Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Vol 13 No 2 (2026)

Intention-Based Transcultural Family Empowerment Model for Complementary Feeding Practices: A Structural Equation Modeling Approach

Agusta Dian Ellina (Universitas Strada Indonesia)
Novian Mahayu Adiutama (Universitas Airlangga Surabaya, Indonesia)
Yudisa Diaz Lutfi Sandi (Kaohsiung Medical Universitas, Taiwan)
Wardah Fauziah (Politeknik Negeri Subang)
Dewi Rahayu Ningsih (Universitas Padjadjaran, Indonesia)
Esti Andarini (Southern Medical University, China)
Sandi Alfa Wiga Arsa (STIKes Patria Husada Blitar)
Nuridha Fauziyah (Politeknik Negeri Subang, Indonesia)



Article Info

Publish Date
11 Aug 2026

Abstract

Stunting remains a major public health concern in Indonesia, particularly among children aged 6–24 months. The quality of complementary feeding is strongly influenced by cultural norms and family dynamics. This study aimed to validate a previously developed transcultural care-based family empowerment model by integrating “intention” as a mediating factor in behavioral change. A cross-sectional study was conducted involving 530 families in Kediri, East Java, Indonesia. Data were collected using structured questionnaires and analyzed through Structural Equation Modeling–Partial Least Squares (SEM-PLS). The findings revealed that “intention” served as a robust mediator between family empowerment and complementary feeding quality (β = 0.45; p < 0.001), with an R² value of 0.69. These results underscore that nutritional behavior within families is shaped not only by knowledge and cultural values but also by psychological intention to act. The expanded model—an intention-based transcultural family empowerment framework—enhances behavioral predictability and broadens the application of transcultural care theory in community nursing contexts. Future research is recommended to apply longitudinal or intervention-based designs to examine changes in family intention over time and their impact on child nutrition outcomes. Expanding the application of this model to other health behaviors and cultural settings may further strengthen its theoretical and practical relevance in community nursing and public health contexts.

Copyrights © 2026






Journal Info

Abbrev

jnk

Publisher

Subject

Health Professions Nursing Public Health

Description

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) published by STIKes Patria Husada Blitar. Published three times in a year, its in April, August and December. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) only receive original manuscripts related to science development and have ...