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Journal : Jurnal NERS

Responsive Feeding-Play (Resfeed-Play) Intervention on Children Aged 6-24 Months with Malnutrition Dwi Cahya Rahmadiyah; Agus Setiawan; Poppy Fitriyani
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (616.658 KB) | DOI: 10.20473/jn.v13i1.4610

Abstract

Introduction: Toddlers are at risk to health problems, one of which is malnutrition. One of the important determinants to toddlers’ growth is nutrition. Giving solid foods to toddlers can be done by active/responsive feeding combined with the method that best suits the stage of playing toddlers. This paper aimed to provide an overview of the intervention of Resfeed-Play as a form of community nursing intervention on 32 children aged 6-24 months with malnutrition. Implementation of the intervention Resfeed-Play was performed in families and in society in nutrition support activities.Methods: The method was quasi-experimental with one group pre-post-test design. The inclusion sample criterion was family with toddlers who suffered from malnutrition.Results: The results of evaluation of Resfeed-Play shows an increase in knowledge (24.2%), attitude and skills by 30.3% and 42.4%, respectively. After intervention of six months, the mean weight gain for toddler was 0.95Kg. Based on paired sample t-test, the weight gain is significant with a P value of 0.001 (P <0.05). Resfeed-Play intervention can increase body weight in toddlers and can address the problems of malnutrition in children under five.Conclusion: Based on the results of this study, Resfeed-Play intervention is recommended to increase community empowerment through positive activities such as post-activity nutrition in order to prevent and mitigate the problem of malnutrition in toddlers.
Empowering cadres: the impact of KEPITING, a web-based application on stunting knowledge and attitudes Kurniawan, Novan; Mulyono, Sigit; Fitriyani, Poppy; Yulianti, Eka Putri
Jurnal Ners Vol. 20 No. 1 (2025): VOLUME 20 ISSUE 1 FEBRUARY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i1.65890

Abstract

Introduction: Stunting, an indicator of chronic malnutrition, affects children under five. Cadres hold strategic positions to enhance this. Despite the launch of digital applications designed to address stunting by enhancing knowledge and attitudes, their lasting impacts and usability have not been thoroughly evaluated, especially among cadres. Methods: We conducted a longitudinal study to evaluate the long-term impact and usability of our web-based app KEPITING (Kader Peduli Stunting) to enhance knowledge and attitudes towards stunting detection among cadres covering two Districts in Jambi. We obtained 152 cadres as participants using purposive sampling, separated into two groups based on their respective districts—one using KEPITING and the other traditional training materials. Data were collected at pre-intervention, post-intervention, and nine months post- intervention using validated questionnaires to assess knowledge and attitude changes. A generalized Linear Model with Repeated Measures ANOVA and Mann-Whitney U tests was employed to examine the effects and interactions. Results: KEPITING significantly improved knowledge of practical procedures (p <0.001) and nutritional interventions (p <0.001). Overall attitude improved significantly (p = 0.008, η = 0.033). Knowledge retention showed no significant time effect, whereas attitudes improved over time and were better retained in the intervention group. The System Usability Scale scored below an average of 58.7, indicating that usability improvements were needed. Conclusions: KEPITING enhances cadre knowledge and attitudes but requires usability enhancements for optimal impact. This study highlights the importance of digital tools in stunting interventions and suggests areas for future research focusing on usability and long-term efficacy.