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The background of this research is relevant to evaluate and improve services in Mayapada Hospital Kuningan , especially in the obstetrics polyclinic. By understanding the relationship between family support and medical personnel, medical personnel competence, patient experience to the obstetrics polyclinic as an intervening variable, and the decision of the birth plan. In addition, there is also a need to evaluate the factors that influence the decision of the birth plan. The purpose of the study is to analyze influence family support and medical personnel, the competence of medical personnel simultaneously with patient experience at the obstetrics polyclinic regarding the decision to plan childbirth at Mayapada Hospital Kuningan. Method Study, this is study associative causality with cross sectional design. This study aims to determine the influence of family support and medical personnel (X1), the competence of medical personnel (X2) on the decision of birth plan (Y) with the patient's experience to the obstetric polyclinic as an intervening variable (Z). The findings of this study are from the statistical test analysis we can find that the most influential variables on the decision of birth plan are family support and medical personnel. The results of the study say that the patient's experience to the polyclinic as an intervening variable does not affect the decision of birth plan. The implications of this study can help management in improving the system for family support and medical personnel, the competence of medical personnel and the patient's experience to the obstetric polyclinic so that it is expected to improve the decision of birth plan to the hospital.

This meta-analysis evaluates the effectiveness of community-based interventions in addressing complex trauma among children in Gaza through a systematic analysis of 42 studies (N=4,873) published between 2010 and 2024. The findings reveal a significant treatment effect (g=0.78, 95% CI [0.65, 0.91], p<.001) with moderate heterogeneity (I²=68%). School-based interventions demonstrate the greatest effect (g=0.89), followed by family interventions (g=0.76) and peer-group interventions (g=0.65). Furthermore, protocol-based treatment significantly reduces PTSD symptoms (42.3%), anxiety (38.7%), and depression (35.2%) among children in Gaza. Moderator analysis identifies intervention duration (β=0.34, p<.01) and family involvement (β=0.29, p<.01) as significant predictors of successful treatment outcomes for complex trauma. Lastly, meta-regression results indicate a linear relationship between intervention intensity and symptom improvement (R²=0.45, p<.001). These findings expand on previous research by Thompson et al. (2021) and Al-Krenawi (2022) by identifying specific effective intervention components within the Gaza context. Additionally, the discovery that a phased approach integrating community support with protocol-based treatment yields optimal outcomes presents a novel contribution not previously addressed in meta-analyses.

Diabetes mellitus triggers complications that can cause nerve damage, kidney damage, vision problems, diabetic wounds and cardiovascular problems. Healthy eating patterns, exercise, and family support are several strategies for controlling diabetes mellitus and maintaining blood sugar levels in diabetes sufferers within normal limits. The aim of this study was to determine the relationship between blood glucose levels in individuals with diabetes mellitus and diet compliance, physical activity and family support. Purposive sampling, cross-sectional techniques, and analytical observation were used in this study, which involved 119 participants. Based on this research, there was good family support (84.9%), moderate physical activity (63.9%), and high dietary compliance (84.9%). Analysis using the chi square test obtained a p value of 0.001 (<0.05) which shows that there is a significant relationship between diet compliance, physical activity and family support with blood glucose levels in diabetes mellitus patients at the Bangetayu Health Center, Semarang.

Tuberculosis (TB) remains an infectious disease with a high incidence rate, transmitted through airborne droplets. TB patients often face discrimination in various aspects of life. This discrimination can worsen the treatment process, as they may avoid seeking treatment due to fear of being judged or ostracized. Family support for TB patients is expected to aid in treatment adherence and improve their quality of life. This study used a quantitative research design with a cross-sectional approach, involving 55 pulmonary TB patients at Bangetayu Public Health Center in Semarang, selected through total sampling. Data analysis was conducted using univariate and bivariate chi-square analysis. The univariate analysis revealed that 98.2% of respondents had good family support, and 89.1% had a fairly good quality of life. Bivariate analysis using the chi-square test showed a significant relationship between family support and the quality of life of pulmonary TB patients at Bangetayu Public Health Center, with a p-value of 0.001.

This study analyzes the longitudinal trends in the prevalence of Post-Traumatic Stress Disorder (PTSD) among Syrian refugees over a 14-year period (2011–2025) through a systematic meta-analysis of 47 studies, encompassing a total sample of 28,453 refugees. Using a random-effects model, the analysis confirms fluctuating PTSD prevalence, peaking at 83.4% in 2013 (95% CI: 78.2–88.6%) before gradually declining to 42.7% in 2025 (95% CI: 37.3–48.1%). Furthermore, multilevel regression analysis identifies significant predictors, including displacement duration (β = -0.34, p < .001), access to mental health services (β = -0.28, p < .001), and social integration (β = -0.31, p < .001). These findings extend the work of Hassan et al. (2019) on the short-term impact of war trauma and support the resilience model proposed by Mahmoud et al. (2021), highlighting a more complex recovery trajectory. Unlike the previous meta-analysis by Silove et al. (2017), which focused on the first five years of displacement, this study reveals that 37.8% of refugees continue to exhibit chronic PTSD symptoms after 14 years. Notably, key risk factors such as family loss (OR = 2.84, 95% CI: 2.31–3.37) and legal status uncertainty (OR = 2.16, 95% CI: 1.78–2.54) emerge as novel contributions. These findings provide new insights into the long-term trajectory of PTSD among refugee populations and its implications for sustainable mental health interventions.

Introduction. Family support is help, attention, and appreciation from other people or circumstances that make an individual feel loved. Family support needs, capacities, and sources change throughout a person's life. The family is the environment that individuals first become acquainted with in the socialization process. The same view regarding family support, Sarafino, who explains that family support is the pleasure received from attention, appreciation from other people or from environmental groups that provide this support (i.e. family, loved ones or community members) and assistance. The aim of research is to understand the relationship between family support and level of support. Anxiety among the elderly in Panyusuhan Village. The population size method in this research is 80 with a sample size of 66 taken using purposive sampling. This research is quantitative with a correlation type of design, namely research carried out to relate two variables. Research design: This research uses cross-sectional (cross-sectional) with an observational approach. Research Instrument: good family support 66 (63.6%) and poor family support 24 (36.4%) and normal anxiety level 16 (24.2%), mild 35 (53.0%) and moderate anxiety level 15 (22.7%). Bivariate analysis uses the chi square test. The conclusion is that there is a relationship between family support and the level of anxiety in the elderly in Panyusuhan Village, Sukaluyu District, Cianjur Regency in 2022, so that families can provide maximum family support to the elderly.

Background: The elderly are an important part of the population which is increasing in number in various countries. In facing the various problems and challenges faced by the elderly, family support is very important in helping them. This support not only provides confidence and motivates the elderly to overcome the difficulties they face, the type of support provided by family members can vary from informational support, emotional support, to practical instrumental support. All of these forms of support have a significant contribution to the independence of the elderly in carrying out daily activities. The independence of the elderly is also greatly influenced by their psychological condition or mental status. Various mental disorders such as stress, depression, and fear, as well as emotional conditions such as aggression, anger, and numbness, can significantly affect an elderly person's ability to live independently. Research Objective: to identify a description of the level of independence of elderly people in providing daily activities. Research Method: The research method used in this research is cross sectional. The total sample was 74 elderly people aged 60 years and over. The instrument uses a questionnaire and the measurement instrument uses the Barthel index. The researcher's data analysis technique uses Spearman Rho. Results: shows family support for the elderly, 47 respondents (63.5%) received high family support, 27 respondents (36.5%) received sufficient family support, there were 23 respondents (31.1%) who fell into the category of dependency and 51 respondents (68.9%) were in the independent category. Using Spearman Rho analysis, the results show that the p value = 0.000 < α = 0.05 and the r value = 0.849, meaning that there is a positive and significant relationship between family support and the independence of the elderly in financing daily activities in the Cikembar District Health Center Work Area. Sukabumi Regency. Conclusion: Increasing family support for the elderly is very necessary for the independence of the elderly. Recommendation: It is hoped that the results of this research can become a reference for future researchers, and it is hoped that the community health center will provide intensive counseling to families so that they provide greater support to the elderly.

Postpartum is the period that begins after the birth of the placenta and ends when the bladder returns to its original state before pregnancy, which lasts for 6-40 days. The length of the postpartum period is ± 6 – 8 weeks. The postpartum period begins after the birth of the placenta and ends when the uterine organs return to their pre-pregnancy state, which lasts approximately 6 weeks. The aim is to determine the relationship between family support and adaptation to psychological changes in postpartum mothers. Research Method uses a quantitative approach with correlation methods and a cross sectional approach. The sampling technique was purposive sampling technique, the number of respondents was 35 respondents. The research location was at the Romana Tanjung Anom Clinic which was carried out from January 5 to March 30 2024. Data analysis using Chi Square. The result was that 74.3% of 26 respondents were in the category of supporting postpartum mothers. Univariate Analysis of Adaptation to Psychological Changes in Pregnant Women found that the majority of postpartum mothers were in the positive psychological adaptation category with 27 respondents or 77.1%. Bivariate analysis obtained a p-value of 0.000. The conclusion is that there is a relationship between family support and adaptation to psychological changes in postpartum mothers.

The postpartum period is a critical time for both the mother and newborn, where healthcare is essential to avoid the risk of mortality. This study aims to analyze the behavior of postpartum mothers and Acehnese families in postpartum care at the Beutong Health Center, Nagan Raya Regency in 2024. A quantitative research method with a descriptive design was used, and the sampling technique applied was total sampling, with a population of 40 postpartum mothers. Data collection was carried out through interviews using a questionnaire. The results showed that 77.8% of mothers and families were aware of the nutrition needed for postpartum mothers, 58.3% understood the process of uterine involution, and 100% of postpartum mothers knew daily activities to accelerate recovery. The family's supportive attitude towards postpartum care was evident in their dietary recommendations, such as providing vegetables (83.3%) and fish (80.5%), forbidding the mother from leaving the house (100%), and administering algae (88.9%). However, 30.6% of postpartum mothers did not consume vegetables regularly. These findings highlight the importance of improving family understanding and support in postpartum care to accelerate the recovery of mothers and babies. The implication of this research is expected to improve postpartum care programs at Beutong Health Center.

This study examines the phenomenon of Indonesian labor migration abroad and its impact on the families left behind. The objective is to analyze the social and psychological aspects experienced by migrant workers’ spouses. The research employs a descriptive case study method with data source triangulation. The findings reveal that migrant couples often neglect social and psychological factors in their decision-making, affecting family relationships. Therefore, effective communication support and government policies are needed to enhance the well-being of migrant workers’ families.

The recovery process requires involvement from all parties, both family and the surrounding community, especially the involvement of the patient which is very basic. And it cannot be separated from the role of health workers and the government. The recovery process is carried out together, because of their mutual dependence on each other. Recovery for patients with mental disorders cannot be done alone. It requires involvement from all parties. Both the family, the surrounding environment (neighbors), and also the local government and health workers. This involvement is related to the support provided. Such as peer support, medical support, policies with rehabilitation that can be carried out in the local environment. Understanding non-linearity is very important, because this recovery requires a very long time and also a lot of material. A strength base is really needed by the client in using coping mechanisms, and the family needs to support the coping mechanisms used by the client positively, because this can increase self-confidence and also good hope for recovery.

Business performance remains a concern in business, as well as for SMEs. This study aims to investigate whether product innovation can be a mediator of the influence of family support on SME performance, because innovation is one of the important things for an entrepreneur. This study used a quantitative approach with a cross-section method, with purposive sampling of food and beverage SMEs in Jakarta. Data collection through Google Form obtained 50 questionnaires that were completely filled out and met the requirements. The analysis in this study with Partial Least Square-Structural Equation Modeling (PLS-SEM), and SmartPLS v.4.0 was used in data processing. After the variables were declared valid and reliable, testing was carried out on the four hypotheses proposed. From the test results, the path coefficient results of the family support variable have a positive but insignificant effect on the performance of food and beverage SMEs in Jakarta. Product innovation has a positive and significant effect, and product innovation is able to mediate the influence of family support on SME performance. The results of this study are expected to be input for policy makers for SMEs to be able to improve performance through product innovation, so that through product innovation, SMEs are able to compete and experience improvements in performance.

This research aims to analyze the resolution of disputes over the division of inheritance between children carried out through deliberation and to analyze and identify the resolution of disputes over the division of inheritance between children carried out through deliberation. This research is included in the type of empirical legal research which is also known as empirical legal research or empirical legal research. The results of this research can be imperative or formal. Non-doctrinal research on law can produce new theories regarding the results of this research can be imperative or formal. Non-doctrinal research on law can produce new theories regarding the existence and function of law in society, as well as changes that may occur in the process of social change.The results of the research are the deliberation process in dividing inheritance through 3 stages or steps. First stage: Settlement of inheritance disputes is carried out internally between the heirs through family deliberations; Second stage: If the family deliberation does not reach an agreement, the deliberation leader can bring the dispute to the Head of the Hamlet or village government; Third stage: If the deliberation led by the village head does not produce an agreement or decision, the dispute is returned to the heirs to determine the next step. The success of the deliberation process is influenced by internal factors, such as openness and good intentions of the disputing parties, as well as external factors, such as the presence of a mediator and support from the social environment.

The maternal mortality is an obstacle in efforts to develop human resources because it can reduce the level of maternal health and community welfare. Cases of maternal deaths in Tanjungpinang City in 2023 have increased compared to 2022, bringing the total to six deaths. Problem in the health sector cannot be separated from the affairs of the regional government, in this case through the Tanjungpinang City Health, Population Control, and Family Planning Service. This research aims to analyse the strategies carried out by the Tanjungpinang City Government in efforts to reduce maternal mortality using Strategy Theory by Geoff Mulgan. The research method used was a qualitative research method with a case study approach was and a total of 11 informants. Data collection techniques were carried out using interviews and documentation and analysed by data collection, data reduction, and data presentation. The research results show that the Tanjungpinang City Government in 2023 has carried out activities related to efforts to reduce maternal mortality in accordance with its vision and mission. This activity involves the Community Health Centre and parties in the field to ensure that pregnant women are monitored and follow the directions given. The challenges faced by the Tanjungpinang City Government with the high maternal mortality in 2023 are the lack of knowledge of pregnant women regarding pregnancy, the low level of delivery which is not carried put in health facilities, and the lack of empowerment of families and communities regarding the KIA Book. Overall, the strategy implemented by the government must be supported by the role of the community as the recipient of the strategy so that the high maternal mortality rate in Tanjungpinang City in 2023 means that the reduction has not been optimal due to a lack of knowledge and community awareness.

Adolescence is a transition period from childhood to adulthood marked by rapid physical, psychological, and social changes. One important aspect in adolescent development is mental health, which plays a role in forming healthy, resilient, and productive individuals. However, awareness of mental health among adolescents is still relatively low, as found in observations at MAN 2 Surakarta. Increasing awareness of mental health problems and support from family, friends, and the wider community is needed to create a healthy and productive young generation. From the author's observations at MAN 2 Surakarta, it was found that some students were not yet familiar with the concept of mental health, so this community service activity was carried out. Therefore, this community service activity was carried out to increase student awareness of the importance of mental health, provide education, and develop stress management skills. This activity involves delivering materials, discussions, and practicing relaxation techniques such as the butterfly hug. The purpose of this activity is to increase awareness of the importance of mental health, provide education about mental health, and also develop stress management skills. So that students are expected to be able to live a healthier and stronger life both mentally and emotionally. It is also hoped that students can become mentally strong individuals who also have positive behavior for themselves and their surroundings. The results of the activity showed an increase in students' understanding of mental health, with positive and enthusiastic responses from participants.

This research is motivated by the importance of understanding the dynamics of social interaction of prisoners in the Class II B Detention Center of Serang City, Banten Province. The focus of the research is the pattern of relationships between prisoners as well as interactions between prisoners and detention officers that affect social life in the environment. The purpose of this study is to identify the associative and dissociative processes that occur among prisoners and explore the factors that influence the pattern of social interaction in detention centers. The research methodology used is a descriptive qualitative approach, with data collection techniques through direct observation, in-depth interviews, and document analysis. This approach allows in-depth exploration of complex social dynamics in closed environments such as prisons. The results show that social interactions between prisoners include associative processes, such as cooperation in daily activities, and dissociative processes, such as competition and conflict triggered by limited resources and social hierarchy. In addition, interactions between prisoners and officers often vary, ranging from formal relationships in coaching activities to informal relationships that are emotional in nature. The conclusion of this study emphasizes that the pattern of social interaction in detention centers is strongly influenced by the social background of prisoners, family support, and the existing hierarchical structure. This research provides recommendations for the management of detention centers that are more inclusive and support the rehabilitation process of prisoners.

This study aims to analyze the impact of academic stress and family social support on students' psychological well-being. The research method used is quantitative, by collecting data through a survey on a sample of students. The results of the data analysis indicate that academic stress (X1) significantly affects students' psychological well-being (Y), while family social support (X2) individually does not have a significant effect. However, when the two factors are combined, there is a significant effect together on students' psychological well-being. The implications of this study are the need for attention to academic stress management and the important role of family social support in improving students' psychological well-being. This study provides a basis for educational institutions to develop holistic intervention programs and provide support not only for academic aspects, but also for students' social and emotional aspects. Further research can explore additional factors that moderate this relationship and involve larger samples for stronger generalization.

Background: Cervical cancer remains a major cause of morbidity and mortality among women, particularly in developing countries. Although early detection methods such as visual inspection with acetic acid (IVA) and Pap smear are effective, participation among women of reproductive age is still low. Identifying factors that influence women’s interest in cervical cancer screening is essential to strengthen prevention programs at the primary healthcare level. Method:  This study used a quantitative analytical observational design with a cross-sectional approach. The research was conducted in the working area of UPT Puskesmas Rawat Inap Ome Tidore. Participants were women of reproductive age (15–49 years) selected through purposive sampling. Data were collected using a structured questionnaire assessing socio-demographic characteristics, knowledge, attitudes, access to health information, family or husband support, and interest in early detection of cervical cancer. Data analysis included univariate and bivariate analysis using Chi-square or Fisher’s exact tests. Results: The results showed that age, education level, knowledge, attitudes, access to health information, and family or husband support were significantly associated with women’s interest in early detection of cervical cancer. Women aged 25–49 years, those with higher education, good knowledge, positive attitudes, adequate access to information, and strong family support demonstrated higher interest in screening. Fear, embarrassment, lack of time, and misconceptions were identified as common barriers. Conclusion: Women’s interest in cervical cancer early detection is influenced by predisposing, enabling, and reinforcing factors. Strengthening health education, improving information access, and involving family support are key to increasing screening participation.

Background: Hypertension in the elderly is caused by degenerative processes and triggering factors such as poor diet, smoking, and alcohol consumption. The WHO identifies hypertension as a major risk factor for cardiovascular diseases that can lead to serious complications such as stroke and heart disease. Objective: To identify the factors influencing dietary behavior related to hypertension in elderly patients who will be treated as outpatients in the Orchid Room of Bhakti Asih General Hospital, Tangerang, focusing on knowledge, attitudes, health worker support, and family support. Research Method: This quantitative study uses primary data from questionnaires with a Field Research method. The sample consists of 40 respondents, and data analysis was conducted using the Chi-Square Test. Research Results: The results of the Chi-Square test show a significant relationship between knowledge (ρ = 0.000), attitudes (ρ = 0.012), health worker support (ρ = 0.009), and family support (ρ = 0.000) towards dietary behavior related to hypertension in the elderly. Conclusion: Overall, knowledge, attitudes, health worker support, and family support influence dietary behavior related to hypertension in the elderly, which can impact the effective management of hypertension and prevent further complications. Recommendation: For future researchers, this study has limitations, and it is hoped that further research can develop this topic with a more comprehensive research methodology approach.

Basic immunization is one of the prevention programs for communicable diseases to children. Immunization coverage rates in regions have not yet reached the target. This is caused by many factors. This study aimedto analyze factorsthatinfluencingto maternal behavior in fulfilling basic immunization for children aged 0-12 months in the Work Areaof the Sumobito Health Center in Jombang.The factors analyzed are not only internal factors of the individual, but also external factors, both family environment and the availability ofservices, whichare also determinants ofbehavior.This research was observational analytic with cross sectional approach. Data analysis used logistic regressiontest. The results of this study indicated that factorsinfluencedmaternal behavior in fulfilling childbasic immunization wereattitude (p = 0,000), trust (p = 0,002), family support (p = 0.006), access (p = 0,000), and information (p=0,000), while age (0,718) and work status (0,844) did not influence to maternal behavior in fulfilling child basic immunizationThis is because, during the COVID-19 pandemic, mothers worked at home so they had time to deliver their children to immunization