Abstract:The performance of Kader Surabaya Hebat (KSH) plays a crucial role in supporting the success of community service programs implemented by the Surabaya City Government. Variations in the levels of training, work discipline,…
e, and organizational commitment are presumed to influence the quality of cadre performance and therefore require empirical investigation. This study aims to analyze the effects of training, work discipline, and organizational commitment on the performance of KSH in Medokan Ayu Sub-district, Surabaya. The research employed a quantitative approach with an associative research design involving 30 cadres selected through purposive sampling. Data were analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) with the assistance of SmartPLS 4 software. The findings reveal that training has a positive and significant effect on performance (β = 0.312; p = 0.008), work discipline has a positive and significant effect on performance (β = 0.354; p = 0.004), and organizational commitment exerts the strongest positive and significant effect on performance (β = 0.421; p = 0.001). These results indicate that improving cadre performance requires the integrated enhancement of competencies, work discipline, and organizational commitment. The novelty of this study lies in its empirical evidence demonstrating that organizational commitment is the most dominant factor in improving cadre performance within community-based public service organizations, thereby extending the human resource management literature in the context of grassroots public service delivery.
Abstract:This study examines the utilization of digital technology in counseling services as a response to the transformation of mental health service demands that require flexibility, efficiency, and broad reach. The research problem…
oblem focuses on the extent of e-counseling effectiveness, the level of service accessibility for the community, and the key challenges influencing its implementation. The study employs a qualitative approach using a systematic literature review method of 25 reputable scientific articles published between 2015 and 2025. The synthesis results indicate that e-counseling demonstrates a high level of effectiveness, reflected in service flexibility (92%), client openness (88%), cost efficiency (85%), satisfaction level (81%), and intervention success rate (76%), particularly for mild to moderate cases. The accessibility aspect also shows significant achievements, including ease of access (90%), expanded geographical reach (87%), and reduced social stigma (83%), thereby reinforcing the role of e-counseling as an inclusive alternative solution. Nevertheless, implementation still faces several challenges, such as limitations in nonverbal communication, data security risks, digital inequality, and low technological competence among counselors. The findings conclude that e-counseling is a strategic innovation that is both effective and adaptive; however, it requires adequate infrastructure support, improved digital literacy, and appropriate regulatory frameworks to ensure optimal and sustainable implementation. The novelty of this study lies in its integrative approach, which simultaneously examines effectiveness and accessibility alongside the technical, psychological, and structural factors influencing them, resulting in a more comprehensive analytical framework compared to previous studies that tend to be partial.
Abstract:Chronic pain represents a major global health burden and often remains resistant to conventional pharmacological treatment, prompting the exploration of alternative therapeutic strategies. Electroencephalographic (EEG) neurofeedback…
eurofeedback has emerged as a non-invasive neuromodulatory intervention that enables patients to self-regulate brain activity and potentially alleviate persistent pain symptoms. This systematic review addresses the research problem of inconsistent evidence regarding the clinical efficacy and underlying mechanisms of EEG-based neurofeedback for chronic pain management in adults. A comprehensive analysis of 80 studies involving adults with chronic pain lasting at least three months was conducted, examining neurofeedback protocols, clinical pain outcomes, neurophysiological changes, secondary benefits, and methodological quality. Findings revealed heterogeneous results, with several studies reporting statistically significant and clinically meaningful pain reduction, particularly in conditions such as chemotherapy-induced neuropathy, fibromyalgia, and chronic back pain. Observed neurophysiological changes, including increased alpha power and modified connectivity in pain-related brain regions, were sometimes associated with clinical improvement, alongside reported benefits in sleep quality, mood, and overall well-being. However, evidence from sham-controlled randomized trials showed no significant differences between intervention and control groups, highlighting methodological limitations and challenges in blinding procedures. The review concludes that EEG neurofeedback is a safe and feasible intervention with potential therapeutic value for chronic pain, although current evidence remains inconsistent. The novelty of this study lies in its integrative evaluation of clinical outcomes, neurophysiological mechanisms, and protocol-specific effects, while emphasizing the need for personalized approaches, biomarker identification, and rigorous experimental designs to clarify efficacy and optimize treatment implementation.
Abstract:Chronic Obstructive Pulmonary Disease (COPD) is a progressive chronic respiratory disease that has become a global health concern due to its high morbidity and mortality rates and its impact on patients’ quality of life.…
e. In acute exacerbation conditions, impaired oxygenation becomes a major problem that may be influenced by various factors, including hemoglobin levels as the primary component of oxygen transport in the blood. However, the relationship between hemoglobin levels and oxygen saturation in patients with acute exacerbation COPD remains inconsistent, particularly in populations exposed to high environmental risk factors. This study aimed to determine the relationship between hemoglobin levels and oxygen saturation in patients with acute exacerbation COPD hospitalized at RSUD dr. Suhatman MARS Dumai, Kota Dumai. This research employed an analytic observational design with a cross-sectional approach involving 73 patients selected through total sampling based on medical record data. Bivariate analysis using the Spearman correlation test showed no significant relationship between hemoglobin levels and oxygen saturation (r = 0.098; p = 0.412), indicating a very weak and statistically insignificant correlation. The study concluded that hemoglobin levels do not directly influence the oxygenation status of patients with acute exacerbation COPD, where impaired oxygenation is more strongly affected by respiratory factors such as ventilation-perfusion imbalance and structural lung damage. The novelty of this study lies in its empirical evidence demonstrating the limited role of hemoglobin as a predictor of oxygenation in patients with acute exacerbation COPD within a population with specific environmental characteristics, thereby providing a basis for developing more comprehensive clinical approaches in monitoring and managing COPD patients.
Abstract:Infant sleep quality is a fundamental biological need that plays a crucial role in growth and neurological development; however, sleep disturbances remain common among infants aged 3-6 months and are often overlooked by…
parents. This condition poses risks to physical health, emotional well-being, and overall infant development. This study aims to analyze the effect of baby massage on sleep quality among infants aged 3-6 months at Babycare Bondowoso and to identify differences in sleep quality before and after the intervention. The study employed a quantitative approach with a quasi-experimental one-group pretest-posttest design involving 40 infants selected through total sampling. Data were collected using questionnaires and observation sheets, then analyzed using the Wilcoxon test. The results showed that prior to the intervention, 87.5% of infants experienced poor sleep quality, whereas after the intervention, all infants (100%) demonstrated improvement to good sleep quality. Statistical analysis indicated a p-value of 0.00, which is lower than 0.05, confirming a significant effect of baby massage on infant sleep quality. These findings demonstrate that baby massage effectively improves sleep duration, comfort, and stability through physiological relaxation mechanisms. The novelty of this study lies in providing empirical evidence of the effectiveness of baby massage as a non-pharmacological intervention that is simple, safe, and can be independently applied by parents while offering holistic benefits for infants. The findings are expected to serve as a basis for developing health education and improving infant care practices.
Abstract:The decline in sleep quality among preschool children has become a significant concern due to its impact on physical health and cognitive development, one of which is influenced by excessive smartphone use. This study addresses…
dresses the research problem of whether there is a relationship between smartphone addiction and sleep quality in preschool children. The aim of this study is to analyze this relationship among children at PAUD Anggrek, Tamansari Village, Bondowoso Regency, in 2025. The research employed a quantitative approach with a cross-sectional design, involving the entire population of 30 parents as the sample using a total sampling technique. Data were collected through structured questionnaires and analyzed using the chi-square test at a 5% significance level. The results revealed a significance value of 0.000 < 0.05 and a calculated chi-square value of 22.502, which is greater than the chi-square table value of 3.481, indicating a significant relationship between smartphone addiction and sleep quality in preschool children. The findings conclude that higher levels of smartphone addiction are associated with poorer sleep quality in children. The novelty of this study lies in its focus on preschool children within early childhood education settings using a behavioral approach to technology use, which remains relatively underexplored in the local context. These findings provide important implications for parents and educators to regulate smartphone use in order to support optimal sleep quality in children.
Abstract:Population growth that continues to increase has generated various social and health problems due to the imbalance between population size and the quality of human resources. This condition encourages the government to strengthen…
trengthen the implementation of the Family Planning Program as a strategic effort to control fertility among couples of reproductive age. The success of this program is influenced not only by access to health services but also by family support, particularly the husband’s support in decisions related to contraceptive use. This study aimed to analyze the relationship between husband’s support and the decision to use three-month injectable contraception among family planning acceptors. The research applied a quantitative approach with a correlational design and a cross-sectional research type. The population consisted of all family planning acceptors at TPMB Ny. Sofi Rufiah totaling 109 individuals, while the sample included 86 respondents selected through a random sampling technique. Data were collected using a structured questionnaire and analyzed statistically using the Chi-Square test through SPSS software. The results showed that the majority of respondents received support from their husbands, totaling 60 individuals (69.8%), while the use of three-month injectable contraception was reported by 49 respondents (57%). Statistical analysis indicated a significant relationship between husband’s support and the decision to use three-month injectable contraception with a significance value of p < 0.05, meaning the research hypothesis was accepted. These findings confirm that husband’s support is an important factor influencing women’s decisions in selecting contraceptive methods. The novelty of this study lies in emphasizing the role of husband’s support as a social determinant contributing to the successful use of three-month injectable contraception at the level of independent midwifery practice services. The results are expected to provide a foundation for strengthening family-based family planning education strategies.
Abstract:Stunting is a chronic nutritional problem that remains a serious challenge to child health because it is associated with impaired physical growth, cognitive development, and the quality of human resources in the future.…
This condition is influenced by inadequate nutritional intake, particularly during the first 1,000 days of life, which plays a critical role in determining the quality of child growth. Exclusive breastfeeding is considered an important factor that contributes to meeting nutritional needs and strengthening the immune system of children. The research problem focuses on the relationship between breastfeeding practices and the degree of stunting among children aged 1-5 years in the working area of Sempol Community Health Center, Bondowoso Regency, in 2025. The study employed a quantitative approach using an analytic survey design with a population consisting of all stunted toddlers in the area. A sample of 75 respondents was selected using a proportionate stratified random sampling technique. Data were collected through questionnaires and observation sheets that assessed breastfeeding practices and the level of stunting based on the height-for-age (HFA) indicator. The results show that 72% of children received exclusive breastfeeding, while the remainder received partial breastfeeding or were not exclusively breastfed. The distribution of stunting severity indicates that 57.3% of children experienced mild stunting, 34.7% moderate stunting, and 8% severe stunting. The Chi-Square statistical test produced a p-value of 0.003 (p < 0.05), indicating a significant relationship between breastfeeding practices and the degree of stunting. These findings demonstrate that the nutritional quality and antibodies contained in breast milk play an important role in supporting optimal child height growth. The novelty of this study lies in its analysis of the relationship between breastfeeding practices and the severity of stunting within the specific context of a local community health center area that has rarely been examined in detail. The findings emphasize the importance of health education for mothers and strong family support to strengthen exclusive breastfeeding practices as a strategic effort to prevent stunting.
Abstract:The rapid advancement of information and communication technology has transformed learning paradigms in higher education, particularly through the implementation of flexible digital learning systems that emphasize student…
t learning autonomy. Higher education institutions providing distance education face challenges in delivering digital learning materials that are not only easily accessible but also capable of sustainably enhancing students’ learning motivation. The research problem addressed in this study focuses on the extent to which the utilization of Android-based digital learning materials influences the learning motivation of students at Universitas Terbuka. The purpose of this study is to analyze the effect of using Android-based digital learning materials on students’ learning motivation in the context of distance education. A quantitative approach was employed using a survey method as the research design. The research sample consisted of 97 Universitas Terbuka students from UT Ambon, UT Gorontalo, and UT Makassar, selected through simple random sampling. Data were collected using structured questionnaires, while data analysis was conducted through simple linear regression with the assistance of SPSS software. The results of the analysis indicate that the utilization of Android-based digital learning materials has a positive and significant effect on students’ learning motivation, as evidenced by a regression coefficient value of 0.442 and a significance value of 0.000, which is below the 0.05 significance threshold. These findings confirm that improvements in the intensity and quality of using Android-based digital learning materials are directly associated with increased student learning motivation. The novelty of this study lies in strengthening empirical evidence on the effectiveness of Android-based digital learning materials in a cross-regional distance education context, while also providing practical contributions to the development of digital learning strategies aimed at enhancing the learning motivation of Universitas Terbuka students.
Abstract:The rapid advancement of digital technology and the increasingly widespread penetration of the internet have significantly driven the growth of e-commerce in Indonesia, leading to notable changes in consumer behavior in…
making purchasing decisions. This condition requires business actors to comprehensively understand marketing factors that play a crucial role in influencing consumer decisions on e-commerce platforms, particularly those related to price, promotion, and product quality. The research problem of this study focuses on how these three variables shape consumer purchasing decisions amid increasingly intense e-commerce competition. This study aims to analyze the influence of price, promotion, and product quality on purchasing decisions in e-commerce by employing a qualitative approach through a literature review of various relevant scholarly sources, including both national and international journals. The findings indicate that competitive pricing aligned with consumers’ perceived value has a strong influence on attracting purchase intentions, while appropriate, sustainable, and communicative promotional strategies are able to enhance consumer awareness and purchase motivation. On the other hand, product quality is proven to be a key determinant in building trust, satisfaction, and consumer loyalty in online transactions. The conclusion of this study confirms that price, promotion, and product quality simultaneously contribute positively and significantly to e-commerce purchasing decisions. The novelty of this scholarly work lies in its conceptual synthesis that integrates these three variables within the context of Indonesian e-commerce consumer behavior, providing a holistic understanding that can serve as a strategic basis for decision-making among digital business practitioners in the technology-based economic era.