Evaluation of Mindfulness Intervention on Self-Efficacy in Stunting and Non-Stunting
DOI:
10.29303/jppipa.v11i10.12861Published:
2025-10-25Downloads
Abstract
Stunting remains a significant public health problem in Indonesia, while interventions to improve maternal self-efficacy are urgently needed. This study aims to evaluate the effectiveness of mindfulness interventions on maternal self-efficacy in mothers with stunting and non-stunting toddlers. This study adopted a quasi-experimental design to explore the impact of a mindfulness intervention on two groups of mothers: mothers of stunted (n=15) and non-stunted (n=15) children. The structured intervention involved mindfulness sessions that included guided relaxation and mindful parenting practices. Data collection was conducted using a validated self-efficacy questionnaire. Statistical analysis included Shapiro-Wilk normality testing and paired t-tests to evaluate differences in pre- and post-intervention scores, as well as Pearson correlation analysis to understand the relationship between pre- and post-intervention scores. The analysis showed that the stunting group had larger families, which could indicate an imbalanced allocation of nutritional resources. Meanwhile, the t-test results showed a significant increase in maternal self-efficacy scores from the stunting group after the mindfulness intervention, from 104.87 (SD = 14.16) to 111.47 (SD = 12.81), with a p-value of 0.011. The study concluded that the mindfulness intervention can serve as an effective support strategy in childcare programs to address stunting issues.
Keywords:
Effectiveness, Evaluation, Mindfulness, Self-efficacy, StuntingReferences
Atif, N., Krishna, R. N., Sikander, S., Lazarus, A., Nisar, A., Ahmad, I., Raman, R., Fuhr, D. C., Patel, V., & Rahman, A. (2017). Mother-To-Mother Therapy In India And Pakistan: Adaptation And Feasibility Evaluation Of The Peer-Delivered Thinking Healthy Programme. Bmc Psychiatry, 17(1), 79–89. https://doi.org/10.1186/s12888-017-1244-z
Barnicot, K., Parker, J., Kalwarowsky, S., Stevens, E., Iles, J., Ramchandani, P., & Crawford, M. (2023). Mother And Clinician Experiences Of A Trial Of A Video Feedback Parent–Infant Intervention For Mothers Experiencing Difficulties Consistent With ‘Personality Disorder’: A Qualitative Interview Study. Psychology And Psychotherapy: Theory, Research And Practice, 96(2), 480–503. https://doi.org/10.1111/papt.12453
Binagwaho, A., Rukundo, A., Powers, S., Donahoe, K. B., Agbonyitor, M., Ngabo, F., Karema, C., Scott, K. W., & Smith Fawzi, M. C. (2020). Trends In Burden And Risk Factors Associated With Childhood Stunting In Rwanda From 2000 To 2015: Policy And Program Implications. Bmc Public Health, 20(1), 83–90. https://doi.org/10.1186/s12889-020-8164-4
Bolat, A., & Karamustafaoğlu, S. (2023). The Effect Of Question Preparation Training Program That Measures Higher Order Thinking Skills On The Self-Efficiency Of Science Teachers. International E-Journal Of Educational Studies, 7(15), 568–583. https://doi.org/10.31458/iejes.1314305
Burgdorf, V., Szabó, M., & Abbott, M. J. (2019). The Effect Of Mindfulness Interventions For Parents On Parenting Stress And Youth Psychological Outcomes: A Systematic Review And Meta-Analysis. Frontiers In Psychology, 10(6), 1–11. https://doi.org/10.3389/fpsyg.2019.01336
Chae, Y., & Ha, Y. (2021). Development And Effectiveness Of A Community Capacity Building Program For The Wellness Of Traditional Marketplace Merchants: A Pilot Study. International Journal Of Environmental Research And Public Health, 18(22), 1–11. https://doi.org/10.3390/ijerph182212238
Chirande, L., Charwe, D., Mbwana, H., Victor, R., Kimboka, S., Issaka, A. I., Baines, S. K., Dibley, M. J., & Agho, K. E. (2015). Determinants Of Stunting And Severe Stunting Among Under-Fives In Tanzania: Evidence From The 2010 Cross-Sectional Household Survey. Bmc Pediatrics, 15(1), 165–173. https://doi.org/10.1186/s12887-015-0482-9
Chowdhary, N., Sikander, S., Atif, N., Singh, N., Ahmad, I., Fuhr, D. C., Rahman, A., & Patel, V. (2014). The Content And Delivery Of Psychological Interventions For Perinatal Depression By Non-Specialist Health Workers In Low And Middle Income Countries: A Systematic Review. Best Practice & Research Clinical Obstetrics & Gynaecology, 28(1), 113–133. https://doi.org/10.1016/j.bpobgyn.2013.08.013
Daniels, L. A., Mallan, K. M., Jansen, E., Nicholson, J. M., Magarey, A. M., & Thorpe, K. (2020). Comparison Of Early Feeding Practices In Mother–Father Dyads And Possible Generalization Of An Efficacious Maternal Intervention To Fathers’ Feeding Practices: A Secondary Analysis. International Journal Of Environmental Research And Public Health, 17(17), 1–11. https://doi.org/10.3390/ijerph17176075
Dewi Fitriani, F., & Sunarsih, T. (2024). The Relationship Between Socioeconomic Status And The Incidence Of Stunting In Ngalang Gunungkidul. Siklus : Journal Research Midwifery Politeknik Tegal, 13(01), 1–11. https://doi.org/10.30591/siklus.v13i01.6380
Dhillon, A., Sparkes, E., & Duarte, R. V. (2017). Mindfulness-Based Interventions During Pregnancy: A Systematic Review And Meta-Analysis. Mindfulness, 8(6), 1421–1437. https://doi.org/10.1007/s12671-017-0726-x
Donovan, M. O., Pickard, J. A., Herbert, J. S., & Barkus, E. (2022). Mindful Parent Training For Parents Of Children Aged 3–12 Years With Behavioral Problems: A Scoping Review. Mindfulness, 13(4), 801–820. https://doi.org/10.1007/s12671-021-01799-y
Guarini, A., Sansavini, A., Suttora, C., Bortolotti, S., Fort, M., Iorio, D., Monfardini, C., & Bigoni, M. (2022). Mindful Parenting Intervention Minuto App For Parents Of Preschool Children: Study Protocol Of A Randomised Controlled Trial. International Journal Of Environmental Research And Public Health, 19(13), 7564–7570. https://doi.org/10.3390/ijerph19137564
Habyarimana, F. (2016). Key Determinants Of Malnutrition Of Children Under Five Years Of Age In Rwanda: Simultaneous Measurement Of Three Anthropometric Indices. African Population Studies, 1(5), 1–11. https://doi.org/10.11564/30-2-836
Hall, H. G., Beattie, J., Lau, R., East, C., & Anne Biro, M. (2016). Mindfulness And Perinatal Mental Health: A Systematic Review. Women And Birth, 29(1), 62–71. https://doi.org/10.1016/j.wombi.2015.08.006
Kömürcü Akik, B. (2023). Mindful Parenting And Its Association With The Prosocial Behaviors Of Children. International Journal Of Prenatal & Life Sciences, 1(10), 1–13. https://doi.org/10.24946/ijpls/202316210
Lever Taylor, B., Cavanagh, K., & Strauss, C. (2016). The Effectiveness Of Mindfulness-Based Interventions In The Perinatal Period: A Systematic Review And Meta-Analysis. Plos One, 11(5), 1–11. https://doi.org/10.1371/journal.pone.0155720
Mahmudiono, T., Mamun, A. Al, Nindya, T. S., Andrias, D. R., Megatsari, H., & Rosenkranz, R. R. (2018). The Effectiveness Of Nutrition Education For Overweight/Obese Mother With Stunted Children (Neo-Mom) In Reducing The Double Burden Of Malnutrition. Nutrients, 10(12), 1910–1918. https://doi.org/10.3390/nu10121910
Meppelink, R., De Bruin, E. I., Wanders-Mulder, F. H., Vennik, C. J., & Bögels, S. M. (2016). Mindful Parenting Training In Child Psychiatric Settings: Heightened Parental Mindfulness Reduces Parents’ And Children’s Psychopathology. Mindfulness, 7(3), 680–689. https://doi.org/10.1007/s12671-016-0504-1
Mohammed, S. H., Muhammad, F., Pakzad, R., & Alizadeh, S. (2019). Socioeconomic Inequality In Stunting Among Under-5 Children In Ethiopia: A Decomposition Analysis. Bmc Research Notes, 12(1), 184–194. https://doi.org/10.1186/s13104-019-4229-9
Nankinga, O., Kwagala, B., & Walakira, E. J. (2019). Maternal Employment And Child Nutritional Status In Uganda. Plos One, 14(12), 1–11. https://doi.org/10.1371/journal.pone.0226720
Ndagijimana, S., Kabano, I. H., Masabo, E., & Ntaganda, J. M. (2023). Prediction Of Stunting Among Under-5 Children In Rwanda Using Machine Learning Techniques. Journal Of Preventive Medicine And Public Health, 56(1), 41–49. https://doi.org/10.3961/jpmph.22.388
Parent, J., Dale, C. F., Mckee, L. G., & Sullivan, A. D. W. (2021). The Longitudinal Influence Of Caregiver Dispositional Mindful Attention On Mindful Parenting, Parenting Practices, And Youth Psychopathology. Mindfulness, 12(2), 357–369. https://doi.org/10.1007/s12671-020-01536-x
Potharst, E. S., Aktar, E., Rexwinkel, M., Rigterink, M., & Bögels, S. M. (2017). Mindful With Your Baby: Feasibility, Acceptability, And Effects Of A Mindful Parenting Group Training For Mothers And Their Babies In A Mental Health Context. Mindfulness, 8(5), 1236–1250. https://doi.org/10.1007/s12671-017-0699-9
Potharst, E. S., Kuijl, M., Wind, D., & Bögels, S. M. (2022). Do Improvements In Maternal Mental Health Predict Improvements In Parenting? Mechanisms Of The Mindful With Your Baby Training. International Journal Of Environmental Research And Public Health, 19(13), 7571–7580. https://doi.org/10.3390/ijerph19137571
Potharst, E. S., Zeegers, M., & Bögels, S. M. (2021). Mindful With Your Toddler Group Training: Feasibility, Acceptability, And Effects On Subjective And Objective Measures. Mindfulness, 12(2), 489–503. https://doi.org/10.1007/s12671-018-1073-2
Rachmah, Q., Setyaningtyas, S. W., Rifqi, M. A., Indriani, D., Nindya, T. S., Megatsari, H., Mahmudiono, T., & Kriengsinyos, W. (2019). Self-Efficacy To Engage In Physical Activity And Overcome Barriers, Sedentary Behavior, And Their Relation To Body Mass Index Among Elderly Indonesians With Diabetes. Journal Of Preventive Medicine And Public Health, 52(4), 242–249. https://doi.org/10.3961/jpmph.19.003
Schaeffer, M. A., & Potharst, E. S. (2025). Mindful With Your Baby/Toddler: A Single Case Design (Scd) Study. Evaluation & The Health Professions, 48(1), 71–94. https://doi.org/10.1177/01632787241297966
Schmied, E., Parada, H., Horton, L., Ibarra, L., & Ayala, G. (2015). A Process Evaluation Of An Efficacious Family-Based Intervention To Promote Healthy Eating. Health Education & Behavior, 42(5), 583–592. https://doi.org/10.1177/1090198115577375
Shi, Z., & Macbeth, A. (2017). The Effectiveness Of Mindfulness-Based Interventions On Maternal Perinatal Mental Health Outcomes: A Systematic Review. Mindfulness, 8(4), 823–847. https://doi.org/10.1007/s12671-016-0673-y
Sohrabi, M., Azizzadeh Forouzi, M., Mehdipour-Rabori, R., Bagherian, B., & Nematollahi, M. (2021). The Effect Of A Training Program On Maternal Role Adaptation And Self-Esteem Of Mothers With Preterm Infants: A Quasi-Experimental Study. Bmc Women’s Health, 21(1), 296–306. https://doi.org/10.1186/s12905-021-01440-z
Vakilian, P., Mahmoudi, M., Oskouie, F., Firouzian, A. A., & Khachian, A. (2021). Investigating The Effect Of Educational Intervention Based On The Pender’s Health Promotion Model On Lifestyle And Self-Efficacy Of The Patients With Diabetic Foot Ulcer: A Clinical Trial. Journal Of Education And Health Promotion, 10(1), 1–11. https://doi.org/10.4103/jehp.jehp_1301_20
Van Der Riet, P., Francis, L., & Rees, A. (2020). Exploring The Impacts Of Mindfulness And Yoga Upon Childbirth Outcomes And Maternal Health: An Integrative Review. Scandinavian Journal Of Caring Sciences, 34(3), 552–565. https://doi.org/10.1111/scs.12762
Wilandika, A., Handayani, F., & Yusof, S. (2022). Self-Efficacy In Prevention Of Covid-19 In Teenagers Through Islamic-Based Animation Videos. Khazanah Theologia, 4(3), 173–180. https://doi.org/10.15575/kt.v4i3.21624
Yang, Z., Wang, Y., Yu, Q., Wang, S., & Kong, D. (2022). Efficacy Of Endoscopic Intervention Plus Growth Inhibitor And Patient Self-Management In The Treatment Of Esophagogastric Variceal Bleeding In Cirrhosis. Evidence-Based Complementary And Alternative Medicine, 2022(6), 1–5. https://doi.org/10.1155/2022/6837791
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