Ejournal Alma Ata University Yogyakarta
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Translation and Adaptation of the Indonesian Version of the Maternal Infant Responsiveness Instrument (MIRI)
Full text linkBackground: The interaction between mothers and premature babies in the early period of oral feeding is beneficial for forming social, cognitive, and emotional development. It is essential to assess maternal interactions with premature babies using valid and reliable instruments. However, culturally adapted tools in the Indonesian context remain limited, making localized validation efforts crucial. This research was to analyze the translation and adaptation process of the Indonesian version of MIRI.Methods: The translation and adaptation process followed standard procedures, including forward translation, expert panel review, back translation, pilot testing, and finalization of the instrument. The process involved collaboration with the International Language Institute and experts in pediatric nursing, neonatology, and nutrition. A pilot test was conducted with 30 mothers of premature infants who were receiving care in a neonatal intensive care unit. The evaluation focuses on content validity and reliability of the translation instruments.Results: The translation and adaptation results showed I-CVI between 0.67 to 1.00. The MIRI S-CVI results for all items were 0.91 in the excellent category. The reliability test on mothers showed a Cronbach\u27s Alpha value of 0.74 in the valid and reliable category. Items with lower I-CVI scores were reviewed and refined based on expert feedback to enhance clarity and cultural relevance. Furthermore, participants reported that the questionnaire items were clear and relevant to their experiences during oral feeding interactions with their premature infants.Conclusions: The Indonesian version of the MIRI demonstrates strong validity and reliability for assessing maternal interaction with premature infants during oral feeding. The instrument can be effectively utilized in both research settings and clinical practice, particularly in neonatal intensive care environments where understanding maternal-infant interaction is crucial for supporting early developmental outcomes
Differential effects therapy of Javanese-traditional (Karawitan instrumental) music and classical music in the first stage and second stage of childbirth
Full text linkBackground: Labor pain may induce maternal anxiety, interfere with uterine contractions, and prolong the birthing process. Music therapy is a non-pharmacological intervention known to mitigate both labor pain and anxiety. Objective: This study aimed to compare the effects of Javanese-traditional (Karawitan instrumental) and classical music therapies on anxiety, labor pain, and the duration of the first and second stages of labor.Methods: A randomized controlled trial was conducted involving 201 mothers undergoing normal labor at primary healthcare centers. Participants were assigned into three groups: Javanese-traditional music (Karawitan instrumental), classical music, and a control group practicing deep breathing. Interventions lasted 40 minutes. Anxiety was measured using the Spielberger State-Trait Anxiety Inventory, pain intensity with a visual analog scale, and labor duration through partograph analysis. Statistical tests included paired t-test, Wilcoxon signed-rank, Kruskal-Wallis, one-way ANOVA, and Mann-Whitney U testsResults: Both music interventions significantly reduced anxiety and pain within groups (p-value< 0.001). No significant difference in pain reduction was found between the two music groups during the first active phase (p-value= 0.108). Similarly, anxiety scores did not differ significantly between the music groups post-intervention (p-value= 0.956), though classical music showed a slightly greater reduction. Regarding labor duration, Javanese-traditional music was associated with a shorter first stage, while classical music significantly reduced the duration of the second stage (p-value= 0.000 and p-value= 0.035, respectively).Conclusions: Javanese-traditional (Karawitan instrumental) and classical music therapies are both effective in reducing maternal anxiety and labor pain while supporting labor progress. Javanese-traditional (Karawitan instrumental) music demonstrated greater effectiveness during the first stage, whereas classical music offered benefits in anxiety reduction and second-stage labor duratio
A Quasi-Experimental Study: the effectiveness of hypnolactation and breast massage as a holistic care model to enhance maternal motivation in exclusive breastfeeding
No full textBackground: Exclusive breastfeeding for infants aged 0–6 months provides major health benefits, yet many mothers struggle to maintain it due to low motivation. “Hypnolactation,†which combines hypnosis to build confidence and reduce anxiety, with lactation massage to stimulate milk flow, may serve as an effective holistic care intervention.Objectives: This study develops an innovative holistic care model incorporating hypnolactation and lactation massage to enhance maternal motivation for exclusive breastfeeding. Methods: This quasi-experimental study used a pretest–posttest control group design with 42 postpartum mothers at Kagok Health Center, Semarang (March–December 2024). Data were collected using a validated breastfeeding motivation questionnaire and observation sheets. Statistical analysis employed the Wilcoxon test and the independent t-test.Results: Both hypnolactation (Z = –2.33, p = 0.02) and lactation massage (Z = –2.00, p = 0.046) significantly improved maternal motivation, with hypnolactation showing greater effectivenessConclusions: The findings demonstrate that the holistic care model combining hypnolactation and lactation massage significantly improves maternal motivation for exclusive breastfeeding. This intervention effectively addresses psychological barriers such as anxiety and lack of confidence while also providing physical comfort that facilitates the breastfeeding process. Future studies should expand the sample size and evaluate the long-term impact on exclusive breastfeeding success up to six months
The role of family support in maternal mental health during the postpartum period in Malaka District
Full text linkBackground: Postpartum depression is a major maternal mental health concern that remains insufficiently addressed in rural areas such as Malaka District, East Nusa Tenggara, where structural and social vulnerabilities may heighten psychological risks. Limited evidence from these settings underscores the need to understand the contextual determinants influencing maternal mental health. Objectives: The objective of this study was to examine the relationship between family support, sociodemographic characteristics, and the risk of postpartum depression among mothers in Malaka District.Methods: This cross-sectional analytic study involved 100 postpartum mothers selected through purposive sampling. Data were collected using a structured questionnaire that included demographic characteristics, a family support scale, and the Edinburgh Postnatal Depression Scale (EPDS). Statistical analyses comprised descriptive tests, chi-square tests, and multivariate logistic regression. Results: The results indicated that 40% of participants were at risk of postpartum depression (EPDS ≥13), and more than half (55%) experienced inadequate family support. Bivariate analysis revealed a significant association between family support and postpartum depression (p=0.001). Multivariate logistic regression demonstrated that inadequate family support was the strongest predictor of postpartum depression, with affected mothers having 3.8 times higher odds of developing depression (AOR 3.8; 95% CI: 1.7–8.3). Low maternal education was also a significant predictor (AOR 2.5; 95% CI: 1.1–5.8), whereas maternal age and employment status were not associated with depression risk. Conclusions: These findings emphasize the critical role of family involvement and maternal education in mitigating postpartum mental health problems. Strengthening the active participation of husbands and family members, improving maternal mental health literacy, and integrating family-centered approaches into antenatal and postnatal care are essential steps for reducing the burden of postpartum depression in Malaka District
Postgraduate Students’ Challenges in Developing Social Solidarity in the Multicultural Community of an Islamic University
Full text linkInternational Islamic University (IIUM) is an institution of higher education that is grounded in Islamic principles, distinguishing its unique characteristics in its curriculum, student development and academic professionalism. As one of the public Islamic universities in Malaysia, the International Islamic University (IIUM) aims to establish itself as a hub of academic distinction with a strong focus on promoting Islamic values and global engagement. The vision and mission of the university reflect a commitment to the integration of knowledge, practices and the diversity of its staff and student population. Currently, the university consists of undergraduate and postgraduate students from 56 countries. As a result, fostering social unity and solidarity to realise its mission of Ummatic development presents a significant challenge. Â In view of this, the study aims to investigate the experiences of students in IIUM, focusing on the challenges of postgraduate students in developing social solidarity within the diverse Muslim community during their academic journey. The study employed the phenomenological research design, where ten participants were selected using purposive sampling. The data were then analyzed using thematic analysis. Research findings of the study showed that participants experienced challenges in developing social solidarity which revealed two major themes, collective commitment and student body and program. It emphasizes the need to improve the curriculum, co-curriculum, and learning environment that considers the multicultural background of the students. The study highlights the necessity for collaboration between educators and university administrators in enhancing curriculum, pedagogy, and administrative procedures that foster social solidarity among multicultural student populations in higher educational institution
Hakikat Pembelajaran Matematika dan Integrasinya dengan Nilai Islam di Madrasah Ibtidaiyah (Studi Kasus di MI Darul Falah Kabupaten Kediri)
Full text linkMatematika merupakan ilmu yang diajarkan sejak ditingkat sekolah dasar. Matematika tidak bisa dilepaskan dengan nilai-nilai ilmu keagamaan. Penelitian ini bertujuan untuk mengetahui tentang hakikat pembelajaran matematika, pembelajaran matematika di madrasah ibtidaiyah, dan bentuk integrasi matematika dengan nilai islam di madrasah ibtidaiyah. Sangat penting bagi umat islam untuk mengetahui tentang hubungan pembelajaran matematika dengan nilai keislaman sejak ditingkat pendidikan dasar. Dengan begitu, umat islam juga dapat lebih memahami bahwa ilmu matematika yang sebelumnya dianggap hanya sebagai ilmu umum, ternyata juga memiliki keterkaitan dengan nilai-nilai keislaman. Penelitian ini menggunakan pendekatan kualitatif dengan metode studi kasus. Subjek pada penelitian ini yaitu guru matematika di MI Darul Falah Kabupaten Kediri. Teknik pengumpulan data berupa wawancara dan dokumentasi. Hasil dari penelitian ini yaitu pada hakikatnya pembelajaran matematika di tingkat dasar memuat empat hal yaitu 1) Menelusuri pola dan hubungan, 2) Kreatifitas yang membutuhkan (imajinasi, intuisi, dan penemuan), 3) Kegiatan pemecahan masalah dan 4) Sebagai alat komunikasi. Matematika sebagai ilmu deduktif dan abstrak, banyak menggunakan simbol sebagai bahasa, menyebabkan siswa sekolah dasar dengan rentang usia 7 sampai 12 tahun yang masih dalam tahap perkembangan operasional konkret mengalami kesulitan karena belum bisa untuk berpikir secara abstrak atau formal. Dengan demikian Pada Proses mengajarkan matematika, pendidik diharapkan memiliki kemampuan dalam menghubungkan matematika dengan dunia anak yang masih belum bisa berpikir secara deduktif supaya bisa memahami matematika, salah satu caranya melalui benda konkret atau alat praga. Penerapan matematika di madrasah ibtidaiyah mengacu pada KMA No. 450 tahun 2024 tentang implementasi kurikulum merdeka di madrasah..Kata Kunci: Hakikat, Pembelajaran Matematika, Integrasi, Nilai Isla
PREDIKSI KEBERHASILAN TRANSFORMASI DIGITAL PADA UKM
No full textIndustri 4.0 menuntut pelaku industri skala besar sampai kecil untuk mampu beradaptasi dengan percepatan teknologi. Transformasi digital terbukti berdampak signifikan terhadap kinerja industri, termasuk mempertahankan eksistensi UKM. Keberhasilan UKM dalam memanfaatkan teknologi terbukti mampu meningkatkan keuntungan dan efisiensi operasional. Pelaku UKM harus memastikan transformasi digital berhasil diterapkan. Prediksi transformasi digital memudahkan pelaku UKM untuk mengetahui tingkat keberhasilan usahanya dalam menerapkan transformasi digital, sehingga UKM dapat mengembangkan strategi inovasi mengoptimalkan teknologi digital untuk menjaga eksistensi, memperoleh keuntungan optimal, meningkatkan daya saing serta efisiensi operasional. Prediksi dilakukan dengan membandingkan ID3, C4.5 dan CART untuk menemukan rule dengan performance terbaik, yang paling efektif untuk memprediksi keberhasilan suatu UKM dalam menerapkan transformasi digital. Hasil menunjukkan ID3 memperoleh performance terbaik dengan akurasi 89.19% dan AUC 0.959. Atribut ATP menjadi root node pada seluruh pohon keputusan yang dihasilkan. Ini berarti variabel Peran Digital Marketing, Model TOE, Strategi Bisnis Digital, Adopsi technopreneurship mempunyai peranan besar atau dampak yang signifikan terhadap UKM dalam melaksanakan transformasi digital pada bisnisnya
The effect of booklet intervention on mother\u27s literacy about nutrition, clean water, and sanitation to prevent stunting
Full text linkABSTRAK Latar Belakang: Prevalensi stunting di Kota Bandar Lampung tahun 2021 sebesar 5,9%. Intervensi literasi merupakan salah satu kegiatan untuk dapat meningkatkan pengetahuan dan sikap ibu untuk mencegah stunting pada anak.Tujuan: Menganalisis pengaruh intervensi booklet terhadap literasi gizi, air bersih, dan sanitasi pada ibu balita untuk mencegah stunting.Metode: Penelitian diawali dengan pengembangan model booklet dengan melakukan pengujian pada 15 orang ibu balita, kemudian dilakukan intervensi literasi gizi dengan menggunakan booklet tersebut. Desain penelitian ini adalah quasi eksperimen yang dilaksanakan pada bulan Juli 2023. Sampel sebanyak 60 responden diambil secara purposive sampling dengan kriteria inklusi ibu yang memiliki anak usia 24-59 bulan, masing-masing posyandu terdiri dari 30 ibu balita sebagai kelompok kontrol (tanpa media booklet) dan intervensi (media booklet). Waktu pengamatan intervensi dilakukan selama 2 minggu. Analisis hasil penelitian dilakukan dengan uji t independen dan uji t berpasangan. Hasil: Terdapat peningkatan rata-rata pengetahuan literasi ibu balita (p=0,012) dan penurunan tidak signifikan pada kelompok kontrol (P= 0,170). Rata-rata sikap literasi mengalami penurunan yang tidak signifikan pada kelompok eksperimen (P= 0,173) dan pada kelompok kontrol (P= 0,176). Hasil uji t independen membuktikan terdapat perbedaan rata-rata skor lliterasi total pada kelompok kontrol dan intervensi (p=0,022). Kondisi literasi kelompok eksperimen sebelum dan sesudah intervensi tergolong baik (skor=14), perubahan yang paling terlihat adalah literasi gizi dari baik menjadi sangat baik. Kesimpulan: Intervensi dengan menggunakan media booklet gizi, air bersih dan sanitasi efektif meningkatkan literasi ibu balita untuk mencegah stunting. Kebijakan dan ketentuan penggunaan model booklet dapat diterapkan pada program promosi kesehatan dan pendidikan untuk mendukung pencegahan stunting. KATA KUNCI: booklet; literasi ibu; stunting   ABSTRACTBackground: The prevalence of stunting in 2021 in Bandar Lampung city was 5.9%. Literacy can increase mothers\u27 knowledge and attitudes to prevent stunting in children.Objectives: The research aimed to analyze the effect of booklet intervention on nutritional, clean water, and sanitation literacy of mothers under five to prevent stunting.Methods: This study began with the development of a booklet model by testing it on 15 mothers of toddlers, and then a nutritional literacy intervention was carried out using the booklet. The design of this study was a quasi-experiment carried out in July 2023. A sample of 60 respondents was purposive sampling with inclusion criteria of mothers who had children aged 24-59 months, each Posyandu (English: integrated health service post) consisted of 30 mothers of toddlers as the control group (without booklet media) and intervention (booklet media). The observation period for the intervention was carried out for 2 weeks. Analysis of the research results was carried out using independent t-test, paired t-test, and chi-squared test.Results: There was an increase in the average literacy knowledge of mothers (p=0.012) and an insignificant decrease in the control group (P=0.170). Average literacy attitude experienced an insignificant decrease in the experimental group (P=0.173) and the control group (P=0.176). Results of the independent t-test proved that there was a difference in the average total literacy score in the control and intervention groups (p=0.022). The literacy condition of the experimental group before and after the intervention was classified as good (score=14), the most visible change was nutritional literacy from good to very good.Conclusions: Interventions using a booklet model of nutrition, clean water, and sanitation media are effective in increasing the literacy of mothers of toddlers to prevent stunting. Policies and provisions for the use of the booklet model can be applied to health promotion and education programs to support stunting prevention. KEYWORDS: booklet; mother’s literacy; stuntingReceived: 28 Nov 2024; Revised: 12 Jun 2024; Accepted: 28 Nov 2025; Available online: 30 May 2025; Published: 31 Mar 2025
Acceptability of patin fish dried noodles substituted with yellow pumpkin flour in toddler wasting
No full textABSTRAK Latar Belakang: Upaya penanganan masalah gizi kurang pada balita sangat penting dilakukan agar balita tidak masuk ke dalam kondisi gizi buruk dan menimbulkan masalah kesehatan yang lebih serius. Upaya pemilihan pangan lokal yang berprotein tinggi dapat ditambahkan/disubstitusi pada produk mi. Mi kering ikan patin yang disubstitusi tepung labu kuning dengan komposisi tepung labu kuning 7,5% memiliki kualitas kadar air terbaik berdasarkan SNI 8217-2015), sehingga direkomendasikan untuk dimodifikasi dengan berbagai resep dan teknik pengolahan. Pengolahan mi kering dapat diolah menjadi mi goreng, mi rebus atau variasi lainnya. Penyajian mi instan dalam bentuk mi goreng lebih disukai oleh balita usia 24 - 60 bulan.Tujuan: Menguji daya terima mi kering ikan patin yang disubstitusi tepung labu kuning pada balita gizi kurang di wilayah kerja Puskesmas Telogosari Wetan Kota Semarang.Metode: Jenis penelitian yang digunakan adalah pre-experimental design dengan rancangan one- shot case study. Tahapan penelitian terdiri dari: tahap pembuatan produk dan tahap uji daya terima produk, yaitu dengan 3 modifikasi resep yang akan diberikan pada hari ke-1 sampai hari ke-3, yaitu Mi Gosis (Mi Goreng Sosis), Mi Goreng Telur Puyuh (Mi Teluh) dan Mi Gong (Mi Goreng Kampung).Hasil: Tiga resep modifikasi mi kering ikan patin substitusi tepung labu kuning ini memiliki nilai gizi 224,6 kalori- 385,115 kalori, hal ini dapat memenuhi rata-rata 15% kebutuhan sajian makanan balita sebagai selingan. Pada uji daya terima dari 3 resep, sisa tertinggi (>20%) pada hari ke-2 sebanyak 56,7% balita. Daya terima tertinggi balita adalah pada olahan mi kering ikan patin hari ketiga atau mi goreng kampung yaitu sebanyak 22 orang (73,3%).Kesimpulan: Balita dapat menerima mi kering ikan patin dengan daya terima tertinggi adalah pada olahan mi goreng kampung yaitu sebanyak 22 orang (73,3%).KATA KUNCI: daya terima; mi kering ikan patin tepung labu kuning; 3 modifikasi resep; balita wastingABSTRACTBackground: Efforts to deal with malnutrition problems in toddlers are very important so that toddlers do not enter into malnutrition conditions and cause more serious health problems. Efforts to select high-protein local foods can be added/substituted to noodle products. Dried patin fish noodles substituted with yellow pumpkin flour with a composition of pumpkin flour of 7.5% have the best moisture content quality based on SNI 8217-2015), so it is recommended to be modified with various recipes and processing techniques. Dry noodle processing can be processed into fried noodles, boiled noodles, or other variations. The presentation of instant noodles in the form of fried noodles is preferred by toddlers aged 24 – 60 months.Objectives: This study aimed to test the acceptability of patin fish dried noodles substituted with yellow pumpkin flour in malnourished toddlers in the working area of the Telogosari Wetan Health Center in Semarang City.Methods: The type of research used is a pre-experimental design with a one-shot case study design. The stages of the research consist of the product Preparation Stage and Product Acceptability Test Stage, namely with 3 recipe modifications that are said to be given on days k-e 1 to 3, namely Mi Gosis (Sausage Fried Noodles), Quail Egg Fried Noodles (Teluh Noodles), and Gong Noodles (Village Fried Noodles).Results: These three modified dry catfish noodle recipes have a nutritional value of 224.6 - 385,115 calories, this can fulfill an average of 15% of toddlers\u27 food needs as a distraction. In the acceptability test of 3 recipes, the highest remaining (>20%) was on the 2nd day for 56.7% of toddlers. The highest acceptability for toddlers is processed dried catfish noodles on the third day or village fried noodles, namely 22 people (73.3%).Conclusions: Toddlers can accept dried catfish noodles with the highest acceptability being KEYWORD: acceptability; dried patin fish noodles yellow pumpkin flour; 3 recipe modifications; toddler wasting Received: 18 Dec 2024; Revised: 26 Apr 2024; Accepted: 24 Jan 2025; Available online: 30 Mar 2025; Published: 30 Mar 202
Proximate levels, physical characteristics, and sensory characteristics of mocaf brownies with the addition of snakehead fish (Channa striata)
Full text linkABSTRAKLatar Belakang: Pola konsumsi snack merupakan bagian dari pola makan. Brownies merupakan makanan tinggi energi yang populer karena mempunyai rasa yang lezat dan manis. Brownies adalah sejenis kue coklat yang mempunyai tekstur padat, tidak berongga, dan tidak begitu empuk karena brownies tidak membutuhkan pengembang atau gluten. Oleh karena itu brownies dapat dibuat dari tepung mocaf. Namun kandungan protein dalam tepung mocaf rendah sehingga perlu ditambahkan sumber protein seperti ikan gabus (Channa striata) untuk meningkatkan nilai gizi.Tujuan: Penelitian ini bertujuan untuk menganalisis kadar proksimat, karakteristik fisik, dan karakteristik sensori brownies mocaf dengan penambahan ikan gabus (Channa striata).Metode: Penelitian eksperimen yang menggunakan rancangan acak lengkap untuk mengkaji kadar proksimat, karakteristik fisik, dan karakteristik sensori. Konsentrasi daging ikan gabus terdiri dari 4 taraf perlakuan (0 g, 60 g, 80 g, dan 100 g). Analisis statistik menggunakan uji One-Way ANOVA dan Duncan Multiple Range Test (DMRT).Hasil: Brownies mocaf dengan penambahan ikan gabus mempunyai kadar air 39,2%-48,7%, kadar abu 1,4-1,5%, kadar protein 7,7-17,7%, kadar lemak 32,9-35,4%, dan kadar karbohidrat 9,4-22,2%. Analisis sifat fisik hardness, cohesiveness, gumminess elasticity, and adhesiveness masing-masing 3406,8-4228,4 g/mm, 0,4 g/mm, 1106,4-1560 g/mm, 6,6-8,7 g/mm, and 0,4-0,9 mj. Semakin banyak penambahan ikan gabus akan menurunkan nilai kesukaan brownies mocaf.Kesimpulan: Hasil penelitian menunjukkan bahwa penambahan ikan gabus berpengaruh secara signifikan terhadap kadar air, kadar protein serta sifat sensoris warna, rasa, dan tekstur brownies mocaf. KATA KUNCI: brownies; ikan gabus; mocaf; pangan lokal; PMT-AS ABSTRACTBackground:  Snack consumption patterns are part of eating patterns. Brownies are a popular high-energy food because they have a delicious and sweet taste. They are a type of chocolate cake with a dense texture that is not hollow and is not very soft because brownies do not require a developer or gluten. Therefore, brownies can be made from mocap flour. However, the protein content in mocap flour is low, so it is necessary to add protein sources such as snakehead fish (Channa striata) to increase nutritional value.Objectives: This research aims to analyze the proximate levels, physical characteristics, and sensory characteristics of brownies by adding snakehead fish.Methods: Experimental research using a completely randomized design to examine proximate levels and physical and sensory characteristics. The concentration of snakehead fish consists of 4 treatment levels (0 g, 60 g, 80 g, and 100 g.). Statistical analysis using One-Way ANOVA and Duncan Multiple Range Test (DMRT).Results: Mocaf brownies with the addition of snakehead fish have a water content of 39.2%-48.7%, ash content of 1.4-1.5%, protein content of 7.7-17.7%, fat content of 32.9-35.4%, and carbohydrate content of 9.4-22.2%. Analysis of physical properties of hardness, cohesiveness, gumminess elasticity, and adhesive power were 3406.8-4228.4 g/mm, 0.4 g/mm, 1106.4-1560 g/mm, 6.6-8.7 g/mm, and 0.4-0.9 mj, respectively. The more snakehead fish added, the lower the preference value of mocaf brownies.Conclusions: The results showed that the addition of snakehead fish had a significant effect on water content, protein content, and sensory properties of color, taste, and texture of mocaf brownies. KEYWORD: brownies; channa striata; mocaf; mocal food; supplementary food for school children program Received: 16 Dec 2024; Revised: 20 Aug 2024; Accepted: 20 Jan 2025; Available online: 24 Mar 2025; Published: 30 Mar 2025