Determining factors affecting mother's behaviour in stunting prevention in rural Madura, Indonesia

Ulva Noviana, Shrimarti Rukmini Devy, Diah Indriani, Zakiyah Yasin

Abstract

Stunting is one of the consequences of chronic malnutrition whose prevalence continues to increase in Indonesia. This study used an observational analytical approach to develop a model of mother behaviour in stunting prevention in children. The population consisted of 215 mothers who had children aged 0-24 months. The variables included assessment of behavioural beliefs, behaviour outcomes, attitudes, demographics, perceived control, and intentions. The SEM - smartPLS4 was used for the analysis. The validity test results indicate that the values for Cronbach's alpha and Composite Reliability (C.R) are above 0.7, and the value for Average Variance Extracted (AVE) is above 0.50, indicating that all indicators are valid and reliable. The results revealed that a mother’s behaviour in stunting prevention is directly influenced by her intention, whereas mother's intentions are influenced by attitudes, demography, and perceived control. We conclude that a mother who has high intentions to prevent stunting will be able to practice it because of having a positive attitude and a good perceived control. Behavioural intentions have been identified as the mediating variable of the transformation of behavioural attitudes into treatment, which is consistent with the TPB theory and other research on physician behaviour. In other words, intent can serve not only as an internal driving process of attitude, but also as a condition of preparation for behaviour.

Full Text:

PDF

References

Kemenkes RI. Buletin Stunting. Kementerian Kesehatan RI.

;301(5):1163-1178.

Wardani Z, Sukandar D, Baliwati YF and Riyadi H. Sebuah

Alternatif: Indeks Stunting Sebagai Evaluasi Kebijakan

Intervensi Balita Stunting Di Indonesia. Gizi Indonesia.

;44(1):21-30. doi:10.36457/gizindo.v44i1.535

Illahi RK and Muniroh L. Gambaran Sosio Budaya Gizi

Etnik Madura Dan Kejadian Stunting Balita Usia 24–

Bulan Di Bangkalan. Media Gizi Indonesia.

;11(2):135. doi:10.20473/mgi.v11i2.135-143

Fitriani, Farisni TN, Syahputri VN, Lestary LA and Helmyati

S. Implementing precede-proceed model toward the

mothers’ perception on the importance of feeding of

home-made complementary food to wasting and

stunting toddlers. Current Research in Nutrition and

Food Science. 2020;8(2):489-495.

doi:10.12944/CRNFSJ.8.2.14

Dewey KG and Begum K. Long-term consequences of

stunting in early life. Matern Child Nutr.

;7(SUPPL. 3):5-18. doi:10.1111/j.1740-

2011.00349.x

Leroy JL and Frongillo EA. Perspective: What Does Stunting

Really Mean? A Critical Review of the Evidence.

Advances in Nutrition. 2019;10(2):196-204.

doi:10.1093/advances/nmy101

Koshy B, Srinivasan M, Gopalakrishnan S, Mohan VR,

Scharf R, Murray-Kolb L, John S, Beulah R, Muliyil J

and Kang G..Are early childhood stunting and catch-up

growth associated with school age cognition?—

Evidence from an Indian birth cohort. PLoS One.

;17(3):e0264010.

doi:10.1371/journal.pone.0264010

Walker SP, Chang SM, Powell CA, Simonoff E and

Grantham-Mcgregor SM. The Journal of Nutrition

Community and International Nutrition Early

Childhood Stunting Is Associated with Poor

Psychological Functioning in Late Adolescence and

Effects Are Reduced by Psychosocial Stimulation 1,2.

Vol 137.; 2007.

https://academic.oup.com/jn/article/137/11/2464/4750

Kar BR, Rao SL and Chandramouli BA. Cognitive

development in children with chronic protein energy

malnutrition. Behavioral and Brain Functions. 2008;4.

doi:10.1186/1744-9081-4-31

WHO. Innovative Care for Chronic Conditions: Building

Blocks for Action. Geneva: World Health Organization

(WHO/MNC/CCH/02.01). Geneva: World Health

Organization. Published online 2002.

Glanz K, Rimer B k and Viswanath K. Health and Health.;

Magno F, Cassia F and Ringle CMM. A brief review of

partial least squares structural equation modeling (PLSSEM) use in quality management studies. TQM

Journal. Published online 2022. doi:10.1108/TQM-06-

-0197

Teng L, Dai Y, Peng T, Su Y, Pan L and Li Y. Explaining

the intention and behaviours of interinstitutional

collaboration in chronic disease management among

health care personnel: a cross-sectional study from

Fujian Province, China. BMC Health Serv Res.

;23(1). doi:10.1186/s12913-023-09453-0

Pham TT, Lingard H and Zhang RP. Factors influencing

construction workers’ intention to transfer occupational

health and safety training. Saf Sci. 2023;167.

doi:10.1016/j.ssci.2023.106288

Nguyen PM and Vo ND. Exploring Organic Food Purchase

Behaviors of Gen Z: An Application of TPB and MOA

Model in a Transition Country. Foundations of

Management. 2023;15(1):35-50. doi:10.2478/fman2023-0003

Lu YJ, Lai HR, Lin PC, Kuo SY, Chen SR and Lee PH.

Predicting exercise behaviors and intentions of

Taiwanese urban high school students using the theory

of planned behavior. J Pediatr Nurs. 2022;62:e39-e44.

doi:10.1016/j.pedn.2021.07.001

Savari M, Damaneh HE, Damaneh HE and Cotton M.

Integrating the norm activation model and theory of

planned behaviour to investigate farmer proenvironmental behavioural intention. Sci Rep.

;13(1). doi:10.1038/s41598-023-32831-x

Oehman JM, Babbitt CW and Flynn C. What predicts and

prevents source separation of household food waste?

An application of the theory of planned behavior.

Resour Conserv Recycl. 2022;186.

doi:10.1016/j.resconrec.2022.106492

Hendrieckx C, Halliday JA, Russell-Green S, Cohen N,

Colman PG, Jenkins A, O'Neal D and Speight J. Adults

with diabetes distress often want to talk with their

health professionals about it. Findings from an audit of

four Australian specialist diabetes clinics. Can J

Diabetes. Published online 2020.

doi:https://doi.org/10.1016/j.jcjd.2020.02.004

Kim JJ and Hwang J. Merging the norm activation model

and the theory of planned behavior in the context of

drone food delivery services: Does the level of product

knowledge really matter? Journal of Hospitality and

Tourism Management. 2020;42:1-11.

doi:10.1016/j.jhtm.2019.11.002

Fenitra RM, Laila N, Premananto GC, Abbas A and Sedera

RMH. Explaining littering prevention among park

visitors using the Theory of Planned Behavior and

Norm Activation Model. International Journal of

Geoheritage and Parks. 2023;11(1):39-53.

doi:10.1016/j.ijgeop.2022.11.002

Liu Q, Peng W, Zhang F, Hu R, Li Y and Yan W. The

effectiveness of blended learning in health professions:

Systematic review and meta-analysis. J Med Internet

Res. 2016;18(1). doi:10.2196/jmir.4807

Hunde MK, Demsash AW and Walle AD. Behavioral

intention to use e-learning and its associated factors

among health science students in Mettu university,

southwest Ethiopia: Using modified UTAUT model.

Inform Med Unlocked. 2023;36.

doi:10.1016/j.imu.2022.101154

Bélanger M, Dugas C, Perron J, St-Yves A, RancourtBouchard M, John Weisnagel S and Robitaille J.

Intention to adopt a healthy diet among women with

and without a history of gestational diabetes:

Constructs and beliefs from the theory of planned

behavior. Prev Med Rep. 2023;35.

doi:10.1016/j.pmedr.2023.102328

Maulida H, Jatimi A, Heru MJA, Munir Z and Rahman HF.

Depresi pada Komunitas dalam Menghadapi Pandemi

COVID-19: A Systematic Review. Jurnal Sains dan

Kesehatan. 2020;2(4):122-128.

https://jsk.farmasi.unmul.ac.id/index.php/jsk/article/vi

ew/201/157

Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, Qiu Y,

Wang J, Liu Y, Wei Y, Xia J, Yu T, Zhang X and Zhang

L. Epidemiological and clinical characteristics of 99

cases of 2019 novel coronavirus pneumonia in Wuhan,

China: a descriptive study. The Lancet.

;395(10223):507-513. doi:10.1016/S0140-

(20)30211-7

Ong AKS, Prasetyo YT, Lagura FC, Ramos RN, Salazar

JML, Sigua KM, Villas JA, Nadlifatin R and Persada

SF. Determination of factors influencing young adults’

intention to have COVID-19 vaccine in the Philippines:

An integration of Health Belief Model and the Theory

of Planned Behavior. Public Health in Practice.

;5. doi:10.1016/j.puhip.2023.100359

Najafi S, Mohammadkhah F, Harsini PA, Sohrabpour M and

Jeihooni AK. Effect of educational intervention based

on theory of planned behaviour on promoting

preventive behaviours of oral cancer in rural women.

BMC Womens Health. 2023;23(1).

doi:10.1186/s12905-023-02411-2

Sobaih AEE, Algezawy M and Elshaer IA. Adopting an

Extended Theory of Planned Behaviour to Examine

Buying Intention and Behaviour of Nutrition-Labelled

Menu for Healthy Food Choices in Quick Service

Restaurants: Does the Culture of Consumers Really

Matter? Int J Environ Res Public Health. 2023;20(5).

doi:10.3390/ijerph20054498

Erskine OM, Gibson KE, Lamm AJ and Holt J. Encouraging

Water Protection through Donation: Examining the

Effects of Intention to Engage in Personal Water

Conservation Behaviors on Donation Behaviors.

Water (Basel). 2023;15(13):2365.

doi:10.3390/w15132365.

Refbacks

  • There are currently no refbacks.