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The Effectiveness of AVAZ AAC Media in Improving the Expressive Language Skills of Children with Down Syndrome in Surakarta City Adi, Tomas Kurnia; Wiliyanto, Dian Atnantomi; Sutanto, Alfiani Vivi
Teknodika Vol 24, No 1 (2026): Teknodika
Publisher : Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/teknodika.v24i1.112342

Abstract

Down Syndrome causes intellectual disabilities and language delays, especially expressive language. Children with Down Syndrome require concrete and easy-to-understand learning media. Augmentative and Alternative Communication (AAC), specifically AVAZ AAC. This media has features that can offer effective support. This study aims to analyze the effectiveness of AVAZ AAC in improving the expressive language skills of children with Down Syndrome in Surakarta. This research is a quantitative descriptive study with a quasi-experimental design using a one-group pre-test–post-test approach on 10 children with Down Syndrome who were selected purposively. The intervention consisted of 6 sessions. Expressive language skills were measured using the NSST. Data were analyzed using a Paired t-test and Cohen's d effect size. The average score increased from 6 to 16.3, with a change in category from entirely low to mostly moderate. The Paired T-Test produced p = 0.001, and effectiveness was declared strong with an effect size of Cohen's d = 1.43, indicating a significant influence of AVAZ AAC media. The use of AVAZ AAC media has been proven effective in improving the expressive language skills of children with Down Syndrome, as evidenced by changes in score categories, a p-value of 0.001, and a large effect size (d = 1.43). This media is recommended for continued use by parents, teachers, schools, and therapists, and supported by ongoing research with a larger sample size and extended duration.
PICKY EATING BEHAVIOR ON THE INCIDENT OF STUNTING IN CHILDREN TODDLERS IN TIRTOMOYO, WONOGIRI Sutanto, Alfiani Vivi; Nurhidayah, Lia Ratih
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 12, No 1 (2024): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v12i1.83139

Abstract

Background: The process of development and growth during toddlerhood is determined by the food consumed every day. Giving the body the appropriate nutrition it needs will produce good development. However, various obstacles often occur, such as eating disorders in children. One of the eating disorders in children is the habit of refusing food and being picky about food, often called picky eating, which will have an impact on their nutritional status. Thin or poor nutritional status in children under five can put them at risk of stunting. Stunting is a physical growth disorder characterized by a decrease in growth rate and the impact of a nutritional imbalance.Methods: This research is quantitative, with a type of observational analytical research. This research was conducted from January to October 2023 in Tirtomoyo, Wonogiri, with a population of 55 children and a sample of 50 children. A questionnaire was developed by researchers based on the Picky Eating Behavior Rating Scale and Transcultural Nursing Theory. Whereas the connection between variables is analyzed using the analysis of simple linear regression through ANOVA and power tables, the influence between variables is observed through the model summary table on value correlation (R). The license number of research is 071/277.Result: There is an influence of the behavior of picky eaters against the incidence of stunting among toddlers in the Tirtomoyo, Wonogiri, with a level of significance (Sig.) of 0.004 and a value coefficient determination (R square) of 0.164.Conclusion: The behavior of picky eaters can influence the incidence of stunting in children. Keywords: Behavior picky food (Picky Eating), Stunting, Toddlers