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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

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

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

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

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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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.

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

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

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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

Exploring older adults' experiences of community-based exercise programs in community nursing interventions: A qualitative study Rahmatika, Qory Tifani; Aditya, Ronal Surya; Ramadhan, Muhammad Putra; Masfi, Achmad
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.730

Background: The increasing number of older adults is a challenge for public health systems, especially in low- and middle-income countries, because the aging process is often accompanied by a decline in physical function and quality of life in the elderly. Although various studies have shown that community nursing interventions through physical exercise programs have been proven effective, an in-depth understanding of how older adults interpret and directly experience their involvement in these programs is still limited. Objective: This study aims to explore the experiences of older adults who participated in a community-based physical exercise program in Malang City using a qualitative phenomenological approach. Methods: A qualitative phenomenological study was conducted among 24 older adults living in Malang City, Indonesia, who participated in a six-week community-based exercise program. Participants were recruited using purposive sampling. Data were collected through individual, face-to-face, semi-structured interviews conducted in participants’ homes after completion of the intervention. Interviews lasted 30–60 minutes, were audio-recorded with consent, transcribed verbatim, and analyzed manually using thematic analysis. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies, including member checking, field notes, audit trails, and independent coding by two researchers. Results: the data was analyzed thematically and produced four main themes: (i) Rediscovering Physical Capability and Body Confidence, (ii) Exercise as a Meaningful and Enjoyable Social Experience, (iii) Growing Awareness of Health and Self-Care, and (iv) The Community Nurse as a Catalyst for Engagement and Safety. Conclusion: These findings of this study highlight that community nurses play a role not only as instructors but also as facilitators capable of fostering motivation, self-confidence, and sustained participation in older adults through an individual-centered approach. Therefore, nurse-initiated community-based physical exercise programs should be considered for more systematic integration into public health policies as part of strategies to support healthy and sustainable aging.

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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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.

MINDFULNESS YOGA AS AN ALTERNATIVE METHOD FOR PROMOTING PHYSICAL ACTIVITY AND WELL-BEING IN OLDER ADULTS: A COMMUNITY-BASED INTERVENTION Kusumasari, Herdhika Ayu Retno; Aditya, Ronal Surya; Rahmatika, Qory Tifani; Wahyudi, Nanang Tri
Journal of Midwifery in Community Vol 2, No 2 (2024): Oktober
Publisher : Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/jmc.v2i1.94495

Aging is associated with a natural decline in physical activity, leading to various health issues, including hypertension and decreased overall well-being.This community service project aimed to promote the importance of physical activity among older adults through mindfulness yoga and educational sessions in Desa Senggreng, Kabupaten Malang. The intervention was designed to encourage sustainable physical activity practices that can be continued independently at home.The intervention included educational sessions on the benefits of physical activity for older adults and yoga practice sessions tailored to their physical capabilities, then participants were provided with yoga instructional videos for continued practice at home. The blood pressure data indicated that 13 participants (32.5%) had hypotension, 17 participants (42.5%) had hypertension, and 10 participants (25%) had normal blood pressure. The intervention successfully increased awareness about the importance of physical activity in the aging population, and the provision of yoga videos empowered participants to continue practicing at home. The conclusion The mindfulness yoga intervention for older adults illustrates that yoga can be an effective alternative to promote physical activity, enhance health awareness, and support overall well-being in the elderly community

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