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Yulianti, Eka Putri
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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.
Improving or worsening? : the development and evaluation of a VR-based psychotherapy to bullying victims and perpetrators in school adolescents Mulyono, Sigit; Setiawan, Agus; Sari, Indah Permata; Rachmawati, Utami; Yulianti, Eka Putri; Putri, Tissa Aulia; Siahaan, Eva Winda Sarma; Shabrina, Citra Hafilah; Runesi, Odis; Suhaiba, Suhaiba
Jurnal Ners Vol. 20 No. 3 (2025): VOLUME 20 ISSUE 3 (AUGUST 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i3.71145

Abstract

Introduction: This study evaluated the effectiveness of a Virtual Reality (VR)-based emotional regulation intervention in addressing bullying among school adolescents, focusing on changes in self-perceived roles as victims or bullies and associated difficulties. Methods: This study used a quasi-experimental design, with 98 junior high school students assigned to either a four-session VR intervention (n=33) or a no-treatment control group (n=65). The intervention consisted of four 15-minute psychotherapy sessions using the PeriXa Batin VR module. Data were collected using the Strengths and Difficulties Questionnaire and System Usability Scale (SUS). Statistical analyses included the Mann-Whitney U test, a General Linear Model (GLM), and thematic analysis. Results: The intervention was associated with a significant reduction in self-perceived bullying behaviors (p < 0.001), particularly among males. However, it also led to an increase in self-reported difficulty scores (p < 0.005). The VR module was received positively, with high usability ratings, although some participants reported minor technical issues and temporary discomfort, such as dizziness. The VR intervention effectively fostered self-awareness, which may explain both the reduction in bullying and the concurrent increase in emotional distress as victims confronted their experiences. The limitations include short intervention duration, small sample size, and reliance on self-reported data. Conclusions: While VR is a promising tool, schools should implement it alongside support systems, such as counseling, to help students manage the challenges of increased self-awareness. Future research should focus on the long-term effects and integration of such technologies into comprehensive school wellness programs.