##plugins.themes.academic_pro.article.main##

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

##plugins.themes.academic_pro.article.details##

How to Cite
Sari, H. L., & Anwar, M. S. (2025). THE IMPACT OF PROVIDING APPRECIATION STARS “DIARY OF MY BONE” ON CHILDREN’S EMOTIONAL WELL-BEING IN MALANG REGENCY VILLAGE. JKEP (Jurnal Keperawatan), 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.
    2018 Apr;148:741–63.
    https://doi.org/10.1007/s10551-015-2970-0
    2. 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
    3. 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
    1;44(4):291–6.
    https://doi.org/10.1097/BPO.0000000000002635
    4. 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
    5. Dima C, Mitoiu B, Nartea R, Dima V, Mirea A.
    Hyperkyphotic posture among adolescents–still a
    public health problem. Rom J Pediatr. 2022 Apr
    1;71(2). https://doi.org/10.37897/RJP.2022.2.6
    6. Dweck CS. Mindset: The new psychology of
    success. New York: Random House; 2006.
    7. Erikson EH. Childhood and society. New York:
    Norton; 1963.
    8. 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
    9. 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.
    10. 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–
    87. https://doi.org/10.1002/jbmr.1728
    11. 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
    4.001.0001
    12. 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
    16;19(12):7401.
    https://doi.org/10.3390/ijerph19127401
    13. Manoj M. Occupational therapy. Glob J Res Anal.
    https://doi.org/10.36106/gjra
    14. 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.
    15. 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
    109
    16. 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.
    2021 Sep;7(3):422. https://doi.org/10.21037/jss21-54
    17. Ozrudi MF, Amiri FN. Relationship between
    kyphosis, and anxiety, depression and aggression of
    high school boy students. Clin Res Clin Case Rep.
    2021 Jul 16;1(5). https://doi.org/10.2021/1.1023
    18. Pan Q. Examining the experience of people aging
    with scoliosis: A narrative analysis [dissertation].
    Wellington (NZ): Victoria University of
    Wellington; [no date].
    19. Pennebaker JW. Opening up: The healing power of
    expressing emotions. New York: Guilford Press;
    1997.
    20. Power TG. Parenting dimensions and styles: A brief
    guide. Houston: University of Houston; 2004.
    21. Pratiwi RD. Pengaruh terapi bermain ular tangga
    terhadap kecemasan pasien anak usia praschool. J
    Mother Child Health Concerns. 2021 Jun
    16;1(1):1–9.https://doi.org/10.56922/mchc.v1i1.70
    22. 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-
    066X.55.1.68
    23. Skinner BF. Science and human behavior. New
    York: Macmillan; 1953.
    24. 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
    25. 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.
    2020 Dec 1;35(11):2193–8.
    https://doi.org/10.1002/jbmr.4123