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Cultural Congruence in Mental Health Promotion: A Cluster-Randomized Controlled Trial on Integrating Javanese Local Wisdom (Kearifan Lokal) to Enhance Resilience and Reduce Stigma Susi Diana; Farah Faiza; Amir Serikova; Anita Havyasari; Shasa Indriyani; Vita Amanda
Indonesian Community Empowerment Journal Vol. 5 No. 2 (2025): Indonesian Community Empowerment Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/icejournal.v5i2.48

Abstract

Mental health disparities persist in rural Indonesia, exacerbated by a lack of culturally appropriate interventions and high levels of stigma. This study aimed to evaluate the effectiveness of a novel psychoeducation program integrated with Javanese local wisdom (kearifan lokal) in improving psychological resilience and reducing mental health-related stigma. We conducted a two-arm, parallel-group, cluster-randomized controlled trial in 12 rural villages (desa) in the province of Yogyakarta, Indonesia. Villages were randomly assigned to either the intervention group (n=6 villages, 312 participants) or a wait-list control group (n=6 villages, 308 participants). The intervention, "Program Laras Jiwo" (Harmonious Soul Program), was a facilitator-led, 8-session group program co-designed with community members. It integrated standard psychoeducation with Javanese cultural principles such as gotong royong (mutual cooperation), tepo seliro (empathy), and narrative elements from wayang (shadow puppetry). The control group received general health information. Primary outcomes were resilience (Connor-Davidson Resilience Scale) and stigma (Depression Stigma Scale). Secondary outcomes included mental health literacy, help-seeking attitudes, and psychological distress. Data were collected at baseline, post-intervention (8 weeks), and 6-month follow-up. Linear mixed-effects models were used for analysis. At the 6-month follow-up, the intervention group demonstrated significantly greater improvements in resilience scores (Mean Difference [MD]: 15.8, 95% CI: 13.2 to 18.4; p < 0.001) and a significantly greater reduction in public stigma scores (MD: -8.5, 95% CI: -10.1 to -6.9; p < 0.001) compared to the control group. Significant positive effects were also observed for all secondary outcomes, including mental health literacy, help-seeking attitudes, and reduced psychological distress (p < 0.001 for all). In conclusion, integrating Javanese kearifan lokal into a community-based psychoeducation program is a highly effective strategy for enhancing psychological resilience and combating mental health stigma. This culturally congruent approach offers a scalable and sustainable model for reducing the mental health treatment gap in rural Indonesia and other similar contexts.
Beyond the Green Revolution: A 10-Year Longitudinal Mixed-Methods Analysis of Balinese Subak Socio-Ecological Governance and its Alignment with SDG 2 and SDG 6 Fitriyanti Fitriyanti; Anita Havyasari; Ni Made Nova Indriyani; Jasmila Tanjung; Matilda Munoz; Maya Enderson; Sudarto Sudarto
Indonesian Community Empowerment Journal Vol. 5 No. 1 (2025): Indonesian Community Empowerment Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/icejournal.v5i1.50

Abstract

The global challenges of food insecurity (SDG 2) and water scarcity (SDG 6) require proven, sustainable governance models. Socio-ecological systems (SES) rooted in local wisdom (kearifan lokal) offer resilient alternatives. The Balinese Subak, a UNESCO World Heritage site guided by the Tri Hita Karana philosophy, is a pre-eminent example. This research employed a 10-year (2015-2025) longitudinal, mixed-methods, comparative case study of two Subak systems in Bali. We collected a comprehensive dataset including 1,200 systematic water sampling events (yielding 7,200 analytical data points for pH, TSS, BOD, COD, NO3-N, PO4-P) and a 10-year rolling panel survey (n=2,000 completed survey-years) to assess agricultural and governance metrics. Qualitative data (n=60 interviews, n=24 meeting observations) were thematically analyzed. Generalized Linear Mixed-Effects Models (GLMMs) revealed a statistically significant time-dependent reduction in pollution, including Nitrate (β = -0.21 mg/L/year, p < .001) and BOD (β = -0.15 mg/L/year, p < .001), across both sites. This trend was strongly associated with a validated Social Governance Index (SGI). Critically, rice yields remained stable at a high-productivity average (6.2 t/ha), while chemical pesticide use declined by 48% (p < .001). Qualitative analysis identified the core mechanisms: (1) Tri Hita Karana as an internalized moral framework, (2) ritual calendars as coordination mechanisms, and (3) awig-awig as an adaptive governance system. In conclusion, the Subak system demonstrates a proven, sophisticated, and data-driven framework that operationalizes kearifan lokal to achieve the non-trade-off, simultaneous goals of sustainable agriculture (SDG 2) and clean water (SDG 6). These findings provide robust evidence that such systems are not relics but essential, adaptive governance models for global sustainability.