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Confirmatory Factor Analysis to Reduce the Knowledge and Economic Dimensions of the Behavior of Cerebral Palsy Parents Khasanah, Al Um Aniswatun; Yuliana, Sri; Ikrom, Dhofirul Fadhil Dzil; Sholiha, Sangidatus; Dewi, Wardhani Utami
JTAM (Jurnal Teori dan Aplikasi Matematika) Vol 8, No 3 (2024): July
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jtam.v8i3.22952

Abstract

This research is important to understand the behavior of parents of Cerebral Palsy (CP) children by reducing the complexity in understanding knowledge and economic dimensions, thus providing a structured approach to identifying factors that influence the psychology of children with CP. This study aimed to identify and reduce the dimensions that influence the behavior of parents of children with CFA.This study aimed to reduce the socio-economic dimensions and knowledge of the behavior of parents of Cerebral Palsy (CP) children using CFA. A quantitative approach with a cross-sectional design was used in this study to comprehensively examine the behavior of parents of children with CP. Purposive sampling was used to select 200 participants from various backgrounds. The instrument used was a 28-item questionnaire which was distributed online to collect data. The questionnaire has gone through rigorous testing, including CFA, determinant KMO test, Bartlett test PCA, and grouping of variables based on identified factors.Research methods , a quantitative approach with cross-sectional design, and purposive sampling were used to select 200 parents of children with CP from various backgrounds. The instrument in the form of a questionnaire with 28 statement items was distributed online. Data analysis was carried out using CFA, including the determinant test, Kaiser-Meyer-Olkin (KMO) test, Bartlett test, Principal Components Analysis (PCA), and grouping variables based on factors. Research in Lampung shows that the number of boys with CP is slightly higher, with the majority aged 1-5 years. Factor analysis identified three main dimensions: parental knowledge about CP, family economic situation, and parental behavior. Better knowledge and a stable economic situation are positively correlated with better parental behavior in caring for children with CP. Many parents experience high levels of stress due to the physical, emotional, and financial burden of caring for a child with CP. The research conclusion shows that the 28 statement items were successfully reduced to three main dimensions (knowledge, economics, and behavior) which have a significant relationship in the care of children with CP. These findings suggest the need for interventions to increase parental knowledge about CP and family economic stability to increase parental participation in child care.Findings the sex distribution of children with cerebral palsy in Lampung showed a slight excess in the number of boys, with the majority of children being in the age range of 1-5 years. Factor analysis identified three main dimensions: parental knowledge of CP, family economic situation, and parental behavior, where better knowledge and stable economic situation positively correlated with better parental behavior in caring for children with CP. Many parents experience high levels of stress in caring for a child with CP because of the physical, emotional, and financial burden that the condition brings. In conclusion, the 28 items of the statement are reduced to 3 dimensions or factors, including knowledge, economics, and behavior. Each dimension has a relationship with each other significantly to the behavior of parents of CP children.
Peningkatan Kemandirian Orang Tua melalui Stimulasi Motorik Head-Centered pada Anak Cerebral Palsy Sholiha, Sangidatus; Khasanah, Al Um Aniswatun; Vahlia, Ira
Jurnal Pengabdian Kepada Masyarakat (JPKM) TABIKPUN Vol. 6 No. 2 (2025)
Publisher : Faculty of Mathematics and Natural Sciences - Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpkmt.v6i2.225

Abstract

Keterlambatan tumbuh kembang anak dengan cerebral palsy (CP) yang berdampak pada kemampuan motorik kasar dan halus. Tujuannya meningkatkan pengetahuan, keterampilan, dan kesiapan orang tua melalui pendampingan latihan motorik kasar berbasis Stimulasi Motorik Head-Centered. Metode pelaksanaan meliputi tahap persiapan, sosialisasi, pelatihan, penerapan teknologi, pendampingan, evaluasi, dan keberlanjutan program. Hasil yang diperoleh saat pelaksanaan persiapan diperoleh pendataan 24 peserta ketika dilaksanakan sosialisasi semua hadir dan belum pernah mendapatkan informasi terkait stimulasi tersebut, saat pelatihan dilakukan pre test dan di saat tahap evaluasi 95% ada peningkatan hasil pengetahuan setelah dilakukan post test. Kesimpulannya, program ini efektif meningkatkan kapasitas orang tua dalam mendukung perkembangan anak CP.
Potensi Cidera Pada Olahraga Hapkido Provinsi Lampung Yudistira, Efraldo; Khasanah, Al Um Aniswatun; Sefriana, Novi
Jurnal Surya Vol 13 No 3 (2021): VOL 13 NO 03 DESEMBER 2021
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v13i3.297

Abstract

Background: Injury conditions in martial arts based on epidemiological research are in the 10th position in dangerous sports with the potential for injury to reach 2.4% overall. The injury model that occurs each time is determined by a certain dominance technique of a discipline resulting from the philosophy of the sport discipline, training objectives, as well as from the rules of sports competition. The management of hapkido Lampung is aware of the lack of facilities for approaching medical science in injury management to review data and carry out training developments to minimize injuriesObjectives: This study purpose was to determine the risk of injury to Hapkido Athletes in order to develop training programs to focus on preventing or reducing the potential for existing injuries so that athletes have maximum performance.Design: This research is descriptive analytic research using cross sectional design . In this design a transverse approach is used. Where is the observation of the independent variable and the dependent variable is carried out only once at the same time with the number of research samples 60Data Source: The results of this study are data on the incidence of injuries experienced by hapkido athletes based on questionnaire data collectionResults: The data obtained are 53.3% female samples and 46.7% male, with data on the incidence of injury 50.9% in the ankle region, and 44.4% specific tissue injury to joints and ligaments and the incidence of injury during technical training 50.9%Conclusions: The incidence rate of injury to the hapkido martial arts athlete in Lampung has the largest presentation in the ankle region and in specific ligamentous tissues with the risk of it occurring during movement technique training activities where the results can be concluded that hapkido sports require good joint stability, especially in the ankle region.
KOMORBIDITAS PENYANDANG CEREBRAL PALSY DI KOMUNITAS CEREBRAL PALSY METRO KHASANAH, AL UM ANISWATUN; Yudistira, Efraldo; Akbar, Bota Muhammad
Jurnal Surya Vol 13 No 3 (2021): VOL 13 NO 03 DESEMBER 2021
Publisher : Universitas Muhammadiyah Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38040/js.v13i3.298

Abstract

Background: Kondisi salah satu difabel macam-macam salah satunya yaitu Cerebral Palsy. Sebagian besar anak Cerebral Palsy paling sedikit memiliki satu kelainan penyerta atau komorbiditas. Pada data SCPE, komorbiditas yang paling umum ditemukan adalah gangguan berbahasa (71%), diikuti oleh gangguan intelektual (62%), epilepsi (39%), dan gangguan penglihatan (22%).Objectives: Tujuan penelitian untuk mengetahui masalah komorbiditas Cerebral Palsy sehubungan dengan  angka harapan hidup pasien yang bergantung pada beratnya disabilitas yang dialami pada komunitas Cerebral Palsy MetroDesign: Rancangan Penelitian ini merupakan penelitian deskriptif analitik dengan menggunakan desain cross sectional atau potong lintang. Dalam desain cross sectional digunakan pendekatan transversal, dimana observasi terhadap variabel bebas dan variabel terikat dilakukan hanya sekali pada saat yang sama.Dengan Jumlah sampel penelitian 50.Data Sources: Subjek penelitian laki-laki 31 (62%) dan perempuan 19 (38%), dengan sampel rentang usia antara 0-18 tahun. Peserta paling banyak pada tipe CP Spastik QuadriplegiaResults: hasil Komorbiditas Cerebral Palsy pada subjek penelitian. Pada Disabilitas intelektual berjumlah 30 (60%), Epilepsy berjumlah 19(38%), Gangguan visual 3(6%), Gangguan wicara 37(74%), Gangguan perkembangan dan pertumbuhan 14(28%), Gangguan BAB 10 (20%), Gangguan Pernapasan 4 (8%), Gangguan ortopedi deformitas ankle 23(46%), Gangguan deformitas scoliosis 21 (42%), Gangguan subluksasi Hip 9(18%), Gangguan tidur 11 (22%), yang mana perindividu Cerebral Palsy paling banyak memiliki tiga komorbiditas dan banyak dimiliki oleh tipe CP Spastik QuadriplegiaConclusions: Komorbiditas pada penyandang cerebral palsy di komunitas cerebral palsy  metro yang paling banyak pada gangguan wicara serta ditemukan lebih dari tiga komorbiditas pada individu cerebral palsy  dengan tipe CP spastik Quadriplegia.
PENDAMPINGAN PARENTAL TRADITIONAL THAI MASSAGE UNTUK MENINGKATKAN KESADARAN SENSORI PADA KOMUNITAS PEDULI AUTIS LAMPUNG (KOPALA) Yudistira, Efraldo; Khasanah, Al Um Aniswatun; Soliha, Sangidatus; Vahlia, Ira; Dewi, Wardhani Utami
SINAR SANG SURYA Vol 9, No 2 (2025): Agustus 2025
Publisher : UM Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/sss.v9i2.4090

Abstract

Pengabdian ini bertujuan untuk memberikan pendampingan Parental Thai Massage. permasalahan yang diterapkan dalam komunitas ini adalah Parental Traditional Thai Massage, yang bertujuan untuk mengurangi stres, meningkatkan relaksasi, serta meningkatkan kesadaran sensorik pada anak autisme.Parental Traditional Thai Massage ini memberikan stimulasi pada sistem saraf pusat, membantu meredakan ketegangan otot, dan menciptakan efek relaksasi yang bermanfaat bagi anak. Metode pengabdian ini yaitu pengumpulan data, perencanaan, pelaksanaan dan evaluasi. Hasil pengabdian menunjukkan mitra sangat antusias dalam mengikuti pendampingan pendampingan Parental Thai Massage. Sebelum pendampingan dilakukan, hampir secara keseluruhan mitra belum mengetahui manfaat pendampingan Parental Thai Massage untuk meningkatkan kesadaran sensoris pada anak autis. Setelah diberikan pendampingan Parental Thai Massage 90% anggota KOPALA memahami dalam pelaksanaan teknik Parental Thai Massage. Dalam kegiatan tersebut, KOPALA sangat antusias dalam mengikuti pendampingan pembuatan Parental Thai Massage. Sebelum pendampingan dilakukan, hampir secara keseluruhan KOPALA belum mengetahui bahwasannya Parental Thai Massage memberikan efek stimulasi untuk meningkatkan kesadaran sensoris. Setelah diberikan pendampingan teknik Parental Thai Massage 90% orang tua KOPALA memahami teknik Parental Thai Massage 
PENGEMBANGAN PANDUAN MELATIH BODY AWARENESS BERBASIS ANDROID UNTUK ANAK AUTIS Khasanah, Al Um Aniswatun; Sholiha, Sangidatus; Vahlia, Ira
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 2 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i2.3093

Abstract

Children with autism often face challenges in recognizing and controlling their own bodies, a condition referred to as body awareness. Deficits in body awareness can significantly affect motor skills, nonverbal communication, and social interaction. Despite the importance of this developmental domain, interactive training media tailored to the sensory and cognitive needs of children with autism remain limited. This study aims to develop an Android-based application to enhance body awareness in children with autism through the integration of music, video, and mirror game activities. The research utilized the ADDIE (Analysis, Design, Development, Implementation, Evaluation) development model. Instruments included expert validation questionnaires for both content and media, as well as user response surveys and comprehension tests administered to 30 children with autism in Metro City. Validation results indicated high feasibility, with ratings of 88.75% from media design experts and 90.00% from content experts. Effectiveness testing revealed a statistically significant improvement in body awareness, with a 20-point gain between pre-test and post-test scores (t = 13.70; p < 0.001; 95% CI: 16.70–23.30). These results suggest that the developed application is a practical, engaging, and effective tool for supporting body awareness development in children with autism, and it may serve as a valuable resource for educators, therapists, and parents.
PERMASALAHAN AKTIFITAS GERAK BODY AWARENESS PADA ANAK AUTIS DI KOMUNITAS PEDULI ANAK AUTIS LAMPUNG (KOPALA) KOTA METRO Khasanah, Al Um Aniswatun; Yudistira, Efraldo; Akbar, Bota Muhammad; Afifah, Zulaika Nur; Nata Dewi, Anak Ayu Nyoman Trisna
Journal of Hospital Administration and Excellent Health Service Vol. 1 No. 1 (2024): JANUARY
Publisher : Journal of Hospital Administration and Excellent Health Service

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Abstract

Permasalahan lain pada kondisi autis salah satunya adalah body awareness atau kesadaran tubuh, mengingat permasalahan sensorik dan integrasi sensoris menjadi ciri khas individu dengan kondisi autism. Penelitian ini menggunakan pendekatan dengan mencari data dengan melakukan survei atau kuantitative yang datanya diambil secara langsung dengan orangtua di Komunitas Peduli Autis Lampung. Sampel penelitian dilakukan survei pada anak autis di Komunitas Peduli Autis Lampung dengan jumlah responden sebanyak 32 anak dengan metode melakukan tanya jawab kepada orang tua anak tersebut, dalam desain cross sectional digunakan pendekatan transversal, dimana observasi terhadap variabel bebas dan variabel terikat dilakukan hanya sekali pada saat yang sama. Setelah dilkukan survey didapatkan jumlah laki-lakinya 28 (87,5%) lebih banyak dibandingkan perempuan 4 (12,5%).Permasalahan aktivitas body awareness yang paling banyak adalah Sering menabrak dinding atau tersandung oleh objek di tengah lantai 28 (87,5%), Sering tersandung dengan kakinya sendiri 32 (100%), Kesulitan meniru gerakan yang dia lihat di TV atau saat bermain dengan Anda atau anak-anak lain 24 (75%), Suka mengunyah/ menggigit atau menarik pakaiannya sendiri atau orang lain 24 (75%), Saat menendang atau berjalan dengan kekuatan ekstra 26 (81,25%), Saat menulis memegang erat pensil atau menulis dengan tekanan ke kertas dengan ekstra 18 (56,25%), Tidak suka dengan ruang yang gelap 20 (62,5%), Suka melakukan pelukan yang erat kekeluarga atau benda kesayangan 26 (81,25%). Berdasarkan hasil survey yang paling banyak permasalahan aktivitas body awareness pada anak autis adalah anak sering tersandung dengan kakinya sendiri.
STUDY KASUS PENDEKATAN INOVATIF FISIOTERAPI PEDIATRI: MENINGKATKAN KONSENTRASI ANAK AUTISME MELALUI INTERVENSI MIRROR GAMES Utami, Inggrid Regita; Khasanah, Al Um Aniswatun; Sri Yuliana; Afifah, Zulaika Nur; Al Hazmi, Dhofirul Fadhil Dzil Ikrom; Yudistira, Efraldo; Yudistira, Bota Muhammad Akbar; Yudistira, Toumi Shiddiqi; Siamy, Hapy Ardiaviandaru; A.Zain, Afif Fairuz Fajri
Journal of Hospital Administration and Excellent Health Service Vol. 2 No. 2 (2025): Juli 2025
Publisher : Journal of Hospital Administration and Excellent Health Service

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Autism or Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by two main symptoms: difficulties in social communication and interaction, as well as restricted and repetitive patterns of interests, activities, and behaviors. Children with autism often struggle to maintain concentration, which affects their ability to engage in learning and social activities. One therapeutic approach that can be used to improve concentration is mirror games, a mimicry-based activity involving both visual and motor interaction.Objective: To determine whether the mirror games method can improve concentration in children with autism.Research Method: This research used a single case study design, aimed at evaluating the effectiveness of physiotherapy management using the mirror games method to enhance concentration in a child with autism.Results: The results showed an increase in sustained attention duration and the ability to follow sequential instructions. The subject was able to maintain focus for a longer period and follow more instructions in sequence compared to before the intervention. This indicates that mirror games positively contribute to improving a child's concentration.Conclusion: The mirror games method can enhance concentration in children with autism and may serve as an enjoyable and practical alternative therapy that can also be applied at home.
IMPLEMENTASI KEBIJAKAN PELAYANAN KESEHATAN LANSIA MELALUI PEMERIKSAAN FUNGSIONAL DI TINGKAT DESA: STUDI DESKRIPTIF DI PURWODADI 13A METRO Khasanah, Al Um Aniswatun; Siamy, Hapy Ardiaviandaru; Yuliana, Sri; A Zain, Afif Fairuz; Akbar, Bota Muhammad; Alhazmi, Dhofirul Fadhil Dzil Ikrom; Yudistira, Efraldo
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. No, 1 (2026): Januari 2026
Publisher : Journal of Hospital Administration and Excellent Health Service

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Abstract

Peningkatan jumlah penduduk lanjut usia (lansia) menuntut penguatan sistem pelayanan kesehatan yang tidak hanya bersifat kuratif, tetapi juga promotif dan preventif. Salah satu bentuk implementasi kebijakan pelayanan kesehatan lansia berbasis komunitas adalah pemeriksaan fungsional di tingkat desa untuk mendeteksi dini risiko penurunan fungsi fisik. Penelitian ini bertujuan untuk mendeskripsikan implementasi kebijakan pelayanan kesehatan lansia melalui pemeriksaan fungsional menggunakan Sit and Reach Test di Balai Desa Purwodadi 13A Metro. Penelitian ini menggunakan desain deskriptif kuantitatif dengan teknik total sampling terhadap 14 lansia yang mengikuti kegiatan pemeriksaan kesehatan. Variabel yang diamati meliputi karakteristik responden (jenis kelamin, usia, berat badan) serta hasil fleksibilitas otot hamstring dan punggung bawah melalui Sit and Reach Test. Data dianalisis secara deskriptif menggunakan nilai minimum, maksimum, dan rerata. Hasil penelitian menunjukkan bahwa mayoritas responden adalah perempuan (78,6%) dengan rentang usia 51–77 tahun dan berat badan 48–75 kg. Pemeriksaan Sit and Reach Test memperoleh nilai terendah 9 cm dan tertinggi 20 cm, dengan rerata 14,07 cm. Sebagian besar lansia berada pada kategori fleksibilitas cukup hingga baik, serta lansia perempuan cenderung memiliki nilai fleksibilitas lebih tinggi dibandingkan laki-laki. Temuan ini menegaskan bahwa pemeriksaan fungsional lansia telah terlaksana sebagai bagian dari implementasi kebijakan pelayanan kesehatan lansia di tingkat desa. Pemeriksaan sederhana seperti Sit and Reach Test dapat menjadi indikator penting dalam pelayanan preventif serta dasar perencanaan program lanjutan, seperti senam lansia dan pemantauan kesehatan berkala.