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A Systematic and Critical Review of Parental Program Integrated to Prevent and Manage Delay Development in Children Rian Adi Pamungkas; Kanittha Chamroonsawasdi; Andi Mayasari Usman; Widia Sari
Media Publikasi Promosi Kesehatan Indonesia Vol. 8 No. 7 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i7.7442

Abstract

Introduction: Delay development is a crucial problem in the early childhood period. An effective parental program is an essential strategy to prevent and manage delayed development. However, limited number studies described how parental integrated to prevent and manage delay development systematically. This review aims to describe developmental delays and explore strategies for their prevention and management in early childhood. Method: A total of 1,237 articles were extracted from four databases including, PubMed, Scopus, and Web of Science, using suitable keywords as; "parenting-based program," "delay development," "early childhood," and "parenting style." The appraisal of the systematic review was based on the PRISMA format. Result: This review described four domains of developmental delays among childhood, such as physical, cognitive, language and social, and emotional development. There were nine tools for early childhood developmental screening. The effective parental program focused on the problem-solving, positive parent-child relationship, quality of communication, coaching the child, and stimulating the home learning environment. Conclusion: Effective management suggested positive of the parental program on improvement of child development and child behaviors and improvement of antisocial personality. From the findings, healthcare providers should promote a parental-based program to prevent and manage the delayed development of the early childhood period.
Screen Time and Emotional Development Among Indonesian Preschoolers: A Comparative Study Across Socioeconomic Contexts in Jakarta Widia Sari; Adam Astrada; Visya Septiana; Rian Adi Pamungkas
Media Publikasi Promosi Kesehatan Indonesia Vol. 8 No. 9 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7879

Abstract

Introduction: The widespread use of screen media among preschool-aged children has raised concerns about its impact on emotional development, particularly within socioeconomically diverse populations. Although excessive screen time has been associated with emotional difficulties in early childhood, few studies have explored how socioeconomic status (SES) moderates these effects, especially in Indonesia. This understanding is critical for healthcare professionals, including nurses, involved in child health promotion and family-centered care. Methods: This comparative cross sectional study employed a quantitative approach and was conducted in two kindergartens in West Jakarta, Indonesia, from November to December 2024. A total of 80 preschool aged children were enrolled, with 40 preschooler from a high SES and 40 from a low SES. Data were collected through structured parent questionnaires that captured screen time characteristics (duration, frequency, content type, and parental supervision). Ethical approval was obtained from the Health Research Ethics Committee of Universitas Esa Unggul (Approval Number: 0925-01.135/DPKE-KEP/FINAL-EA/UEU/II/2025). And all participants parent provided written informed consent prior to participation. Results: The primary outcome of the study was the association between screen time characteristics and emotional development in preschool-aged children. The study revealed that increased screen time duration and frequency were significantly associated with heightened emotional development concerns, particularly among children from lower socioeconomic backgrounds. Parental supervision during screen use appeared to serve as a protective factor, especially in the high SES group, where exposure to educational content was also linked to more positive emotional outcomes. Statistical analysis demonstrated strong positive correlations between screen time and emotional difficulties across both groups (p<0.001), with stronger correlation coefficients in the low SES group. Although the chi- square test indicated a tendency for educational content to be associated with better emotional outcomes in high SES children (p=0.060), the result was not statistically significant. Notably, the protective effect of educational content was limited among the low SES group, suggesting that contextual factors and access to supportive resources may influence the effectiveness of screen based learning. Conclusion: These findings underscore the need for healthcare-Led interventions to promote effective digital parenting, particularly among socioeconomically disadvantaged families. Family-centered health education programs focusing on screen time management are essential for nurses and other healthcare professionals to mitigate emotional development risks and support equitable health outcomes in the digital era.
Parental Feeding Practices and Nutritional Status Among Preschool Children in Urban Indonesia: Implications for Family-Centered Nursing Widia Sari; Erna Veronika; Kartini Kartini; Rian Adi Pamungkas
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 5 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9227

Abstract

Introduction: Parental feeding practices significantly influence children’s eating habits and growth. In Indonesian urban settings, shifting diets and lifestyles have created a double burden of malnutrition. This study examined the relationship between parental feeding practices and the nutritional status of preschool children in West Jakarta, Indonesia. Methods: A cross-sectional survey was conducted among 255 caregiver–child pairs (children aged 3-6 years) recruited from early childhood education centres in West Jakarta. Caregivers completed the Indonesian-adapted Child Feeding Questionnaire (CFQ), which classified feeding approaches as responsive or non-responsive. Children’s weight and height were measured, and nutritional status classified using WHO growth standards. Descriptive statistics were applied, followed by chi-square tests to examine associations between feeding practices and sociodemographic characteristics. Spearman’s rank correlation assessed the relationship between feeding practices and nutritional status. Multivariable multinomial logistic regression estimated adjusted associations controlling for maternal education, household income, recent illness, and participation in growth and development screening. Results: Among caregivers, 143 (56.1%) reported responsive feeding, while 112 (43.9%) used non-responsive feeding. Higher maternal education and household income were significantly associated with responsive feeding (p < 0.05), whereas recent illness was associated with non-responsive feeding. Feeding practices showed a weak but significant correlation with nutritional status (r = 0.123; 95% CI: 0.001-0.242 p = 0.04), explaining 1.5% of the variance. However, after adjustment, feeding practices were not independently associated with nutritional status. Recent illness increased the odds of undernutrition (aOR = 3.16; 95% CI: 1.61-6.21), while participation in growth and development screening demonstrated protective associations against undernutrition and overnutrition. Conclusion: Responsive feeding showed a modest association with nutritional status in bivariate analysis, while child health status and preventive service engagement emerged as stronger independent correlates. Integrating responsive feeding education into pediatric and community nursing practice may support family-centered strategies addressing determinants of child nutrition in urban settings.
Penerapan Teknologi Tepat Guna Pengelolaan Sampah Berbasis Masyarakat dengan 3R (Reduce, Reuse, Recycle) Erna Veronika; Veza Azteri; Widia Sari
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 1 (2026): Volume 9 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i1.23978

Abstract

ABSTRAK Permasalahan mengenai sampah merupakan masalah dan tantangan yang terjadi secara global demikian juga di Indonesia terutama di daerah perkotaan. Setiap tahunnya jumlah penduduk akan bertambah sehingga volume sampah yang dihasilkan otomatis akan terus meningkat sedangkan jumlah lahan dan daya tampung sampah di TPA semakin terbatas. Perlu dilakukan pengelolaan sampah untuk mengurangi jumlah sampah yang akan dibuang ke TPA salah satunya dengan melakukan pengelolaan 3R (Reduce, Reuse dan Recycle). Tujuan pelaksanaan pengabdian masyarakat ini adalah meningkatkan pengetahuan ibu serta keterampilan ibu terkait pengelolaan sampah dengan 3R. Tahapan pelaksanaan kegiatan yang dilakukan adalah pemberian sosialisasi kepada kader, peningkatan keterampilan dan kemampuan ibu dalam mengolah sampah rumah tangga secara mandiri dengan memberikan coaching dan pelatihan teknologi tepat guna pembuatan eco enzyme dan pembuatan sabun dari minyak jelantah, serta pembentukan TPS 3R sebagai wadah pengelolaan sampah berbasis masyarakat. Sasaran kegiatan ini adalah kader dan ibu peserta Posyandu.Hasil kegiatan menunjukkan terjadinya peningkatan keterampilan dan kemampuan ibu dalam mengolah sampah menjadi eco enzyme dan sabun serta terbentuknya TPS 3R. Pemberian pelatihan memberikan keterampilan kepada masyarakat untuk dapat secara mandiri mengelola sampah rumah tangga menjadi eco enzyme dan sabun. Kata Kunci: Pengelolaan Sampah, Teknologi Tepat Guna, Eco Enzyme, Sabun, Pemberdayaan Masyarakat.  ABSTRACT Waste management constitutes a critical global challenge, including in Indonesia, particularly within urban areas. Annual population growth contributes to an increase in waste generation, while the availability and capacity of landfill sites continue to diminish. Consequently, comprehensive waste management efforts are required to reduce the volume of waste transported to landfills, one of which is through the implementation of the 3R principles (Reduce, Reuse, and Recycle). This community service program aimed to enhance mothers’ knowledge and skills regarding waste management based on the 3R approach. The program activities included delivering educational sessions to community health volunteers, improving participants’ competencies in independently managing household waste through coaching and training on appropriate technologies for producing eco-enzyme and soap from used cooking oil, and establishing a 3R Waste Processing Facility (TPS 3R) as a community-based waste management initiative. The participants of this program were community health volunteers and mothers attending the Posyandu. The implementation of the program demonstrated improvements in participants’ skills and abilities to process household waste into eco-enzyme and soap, as well as the successful establishment of a Waste Processing Facility (TPS 3R) The training provided effectively equipped the community with the necessary skills to independently convert household waste into eco enzyme and soap, thereby supporting sustainable waste management practices.Keywords: Waste Management, Appropriate Technology, Eco Enzyme, Soap, Community Empowerment.
Peer Mentoring Berbasis Komunitas: Inovasi Edukatif Non-Digital untuk Mengurangi Screen Time pada Anak Usia Prasekolah Widia Sari; Erna Veronika; Abdurrasyid Abdurrasyid; Budi Mulyana; Rian Adi Pamungkas
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 1 (2026): Volume 9 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i1.24031

Abstract

ABSTRAK Durasi screen time yang berlebihan pada anak usia prasekolah menjadi permasalahan yang sering ditemukan di wilayah perkotaan. Di RW 001 RT 02 Kelurahan Kramat, Jakarta Pusat menunjukkan bahwa 75% anak usia 3-6 tahun memiliki durasi screentime lebih dari 1 jam/24 jam. Kondisi tersebut berpotensi menghambat perkembangan kognitif, sosial-emosional, dan perilaku anak, terutama ketika aktivitas non-digital tidak tersedia secara memadai di lingkungan rumah maupun komunitas. Kegiatan pengabdian masyarakat ini bertujuan untuk menurunkan druasi screen time anak prasekolah melalui penyediaan aktivitas edukatif non-digital berbasis komunitas dengan memberdayakan remaja masjid sebagai peer mentor. Program dilaksanakan melalui lima tahapan: (1) koordinasi dan sosialisasi, (2) pelatihan peer mentor remaja, (3) pengembangan media edukatif non-digital, (4) pelaksanaan sesi bermain edukatif, (5) monitoring serta evaluasi. Sebanyak 12 remaja mengikuti pelatihan dan menghasilkan tiga jenis media edukatif non-digital (busy book, sensory play, dan story telling cards). Sebanyak 12 remaja masjid dilatih menjadi peer mentor kegiatan serta tiga sesi bermain melibatkan 8 anak usia prasekolah yang mengikuti 3 sesi kegiatan bermain, dimana 30% diantaranya mengalami penurunan screen time menjadi kurang dari 2 jam per hari. Kegiatan juga meningkatkan keterampilan remaja dalam pendampingan anak, memperkuat aktivitas bermain non-digital, dan menghasilkan forum remaja sebagai wadah keberlanjutan program. Model peer mentoring berbasis komunitas terbukti efektif dan inovatif dalam memfasilitasi aktivitas edukatif non-digital serta menurunkan durasi screen time anak usia prasekolah. Kata Kunci: Peer Mentoring, Screen Time, Anak Prasekolah, Edukasi Non-Digital.  ABSTRACT Excessive screen time among preschool children is a common problem in urban areas. In RW 001 RT 02, Kramat Subdistrict, Central Jakarta, 75% of children aged 3-6 years were reported to have screen time exceeding on hour per day. This condition may hinder children’s cognitive, social-emotional, and behavioral development, particularly when adequate non-digital activities are not available at home or within the community. This community service program aimed to reduce screen time among preschool children by providing community based non-digital educational activities through the empowerment of mosque-based adolescents as peer mentors. The program was implemented through five stages: (1) coordination and socialization, (2) training of adolescent peer mentors, (3) development of non-digital educational media, (4) implementation of educational play sessions, and (5) monitoring and evaluation. A total of 12 adolescents participated in the training and developed three types of non-digital educational media, including busy books, sensory play materials, and storytelling cards. Twelve mosque-based adolescents were trained as peer mentors, and three educational play sessions involved eight preschool children. Following the intervention, 30% of the participating children experienced a reduction in screen time to less than two hours per day. The program also enhanced adolescents skills in child facilitation, strengthened non-digital play activities, and established a youth forum to support program sustainability. The community-based peer mentoring model represents an effective and innovative approach to facilitating non-digital educational activities and reducing screen time among preschool children. Keywords: Peer Mentoring, Screen Time, Preschool Children, Non-Digital Education.
Penguatan Model Edukasi Home-Based Wound Care Dalam Perawatan Luka di Komunitas untuk Mencegah Komplikasi Rian Adi Pamungkas; Andi Mayasari Usman; Widia Sari; Abdurrasyid Abdurrasyid
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 2 (2026): Volume 9 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i2.24411

Abstract

ABSTRAK Luka kronis merupakan masalah kesehatan yang banyak dijumpai di komunitas, terutama pada pasien dengan penyakit kronis, dan berisiko menimbulkan komplikasi apabila tidak dirawat sesuai prinsip perawatan luka berbasis bukti. Keterbatasan pengetahuan dan keterampilan pasien serta keluarga dalam melakukan perawatan luka di rumah menjadi salah satu faktor utama terjadinya keterlambatan penyembuhan dan komplikasi. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memperkuat model edukasi home-based wound care dalam perawatan luka kronis di komunitas sebagai upaya pencegahan komplikasi. Kegiatan menggunakan pendekatan community-based participatorymelalui edukasi dan pendampingan perawatan luka berbasis rumah. Sasaran kegiatan adalah pasien dengan luka kronis dan anggota keluarga sebagai caregiver. Intervensi meliputi edukasi terstruktur, demonstrasi dan praktik perawatan luka, serta pendampingan melalui kunjungan rumah secara berkala. Evaluasi dilakukan dengan observasi perkembangan luka dan pemantauan penerapan praktik perawatan luka selama periode pendampingan. Selama rangkaian kunjungan, terlihat progres penyembuhan luka yang konsisten, ditandai dengan peningkatan jaringan granulasi, penurunan eksudat, penyempitan luas luka, serta munculnya epitelisasi tanpa ditemukannya komplikasi. Selain itu, pasien dan keluarga menunjukkan peningkatan kemampuan dan kemandirian dalam melakukan perawatan luka secara mandiri di rumah. Penguatan model edukasi home-based wound care efektif dalam mendukung penyembuhan luka kronis dan mencegah komplikasi di komunitas. Model ini berpotensi untuk direplikasi dan diintegrasikan dalam layanan keperawatan komunitas dan layanan kesehatan primer. Kata Kunci: Luka Kronis, Home-Based Wound Care, Edukasi Kesehatan, Keperawatan Komunitas, Pengabdian Masyarakat.  ABSTRACT Chronic wounds are a common health problem in community settings, particularly among patients with chronic diseases, and pose a high risk of complications if not managed according to evidence-based wound care principles. Limited knowledge and skills among patients and family caregivers in performing home wound care remain major contributors to delayed healing and complications. This community service activity aimed to strengthen a home-based wound care education model for the management of chronic wounds in the community as a strategy to prevent complications. A community-based participatory approach was applied through structured education and home-based wound care assistance. The target participants were patients with chronic wounds and their family members as primary caregivers. The intervention included wound care education, demonstrations and hands-on practice, as well as regular home visits for ongoing assistance. Evaluation was conducted through observation of wound healing progress and monitoring of wound care practices during the assistance period. Throughout the series of visits, consistent wound healing progress was observed, characterized by improved granulation tissue, reduced exudate, decreased wound size, and progressive epithelialization without signs of complications. In addition, patients and family caregivers demonstrated improved skills and greater independence in performing wound care at home. Strengthening the home-based wound care education model effectively supports chronic wound healing and prevents complications in community settings. This model has the potential to be replicated and integrated into community nursing and primary healthcare services Keywords: Chronic Wounds, Home-Based Wound Care, Health Education, Community Nursing, Community Service.
Peran Caregiver Keluarga dalam Home Care Anak dengan Penyakit Kronis: Scoping Review Damal Lambok Simatupang; Widia Sari; Kartini Kartini; Kiki Amanda Fatmawati
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61004

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Chronic diseases in children require long-term care that depends not only on professional healthcare services but also on the active involvement of family caregivers in home care implementation. The complexity of care requires caregivers to perform various roles that influence the quality of care and children’s well-being, while comprehensive studies regarding these roles remain limited. This study aimed to identify and synthesize scientific evidence regarding the role of family caregivers in home care for children with chronic diseases. This study employed a literature review design using a scoping review approach through the identification, selection, and analysis of relevant scientific articles. Data were analyzed using thematic narrative synthesis based on caregiver role dimensions, factors influencing role effectiveness, and the impact of caregiving on caregiver well-being. The review of 15 articles revealed that family caregivers performed four major roles, including physical roles, psychological roles, educational roles, and social and healthcare coordination roles. The effectiveness of caregiver roles was influenced by knowledge and skills, psychological conditions, social support, and access to healthcare services. Intensive caregiving activities also contributed to physical, psychological, social, and financial burdens among caregivers. In conclusion, family caregivers play an essential role in ensuring the continuity of home care for children with chronic diseases; therefore, systematic support through education, training, and family-centered healthcare services is needed.
Maternal Self-Efficacy as a Determinant of Childhood Immunization Completion in Rural Indonesia: A Cross-Sectional Study Widia Sari; Rahmah Maoludy; Kartini Kartini; Abdurrasyid Abdurrasyid; Rian Adi Pamungkas; Budi Mulyana
An Idea Health Journal Vol 6 No 04 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i04.870

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Background: Although national vaccination programs have made substantial progress, incomplete childhood immunization persists in several rural areas of Indonesia. Evidence regarding childhood immunization behavior through the lens of Health Promotion Model (HPM) constructs, particularly maternal self-efficacy, remains limited in these settings. This study aimed to identify HPM factors associated with complete childhood immunization among mothers in rural Indonesia. Methods: Employing a cross-sectional design, the study enrolled 120 mothers of children aged 12–24 months residing in a rural district of Banten Province. Data were collected using a structured questionnaire assessing perceived benefits, self-efficacy, perceived barriers, social support, situational influences, knowledge, and sociocultural factors. We confirmed childhood immunization status through maternal and child health records. Result: Childhood immunization status was verified using maternal and child health records. More than half of the children had incomplete immunization. In bivariate analysis, all Health Promotion Model constructs were associated with immunization status. After adjustment, maternal self-efficacy and social support remained independently associated with complete immunization. The unexpected positive association between weak social support and complete immunization should be interpreted cautiously due to possible imprecision and residual confounding. Contribution for Practice: This study highlights the importance of strengthening maternal self-efficacy in childhood immunization programs. Nurses and primary healthcare providers should provide targeted education, confidence-building counseling, and family-centered