Optimizing Mental Health Cadres In Disaster Response: Stress Management and Spiritual Emotional Freedom Technique (SEFT) in Agricultural Communities

Primasari Mahardhika Rahmawati; Rondhianto Rondhianto; Dwi Ochta Pebriyanti; Suhari Suhari; R Endro Sulistyono

doi:10.22146/jpkm.104898

Optimizing Mental Health Cadres In Disaster Response: Stress Management and Spiritual Emotional Freedom Technique (SEFT) in Agricultural Communities

https://doi.org/10.22146/jpkm.104898

Primasari Mahardhika Rahmawati^(1*), Rondhianto Rondhianto⁽²⁾, Dwi Ochta Pebriyanti⁽³⁾, Suhari Suhari⁽⁴⁾, R Endro Sulistyono⁽⁵⁾

(1) Department of Community and Family Health Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
(2) Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
(3) Department of Community and Family Health Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
(4) Department of Community and Family Health Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
(5) Department of Community and Family Health Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia
(*) Corresponding Author

Abstract

Natural disasters produce both immediate and prolonged psychological consequences, including stress, anxiety, and depression. These effects require comprehensive interventions combining stress management strategies with the Spiritual Emotional Freedom Technique (SEFT). This study aimed to enhance mental health cadres' capacity to support disaster resilience programs in agricultural communities, focusing on Indonesia's disaster-prone Lumajang District. The research implemented a two-phase intervention: First, 30 health cadres received training using a quantitative pre-experimental design with pre-test and post-test evaluations. Second, these trained cadres conducted home visits for 80 community members, with outcomes measured using the PTSD Checklist (PCL-5). Results demonstrated significant improvements across both cadres and community members. Cadres' stress management knowledge increased substantially from an average pre-test score of 50% (poor category) to 76.6% (good category) post-intervention. Most importantly, SEFT implementation reduced PTSD symptoms among community members from 41.25% to 11.25%. The study also revealed high participant engagement, with all 30 cadres completing training and demonstrating strong knowledge retention. These findings confirm that targeted training in SEFT and stress management can effectively enhance mental health cadres' professional capabilities. By strengthening frontline responders' skills, communities gain greater capacity to address post-disaster psychosocial challenges and build long-term resilience. The research highlights the value of integrating evidence-based psychological interventions with community health worker programs, particularly in vulnerable agricultural regions facing recurrent disasters. This cadre-centered approach offers a sustainable model for improving mental health outcomes in disaster-affected populations while supporting broader disaster preparedness initiatives. Where it will also support the achievement of SDG 3.

Keywords

Agriculture; Cadres; Good health and wellbeing; Natural disasters; SDG 3; SEFT; Stress management

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References

Buston, E., Pardosi, S., & Efendi, P. (2021). Pengaruh pelatihan terhadap pengetahuan kesiapsiagaan manajemen bencana pada keluarga di daerah pesisir pantai Kota Bengkulu. Jakiyah: Jurnal Ilmiah Umum Dan Kesehatan Aisyiyah, 6(2), 92–98.

Carlos Rodrigo, G. R., Katsuya, Y., Genta, N., Rafael Humberto, M. C., Jorge Antonio, O. T., Ana Paola, Á. Z., Sergio, S. A., René Mario, F. R., & Astrid Renneé, P. G. (2024). Theoretical and practical considerations in the creation of a disaster risk reduction educational strategy at the primary education level: A case study of Mexico city. International Journal of Disaster Risk Reduction, 105, 104320. https://doi.org/https://doi.org/10.1016/j.ijdrr.2024.104320

Chen, S., Bagrodia, R., Pfeffer, C. C., Meli, L., & Bonanno, G. A. (2020). Anxiety and resilience in the face of natural disasters associated with climate change: A review and methodological critique. Journal of Anxiety Disorders, 76, 102297. https://doi.org/10.1016/j.janxdis.2020.102297

Damaiyanti, M., MH, G., Fitriani, D. R., Ismahmudi, R., & Winarti, Y. (2021). Community mental health services and research clinic (KP2KJM) Muhammadiyah University of East Kalimantan. Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement), 7(4), 216. https://doi.org/10.22146/jpkm.39731

Gray, B., Eaton, J., Christy, J., Duncan, J., Hanna, F., & Kasi, S. (2021). A proactive approach: Examples for integrating disaster risk reduction and mental health and psychosocial support programming. International Journal of Disaster Risk Reduction, 54, 102051. url{https://doi.org/10.1016/j.ijdrr.2021.102051}

Hidayah, N., Florensa, F., Seprian, D., Nisma, N., & Fathudin, Y. (2024). Efektifitas model terapi modalitas dan komplementer seft terhadap penurunan tingkat stres pasca bencana pada remaja penyintas bencana gempa bumi di Ponpes Minhajul Karomah Kabupaten Cianjur. Jurnal Pendidikan Tambusai, 8(1), 5397–5404.

Istiani, A. N., Heru Husodo, A., Agusno, M., Tanjungsari, P., Baron, J. K., Kemiri, D., & Tanjungsari, K. (2021). The Effect of mental health training on attitudes and knowledge of cadres in early detection of mental disorders. RPCPE Journal, 1(1), 136–140.

Izzah, S. N., Maulana, R. A., Setyanto, D., Wiradhika, L. D., & D’Arqom, A. (2022). Increasing the knowledge of mental health of young adults through video-assisted education: A pilot study in Surabaya. Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement), 8(4), 184. https://doi.org/10.22146/jpkm.68067

Juliana, J., Arman, A., & AP, A. R. A. (2023). Hubungan karakteristik individu terhadap post traumatic stress disorder (PTSD) pada penyintas covid-19 di Puskesmas Cendrawasih Kota Makassar. Journal of Muslim Community Health, 4(4), 1–9.

Macleod, E., Curll, S., Walker, I., Cruwys, T., Greenwood, L. M., Reynolds, J., Lane, J., Galati, C., Christensen, B., & Calear, A. L. (2025). Mental health, wellbeing, and burnout among practicing psychologists following australian weather disasters and COVID-19. International Journal of Disaster Risk Reduction, 117. https://doi.org/10.1016/j.ijdrr.2025.105195

Malas, O., & Tolsá, M. D. (2024). The impact of volcano eruption on mental health: A systematic review. International Journal of Disaster Risk Reduction, 113. https://doi.org/10.1016/j.ijdrr.2024.104863

Melina, S. A., & Herbawani, C. K. (2022). Faktor-faktor yang mempengaruhi kesehatan mental remaja selama pandemi covid-19: Tinjauan literatur. Media Kesehatan Masyarakat Indonesia, 21(4), 286–291. https://doi.org/10.14710/mkmi.21.4.286-291

Nye, C., Wheeler, R., Rose, D., Becot, F., Holton, M., Hočevar, D. K., Knook, J., Kyle, S., Partalidou, M., Riley, M., Steiner, A., & Whitley, H. (2025). Mental health, well-being and resilience in agricultural areas: A research agenda for the Global North. Journal of Rural Studies, 114. https://doi.org/10.1016/j.jrurstud.2024.103506

Rahmawati, P. M., Rondhianto, Suhari, Sulistyono, R. E., & Pebriyanti, D. O. (2024). Tanggap bencana dengan manajemen stres & spiritual emotional freedom technique. KHD Production.

Rahmawati, P. M., Suhari, Pebriyanti, D. O., & Sulistyono, R. E. (2023). Nursing intervention for post traumatic stress disorser pasca disaster. Proceding 1 Th Universitas Dr. Soebandi International Conference on Health Sciences, 1.

Rahmawati, P. M., Pebriyanti, D. O., Sulistyono, R. E., & Suhari. (2024). Efektivitas terapi hipnotik lima jari pada gangguan stres pasca trauma pasca bencana. Binawan Student Journal, 6(1), 68–73. https://doi.org/10.54771/jbp0t543

Rahmawati, P. M., Suhari, Astuty, A., & Musviro. (2022). Psycological capital in communities affected by the covid-19 pandemic: A literature review. Nurse Line Journal, 7(2).

Sato, Y., & Nozue, K. (2023). Posttraumatic negative cognitions and nurses’ mental health: One year after the great East Japan earthquake and nuclear accident in Fukushima. International Journal of Disaster Risk Reduction, 89, 103635. https://doi.org/10.1016/j.ijdrr.2023.103635

Susmiatin, E. A., & Sari, M. K. (2021). Pengaruh pelatihan sehat jiwa terhadap pengetahuan kader kesehatan jiwa. The Indonesian Journal of Health Science, 13(1), 72–81. https://doi.org/10.32528/ijhs.v13i1.5044

Wakhid, A., Hamid, A. Y. S., Setiawan, A., & Mustikasari, M. (2022). Symptoms description of family post traumatic stress disorder of the Mount Merapi eruption disaster victims during covid19. Open Access Macedonian Journal of Medical Sciences, 10, 413–419. https://doi.org/10.3889/oamjms.2022.8450

Windarwati, H. D., Susanti, H., Brooks, H., Wardani, I. Y., Hasniah, Raya, M., Ati, N. A. L., & Sari, H. (2023). Lay community mental health workers (cadres) in Indonesian health services: A qualitative exploration of the views of people with mental health problems and their families. PLoS ONE, 18, 1–21. https://doi.org/10.1371/journal.pone.0289943

DOI: https://doi.org/10.22146/jpkm.104898