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Efri Widianti

Fakultas Keperawatan, Universitas Padjadjaran

Author-ID : 415433

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The Knowledge related to Mental Health of the People around the Coastal Areas Taty Hernawaty; Hadi Suprapto Arifin; Efri Widianti
Jurnal Keperawatan Indonesia Vol 23, No 3 (2020): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i3.1234

Mental health is one of Indonesia’s public health development goals. The Pangandaran District Administration of West Java is an expanded district that actively carries out various development programs, including mental health programs. This study aimed to identify public knowledge about mental health in Pangandaran District using quantitative descriptive method. The research population comprised residents of the Pangandaran District, and a sample was collected via cluster multistage sampling technique. The sample was gradually determined in the order of subdistricts, villages, subvillages, community units, and neighborhood units. The total sample was composed of 113 respondents. The questionnaire was developed based on theories and concepts on public mental health and distributed to participants after validity and reliability tests were conducted. The construct validity test result was between 0.303 and 0.764, which meant that all items were valid. The Kuder-Richardson 20 formula was used to test reliability, and the reliability coefficient was 0.887. Mathematical calculations were used for data analysis; data are presented as frequency distributions. In this study, 61.10% of the respondents had “less” knowledge, 33.59% had “good” knowledge, and the remaining 5.30% had “enough” knowledge of mental health. The results suggest that the local government should provide mental health education for the residents. For educational institutions, mental health programs should be a fundamental offering in Indonesian society. Abstrak Pengetahuan tentang Kesehatan Mental Warga di Sekitar Wilayah Pesisir. Sehat secara mental merupakan bagian dari tujuan pembangunan kesehatan masyarakat. Pemerintah Kabupaten Pangandaran merupakan kabupaten pemekaran yang sedang menggalakkan berbagai program pembangunan termasuk program kesehatan jiwa. Penelitian ini bertujuan mengidentifikasi pengetahuan masyarakat Kabupaten Pangandaran mengenai kesehatan jiwa. Metode penelitian menggunakan deskriptif kuantitatif. Populasi penelitian adalah seluruh masyarakat Kabupaten Pangandaran dan sampel diambil menggunakan tehnik cluster multistage sampling. Tahapan penetapan sampel dilakukan bertahap mulai dari kecamatan, desa, dusun, rukun warga, sampai rukun tetangga dan didapat sebanyak 113 orang. Data penelitian dikumpulkan melalui kuesioner dan dibagikan pada seluruh responden. Kuisioner dikembangkan dari teori dan konsep kesehatan jiwa masyarakat dan sudah dilakukan uji validitas dan reliabilitas. Uji validitas konstrak didapatkan hasil berkisar antara 0,303 sampai 0,764 sehingga semua item dinyatakan valid. Uji reliabilitas menggunakan uji Kuder Richardson 20 dan diperoleh koefisien reliabilitas KR-20 sebesar 0,887. Analisa data menggunakan perhitungan matematis dan ditampilkan dalam bentuk tabel distribusi frekuensi. Hasil penelitian menunjukkan bahwa 61,10% responden kurang memiliki pengetahuan mengenai kesehatan jiwa, 33,59% responden memiliki pengetahuan mengenai kesehatan jiwa yang baik, dan sisanya 5,30% responden memiliki pengetahuan mengenai kesehatan jiwa yang cukup. Saran, bagi pemerintah setempat agar memberikan pendidikan kesehatan jiwa bagi masyarakat. Bagi instansi pendidikan, diharapkan menjadi data dasar dalam membuat program kesehatan jiwa di masyarakat. Kata Kunci: Jawa Barat, kesehatan masyarakat, program kesehatan jiwa, wilayah pesisir

Pembentukan Konselor Teman Sebaya dalam upaya preventif perilaku kekerasan pada remaja di SMP negeri 1 Pangandaran Nur Oktavia Hidayati; Mamat Lukman; Aat Sriati; Efri Widianti; Habsyah Safaridah Agustina
Dharmakarya Vol 6, No 2 (2017): Juni
Publisher : Universitas Padjadjaran

Remaja adalah kelompok beresiko mengalami masalah kesehatan, sesuai tahap perkembangannya, remaja berada pada masa transisi, pencarian identitas diri. Perilaku kekerasan merupakan salah satu masalah remaja yang menjadi fenomena akhir-akhir ini, seperti halnya tawuran, pendurungan (bullying) yang apabila tidak tertangani dengan akan membahayakan masa depan remaja sebagai generasi penerus bangsa. Tujuan dari pengabdian pada masyarakat ini adalah membentuk konselor teman sebaya yang diharapkan nantinya mempunyai peran bagi teman sebayanya dalam membantu memberikan alternatif pemecahan masalah remaja khususnya dilingkugan sekolah dan sekitarnya pada umumnya. Metode yang dipergunakan dalam kegiatan ini adalah pelatihan bagaimana mempersiapkan siswa untuk menjadi konselor sebaya bagi teman-teman sebayanya. Luaran yang dihasilkan dalam kegiatan pengabdian kepada masyarakat ini adalah peningkatan pengetahuan dan pemahaman siswa dalam permasalahan remaja serta terbentuknya konselor teman sebaya. Kegiatan ini dihadiri oleh 11 siswa perwakilan dari setiap kelasnya. Hasil kegiatan terjadi peningkatan pengetahuan dan kemampuan siswa dalam memahami materi dan terbentuknya 11 konselor sebaya. Melalui program pembentukan konselor sebaya ini diharapkan dapat menjadi salah satu solusi bagi permasalahan remaja yang terjadi di lingkugan sekolah ataupun sekitarnya.

Tingkat Kemandirian Pasien Mengontrol Halusinasi setelah Terapi Aktivitas Kelompok Dwi Handayani; Aat Sriati; Efri Widianti
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Halusinasi merupakan gejala positif yang paling sering dialami oleh pasien dengan gangguan jiwa. Terapi aktivitas kelompok stimulasi persepsi merupakan bagian dari terapi modalitas yang diberikan pada pasien skizofrenia yang mengalami halusinasi dengan tujuan tercapainya kemandirian pasien. Penelitian ini bersifat deskriptif yaitu melihat gambaran tingkat kemandirian pasien dalam mengontrol halusinasi setelah mengikuti kegiatan terapi aktivitas kelompok stimulasi persepsi. Sebanyak 42 orang menjadi responsden dengan menggunakan teknik consecutive sampling. Proses pengumpulan data menggunakan metode observasi, yang dalam pelaksanaannya peneliti dibantu oleh numerator. Analisis data dengan persentase dan dideskripsikan dalam tabel distribusi frekuensi. Hasil penelitian didapatkan bahwa tingkat kemandirian pasien dalam mengontrol halusinasi setelah mengikuti kegiatan terapi aktivitas kelompok stimulasi persepsi adalah supportive28,6%, partially 61,9%, dan wholly9,5%. Hasil penelitian didapatkan bahwa sebagian besar tingkat kemandirian pasien adalah partiallysehingga perlu dikembangkan strategi-strategi dalam upaya peningkatan kinerja perawat dalam pelaksanaan tindakan keperawatan sehingga dapat menumbuhkan kemandirian pasien.Kata kunci: Halusinasi, tingkat kemandirian, terapi aktivitas kelompok, stimulasi persepsi AbstractHallucinations are positive symptoms most commontly experienced bypatients with psychiatric disorders. Perceptual stimulation therapy group activities are part of the therapeutic modalities that are given to patients with schizophrenia who experienced hallucinations in order to achieve independence of patient. This is a descriptive study which saw the picture of the level of independence of the patients in the control hallucinations after following stimulation group activity. The sampling technique used was consecutive sampling, in which 42 people were interviewed. The process of data collection using the method of observation, which in practice researchers assisted by the numerator. Analysis of the data with the percentage and frequency distribution are described in the table. The result showed that the level of independence of patient hallucinations in controlling halluciantions after following stimulation group activity therapy activity perception is supportive 28.6%, partially 61,9%, and wholly 9,5%. Based on the findings that majority of patients a level of independence that is partially, developed strategies necessary in an effort to increase the performance of nurses in the implementation of nursing actions that can foster patient independence.Key words:Level of independence, hallucination, therapeutic group activity stimulation perception

Tingkat Kecemasan Orangtua dengan Anak yang akan Dioperasi Putri Yani Lubis; Efri Widianti; Afif Amir Amrullah
Jurnal Keperawatan Padjadjaran Vol. 2 No. 3 (2014): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Orangtua dengan anak yang akan dioperasi sering mengalami kecemasan karena sebagian besar orangtua masih berpikir bahwa operasi adalah prosedur invasif yang berisiko tinggi terhadap anak. Kecemasan ini dapat memengaruhi perawatan praoperasi pada anak. Tujuan penelitian ini untuk mengetahui gambaran tingkat kecemasan state(sesaat) dan kecemasan trait (bawaan) pada orangtua dengan anak yang akan dioperasi di ruang bedah anak Kemuning lantai 2 RSUP Dr Hasan Sadikin Bandung. Penelitian ini menggunakan metode penelitian deskriptif kuantitatif dengan sampel 31 responden, menggunakan teknik purposive sampling.Penelitian ini menggunakan kuesioner STAI for adults form Y dan dianalisis dengan distribusi frekuensi. Hasil penelitian gambaran tingkat kecemasan statemenunjukkan bahwa hampir setengah responden (48,38%) mengalami kecemasan berat. Untuk gambaran tingkat kecemasan traitmenunjukkan bahwa sebagian besar (51,61%) responden mengalami kecemasan ringan. Disarankan bagi perawat untuk meningkatkan asuhan keperawatan pada orangtua pasien dengan mengembangkan intervensi kecemasan sebelum operasi seperti melakukan pengkajian dan memberikan dukungan psikologis terhadap orangtua serta pemberian informasi mengenai prosedur operasi yang lebih jelas sehingga dapat mengurangi state anxietypada orangtua.Kata kunci:Operasi, orangtua, state anxiety, tingkat kecemasan, trait anxiety AbstractParents with children who will undergoing surgical procedures frequently experienced anxiety because most parents still thought that surgery is invasive procedures, high risk to children, and anxiety could affect preoperative treatment of children. The purpose of this study was to describe the state and trait’s anxiety levels of parents with children who will undergoing surgical procedures in the pediatric surgery ward, kemuning 2nd floor RSUP Dr Hasan Sadikin Bandung. This study used a descriptive quantitative research methods, with 31 respondents were taken using purposive sampling. This study used STAI for Adults Form Y questionnaire and the data were analyzed by frequency distribution. The research about state anxiety’s level showed that nearly half of the respondents (48.38%) experienced severe anxiety. For trait anxiety’s level showed that the majority (51.61%) of respondents experienced mild anxiety. So it’s suggested the nurses to improve nursing care to parents with develop pre operative anxiety interventions such as conduct psychological assessments, and provide support to parents as well as providing information on surgery procedures more clearly so could reduce parent’s state anxiety.Key words:Surgery, parents, state anxiety, anxiety’s level, trait anxiety

Gambaran Respon Anak Usia Prasekolah dalam Menjalani Proses Transfusi Meila Sabridatia Putri; Ai Mardhiyah; Efri Widianti
Jurnal Keperawatan Padjadjaran Vol. 3 No. 3 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Tindakan transfusi darah yang dilakukan pada anak usia prasekolah yang mengalami talasemia membuat anak merasa terancam. Hal ini ditunjukkan oleh anak dengan berbagai respon (kognitif, afektif, fisiologis, perilaku dan sosial) anak prasekolah dalam menjalani proses transfusi. Tujuan penelitian ini adalah mengetahui gambaran respon kognitif, afektif, fisiologis, perilaku dan sosial pada anak usia prasekolah dalam menjalani proses transfusi di Poli Talasemia RSUP Dr. Hasan Sadikin Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif dengan sample sebanyak 50 orang selama periode 3–13 Juni 2014 diambil dengan teknik insidental sampling. Hasil penelitianini dianalisis dengan menggunakan rumus distribusi frekuensiPenelitian yang sudah dilakukan, didapatkan hasil respon yang paling banyak ditunjukkan oleh anak prasekolah ketika proses transfusi berlangsung adalah hampir seluruhnya menunjukkan respon sosial (84%) dengan jenis respon terbanyak ialah meminta dukungan emosional pada orang yang bermakna, hampir seluruhnya menunjukkan respon afektif (74%) dengan jenis respon terbanyak adalah mengeluarkan ekspresi verbal, sebagian besar menunjukkan respon perilaku (66%) dengan jenis respon terbanyak adalah memukul-mukulkan lengan dan kaki dan juga respon kognitif (72%) dengan jenis respon terbanyak gelisah, dan hampir setengahnya dari responden menunjukkan respon fisiologis (34%) dengan jenis respon terbanyak bernapas cepat. Simpulan penelitian ini adalah bahwa presentase respon terbesar yang dikeluarkan oleh anak usia prasekolah berupa respon sosial dengan jenis meminta dukungan emosional pada orang bermakna. Saran bagi instansi pendidikan dan rumah sakit untuk bisa berkontribusi mengembangkan asuhan keperawatan pada orang yang paling dekat pada anak sebelum tindakan invasif.Kata kunci: Respon anak usia prasekolah, talasemia, tindakan invasif. Description of Responses of Pre-school Children who are Undergoing Blood TransfusionAbstractPre-school children with thalassemia who undergo the routine blood transfusion may show negative responses. The purpose of this study was to determine the description of responses of preschool-aged children who were undergoing blood transfusions in Thalassemia Clinic of RSUP Dr. Hasan Sadikin Bandung. This study used descriptive quantitative (descriptive research) with a sample of 50 children during the period of 3rd -13th June 2014. The samples were recruited using the incidental sampling technique. The results showed that almost all respondents demonstrated social responses (84%) with the most type of this response is asking for emotional support from meaningful people, almost all respondents showed affective responses (74%) with the most type of this response is in form of verbal expression, the majority of respondents indicated behavioral responses (66%) with the most type of this response is banging their arms and legs, and also cognitive responses (72%) with most types of this response is anxiety. Nearly half of the respondents showed a physiological response (34%) with rapid breathing types as the highest response. The conclusion of this study is that the largest percentage of the response demonstrated by pre-school children is the social response, in form of asking for emotional support from meaningful people. It was recommended that educational institutions and hospitals contribute to development of the nursing care in the field of children through training, particularly on the approach to the children before invasive treatment.Key words: Invasive treatment, preschool responses, thalassemia.

Gambaran Strategi Koping Keluarga dalam Merawat Anggota Keluarga yang Menderita Gangguan Jiwa Bera Yelsi Wanti; Efri Widianti; Nita Fitria
Jurnal Keperawatan Padjadjaran Vol. 4 No. 1 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Keluarga yang merawat anggota keluarga dengan gangguan jiwa sering mengalami stres karena perilaku anggota keluarga yang mengalami gangguan jiwa dan stigma yang melekat pada keluarga. Keluarga akan melakukan strategi koping untuk mengatasi stres yang dialami. Tujuan Penelitian ini adalah untuk mengidentifikasi strategi koping keluarga dalam merawat anggota keluarga yang menderita gangguan jiwa berat di rumah di Desa Sukamaju dan Desa Kersamanah Kecamatan Kersamanah Kabupaten Garut. Jenis penelitian ini adalah deskriptif kuantitatif dengan jumlah responden sebanyak 43 orang anggota keluarga yang merawat pasien gangguan jiwa berat, diambil dengan total sampling. Data penelitian diambil menggunakan kuesioner dari instrumen baku Ways Of Coping (WOC) dan analisis data yang digunakan dalam bentuk persentase. Hasil penelitian menunjukkan sebagian dari responden yaitu 20 orang (47%) lebih cenderung menggunakan emotional focused coping, sebagian kecil responden yaitu 13 orang (30%) cenderung menggunakan problem focused coping dan sebagian kecil responden lainnya yaitu 10 orang (23%) dominan menggunakan problem focused coping dan emotional focused coping secara bersamaan. Simpulan dari penelitian ini menunjukkan bahwa keluarga dalam merawat pasien gangguan jiwa berat di rumah melakukan usaha untuk menghadapi stres dengan cara mengatur respon emosionalnya untuk menyesuaikan diri dari dampak yang ditimbulkan oleh pasien. Hasil penelitian ini diharapkan dapat memberikan masukan bagi perawat di puskesmas setempat untuk memberikan konsultasi dan konseling bagi keluarga dalam merawat pasien gangguan jiwa berat di rumah.Kata kunci: Gangguan jiwa berat, keluarga, strategi koping. Describe Of Family Coping Strategies In CaringFamily Members Suffering From Severe Mental DisordersAbstractFamilies who care for family members with mental illness often stresor due to the behavior of family members with mental illness and the stigma attached to the family. The family will do the coping strategies to overcome the stres experienced. The study purpose is to identify family coping strategies in caring for family members who suffer from severe mental disorders at home in Sukamaju and Kersamanah Villages in District of Garut. This design of study is quantitative descriptive with the number of respondents about 43 family members who care for patients with severe mental disorders, using total sampling. The data were taken using a questionnaire of raw instrument Ways Of Coping (WOC) and data analysis used form of a percentage. The results showed the majority of respondents, 20 people (47%) were more likely to use emotional focused coping, a small portion 13 respondents (30%) tend to use problem focused coping and a small portion 10 respondents (23%) predominantly use problem focused coping and emotional focused coping simultaneously. The conclusions of this study indicate that the family in caring for patients with severe mental disorders at home to make efforts to deal with stres by regulating the emotional response to adjust from the impact caused by the patient. The results of this study are expected to provide input for a nurse at a Health care to provide consultation and counseling for families in caring for patients with disorders severe mental at home.Keywords: Coping strategies, family, severe mental disorders.

Effect of Schizophrenia Care Application (Ics Mobile) on Family Knowledge about Activities Daily Living (ADL) to Schizophrenic Patients Irfan I; Shelly Iskandar; efri widianti
Jurnal Keperawatan Padjadjaran Vol. 6 No. 2 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Activities Daily Living (ADL) is the most common problem in schizophrenia. One most crucial effort is providing health education to families is considered useful in order to be able to increase family knowledge of the treatment process. The use of health education media can take advantage of the development of smartphone technology so as to make health education more interactive. Moreover, the ICS_Mobile application contains information about ADL through text and video. The purpose of this study was to determine the effect of ICS_Mobile application on family knowledge about Activities Daily Living (ADL) in schizophrenic patients. This study uses a quasi-experimental research method with pre-test and post-test control group approach. The population is 341 members of schizophrenia family with a sample of 40 respondents, divided into 2 groups, the intervention group 20 respondents and the control group 20 respondents. Sampling was collected by using purposive sampling. Respondents' knowledge was measured using instruments developed by researchers and content testing and construct test with Crombach'sAlpa value of 0.954. Data were analyzed using repeated measures ANOVA. The results showed that there was an increase in the mean score of knowledge after the intervention with the value (t = -14.079 p = 0,000), there was no significant increase in the average score of knowledge in the control group with the value (t = -1,751 p = 0,096), and there were differences the average knowledge between the control group and the intervention group with the value (t = 12,933 p = 0,000). The conclusion of this study that the provision of health education interventions using the ICS_Mobile application shows a significant influence on increasing family knowledge about Daily Living Activities (ADL) in schizophrenic patients. Researchers recommend the use of ICS_Mobile applications in health services as an option in increasing knowledge of schizophrenia treatment.Keywords: Activities daily living, ICS_Mobile, Knowledge, Schizophrenia, Smartphone

Nurses’ Life Experiences as Persons in Charge of Mental Health Programs in Community Health Center Habsyah Saparidah Agustina; Suryani Suryani; Efri Widianti
Jurnal Keperawatan Padjadjaran Vol. 7 No. 2 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

At present, Mental health issue becomes one of the main issues in public health issues in community health centers such as the complexity of the issues in the work of nurses in charge of mental health programs. The purpose of this study was to explore the nurse’s life experience as a person in charge of mental health programs in community health centers. The research design used descriptive phenomenology. The study population was nurses responsible for mental health programs in community health centers, experienced in taking care of people with mental disorders for at least six months, and at least had a Diploma in nursing. The number of participants was determined by purposive sampling technique to obtain seven participants. The experiences of nurses were explored through in-depth interviews, and data were analyzed using the Colaizzi method of analysis. Study results found five themes: (1) feeling burdened by the responsibility for mental health programs; (2) feeling insecure due to the lack of knowledge; (3) feeling there were many barriers and constraints in caring for people with mental illness during the recovery period; (4) hoping to collaborate with relevant government institutions; and (5) being more grateful for caring for people with mental illness. In conclusion, nurses are responsible for mental health programs even though they feel burdened with their workload, but they can still do their jobs because they always have hope and are grateful. The nurses are trained nurses and can collaborate with relevant government institutions.

The Mental Burden of Parents of Children with Thalassemia Gita Septyana; Ai Mardhiyah; Efri Widianti
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Thalassemia is an inherited blood disorder in which there is a chronic abnormality of red blood cells. When a child suffers from a severe illness, the family usually acts as caregivers, which put them at risk of experiencing a burden of care. This study aims to identify the level of charge perceived by parents caregivers of children with thalassemia. A quantitative approach was used in this research to obtain data by using a continuous sampling. The samples in this research consisted of 71 parents of children with thalassemia, who are either their biological father or mother who attended thalassemia center on August 30, 2017 - September 13, 2017. The instrument was used in this research was modified from a Caregiver Burden Scale instrument (developed by Elmstahl). The data obtained were analyzed using a descriptive statistical technique in which parents burden is categorized into three levels: mild, moderate, and severe levels of burden, and they are measured in percentage. The result showed that 36 respondents (50.7%) perceived a mild level of burden, 31 respondents (43.7%) perceived moderate level of burden, and four respondents (5.6%) saw the severe level of burden. This study concludes that most respondents perceived a mild and moderate level of burden, but in terms of responsibility, economy, expectation, and anxiety, they showed a severe degree of burden. Nurses are suggested to maintain or alleviate the burden by providing education, counseling, emotional support and adaptive coping mechanisms for parents of children with thalassemia.

Adaptation of Validity and Reliability of Indonesian Instruments of Attitudes Toward Suicide (Atts) with The Rasch Model Approach Idhfi marpatmawati; Suryani Suryani; Efri Widianti
Jurnal Keperawatan Padjadjaran Vol. 10 No. 1 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v10i1.1714

Background: Indonesia has a suicide rate that continues to increase so suicide attempts need to be made. One of the early prevention steps is to find suicidal ideation. ATTS is a multi-dimensional measuring tool by measuring Cognitive, Affective and Behavioral aspects that is easy to fill, fast and precise in measuring attitudes towards suicide in the general population through large surveys than other instruments and ATTS is also not yet developed in Indonesia. Therefore, with the Rasch Model that can perform analysis at the item and respondent level, it is expected to produce a psychometric tool in preventing suicide in Indonesia. Purpose: The purpose of this study is to test the validity and reliability of the adaptation of the Attitudes Toward Suicide (ATTS) instrument into Indonesian using the RASCH model approach. Methods: The method used is non-experimental with an analytical observational approach which is carried out cross-sectionally using the RASCH model with winstep software. The number of samples used was 243 residents with inclusion criteria of being adults (20-40 years) and knowing about suicide cases in Plered District, one of the sub-districts in Purwakarta Regency which had several suicide cases in 2020. This instrument consists of 73 questions. Results: The results showed a value of scale-level (S-CVI) = 0.89 and content validity ratio (S-CVR/UA) = 0.72. This value indicates a good quality of content validity. Analysis based on RASCH shows very good item reliability with a value of 0.98 but the result of person reliability is 0.27 which is caused by the lack of variation in respondents’ answers in filling out the questionnaire. This also has an impact on Cronbach’s alpha value = 0.32. The analysis is elaborated into four factors consisting of summary statistics, unidimensionality, item size, and Differential Item Functioning (DIF). The results show ideal results, but the pattern of person responses that are not diverse from the respondents causes a logit distribution that is not too far away and the variance is not large. Conclusion: it can be concluded that the consistency of respondents’ answers is weak but the quality of the instrument questions in terms of reliability is good and can still be used to measure ATTS.

Co-Authors A.A. Ketut Agung Cahyawan W Aan Nuraeni Aat Sriati Aat Sriati Aat Sriati Afif Amir Amrullah Afriliani, Anne Cintya Afriyanti Afriyanti Afriyanti Afriyanti Agung Waluyo Agustina, Habsyah Safaridah Ahdiany, Gina Nur Ahmad Yamin Ai Mardhiyah AI MARDHIYAH, AI Alawiyah, Siti Haiva Alpiani, Delta Amalina Fildzah Fujilestari Amelia, Gina Sri Anita Setyawati Anjani Mumtazhas Anne Cintya Afriliani Annisa Susanti Karmansyah Aprilia Aulia Ardianti Aprilia, Nike Arisandi, Toni Aryani, Yulyani Asri Asti Utami Asti Utami Astuti, Cici Siti Widya Asy Syafa Mahfuzhah Aulia Nurhanifa Aulia Sugianti Aziza, Aurelia Karla Budi Anna Keliat Cahyani, Eka Maulidya Chaimira, Sausandha Yasma Chandra Kirana K Desi Purwanti Desi Purwanti Desy Indra Yani Dwi Handayani Elfani, Karisha Citra Elsa Nur Laela Sari Emma Aprilia Hastuti Ermiati E Etika Emaliyawati Fanny Adistie Fatima, Azrania Firda Intan Nursyifa Fitiani, Nurlaila Fitri Aprianti Fredinan Yulianda Gita Septyana Glory Grifith. B Saragih Habsyah Safaridah Agustina Habsyah Saparidah Agustina Hadi Suprapto Arifin Hanifah Hasanah Hardiyati Hardiyati Hartiningsih, Siti Sugih Haryati, Evi Annisa Hastuti, Emma Aprilia Helwiyah Ropi Helwiyah Ropi Hendrawati H Hendrawati Hendrawati Hendrawati Hendrawati Hikmat, Rohman Iceu Amira D.A Idhfi marpatmawati Ilia Alkatiri Imas Rafiah Imas Rafiyah Indra Maulana Indra Maulana` Indra Maulana Iqbal Pramukti Irfan I Irman Somantri Iskandarsyah, Aulia Islamiati, Restu Iwan Dasta Iyus Yosep J, Ridillah Vani Karwati Karwati Khoirunnisa, K Komalasari, Masriyah Kosim Kosim Kurnia, Ihsan Kurniawan, K Kusumah, Indra Ladia Nursyamsiah Ladia Nursyamsiah Laili Rahyuwati Lia Ramadanti Lia Ustami Lia Yuliana Rachman Mamat Lukman Maria Komariah Marshanda Syaharani Putri Mega Septania, Salma Meila Sabridatia Putri Muhamad, Sahrul Nur Muhammad Iqbal Martani Muhammad Mulyadi Mulyani, Tita Mustikasari - Nabilah Nabilah Nazriah, Ai Indah Nenden Nur Asriyani Maryam Neni Rochmayati Satuhu Neti Juniarti Ni Putu Santhi Dewi Saraswati Ni Putu Santhi Dewi Saraswati Ni Putu Suryani Nimas Safitri Ati Nina Sumarni Nisa Meina Nirmala Nita Fitria Norma Norma Nova Mardiana Nova Mardiana, Nova Novi Yulianti Nur Oktavia Hidayati Nur Oktavia Hidayati Nur Oktavia Hidayati Nur Oktavia Hidayati Nur Oktavia Hidayati Nurhalimah Tri Handayani Nurislami, Alfina Nursiswati Pratiwi, Siti Rahmiati Prawitasari, Nita Priambodo, Ayu Prawesti Prihartono, Maulidya Ninda Puput Nur Azizah Putri Yani Lubis Raini Diah Susanti Rani Arinda Retno Wahyuningsih Rida Rosi Nur Asifa Rida Rosi Nur Asifa Ristina Mirwanti, Ristina Rizki Muliani Rohman Hikmat Roni Apriyana Ruby Anggara Pratama Salma Hanifah Salsabila, Yosalia Mahirah Salwa Az-zahra Nurazizah Hendiana Sari, Citra Windani Mambang Sellyan Septiani Berly Septianah, Tri Indah Septriyani, Diah Sheizi Prista Sari Shelly Iskandar Shinta Galih Shofura Kamil Pasya Siagian, Indah Mentari Siti Yuyun Rahayu Fitri Sitorus, Sarah Angelique Mutiaraku Solly Aryza SRI RAHAYU Suhendar, Iwan Sukma Senjaya Supiatun Supiatun Suryani S Suryani Suryani Suryani Suryani Suryani Suryani Suryani Suryani Suryani Suryani Syafira Dewi Taty Hernawati Taty Hernawati Taty Hernawati Taty Hernawati, Taty Taty Hernawaty Tetti Solehati Theresia Eriyani Titin Sutini Tresnala, Rahmah Ujang Khaerullah Ujang Vadissa Nandia Putri Vanessa Zian Mentari Vica Cahya Ningrum Vina Nurdianasari Violla Anggiani Wardhani, Ice Yulia Yanitawati Yanitawati, Yanitawati Yelsi Wanti Yori Yolanda Yuliani, Silvia Yusshy Kurnia Herliani

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