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Bridging Mental Health Gaps in Underserved Communities: A Systematic Review of Digital Technologies and Agronursing as Complementary Interventions Aristawati, Evy; Cahyono, Bagus Dwi; Huda, Nurul; Aditya, Ronal Surya; Rahmawati, Apriana
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.575

Abstract

Background: The integration of digital mental health technologies presents transformative opportunities for addressing service gaps in underserved and resource-limited areas. Purpose: The objective was to identify, evaluate, and summarize peer-reviewed studies that explored both opportunities and challenges associated with digital mental health interventions in rural, remote, and resource-limited settings. Methods: This systematic review synthesizes evidence from 10 peer-reviewed studies to evaluate the effectiveness, accessibility, and challenges of implementing telemedicine, mobile health (mHealth), SMS-based interventions, and digital platforms across diverse global contexts. Result: Findings reveal that digital tools significantly improve access to care by overcoming geographic barriers, reducing stigma, and enabling remote treatment delivery. However, challenges such as inadequate digital infrastructure, data privacy concerns, and limited digital literacy hinder equitable adoption. The study further explores agronursing defined as therapeutic agricultural practices as a complementary, community-centered approach to supporting mental well-being, particularly in rural settings. Conclusions: By combining technological innovation with nature-based therapies, this review highlights pathways toward more inclusive and sustainable mental health service delivery. These insights are critical for policymakers and healthcare providers aiming to address global mental health disparities through context-sensitive solutions.
Bridging Mental Health Gaps in Underserved Communities: A Systematic Review of Digital Technologies and Agronursing as Complementary Interventions Aristawati, Evy; Cahyono, Bagus Dwi; Huda, Nurul; Aditya, Ronal Surya; Rahmawati, Apriana
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.575

Abstract

Background: The integration of digital mental health technologies presents transformative opportunities for addressing service gaps in underserved and resource-limited areas. Purpose: The objective was to identify, evaluate, and summarize peer-reviewed studies that explored both opportunities and challenges associated with digital mental health interventions in rural, remote, and resource-limited settings. Methods: This systematic review synthesizes evidence from 10 peer-reviewed studies to evaluate the effectiveness, accessibility, and challenges of implementing telemedicine, mobile health (mHealth), SMS-based interventions, and digital platforms across diverse global contexts. Result: Findings reveal that digital tools significantly improve access to care by overcoming geographic barriers, reducing stigma, and enabling remote treatment delivery. However, challenges such as inadequate digital infrastructure, data privacy concerns, and limited digital literacy hinder equitable adoption. The study further explores agronursing defined as therapeutic agricultural practices as a complementary, community-centered approach to supporting mental well-being, particularly in rural settings. Conclusions: By combining technological innovation with nature-based therapies, this review highlights pathways toward more inclusive and sustainable mental health service delivery. These insights are critical for policymakers and healthcare providers aiming to address global mental health disparities through context-sensitive solutions.
STRESS, ANXIETY, AND DEPRESSION IN STOMATITIS PATHOGENESIS: A SYSTEMATIC REVIEW Cahyono, Bagus Dwi; Huda, Nurul; Aristawati, Evy; Aditya, Ronal Surya; Rahmawati, Apriana; Kusuma, Erik; Nasriati, Ririn
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.72560

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Introduction: Recurrent Aphthous Stomatitis (RAS) is a chronic inflammatory condition characterized by painful ulcers on the oral mucosa. Emerging evidence indicates that psychological factors, such as stress, anxiety, and depression, may play a role in its development. This review aims to examine the influence of these mental health factors on the onset and progression of RAS based on recent scientific literature. Methods: he exact mechanisms through which psychological stressors contribute to RAS remain poorly understood. To address this, a systematic review was conducted following PRISMA guidelines to consolidate current research findings. A thorough search was performed across PubMed, the Cochrane Library, and Google Scholar to identify original studies published within the past decade. The search terms used were: ("Recurrent Aphthous Stomatitis" OR "RAS") AND ("Stress" OR "Anxiety" OR "Depression") AND ("Psychological Factors" OR "Mental Health"). Results: Findings from the reviewed literature indicate a strong correlation between stress and both the initiation and recurrence of RAS. This association appears to be largely driven by the activation of the hypothalamic–pituitary–adrenal (HPA) axis, resulting in increased cortisol levels and subsequent suppression of immune function. These physiological changes are believed to weaken mucosal defenses, thereby increasing vulnerability to ulcer formation. Conclusions: These insights underscore the importance of incorporating psychological interventions—particularly stress-reduction techniques—into the management of RAS to enhance patient well-being and reduce symptom burden.
Analyzing The Impact of Outbound Training to Increase Teamwork Among Students: A Systematic Literature Review Ramadhani, Azzahra Agustin Sri; Kinasih, Kannindya Sekar; Fauziah, Laili Indah; Tristan, Muhammad; Istiqomah, Mutiara Titian; Muhammad, Naufalsyah Falah; Fanani, Erianto; Aditya, Ronal Surya
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 1 No. 1 (2023): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v1i1.2

Abstract

A team can be said to be successful if there are tricks in it to achieve that success. In running a game, a team must be able to achieve success. One trick that can be done to achieve this success is good teamwork and cooperation. In this case, a team, to achieve success, is expected to do something together by helping each other as a team or group. In the research of this article, six literature reviews were used, and keywords for each data were used to search the Google Scholar and ResearchGate bases from 2018 to 2023. A result of this literature review explains how the results of teamwork achieve success. From the topics that have been found, we get topics such as the importance of teamwork to increase self-confidence, courage, creative thinking, team unity, effective communication, responsibility, cooperation and trust between team members. The success of a team is obtained by good and cooperative cooperation so that it will create the ability to train confidence, courage, creative thinking, and team unity.
Healing in Nurses After Assignment in Natural Disasters Solikhah, Fitriana Kurniasari; Aditya, Ronal Surya
Folia Medica Indonesiana Vol. 58, No. 4
Publisher : Folia Medica Indonesiana

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Abstract

Highlight : • Disasters impact a large number of people, including nurses who are deployed in the disaster relief. • Culturally sensitive psychological first aid sessions, post-assignment in crisis situations monitoring, and grit have implications in pushing the nurses to overcome their trauma and obstacles. • Government policies are also important in helping nurses to heal after deployment in disaster relief. Abstract : Disasters are defined as catastrophic occurrences that impact a large number of people quickly and with an abrupt onset. On average, one natural disaster is reported globally each day. However, the impact of a traumatic occurrence on an individual may be compared to a rock colliding with the surface of a water body. Systematic searches were conducted in Cochrane, Google Scholar, PubMed, Scopus, Embase, and Web of Science databases. The following keywords were used to perform a literature search: "nurse," "healing," and "natural catastrophes". As a result of reviewing 362 abstracts and titles, ten were determined to meet the study goals. The research methods in four of the ten literatures were qualitative, five quantitative, and one was a blend of both. Generally, culturally appropriate psychological first aid sessions, post-natural disaster assignment monitoring, and grit push people to overcome obstacles and accomplish achievements over time. Nurses who have been deployed to natural catastrophes must heal and need time to rest physically and mentally. This study aimed to find out the implications of culturally sensitive psychological first aid sessions, post-assignment in crisis situations monitoring, and grit in pushing individuals to overcome obstacles and achieve success over time; and how the government policies relate to trauma recovery.
Workplace stress and burnout among university lecturers in Indonesia and Malaysia: A systematic review of stressors, outcomes, and protective factors Mimi Haryani Hassim; Dian Puspitaningtyas Laksana; Rachmy Rosyida Rais; Ronal Surya Aditya
Public Health and Occupational Safety Journal Vol. 1 No. 2 (2025): Public Health and Occupational Safety Journal (PHOSJ)
Publisher : CV Rezki Media

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56003/phosj.v1i2.674

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Background: Workplace stress and burnout have emerged as critical occupational health concerns among university lecturers, particularly amid increasing academic workloads, performance pressures, and organizational demands intensified during and after the COVID-19 pandemic. Despite growing empirical attention, evidence remains fragmented, especially within Southeast Asian higher education contexts. Objectives: This study aims to systematically review empirical research on workplace stress and burnout among university lecturers in Indonesia and Malaysia, with a focus on identifying key stressors, associated outcomes, and protective factors. Methods: A systematic literature review was conducted following the PRISMA 2020 guidelines. Peer-reviewed articles published in English were retrieved from the Scopus database using predefined search terms related to workplace stress, burnout, lecturers, and higher education in Indonesia and Malaysia. After screening and eligibility assessment, 19 studies published between 2004 and 2025 were included. Methodological quality was assessed using the Newcastle–Ottawa Scale, and findings were synthesized through qualitative narrative analysis due to study heterogeneity. Results: The review reveals that workplace stress and burnout are prevalent among university lecturers in both countries. Major stressors include excessive workload, role ambiguity, performance-based evaluation systems, work–life imbalance, and limited organizational support. These stressors are consistently associated with adverse outcomes such as emotional exhaustion, reduced job satisfaction, impaired performance, and increased turnover intention. Protective factors, including social support, supportive leadership, emotional intelligence, and workplace spirituality, were found to mitigate stress and burnout effects. Conclusions: Workplace stress and burnout among university lecturers in Indonesia and Malaysia are multifactorial and systemic issues embedded in contemporary academic work environments. Organizational- and policy-level interventions are essential to promote lecturer well-being and ensure sustainable academic careers.
The Influence of Sociodemographic Factors on Stress Levels Among Pulmonary Tuberculosis Patients: A Health Belief Model-Based Study Suhendra Agung Wibowo; Dimas Hadi Prayoga; Ronal Surya Aditya; Apriana Rahmawati; Ifa Nofalia
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.513

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Pulmonary tuberculosis (TB) imposes not only physical but also substantial psychological burdens, particularly stress, which may compromise treatment adherence and outcomes. While the Health Belief Model (HBM) has been widely applied to predict TB treatment behaviors, its utility in explaining how sociodemographic factors shape stress levels remains underexplored. This cross-sectional study aimed to examine the association between sociodemographic characteristics and stress among 150 pulmonary TB patients in Jombang Regency, Indonesia, using the HBM as a theoretical lens. Stress was assessed using the Depression Anxiety Stress Scale–42 (DASS-42), with 62.7% of participants reporting moderate to severe stress. Chi-square and binary logistic regression analyses revealed that education (p = 0.012; OR = 1.89, 95% CI: 1.10–3.25), marital status (p = 0.021; OR = 1.72, 95% CI: 1.05–2.80), and occupation (p = 0.008; OR = 2.45, 95% CI: 1.30–4.60) were significantly associated with stress levels, whereas age and gender were not (p > 0.05). Occupation emerged as the strongest predictor, with unemployed or informally employed patients more than twice as likely to experience high stress. These findings underscore the role of perceived barriers and self-efficacy—core HBM constructs shaped by sociodemographic context—in influencing psychological distress. Integrating tailored psychosocial support into TB care is essential to mitigate stress and enhance treatment success.
The Relationship Between Breast Milk Coverage, Mother's Education Level, Sanitation Hygiene, and Infectional Diseases and Incidents Of Stunting In Toddler In Bangkalan District, East Java Septa Katmawanti; Achmad Masfi; Ronal Surya Aditya; Dea Aflah Samah; Fatiya Rizka Putri; Oktavia Sri Wahyuni; Muhammad Fahmi Rabbani; Purnama Devita Sari
Preventia : The Indonesian Journal of Public Health Vol 9, No 2 (2024)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um044v9i22024p115-122

Abstract

Stunting remains a pressing global health issue, with 149 million children affected in 2020. In Bangkalan District, East Java, stunting prevalence reaches 25.2 percent, exceeding the provincial average of 19.2 percent. This study aimed to analyze factors influencing stunting, including breastfeeding coverage, maternal education, hygiene, and infectious diseases. Conducted from August to September 2023 in the Blega Health Center area, this analytical correlation study involved 35 toddlers aged 24–59 months selected through simple random sampling. Data were collected via questionnaires, anthropometric measurements, and interviews, then analyzed using chi-square tests in SPSS. The results revealed significant relationships between exclusive breastfeeding and stunting (p value is less than 0.05) and between infectious diseases (e.g., diarrhea and URTI) and stunting (p value is less than 0.05). Toddlers not exclusively breastfed were 0.2 times more likely to be stunted, and those frequently suffering from diarrhea had a 0.13 times higher risk. However, no significant association was found between maternal education or hygiene behavior and stunting (p value is more than 0.05). These findings emphasize the importance of promoting exclusive breastfeeding and preventing infectious diseases as key strategies to combat stunting. Complementary measures, such as improving hygiene and sanitation, remain critical to creating a supportive environment for child growth and development
The Relationship Between Breast Milk Coverage, Mother's Education Level, Sanitation Hygiene, and Infectional Diseases and Incidents Of Stunting In Toddler In Bangkalan District, East Java Katmawanti, Septa; Masfi, Achmad; Aditya, Ronal Surya; Samah, Dea Aflah; Putri, Fatiya Rizka; Wahyuni, Oktavia Sri; Rabbani, Muhammad Fahmi; Sari, Purnama Devita
Preventia: The Indonesian Journal of Public Health Vol. 9, No. 2
Publisher : citeus

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stunting remains a pressing global health issue, with 149 million children affected in 2020. In Bangkalan District, East Java, stunting prevalence reaches 25.2 percent, exceeding the provincial average of 19.2 percent. This study aimed to analyze factors influencing stunting, including breastfeeding coverage, maternal education, hygiene, and infectious diseases. Conducted from August to September 2023 in the Blega Health Center area, this analytical correlation study involved 35 toddlers aged 24–59 months selected through simple random sampling. Data were collected via questionnaires, anthropometric measurements, and interviews, then analyzed using chi-square tests in SPSS. The results revealed significant relationships between exclusive breastfeeding and stunting (p value is less than 0.05) and between infectious diseases (e.g., diarrhea and URTI) and stunting (p value is less than 0.05). Toddlers not exclusively breastfed were 0.2 times more likely to be stunted, and those frequently suffering from diarrhea had a 0.13 times higher risk. However, no significant association was found between maternal education or hygiene behavior and stunting (p value is more than 0.05). These findings emphasize the importance of promoting exclusive breastfeeding and preventing infectious diseases as key strategies to combat stunting. Complementary measures, such as improving hygiene and sanitation, remain critical to creating a supportive environment for child growth and development
Smartphone Use, Social Media, and Academic Procrastination in Secondary Education: A Multi Method Approach Investigation with Implications for School-Based Interventions Abdullah, Haslee Sharil Lim; Amalia, Riza; Indreswari, Henny; Hambali, IM; Aditya, Ronal Surya; Rusnila, Rusnila
Buletin Konseling Inovatif Vol. 6, No. 2
Publisher : citeus

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Abstract

Academic procrastination has become a significant challenge in digital learning environments, particularly among adolescents with high smartphone and social media usage. This study examines the relationship between mobile phone use and academic procrastination among 262 high school students in Indonesia using a cross-sectional survey, narrative review, and network analysis. Results show 75.6% of students exhibit medium and 20.2% high procrastination levels, with "alternative activities" like digital distractions as the main form (M = 15.87, SD = 2.92). No significant differences were found by gender (p = .067) or age (p = .412), but strong positive correlations emerged between gadget use (smartphone), social media, and procrastination (r ≈ 0.70), while family support correlated negatively (r ≈ –0.44). Network analysis identified protective factors such as family and school support, cultural values (gotong royong, pintar tuntang harati), and effective interventions including family counseling (d = 0.71), digital detox (d = 0.65), and school-based programs (d = 0.62), the effect sizes for these interventions were synthesized from the narrative review of existing literature and do not represent empirical findings from the current study. The findings underscore the need for culturally responsive, multi-tiered strategies that integrate self-regulation, digital wellness, and sociocultural support to reduce procrastination in technology-rich educational settings.
Co-Authors Abdullah, Haslee Sharil Lim Achmad Masfi Achmad Masfi Adhitama, Felicia Dewati Elit Agustin, Fryda Ah Yusuf AH Yusuf Ahmad Masfi Ahmad Masfi Al Afik, Al Alifatunnisa, Alifatunnisa Alifia Candra Puriastuti Alrazeeni, Daifallah M. Amalia, Riza Andayani, Sari Dewi Anita Sulistyorini Apriana Rahmawati Apriana Rahmawati Apriana Rahmawati Apriana Rahmawati Apriana Rahmawati Apriana Rahmawati Ardhiyanti Puspita Ratna Aulia, Fahrani Nur Awanda Putra Pratama Bagus Dwi Cahyono Bagus Dwi Cahyono Bagus Dwi Cahyono Bagus Dwi Cahyono Betay, Oskar Cindy Dewi H Citra Ayu DK Dahlia Dian Paramita Dea Aflah Samah Dessy Amelia Devina Ramadhanty Wirakusuma Dewi Fatimah Putri Maulidah Dewi Ratna Sulistina Dian Puspitaningtyas Laksana Dimas Hadi Prayoga Dwi Cahyono, Bagus Ella Mayasari Elvarelta, Chysaura Malva Endang Soelistyowati Eri Yanuar Achmad Budi Sunaryo Eri Yanuar Akhamad Budi Sunaryo Eri Yanuar Akhmad Budi Sunaryo Eri Yanuar Akhmad Budi Sunaryo Eri Yanuar Akhmad Budi Sunaryo Erik Kusuma Evy Aristawati Faizatur Rohmi Fanani, Erianto Farizza Umami Fatiya Rizka Putri Fatmala Fathul Huda Fauziah, Laili Indah Fitriah Effendy Fitriani, Amelia Salsabila Henny Indreswari Herdhika Ayu Retno Kusumasari Herdhika Ayu Retno Kusumasari Ida Herawati Ida Herawati Ida Herwati Ifa Nofalia IM. Hambali Istafia . Istiqomah, Mutiara Titian izzatsaltsa maya azmi Khusna, Nasya Zilza Khusnun Nazwa Arifin Kinasih, Kannindya Sekar Kismayarti, Syahda Rofila Koesoemo, Rizki Fitryasari Patra Kusumaningtiyas, Aprilia Lailatul Kodriyah Laras Putri Gamagitta Lintang Widya Sishartami Listyawati Ratna Ningrum Lorenza Arinda Saputri Nur Endah Setyowati M Brilian Aprianto Manggolono, Lintang Nirmalasari Gemalochaya Mimi Haryani Hassim Mochammad Yunus, Mochammad Muhammad Fahmi Rabbani Muhammad Putra Ramadhan Muhammad Putra Ramadhan Muhammad, Naufalsyah Falah Nadia Rosalinda Najwa Tsaqifa ʻAzmil Umami Nanang Tri Wahyudi Nanang Tri Wahyudi Nasriati, Ririn Nihayatul Munaa Ningrum, Listyawati Ratna Nur Azizah CO NurAfni NurAfni Nuril Adh-har Nuril Hikmah Nurma Afiani Nurul Evi Nurul Huda Nurul Huda Nurul Huda Nurul Huda Nurul Huda Nurul Huda Oktavia Sri Wahyuni Purnama Devita Sari Putri Dwinita Haryono Putri Nabila Putri, Fatiya Rizka Qory Tifani Rahmatika Qory Tifani Rahmatika Qory Tifani Rahmatika Qurrota A’yunina Rabbani, Muhammad Fahmi Rachmy Rosyida Rais Rahmatika, Qory Tiffani Ramadhani, Azzahra Agustin Sri Riza Fikriana Rohmi, Rohmi Rozi Maulana S Rusnila Rusnila, Rusnila Sari, Gadis Meinar Sari, Purnama Devita Septa Katmawanti, Septa Septiananda, Farsya Hidayah Shofa Zahrotun Naiim Soelistyowati, Endang Solikhah, Fitriana Kurniasari Sugiarto, Dinta Suhendra Agung Wibowo Sukma Adinda DCA Sunaryo, Eri Yanuar Akhmad Budi Supriadi Supriadi Syarah Saraswatii Tio Yahya Trihaningsih Puji Astuti Tristan, Muhammad Wahyuni, Oktavia Sri Widjayanti, Yhenti Zainiyah, Nanik Zia Ul Haq