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Effectiveness of SEFCC Interventions on Increasing Maternal Self-Efficacy in Preventing Child Stunting in Gorontalo City Apriana, Rista; Ariani, Gusti Ayu Putri; Manumba, Ruliyani; Syahrir, Akifa; Adam, Lusiane
Media Karya Kesehatan Vol 9, No 2 (2026): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v9i2.70972

Abstract

Stunting is a health management issue for toddlers that negatively impacts the growth and cognitive development of preschool children. This study aims to analyze the effect of Family-Centered Care (SEFCC)-based Supportive Educational Intervention on stunting prevention self-efficacy in mothers with children aged 3–5 years. This study used a quasi-experimental design with a pretest-posttest with control group design. The instrument in this study was a questionnaire analyzed using a normality test and paired t-test. The number of samples in this study was 60 mothers with preschool-aged children, who were divided evenly into 30 respondents in the intervention group and 30 respondents in the control group. The results of the study in the intervention group showed a significant increase in the average (mean) score of mothers' self-efficacy, namely from 21.00 at the pre-test to 48.63 after the intervention (post-test). The bivariate Paired T-Test for the intervention group yielded a t-value of 34.78 with a significance level of p-value <0.001, indicating a very significant effect of the intervention. In contrast, in the control group, the average score increased slowly (from 17.90 to 22.10). The final comparative analysis using the Independent T-Test demonstrated a highly significant and unequal difference in self-efficacy between the two groups at the post-test stage (t-value = 26.849; p <0.001), with the intervention group having a significantly greater influence on the belief in stunting prevention. Family-Centered Care (SEFCC)-based Supportive Educational Interventions have been shown to significantly increase the implementation of self-efficacy in stunting prevention among mothers with children aged 3–5 years. Active involvement of the nuclear family has been shown to reduce maternal parenting distress and foster strong intrinsic motivation.Keywords: Family-centered care, maternal self-efficacy, supportive educational interventions, stunting prevention.
Medication Adherence in Patients with Schizophrenia Using the Medication Adherence Rating Scale (MARS) for Psychosis in Urban Communities Ruliyani Manumba; Gusti Agung Ayu Putri Ariani; Mansyur Babuta Tomayahu
Jambura Nursing Journal Vol 8, No 2: July 2026
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jnj.v8i2.40023

Abstract

Medication non-adherence is one of the major challenges among patients with schizophrenia. Non-adherent behavior increases the risk of relapse and hospital readmission. Medication adherence in patients with schizophrenia is influenced by various factors, which may be affected by the patient's living environment, including the characteristics of urban communities. This study aimed to describe medication adherence among patients with schizophrenia living in urban community settings. This study employed a quantitative descriptive design. The study population consisted of patients with schizophrenia residing within the service areas of community health centers in Gorontalo City. A proportionate stratified sampling technique based on community health center service areas was used to select a sample of 138 respondents. The research instruments included a demographic characteristics questionnaire and the Medication Adherence Rating Scale (MARS) for psychosis to assess medication adherence. Of the total respondents, 62.3% demonstrated low medication adherence, while 37.7% demonstrated high adherence. Demographic characteristics indicated that the majority of respondents were male (64.7%), with the largest age group being 18–39 years (57.2%). Most respondents had completed senior high school education (73.9%), were unemployed (69.9%), had household incomes below the regional minimum wage (57.2%), were prescribed atypical antipsychotic medications (63.0%), and more than half of the respondents (59.4%) were smokers.The findings indicate that medication adherence among patients with schizophrenia living in urban areas remains low. Healthcare professionals are encouraged to strengthen patient and family education, provide counseling, and conduct regular monitoring of medication adherence to improve treatment outcomes and enhance therapeutic success