Background: Children need stimulation to support their growth and development process, and furthermore to avoid any disorders. Cerebral palsy may hinder growth and development in children which include gross motor movement, fine motor coordination, speech and social personal problem. Growth and development delays could be improved through intensive stimulations, both from physiotherapist and parental support.Objective: To describe the effect of parent stimulation toward growth and development improvement in children with cerebral palsy.Method: This research was qualitative with case study design. Subject was a child with cerebral palsy. Developmental Pre-Screening Questionnaire and Denver II instruments were filled before and after the stimulations were given. The data was analysed using descriptive technique.Result: There was not any growth improvement after stimulation applied. On the other hand, there was slight improvement in children development after stimulation given, in the form of fine motor movement.Conclusion: Monitoring and stimulation from parents to children with cerebral palsy improve their development level. Therefore, supportive parents could improve growth and development level of children with cerebral palsy. ABSTRAKLatar belakang: Proses tumbuh kembang pada anak membutuhkan rangsangan/stimulasi, sehingga dapat meminimalkan terjadinya masalah tumbuh kembang. Anak dengan cerebral palsy pada umumnya mengalami keterlambatan pertumbuhan dan perkembangan baik dari aspek gerak motorik kasar, gerak motorik halus, kemampuan bicara dan berbahasa serta personal sosial. Keterlambatan pertumbuhan dan perkembangan dapat dioptimalkan dengan stimulasi dari fisioterapi dan dukungan orang tua.Tujuan: Mendeskripsikan pengaruh pertumbuhan dan perkembangan anak dengan cerebral palsy sebelum dan setelah dilakukan monitoring serta stimulasi oleh orang tua.Metode: Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus. Subjek adalah seorang anak dengan cerebral palsy. Tingkat pertumbuhan dan perkembangan pada anak cerebral palsy di-monitoring menggunakan instrumen Kuesioner Pra-Skrining Perkembangan (KPSP) dan Denver II, sebelum dan setelah dilakukan stimulasi. Data dianalisis secara deskriptif.Hasil: Dari hasil monitoring oleh peneliti dan orang tua didapatkan hasil bahwa anak tidak mengalami perubahan dalam hal pertumbuhan. Namun, terdapat peningkatan proses perkembangan, meskipun hanya pada gerak motorik halus.Simpulan: Monitoring dan stimulasi oleh orang tua berpengaruh pada perkembangan anak dengan cerebral palsy. Oleh karena itu, orang tua yang memiliki dukungan baik kepada anak dapat membantu mengoptimalkan pertumbuhan dan perkembangan anak dengan cerebral palsy.

This study aimed to develop a conceptual model for understanding meaning in life (MIL) using respondents' quotations in the primary qualitative studies. The primary studies were selected from the PsycINFO, PsycARTICLES and CINAHL databases using keywords 'meaning in life', 'meaning of life', 'purpose in life' and 'will to meaning'. Respondents' quotations in the primary studies were analysed interpretatively to identify MIL from the respondents' perspectives. The data were synthesized to integrate findings from 10 selected primary studies. The findings identified (i) six sources of MIL (e.g. having a significant others, having new experiences and performing spiritual activities); (ii) eight components of MIL (e.g. focusing on self, connecting to others, contributing to others and having a sense of direction and purpose); and (iii) the emotional outcomes of having MIL: happiness, satisfaction and joy. Through a discussion of the findings, a conceptual model of MIL emerged.

Aim: The eruption of Mount Merapi in Indonesia caused losses, stress, and psychological distress for relocated survivors. Meaning in life is reported to be associated with mental health. This study aimed to investigate the associations among loss, stress related to changes in daily life, meaning in life, and mental health of the relocated survivors. Methods: A cross-sectional study using convenience sampling was conducted in two relocation areas with people from the most damaged villages. Losses, stress related to changes in daily life, mental health, and meaning in life were assessed using the losses questionnaire, the stress related to changes in daily life questionnaire, the Self-Reporting Questionnaire (SRQ-20) and the Life Attitude Profile-Revised Questionnaire (LAP-R). The Mann-Whitney U-test, Kruskal-Wallis test, Spearman's rank test and hierarchical multiple regression were performed for data analysis. Results: Respondents included 172 women and 24 men (mean age = 40.0 years). Nearly one-third of respondents scored seven or more in the SRQ-20, suggesting possible mental health problems. Meaning in life was negatively correlated with stress related to changes in daily life (r s = ¹0.281, p < 0.001) and mental health problems (r s = ¹0.259, p < 0.01). However, meaning in life did not significantly contribute to mental health problems after adjusting for loss and stress related to changes in daily life (¢ = ¹0.092, p = 0.190). Conclusions: Meaning in life is negatively correlated with mental health problems and stress related to changes in daily life. Support to help the survivors find meaning in life may alleviate psychological distress related to relocation stress.

Background: Living with cancer causes stress for both patients and caregivers. Empowering family caregivers is critical in palliative care. It is well known that a lack of proper knowledge and training of informal caregivers is a barrier to palliative care provision at home. Objectives: This scoping review aimed to explore palliative care education to enhance informal caregiver skills in caring for cancer patient. Methods: A scoping literature review was conducted with systematic searches in multiple databases – PubMed, Cochrane, PsycINFO and SCOPUS (2000 to 2021). Studies were selected based on programmes content and its impact evaluation.  Findings: The remaining 181 citations were examined at full-text level; 173 studies did not meet inclusion criteria, yielding eight included papers. Four papers focused on palliative care educational programs for family caregivers, and four papers included patients and caregivers. There was a diverse variation in the mode of delivery and duration of educational input. The programs offered an insight into the main elements of working with individuals at a palliative care bundle. Most studies reported that participants improved their knowledge, self-efficacy, and competency and prepared for their roles. Conclusion: The findings indicate the need of family caregivers for more regular and reliable palliative education programs. Randomized controlled trials with rigorous randomization processes, more significant sample numbers and more appropriate control groups focused explicitly on caregiver education may improve the evidence.

This study aimed to conduct a psychometric evaluation of the Indonesian version of the Communities Advancing Resilience Toolkit Assessment Survey (CART-AS) instrument with validity and reliability testing. A cross-sectional study was conducted among 280 respondents. The translation was done using the Beaton method. The psychometric test process was conducted by testing the construct validity and reliability. Confirmatory factor analysis (CFA) values indicated that the model fits the previous model with the Chi-square/df=1.37 conformity indicator; comparative fit index (CFI)=0.99; goodness of fit index (GFI)=0.90; root mean square of approximation (RMSEA)=0.03; and standardized root mean square residual (SRMR)=0.03. In the CFA measurement, the convergent validity value or the loading factor value of each indicator was also found in the range of 0.55-0.99. The average variance extracted (AVE) values on the five constructs of the CART-AS instrument show values in the range of 0.55-0.98. The results of the reliability test showed the Cronbach alpha value of 0.94. The Indonesian version of the CART-AS instrument is a valid and reliable instrument to measure the resilience of disaster-affected communities in Indonesian culture.