion: The use of emotion-focused therapy is an appropriate intervention to enhance self-efficacy and posttraumatic growth in women with breast cancer, which can be beneficial for improving psychological well-being and better coping with the disease and treatment.

Predicting Psychological Well-Being Based on Digital Self-Efficacy and Emotional Intelligence in Students

Objective: This study aimed to investigate the prediction of psychological well-being based on digital self-efficacy and emotional intelligence among students at the Islamic Azad University, South Tehran Branch. Methods and Materials: The study type is correlational-descriptive and cross-sectional. The statistical population includes all students of the Islamic Azad University, South Tehran Branch, in the academic year 2023-2024. Sampling was conducted using the convenience method, and 200 individuals were selected based on the Morgan table, considering the possibility of statistical attrition. Data collection tools included standardized questionnaires on psychological well-being, digital self-efficacy, and emotional intelligence. Data were analyzed using Pearson correlation and multiple regression methods. Findings: Results showed that all components of digital self-efficacy and emotional intelligence have a significant relationship with psychological well-being. The highest correlation coefficient was related to the security component in digital self-efficacy (p&lt;0.05, 0.64) and the emotional awareness component in emotional intelligence (p&lt;0.05, 0.69). Multiple regression analysis showed that both independent variables significantly predict psychological well-being. The coefficient of determination (R²) was 0.30 for digital self-efficacy and 0.48 for emotional intelligence, indicating significant variance explained in psychological well-being by these variables. Conclusion: Based on the results of this study, increasing digital self-efficacy and emotional intelligence skills can help improve students' psychological well-being. Universities and educational institutions can help students enhance their abilities and, consequently, achieve better quality of life and mental health by designing and implementing special educational programs in this area.

PENERAPAN TRANSTHEORICAL MODEL BEHAVIORAL CHANGE TERHADAP KEPATUHAN BEROBAT PADA PASIEN MULTIDRUG RESISTANT TUBERCULOSIS DI PUSKESMAS KOTA DAN KABUPATEN JAYAPURA

Multi Drug Resistant Tuberculosis (MDR-TB) is still a global health problem. Indonesia is the 3rd country with an average of 5% cases per 100,000 population. For the Papua region, MDR-TB is still a major problem because the treatment success rate has not reached the WHO indicator (68.7%). The treatment of MDR-TB is complex and time-consuming, making patients non-compliant. Reports of low patient visits have made it possible to develop a promotive service program based on applying the Transtheoretical Model (TTM) of Behavioral Change. The TTM Model focuses on changing behavior with the main component of self-efficacy. The study aimed to determine the characteristics of patients, treatment compliance of MDR-TB patients, analyze the effect of applying the TTM behavioral change model with the level of treatment compliance of MDR-TB patients. The research method used a pre-experiment design with a one-group pre-test-post-test design. The study population was 35 patients at the city and district health centers of Jayapura. The instruments used were the Self-Efficacy For Appropriate Medication Use Scale (SEAMS) and TB Medication Adherence Scale (TBMAS). The effect test used a paired sample t-test with significance level p-value=0.05. This indicates an effect of changes in compliance behavior after being given health promotion by applying the Transtheoretical Model. Substantially, the level of adherence to taking medication in MDR-TB patients is also influenced by belief and motivation to recover. There is support from nurses at the puskesmas who often provide behavior change promotions, so patients have the strength and support of a good system that has a positive impact on increasing thoughts to achieve recovery. The importance of Increasing health promotion based on behavior change in MDR-TB patients can increase self-efficacy to recover so that it has an impact on adherence to taking medication.