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Cross-Cultural Adaptation, Validation, and Reliability of the Indonesian Version of Kidney Disease and Quality of Life (The KDQOL-SF™ v1.3) Instrument Syamsiah, Nita; Said, Faridah Binti Mohd; Hassan, Datin Hafizah Che; Nurjanah, Uun
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i2.849

Abstract

Background: The Kidney Disease and Quality of Life Short Form (KDQOL-SF™ v1.3) was specifically developed to assess quality of life in individuals with kidney disease, including those not yet requiring dialysis. With the increasing burden of chronic kidney disease (CKD) in Indonesia, there is a need for culturally adapted and psychometrically sound instruments. Objective: This study aimed to adapt, validate, and evaluate the reliability of the Indonesian version of the KDQOL-SF™ v1.3 among hemodialysis patients. Methods: The KDQOL-SF™ v1.3 was adapted for cultural use by following international guidelines, including forward and backward translation, expert review, and interviews with patients. A total of 190 hemodialysis patients took part in the study. Construct validity was tested using factor analysis, and convergent validity was checked by comparing it with the EQ-5D-5L quality of life scale. Differences in scores between early-stage CKD patients and those on hemodialysis were used to test known-groups validity. Reliability was measured through internal consistency (Cronbach’s alpha) and a two-week test–retest method. Results: Of the 225 patients invited, 190 (84.4%) completed the survey. The content validity index (CVI) ranged from 0.73 to 1.00 across items. Exploratory factor analysis revealed factor loadings between 0.501 and 0.872, supporting construct validity. Significant correlations between the KDQOL-SF™ v1.3 domain scores and EQ-5D-5L measures confirmed convergent validity. Known-groups validity was demonstrated by significantly lower scores in physical function, role-physical, mental health, general health, pain, and fatigue domains among hemodialysis patients compared to those with earlier-stage CKD (p < 0.05). Cronbach’s alpha values ranged from 0.710 to 0.883 across domains, indicating good internal consistency, while test-retest reliability coefficients ranged from 0.702 to 0.852. Conclusion: The Indonesian version of the KDQOL-SF™ v1.3 is a valid and reliable tool to measure quality of life in hemodialysis patients. It can be used in both clinical practice and research to support patient-centered care and track outcomes. Future research should look at how well the tool detects changes in health and whether it works for patients with other stages of CKD
EVALUATION OF THE IMPLEMENTATION OF THE STUNTING REDUCTION ACCELERATION PROGRAM POLICY WITH THE FAMILY DEVELOPMENT POPULATION PROGRAM AT THE BKKBN REPRESENTATIVE OFFICE OF WEST SUMATRA PROVINCE Santi Hariani; Hassan, Datin Hafizah Che; Das, Sreemoy Kanti
Indonesian Journal of Social Science and Education (IJOSSE) Vol. 1 No. 3 (2025): Vol. 1 No. 3 : Edisi September 2025
Publisher : JCI Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/ijosse.v1i3.1359

Abstract

Stunting is a growth and development disorder in toddlers that impacts their physical, cognitive, and productivity development. Stunting can be prevented by optimizing family roles and functions. Family resilience isthe ability of a family to adapt, overcome problems, and face pressure from within and outside so that it can continue to function harmoniously and achieve the well-being of its membersThe purpose of this study was to determine the implementation of the stunting reduction acceleration program policy with the Population and Family Development Program at the BKKBN Representative Office of West Sumatra Province in accordance with Presidential Regulation Number 72 of 2021 concerning the acceleration of stunting reduction. The research method used a qualitative approach with policy studies. The research informants numbered 28 people with data collection techniques through observation, in-depth interviews, focus group discussions and document reviews. The results of the research on the input component, namely Policy, human resources, facilities and infrastructure and funds for the stunting reduction acceleration program did not comply with the provisions. The process component, namely the suboptimal assistance and intervention by the Stunting Officer Unit, Technical Assistant and the family assistance team in utilizing data on families at risk of stunting and the lack of commitment and synergy between the Central, regional and village governments in implementing the acceleration of stunting reduction convention. The output component, namely the national sensitive intervention program indicators have not met the national target, the outcome component, namely Some of the main indicators of the family development population program have not reached the specified target and stunting cases have increased and are above the national target, the need to strengthen the synergy and commitment of the regional government and increase the knowledge and commitment of the family assistance team in implementing the stunting program. The conclusion is that the implementation of the accelerated stunting reduction program is in accordance with regulations, but is not yet optimal in terms of policy, human resources, facilities and infrastructure, and financing. Coordination and collaboration between the government and the community, optimization of data on families at risk of stunting, and regular monitoring and evaluation are needed.