Implementation of a Nola J. Pender-Based Health Promotion E-Module to Improve Knowledge and Treatment Adherence Among Patients with Pulmonary Tuberculosis

Background: Pulmonary tuberculosis (TB) remains a major public health concern, requiring effective educational strategies to improve patient knowledge and treatment adherence. Purpose: This study evaluated the effectiveness of a Nola J. Pender’s Health Promotion Model-based educational e-module in improving knowledge and treatment adherence among patients with pulmonary TB. Methods: A quasi-experimental pretest–posttest control group study was conducted at RSUP Surakarta, Central Java, Indonesia. Fifty participants were included, comprising 26 in the intervention group and 24 in the control group. The intervention group received e-module-based education, while the control group received routine education. Data were analyzed using the Wilcoxon signed-rank and Mann–Whitney U tests. Results: Knowledge improved significantly in the intervention group (Z = −4.309, p < 0.001), with 24 participants improving. Treatment adherence also improved significantly (Z = −3.651, p < 0.001), with 21 participants improving. Between-group differences were significant for knowledge (U = 172.000, p = 0.006) and treatment adherence (U = 156.000, p = 0.002), with higher mean ranks in the intervention group. Conclusions: The Health Promotion Model-based e-module may improve knowledge and treatment adherence among patients with pulmonary TB. Further studies with larger samples and longer follow-up are recommended.