Bagoes Widjanarko
Faculty of Public Health, Universitas Diponegoro

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Health Information Seeking as a Cognitive Coping Mechanism in Stunting Prevention among Mothers Besar Tirto Husodo; Bagoes Widjanarko; Bulan Prabawani; Hari Susanta Nugraha
Journal of Educational, Health and Community Psychology VOL 15 NO 1 MARCH 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jehcp.vi.31912

Abstract

Stunting remains a persistent public health concern in urban Semarang, Central Java; however, mothers’ coping processes are still weakly operationalized in prior research. While the Theory of Reasoned Action (TRA) offers a useful lens for understanding how people make health-related decisions, it is better understood as a social–cognitive decision-making framework than a full coping model, and the real-world links between seeking health information, responding to it, and taking action to prevent stunting have rarely been put to the test. This study set out to explore how maternal health information seeking, viewed here as a form of cognitive coping, relates to stunting prevention practices, drawing on the TRA to understand how gathering information might lead mothers to take deliberate preventive steps. A cross-sectional survey was administered to 337 mothers from Central Java, Indonesia. Structured questionnaires were used to assess health information-seeking behavior, social media utilization, family health communication, and stunting prevention practices. Data were analyzed using descriptive statistics and chi-square tests. Most mothers reported moderate to high information-seeking (51.6% moderate; 46.9% high) and high prevention practices (66.2%). Information seeking was strongly associated with stunting prevention practices (χ² = 98.612, df = 4, p < .001). Social media use was also significantly related to information seeking (χ² = 116.428, df = 4, p < .001). In addition, 73.9% received information related to stunting during pregnancy, and 90.2% reported intensive family health communication. These findings suggest that health information seeking functions as an effective cognitive coping mechanism that shapes maternal stunting prevention behaviors. Digital health interventions leveraging social media and strengthening family communication may enhance maternal coping and improve prevention outcomes in the future.
Digital Health Interventions for Preventing Type 2 Diabetes in Adults Elevated Risk: A Scoping Review of Interventions, Outcomes, and Implementation Determinants Januarso Setiawan; Bagoes Widjanarko; Ayun Sriatmi
Journal of Educational, Health and Community Psychology VOL 15 NO 3 SEPTEMBER 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jehcp.vi.32212

Abstract

Type 2 diabetes mellitus (T2DM) is preceded by a modifiable period of prediabetes, creating opportunities for scalable prevention through digital health interventions (DHIs). This scoping review mapped intervention types, study characteristics, outcomes, methodological limitations, and research gaps in DHIs for preventing T2DM among at-risk adults. Following Arksey and O’Malley’s framework, Joanna Briggs Institute guidance, and PRISMA-ScR, 52 records were identified through structured searches and citation tracking. After removing 16 duplicates, 36 records were screened using Population–Concept–Context criteria, yielding 13 eligible studies or trial protocols. The interventions comprised mobile application-based diabetes prevention programs, SMS/text messaging, telehealth or telecoaching, wearables and glucose monitoring, artificial intelligence-enabled coaching, and multicomponent hybrid platforms. Commonly assessed outcomes included weight, body mass index, HbA1c, fasting glucose, incident T2DM, behavioral change, and program engagement. Overall, DHIs showed short- to medium-term benefits for weight reduction and glycemic risk markers, while several landmark trials reported reductions in T2DM incidence. However, the evidence was constrained by short follow-up periods, small and homogeneous samples, high attrition, self-reported outcomes, and limited economic evaluation. No eligible Indonesian prevention study was identified. Future research should prioritize long-term, implementation-informed comparative effectiveness trials in underrepresented Southeast Asian populations, particularly Indonesia, while evaluating sustainability, scalability, equity, and cost-effectiveness.