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has been cited by the following article:

• TITLE: Qualitative Rural Indonesian Study of Diabetes Knowledge, Health Beliefs, and Behaviors in Type 2 Diabetes Patients

  AUTHORS: Nice Maylani Asril, Keiji Tabuchi, Miwako Tsunematsu, Toshio Kobayashi, Masayuki Kakehashi

  KEYWORDS: Type 2 Diabetes, Health Beliefs, Health Behaviors, Health Promotion, Rural Areas

  JOURNAL NAME: Health, Vol.11 No.2, February 26, 2019

  ABSTRACT: This study was aimed at understanding diabetes knowledge, health beliefs, and behaviors among type 2 diabetes patients in Balinese rural areas. The study used the Health Belief Model (HBM) in applied thematic analysis. It involved semi-structured focus groups with 20 patients (M = 49.95 years old, SD 6.7). Three themes formulated: poor diabetes knowledge, diabetes perceived as a life burden, and the factors affecting self-efficacy in practicing healthy lifestyle. The poor diabetes knowledge was due to traditional indigenous beliefs and low health literacy. The perception that diabetes is a life burden was related with physical and psychological condition. The factors affecting the self-efficacy were the perceived barriers and external influence. It is need to understand the traditional indigenous beliefs, burdens, and lacking internal intention as the modifying factors of health beliefs. This study suggests that the development of integrated health promotion of diabetes should consider the HBM’s modifying factors in rural areas.