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All Journal Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan
Lukman Hilfi
Universitas Padjadjaran
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Development of Disability Inclusion Capacity Instrument for Community Cadres: Rasch Model Analysis Daniel Francis Hartopo; Lukman Hilfi; Mulya Nurmansyah Ardisasmita
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 3 No. 2 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v3i2.452

Abstract

Adding to their relatively high number, people with disabilities in Indonesia also face various challenges. Given such high prevalence, cadres have an important role in promoting disability inclusion. It is crucial to measure the level of knowledge, attitudes, and behaviors of these cadres regarding disability inclusion, for example, by using an instrument. To test the validity and reliability of such an instrument, statistical analysis methods like the Rasch Model Analysis are applicable due to their advantages. This study evaluates the construct validity of the Hilfi & Kaylia Disability Inclusiveness Perception instrument among health cadres. The study used a cross-sectional design using secondary data from the Disability Inclusion Capacity instrument administered to 709 cadres residing in Bandung City, Indonesia, from July to December 2024. Construct validity was analyzed using the Rasch model. Data from 626 participants who met the criteria showed that the average outfit mean-square (MnSq) for the 25-item version of the instrument met Rasch model expectations (0.92). However, item J1 was identified as a misfitting item (outfit MnSq > 1.4 and outfit Z-standard (ZSTD) > 2) across all three versions of the instrument. The explained variance was found to be 44.1%. Reliability and separation index results were excellent, with Cronbach’s alpha at 0.96 and separation index above 2. However, category response functioning and targeting did not fully meet Rasch model expectations. Nonetheless, it can be concluded that the Hilfi & Kaylia Disability Inclusiveness Perception Instrument has acceptable construct validity with the sample of health cadres in Bandung City, Indonesia.
Construct Validity of the Kessler Psychological Distress Scale (K-10) Instrument in the Elderly with Disabilities: Rasch Model Analysis Lukman Hilfi; Mulya Nurmansyah Ardisasmita; Fauzura Nuril Mahra
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 3 No. 3 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v3i3.453

Abstract

Aging contributes to functional decline and heightened psychological distress that affects the older adults’ quality of life. The World Health Organization (WHO) recommends the 10-item Kessler Psychological Distress Scale (K-10) for assessing psychological distress, however the Classical Test Theory (CTT)-based evaluation method has limitations. Item Response Theory (IRT), specifically the Rasch model, offers a more accurate method for measuring the instrument’ validity and reliability. This study examined the construct validity of the K-10 Indonesian version in older adults with disabilities. A cross-sectional method and secondary data from 321 elderly individuals (≥60 years) with disabilities in Bandung City, Indonesia, were used between August and February 2025. The Instrument’s construct validity of was analyzed by performing the Rasch model. A total of 315 responses were eligible for analysis. The K-10 showed an overall fit to the Rasch model (mean outfit MnSq = 1.03±0.27). Item C10 (“feel worthless”) was identified as misfitting (outfit MnSq >1.4; ZSTD >2), although no factor bias was detected. The explained variance reached 54.10%. Reliability indicators were strong, with a Cronbach’s alpha of 0.89 and a person separation index above 2. However, category functioning and targeting did not fully meet Rasch expectations. The correlation between K-10 and WHODAS 2.0 showed a moderate positive relationship, though it did not reach the criterion for convergent validity (r >0.6).  The Indonesian version of the K-10 has acceptable construct validity in a sample of older adults with disabilities in Bandung City, Indonesia. 
The Association of Socioeconomic Characteristics with Psychological Distress and Burnout in Disability Assistance Cadres in Bandung Athifah, Nur Azizah Arif; Lukman Hilfi; Sri Yusnita Irda Sari
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 3 No. 2 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v3i2.454

Abstract

People with disabilities risk facing obstacles in participating in and benefiting from development. Indonesia is committed to supporting people with disabilities, one of which is through services and rehabilitation provided by cadres. Unfortunately, there is currently no regulation governing compensation for cadres that puts them at risk of psychological distress and burnout. This research intends to analyze the association of different socioeconomic characteristics with psychological distress and burnout and the association between the two conditions in cadres providing services in Bandung City. Through a secondary cross-sectional research, 648 cadres’ data were obtained. The data included were socioeconomic characteristics, psychological distress (Kessler-10), and burnout (The Burnout Measure Short Version). This article discovered a significant negative correlation between age (ρ = -0.097; p = 0.014) and seniority (ρ = -0.134; p < 0.001) toward psychological distress and a significant positive correlation between psychological distress and burnout (ρ = 0.505; p < 0.001). These findings highlight the importance of considering age and seniority to support cadres' mental health and ensure a sustainable recruitment and regeneration strategy.
Co-Authors Athifah, Nur Azizah Arif Daniel Francis Hartopo Fauzura Nuril Mahra Mulya Nurmansyah Ardisasmita Sri Yusnita Irda Sari