Effectiveness health education and infant therapeutic group therapy on baby aged 0-6 months to prevent stunting risk factors: mother depression

  • Wita Oktaviana
    Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia.
    https://orcid.org/0000-0002-8811-5042
  • Budi Anna Keliat
    https://orcid.org/0000-0003-1103-5404
  • Ice Yulia Wardani
    Department of Mental Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia.
  • Adella Pratiwi
    Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia.

ABSTRACT

Background: Stunting is a global and national problem that can be detected at the age of 2. Therefore, before this age, promotion efforts must be conducted to prevent stunting risk factors in the future. This study aims to determine the effect of health education and infant’s Therapeutic Group Therapy on stunting’s risk factor: maternal postpartum depression in Indonesia.

Design and Methods:
 This study employed a quasi-experimental design with a pre-test and post-test with a control group. This study employed a purposive sampling technique, with 96 respondents divided into two groups. Intervention group 1 consisted of 48 people who received health education, and group 2 consisted of 48 people who received health education and infant’s Therapeutic Group Therapy. The data were collected using the Depression Inventory-II (DI II) questionnaire with a bivariate analysis of the Wilcoxon test and frequency distribution.

Results: 
The results show that health education and infant’s Therapeutic Group Therapy significantly influence the risky factors in stunting: maternal depression. It can be concluded that there were significant changes in maternal postpartum depression in intervention group 1 and intervention group 2, but in intervention group 2 who got Health Promotion and Therapeutic Group Therapy (TKT) for Infants there was a bigger and more significant decrease.

Conclusions:
 Nursing action, infants’ Therapeutic Group Therapy, and health education are recommended to prevent risk factors for stunting: mother depression. The results of this study are expected to underlie the development of mental health promotion to prevent stunted against maternal depression and preventive programs. In addition, the research is expected to underly provision of curative and rehabilitative programs for stunted.

REFERENCES

Townsend CM. Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice. 6th Ed. Philadelphia: F.A. Davis Company; 2013.

Ministry of Health, Republic of Indonesia. [Laporan nasional riset kesehatan dasar (RISKESDAS) 2018 (Basic health research national report 2018)].[in Indonesian]. Jakarta: Ministry of Health; 2018. Available from: http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf

World Health Organization. Global nutrition targets 2025: policy brief series. 2014. Available from: https://www.who.int/publications/i/item/WHO-NMH-NHD-14.2

Ministry of Health, Republic of Indonesia. [Laporan nasional riset kesehatan dasar (RISKESDAS) 2013 (Basic health research national report 2013)].[in Indonesian]. Jakarta: Ministry of Health; 2013. Available from: http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2013/Laporan_riskesdas_2013_final.pdf

Apriluana G, Fikawati S. [Analisis faktor-faktor risiko terhadap kejadian stunting pada balita (0-59 bulan) di negara berkembang dan asia tenggara (Analysis of risk factors for stunting among children 0-59 months in developing countries and Southeast Asia)].[Article in Indonesian]. Health Research and Development Media 2018;8:247–56. DOI: https://doi.org/10.22435/mpk.v28i4.472

Giyaningtyas IJ, Hamid AYS, Daulima NHC. Holistic response of mother as caregiver in treating stunting. Pak J Med Health Sci 2019;13:928–32.

Laksono AD, Ibad M, Mursita A, et al. Characteristics of mother as predictors of stunting in toddler. Pak J Nutr 2019;18:1101–6. DOI: https://doi.org/10.3923/pjn.2019.1101.1106

Kominiarek MA, Rajan P. Nutrition recommendations in pregnancy and lactation. Med Clin North Am 2016;100:1199–215. DOI: https://doi.org/10.1016/j.mcna.2016.06.004

Wemakor A, Mensah KA. Association between maternal depression and child stunting in North Ghana: a cross-sectional study. BMC Public Health 2016;16:869. DOI: https://doi.org/10.1186/s12889-016-3558-z

Ministry of Health, Republic of Indonesia. [Situasi kesehatan reproduksi remaja (Adolescent reproductive health situation)].[in Indonesian]. Jakarta: Ministry of Health; 2015.

Kusuma R, Keliat BA, Afiyanti Y, Martha E. [The effectiveness of Ratu’s postpartum depression prevention model towards the prevention of postpartum depression].[Dissertation in Indonesian]. Depok: Universitas Indonesia; 2017. Available from: http://www.lontar.ui.ac.id/detail?id=20454026&lokasi=lokal

Bennett AM, Schott W, Krutikova S, Behrman JR. Maternal mental health, and child growth and development, in four low-income and middle-income countries. J Epidemiol Community Health 2016;70:168–73. DOI: https://doi.org/10.1136/jech-2014-205311

Ministry of Health of the Republic of Indonesia, National Planning and Development Agency, Social Ministry of the Republic of Indonesia. [Modul Kesehatan & Gizi Pertemuan Peningkatan Kemampuan Keluarga (P2K2) Program Keluarga Harapan (PKH) (Health & Nutrition Module Family Capacity Building Meeting (P2K2) Family Hope Program (PKH)].[in Indonesian]. Jakarta: Ministry of Social Family’s Hope Program; 2018. Available from: https://pkh.kemensos.go.id/dokumen/DOCS20181010110059.pdf

Restiana N, Keliat BA, Gayatri D, Daulima NHC. [Pengaruh terapi kelompok terapeutik terhadap kemampuan ibu dalam menstimulasi rasa percaya bayi di Kelurahan Mulyasari Kota Tasikmalaya (The effect of therapeutic group therapy on the mother’s ability to stimulate the baby’s confidence in Mulyasari Village, Tasikmalaya City)].[Thesis in Indonesian]. Depok: Universitas Indonesia; 2010.

Soeli YM, Keliat BA, Ungsianik T. [Terapi kelompok terapeutik dalam meningkatkan kemampuan ibu, bayi dan rasa percaya bayi (Therapeutic group therapy in increasing the ability of mother, baby and baby’s confidence)].[Article in Indonesian]. Jurnal Keperawatan Indonesia 2017;20:195–204. DOI: https://doi.org/10.7454/jki.v20i3.364

Kusuma R, Keliat BA, Afiyanti Y, Martha E. The Ratu’s model: a prevention model of postpartum depression. Enferm Clin 2019;29:70–3. DOI: https://doi.org/10.1016/j.enfcli.2018.11.023

Binda V, Figueroa-Leigh F, Olhaberry M. Antenatal and postnatal depressive symptoms: association with quality of mother–infant interaction. Infant Behav Dev 2019;57:101386. DOI: https://doi.org/10.1016/j.infbeh.2019.101386

Fellmeth G, Opondo C, Henderson J, et al. Identifying postnatal depression: comparison of a self-reported depression item with Edinburgh Postnatal Depression Scale scores at three months postpartum. J Affect Disord 2019;251:8–14. DOI: https://doi.org/10.1016/j.jad.2019.03.002

Takács L, Smolík F, Kaźmierczak M, Putnam SP. Early infant temperament shapes the nature of mother-infant bonding in the first postpartum year. Infant Behav Dev 2020;58:101428. DOI: https://doi.org/10.1016/j.infbeh.2020.101428