Penerapan Social Learning Theory dalam Promosi Layanan Akupunktur dan Kaitannya dengan Ketertarikan Masyarakat: Studi Cross-Sectional
DOI:
https://doi.org/10.62710/ynw0jk15Keywords:
Social Learning Theory, promosi kesehatan, akupunktur, observasi, modeling, pemanfaatan pelayanan kesehatan.Abstract
Latar Belakang Pemanfaatan pelayanan kesehatan tidak hanya dipengaruhi oleh ketersediaan layanan, tetapi juga oleh pengetahuan, persepsi, pengalaman, serta pengaruh lingkungan sosial. Akupunktur sebagai salah satu pelayanan kesehatan komplementer memiliki potensi untuk mendukung penanganan berbagai kondisi kesehatan, tetapi pemanfaatannya di masyarakat masih memerlukan strategi promosi kesehatan yang mampu memengaruhi proses pembentukan perilaku. Social Learning Theory menjelaskan bahwa perilaku dapat dipelajari melalui proses observasi terhadap orang lain, imitasi, dan modeling. Metode Penelitian ini menggunakan desain analitik observasional dengan pendekatan cross-sectional. Penelitian dilaksanakan pada masyarakat di Kabupaten Aceh Besar pada juli 2026. 50 responden dipilih menggunakan teknik consecutive sampling. Instrumen penelitian menggunakan kuesioner berbasis konstruk SLT yang meliputi observasi, imitasi, dan modeling serta variabel ketertarikan menggunakan pelayanan akupunktur. Analisis dilakukan secara univariat dan bivariat menggunakan uji Chi-Square dan Fisher Exact pada tingkat kemaknaan α=0,05. Analisis multivariat dilakukan menggunakan Firth Penalized Logistic Regression. Hasil Sebanyak 35 responden (70,0%) memiliki skor total SLT ≥ mean dan 46 responden (92,0%). Pada analisis bivariat, observasi tidak berhubungan secara signifikan dengan ketertarikan (p=0,337), sedangkan imitasi menunjukkan hubungan yang signifikan (Chi-Square p=0,004; Fisher Exact p=0,010). Modeling menunjukkan hubungan signifikan berdasarkan Chi-Square (p=0,037). Secara keseluruhan, skor total SLT berhubungan signifikan dengan ketertarikan berdasarkan Fisher Exact (p=0,006). Analisis Firth menunjukkan bahwa imitasi merupakan prediktor independen yang signifikan terhadap ketertarikan (β=4,598; OR=99,303; 95% CI=1,703–5.790,642; p=0,027), sedangkan observasi (p=0,059) dan modeling (p=0,088) tidak menunjukkan hubungan independen yang signifikan. Kesimpulan Penerapan Social Learning Theory secara keseluruhan berhubungan dengan ketertarikan masyarakat terhadap pelayanan akupunktur. Konstruk imitasi merupakan komponen yang paling konsisten dan menjadi prediktor independen yang signifikan setelah dikontrol bersama observasi dan modeling. Temuan ini menunjukkan bahwa strategi promosi pelayanan akupunktur dapat mempertimbangkan mekanisme pembelajaran sosial, khususnya melalui pengalaman, contoh perilaku, dan proses peniruan dalam lingkungan sosial masyarakat.
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References
Aji Legowo, N., Murti, B., & Sumardiyono. (2025). Implementation of Health Belief Model to Predict Acupuncture Therapy Adherence in Low Back Pain Patients. Journal of Health Promotion and Behavior, 10(01), 89–99. https://doi.org/10.26911/thejhpb.2025.10.01.09
Allen, J., Mak, S. S., Begashaw, M., Larkin, J., Miake-Lye, I., Beroes-Severin, J., Olson, J., & Shekelle, P. G. (2022). Use of Acupuncture for Adult Health Conditions, 2013 to 2021. JAMA Network Open, 5(11), e2243665. https://doi.org/10.1001/jamanetworkopen.2022.43665
Bandura A. (1977). Bandura_SocialLearningTheory.
Caeiros, P., Ferreira, P. P., Chen-Xu, J., Francisco, R., & de Arriaga, M. T. (2024). From Health Communication to Health Literacy: A Comprehensive Analysis of Relevance and Strategies. Portuguese Journal of Public Health, 42(2), 159–164. https://doi.org/10.1159/000537870
Chau, M. M., Ahmed, N., Pillai, S., Telzak, R., Fraser, M., & Islam, N. S. (2023). Community‐Based Organizations as Trusted Messengers in Health. Hastings Center Report, 53(S2). https://doi.org/10.1002/hast.1529
Firmansyah, D., & Saepuloh, D. (2022). Social Learning Theory: Cognitive and Behavioral Approaches. Jurnal Ilmiah Pendidikan Holistik (JIPH), 1(3), 297–324. https://doi.org/10.55927/jiph.v1i3.2317
Ghahramani, A., de Courten, M., & Prokofieva, M. (2022). “The potential of social media in health promotion beyond creating awareness: an integrative review.” BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-14885-0
Jia, L. (2025). Advancements in Acupuncture Education. Medical Acupuncture, 37(1), 6–7. https://doi.org/10.1089/acu.2025.0013
Liu, T., Pang, P. C. I., & Lam, C. K. (2024). Public health education using social learning theory: a systematic scoping review. In BMC Public Health (Vol. 24, Number 1). BioMed Central Ltd. https://doi.org/10.1186/s12889-024-19333-9
Lu, L., Zhang, Y., Ge, S., Wen, H., Tang, X., Zeng, J. chun, Wang, L., Zeng, Z., Rada, G., Ávila, C., Vergara, C., Chen, R., Dong, Y., Wei, X., Luo, W., Wang, L., Guyatt, G., Tang, C.-Z., & Xu, N.-G. (2022). Evidence mapping and overview of systematic reviews of the effects of acupuncture therapies. BMJ Open, 12(6), e056803. https://doi.org/10.1136/bmjopen-2021-056803
Miller, D. W., Roseen, E. J., Stone, J. A. M., Gardiner, P., Olson, J., Rosen, S., Wayne, P., Davis, R., & Coeytaux, R. (2021). Incorporating Acupuncture Into American Healthcare: Initiating a Discussion on Implementation Science, the Status of the Field, and Stakeholder Considerations. Global Advances in Health and Medicine, 10. https://doi.org/10.1177/21649561211042574
Mukhalalati, B., Elshami, S., Eljaam, M., Hussain, F. N., & Bishawi, A. H. (2022). Applications of social theories of learning in health professions education programs: A scoping review. Frontiers in Medicine, 9. https://doi.org/10.3389/fmed.2022.912751
Nielsen, A., Dusek, J. A., Taylor-Swanson, L., & Tick, H. (2022). Acupuncture Therapy as an Evidence-Based Nonpharmacologic Strategy for Comprehensive Acute Pain Care: The Academic Consortium Pain Task Force White Paper Update. Pain Medicine (Malden, Mass.), 23(9), 1582–1612. https://doi.org/10.1093/pm/pnac056
Niruthisard, S., Ma, Q., & Napadow, V. (2024). Recent advances in acupuncture for pain relief. PAIN Reports, 9(5), e1188. https://doi.org/10.1097/PR9.0000000000001188
Nutbeam, D., & Muscat, D. M. (2021). Health Promotion Glossary 2021. Health Promotion International, 36(6), 1578–1598. https://doi.org/10.1093/heapro/daaa157
Potvin, L., & Jourdan, D. (2021). Health promotion research has come of age! Structuring the field based on the practices of health promotion researchers. Global Health Promotion, 28(4), 26–35. https://doi.org/10.1177/17579759211044077
Rismawati, N. L., Pamungkasari, E. P., & Novika, R. G. H. (2024). A Path Analysis of Social Cognitive Theory Implementation in Exclusive Breastfeeding. Journal of Maternal and Child Health, 9(5), 836–848. https://doi.org/10.26911/thejmch.2024.09.05.09
Uddin, J., Feng, C., & Xu, J. (2025). Health Communication on the Internet: Promoting Public Health and Exploring Disparities in the Generative AI Era. Journal of Medical Internet Research, 27, e66032. https://doi.org/10.2196/66032
WHO. (1986). OTTAWA CHARTER FOR HEALTH PROMOTION. Health Promotion International, 1(4), 405–405. https://doi.org/10.1093/heapro/1.4.405
Woods, A. (2022). Applying the principles of health promotion in nursing practice. Nursing Standard, 37(4), 40–45. https://doi.org/10.7748/ns.2022.e11774
Yuliana, N. A., Pawito, P., & Murti, B. (2020). Application of Social Cognitive Theory: Tertiary Prevention Behavior in Patients with Type 2 Diabetes Mellitus in Ponorogo Hospital, East Java, Indonesia. Journal of Health Promotion and Behavior, 5(3), 157–168. https://doi.org/10.26911/thejhpb.2020.05.03.02
Zaghloul, H., Fanous, K., Ahmed, L., Arabi, M., Varghese, S., Omar, S., Al-Najjar, Y., El-Khoury, R., Gray, J., Rakab, A., & Arayssi, T. (2025). Digital Health Literacy in Patients with Common Chronic Diseases: Systematic Review and Meta-Analysis. Journal of Medical Internet Research, 27, e56231–e56231. https://doi.org/10.2196/56231







