Peter Anthony Newcombe

In Indonesia, intergenerational co-residence in later life is widely regarded as a normative arrangement, yet older adults’ own motivations for and reservations about living with their adult children remain underexamined. This study explored how older Indonesian adults perceive co-residence with their adult children and what considerations shape their preferences. Using a vignette-based qualitative design, we conducted semi-structured interviews with 20 older adults (aged 60 to 78) who were themselves living in multigenerational households. Data were analysed using a hybrid inductive-deductive thematic analysis. When responding to the vignette, most participants (13 of 20) expressed a preference against prioritising co-residence, despite all currently living with an adult child. A recurring motivation was their wish not to become a burden on their children and to preserve their independence. Five factors shaped these perspectives: financial circumstances, relationship quality, filial responsibility, health-related housing suitability, and marital status. By showing that older adults embedded in a strongly pro-co-residence culture nonetheless voice reservations about it and prioritise not becoming a burden on their children, this study challenges the assumption that normative co-residence reflects older adults’ own preferences and suggests that concerns about autonomy and dependency shape later-life living arrangements beyond individualistic Western settings.

Approximately 70% of older adults in Indonesia live in multigenerational households with their adult children, yet little is known about how adult children experience co-residence. This study developed and validated the Indonesian Intergenerational Co-Residence Scale for Adult Children (IICS-AC), addressing the absence of instruments that systematically capture these experiences. Item generation drew on a systematic review and in-depth interviews with 30 adult children, followed by expert evaluation through the Delphi method. Data were collected from 408 adult children across 25 provinces and analysed using confirmatory factor analysis (CFA). The results supported a refined four-factor, 31-item structure: filial responsibility, parent-child relationship, marital status, and financial circumstances, with acceptable model fit indices (RMSEA = 0.057, CFI = 0.918, TLI = 0.911, SRMR = 0.046). The four-factor structure was further supported by comparison against alternative one-factor and higher-order models. Subscales demonstrated strong internal consistency, although test-retest analysis indicated weaker temporal stability over a one-month interval. Initial validity evidence was obtained through convergent, discriminant, and criterion validity analyses, with the total score showing positive correlations with life satisfaction and negative correlations with depression. The IICS-AC offers a contextually relevant tool for assessing adult children’s experiences of intergenerational co-residence in Indonesia, with potential applications for research, practice, and policy, while further work is needed to establish its stability over time.

Despite widespread use in social research, the vignette development often lacks systematic frameworks linking empirical evidence to narrative construction. This methodological gap is particularly problematic when studying sensitive topics across cultural contexts, where scenarios must balance realism with authenticity. This study presents a three-phase framework for developing and validating generation-specific vignettes through participatory stakeholder collaboration, using Indonesian intergenerational co-residence decisions as a methodological case study. The framework integrates: (1) translation of systematic review findings into vignette components reflecting key decision-making factors; (2) participatory scenario construction with real-time collaborative revision; and (3) two-stage validation through focus groups (n = 6 older adults; n = 6 adult children) and individual interviews (n = 4) assessing multidimensional reflection, balanced engagement, and clarity. Results demonstrated differential validation outcomes across generations: the older adults’ vignette required no revisions and elicited practical problem-solving responses, whereas the adult children’s vignette underwent modifications to clarify parental motivation, sibling proximity, and narrative sequence. Both vignettes successfully prompted consideration of interacting factors–health, finances, kinship, emotions, and cultural expectations–validating their capacity to elicit complex decision-making processes. The validated framework offers researchers a replicable, evidence-based approach for developing culturally grounded vignettes. While demonstrated through family co-residence research in Indonesia, the three-phase process provides transferable guidance for studying sensitive topics requiring stakeholder-validated scenarios across diverse populations and research contexts.

Background: Quality of life (QoL), the highest prioritised outcome by children with bronchiectasis and their parents, is a patient-reported outcome measure increasingly considered essential when evaluating health and interventions. Despite this, there are no validated instruments that specifically measure QoL related to bronchiectasis in children. We aimed to develop and validate a new bronchiectasis child-specific parent-proxy QoL instrument (BC-QoL). Methods: We developed a draft 44-item BC-QoL and subsequently conducted a prospective cohort study where 142 parents completed draft BC-QoL and six other measures: two validated cough scores, parent-proxy children’s acute cough-specific QoL, depression, anxiety and stress 21-item scale, RAND-36 and paediatric QoL (PedsQL ^TM 4.0) to assess the convergent and discriminant validity of the BC-QoL. The questionnaires were completed over three weeks at different phases of their child’s illness (stable state, exacerbation and/or recovery). Responses were analysed using psychometric and clinical impact techniques to reduce items and determine the instrument’s reliability and validity. Minimally important difference (MID) was also calculated. Results: The final 23-item BC-QoL instrument with its three domains (emotional, physical, social well-being) demonstrated high split half reliability (0.95), Cronbach’s alpha (0.97), repeatability (intraclass coefficient=0.74, 95%CI 0.62-0.82), validity and responsiveness. BC-QoL’s domains significantly correlated with that of PedsQL ^TM 4.0 (Spearman correlations: emotional=0.43, social=0.41, physical=0.47). BC-QoL’s MID ranged from 0.74 to 1.32. Conclusion: BC-QoL, the first bronchiectasis child-specific QoL instrument, has evidence demonstrating its validity and reliability, and can be used to evaluate the impact and effectiveness of interventions and better understand the disease burden in children with bronchiectasis.

Information about the paper titled "INTERVENTION STUDY FOR TEACHERS IN INDONESIA TO ENGAGE WITH TWICE-EXCEPTIONAL CHILDREN IN THE CLASSROOM" at IATED Digital Library

The inclusion of education about complementary and alternative medicine (CAM) into health education has occurred among the conventional health professions, but not for clinical psychologists. Clinical psychologists, as health professionals, need to have CAM knowledge in order to provide psychoeducation about CAM to their clients based on the latest scientific research. This novel cross-sectional research aimed to explore CAM-related educational needs among Indonesian clinical psychologists based on their knowledge of CAM and attitude towards knowledge of CAM. The participants were 318 clinical psychologists (M_age = 33.94 years, SD = 8.21; 87.7% females) who completed an online survey. In general, participants self-reported a lack of CAM knowledge. CAM education, especially in regards to the risks of CAM use, was strongly needed in psychology curricula and its continuing education. Findings of this study show that professional psychology associations may need to regulate CAM integration in psychological services; and educational institutions teaching psychology may consider delivering CAM education using experiential learning methods. Asian nations could consider the recommendations in this study due to their similarity with Indonesian culture and history of education within the field of psychology.