Main Article Content

Abstract

Children’s mental health is essential for their emotional, social, and
academic development. Anxiety and other mental disorders can hinder a
child's future, making early intervention crucial. Diary of My Bone is a
companion journal designed for children aged 7-11, structured according to
Erik Erikson’s developmental stages. It introduces kyphosis through simple
explanations and illustrations while providing guidance on brace care. The
journal encourages children to track daily activities, emotions, food intake,
and brace usage, with star stickers as motivation. This study examines the
impact of Diary of My Bone on children’s moods using a pre-test and posttest experimental design without a control group. The research was
conducted in Sumber Sekar Village, Malang Regency, with a minimum of 10
children meeting inclusion criteria. Mood assessments were conducted before
and after a four-week intervention, and data were analyzed using a paired ttest. Results show that the use of Diary of My Bone significantly improved
children’s moods, enhancing their social interactions, confidence, and
overall happiness. The star sticker reward system effectively motivated
children to complete their daily tasks, fostering emotional resilience and selfdiscipline. These findings highlight the potential of appreciation-based
interventions in nursing practices to support children's psychological wellbeing. Integrating simple reward-based strategies into pediatric healthcare
can enhance children’s motivation, emotional expression, and adherence to
health routines, offering a cost-effective approach to long-term health
monitoring and development.

Keywords

appreciation Child health Diary of my bone Health intervention Mood

Article Details

How to Cite
Sari, H., & Anwar, M. (2025). THE IMPACT OF PROVIDING APPRECIATION STARS “DIARY OF MY BONE” ON CHILDREN’S EMOTIONAL WELL-BEING IN MALANG REGENCY VILLAGE. JKEP, 10(1), 100-109. https://doi.org/10.32668/jkep.v10i1.1970

References

    Acevedo A. A personalistic appraisal of Maslow’s

    needs theory of motivation: From “humanistic”

    psychology to integral humanism. J Bus Ethics.

    Apr;148:741–63.

    https://doi.org/10.1007/s10551-015-2970-0

    Babaee T, Moradi V, Shariat A, Anastasio AT,

    Khani A, Bagheri M, Rouhani N. Disease-specific

    outcome measures evaluating the health-related

    quality of life of children and adolescents with

    idiopathic scoliosis and Scheuermann's Kyphosis:

    A literature review. Spine Surg Relat Res. 2022

    May 27;6(3):197–223.

    https://doi.org/10.22603/ssrr.2021-0237

    Bastrom TP, Catanzano AA, Bartley CE, Yaszay B,

    Upasani VV, Newton PO. Depression screening in

    pediatric orthopedic surgery clinics and identifying

    patients at-risk. J Pediatr Orthop. 2024 Apr

    ;44(4):291–6.

    https://doi.org/10.1097/BPO.0000000000002635

    Bottoms N, Rice S, Veerapandiyan A. Pediatric

    autoimmune neuropsychiatric syndrome. Front

    Behav Neurosci. 2024 Aug 6;18:1467469.

    https://doi.org/10.3389/fnbeh.2024.1467469

    Dima C, Mitoiu B, Nartea R, Dima V, Mirea A.

    Hyperkyphotic posture among adolescents–still a

    public health problem. Rom J Pediatr. 2022 Apr

    ;71(2). https://doi.org/10.37897/RJP.2022.2.6

    Dweck CS. Mindset: The new psychology of

    success. New York: Random House; 2006.

    Erikson EH. Childhood and society. New York:

    Norton; 1963.

    Heredia-Rizo AM, Casuso-Holgado MJ, MartínezCalderón J. Interprofessional approaches for the

    management of chronic diseases. Front Med. 2024

    Sep 20;11:1490575.

    https://doi.org/10.37897/RJP.2022.2.6

    Isnayanti AN, Al Kamil MN, Muslim AR. Edukasi

    anti-bullying di sekolah dasar: Membangun budaya

    positif di kalangan siswa. J Abdimas Indones. 2024

    Dec 19;4(4):1668–75.

    Kado DM, Huang MH, Karlamangla AS, Cawthon

    P, Katzman W, Hillier TA, et al. Factors associated

    with kyphosis progression in older women: 15

    years' experience in the study of osteoporotic

    fractures. J Bone Miner Res. 2013 Jan 1;28(1):179–

    https://doi.org/10.1002/jbmr.1728

    Kazdin AE. Parent management training:

    Treatment for oppositional, aggressive, and

    antisocial behavior in children and adolescents.

    Oxford: Oxford University Press; 2005.

    https://doi.org/10.1093/med:psych/978019538600

    001.0001

    Maekawa M. Effects of postural interventions on

    physical and psychological aspects of children in

    terms of secondary sexual characteristics. Int J

    Environ Res Public Health. 2022 Jun

    ;19(12):7401.

    https://doi.org/10.3390/ijerph19127401

    Manoj M. Occupational therapy. Glob J Res Anal.

    https://doi.org/10.36106/gjra

    Mayang CS, Aziz Z. Representation of mental

    health disorders in postpartum women in the film

    "Baby Blues". Proceeding ISETH Int Summit Sci

    Technol Humanit. 2023:1701–11.

    Newman BM, Newman PR. Development through

    life: A psychosocial approach. Boston: Cengage

    Learning; 2020.

    JKEP (Jurnal Keperawatan), Vol 10 Issue 1, May 2025, Page 100-109 e-ISSN: 2354-6050

    Ogura Y, Dimar JR, Djurasovic M, Carreon LY.

    Etiology and treatment of cervical kyphosis: State

    of the art review—a narrative review. J Spine Surg.

    Sep;7(3):422. https://doi.org/10.21037/jss21-54

    Ozrudi MF, Amiri FN. Relationship between

    kyphosis, and anxiety, depression and aggression of

    high school boy students. Clin Res Clin Case Rep.

    Jul 16;1(5). https://doi.org/10.2021/1.1023

    Pan Q. Examining the experience of people aging

    with scoliosis: A narrative analysis [dissertation].

    Wellington (NZ): Victoria University of

    Wellington; [no date].

    Pennebaker JW. Opening up: The healing power of

    expressing emotions. New York: Guilford Press;

    Power TG. Parenting dimensions and styles: A brief

    guide. Houston: University of Houston; 2004.

    Pratiwi RD. Pengaruh terapi bermain ular tangga

    terhadap kecemasan pasien anak usia praschool. J

    Mother Child Health Concerns. 2021 Jun

    ;1(1):1–9.https://doi.org/10.56922/mchc.v1i1.70

    Ryan RM, Deci EL. Self-determination theory and

    the facilitation of intrinsic motivation, social

    development, and well-being. Am Psychol. 2000

    Jan;55(1):68–78. https://doi.org/10.1037/0003-

    X.55.1.68

    Skinner BF. Science and human behavior. New

    York: Macmillan; 1953.

    Soliman HA. Health-related quality of life of

    adolescents with severe untreated congenital

    kyphosis and kyphoscoliosis in a developing

    country. Spine. 2018 Aug 1;43(16):E942–8.

    https://doi.org/10.1097/BRS.0000000000002598

    Woods GN, Huang MH, Lee JH, Cawthon PM,

    Fink HA, Schousboe JT, Kado DM. Factors

    associated with kyphosis and kyphosis progression

    in older men: the MrOS study. J Bone Miner Res.

    Dec 1;35(11):2193–8.

    https://doi.org/10.1002/jbmr.4123