Construction of Integrated Technology for Physical and Mental Health in Conflict-Affected Middle Eastern Regions : A Confirmatory Factor Analysis of the Dimensions of Digital Innovation, Infrastructure Readiness, User Competency, and Sustainability

Mawar ; Luthfiah ; Rahmadi ; M. Agung ; Sabila ; Sal ; Muzhaffirah ; Adzra ; Rengganis ; Mutiara ; Nasution ; Helsa ; Sihombing ; Nurzahara ; Umaira ; Aisyah
Jurnal Ventilator: Jurnal riset ilmu kesehatan dan... 📅 2025 Vol 3, No 4 🔗 DOI: 10.59680/ventilator.v3i4.2114
Abstract
This study offers a comprehensive analysis of the integrated technology construct connecting physical and mental health services in conflict-affected Middle Eastern regions by employing confirmatory factor analysis within a Structural Equation Modelling approach. The research is based on 1,124 documents on digital health technology implementation published between 2017 and 2024 across fourteen countries. The measurement model demonstrates strong goodness-of-fit, evidenced by chi-square/df = 1.847, CFI = 0.971, TLI = 0.965, RMSEA = 0.041, and SRMR = 0.034, thereby confirming the structural soundness of the proposed framework. The analysis identifies four core dimensions—Digital Innovation (lambda = 0.893, CR = 13.672), Infrastructure Readiness (lambda = 0.847, CR = 12.184), User Competency (lambda = 0.819, CR = 11.453), and Sustainability (lambda = 0.865, CR = 12.738)—all significant at p < 0.001. Reliability indices are robust, with Cronbach's Alpha between 0.876 and 0.934, Composite Reliability ranging from 0.891 to 0.947, and Average Variance Extracted between 0.661 and 0.798, indicating strong internal consistency. The findings expand earlier digital health frameworks proposed by Mechael (2009) and Labrique et al. (2013) by emphasizing sustainability as a key component in conflict settings marked by limited resources. In contrast to Aranda-Jan et al. (2014), which addresses general technology adoption, this study underscores specific challenges in integrating both mental and physical health services in humanitarian contexts, thereby responding to the gap highlighted by Naslund et al. (2017) regarding fragmented digital mental health initiatives in crisis environments.
Keywords
Confirmatory Factor Analysis; Digital Health Technology; Middle East Conflict; System Sustainability; Telepsychology
How to Cite

Mawar, et al. (2025). Construction of Integrated Technology for Physical and Mental Health in Conflict-Affected Middle Eastern Regions : A Confirmatory Factor Analysis of the Dimensions of Digital Innovation, Infrastructure Readiness, User Competency, and Sustainability. Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan, 3(4). https://doi.org/10.59680/ventilator.v3i4.2114

Mawar, Luthfiah; Rahmadi, M. Agung; Sabila, Sal; Muzhaffirah, Adzra; Rengganis, Mutiara; Nasution, Helsa; Sihombing, Nurzahara; Umaira, Aisyah, "Construction of Integrated Technology for Physical and Mental Health in Conflict-Affected Middle Eastern Regions : A Confirmatory Factor Analysis of the Dimensions of Digital Innovation, Infrastructure Readiness, User Competency, and Sustainability," Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan, vol. 3, no. 4, 2025.

Mawar, Luthfiah; Rahmadi, M. Agung; Sabila, Sal; Muzhaffirah, Adzra; Rengganis, Mutiara; Nasution, Helsa; Sihombing, Nurzahara; Umaira, Aisyah. "Construction of Integrated Technology for Physical and Mental Health in Conflict-Affected Middle Eastern Regions : A Confirmatory Factor Analysis of the Dimensions of Digital Innovation, Infrastructure Readiness, User Competency, and Sustainability." Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan, vol. 3, no. 4, 2025.

Mawar, Luthfiah; Rahmadi, M. Agung; Sabila, Sal; Muzhaffirah, Adzra; Rengganis, Mutiara; Nasution, Helsa; Sihombing, Nurzahara; Umaira, Aisyah. "Construction of Integrated Technology for Physical and Mental Health in Conflict-Affected Middle Eastern Regions : A Confirmatory Factor Analysis of the Dimensions of Digital Innovation, Infrastructure Readiness, User Competency, and Sustainability." Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 3, no. 4 (2025).

Mawar, et al. (2025) 'Construction of Integrated Technology for Physical and Mental Health in Conflict-Affected Middle Eastern Regions : A Confirmatory Factor Analysis of the Dimensions of Digital Innovation, Infrastructure Readiness, User Competency, and Sustainability', Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan, 3(4). doi: 10.59680/ventilator.v3i4.2114.

Mawar, Luthfiah; Rahmadi, M. Agung; Sabila, Sal; Muzhaffirah, Adzra; Rengganis, Mutiara; Nasution, Helsa; Sihombing, Nurzahara; Umaira, Aisyah. Construction of Integrated Technology for Physical and Mental Health in Conflict-Affected Middle Eastern Regions : A Confirmatory Factor Analysis of the Dimensions of Digital Innovation, Infrastructure Readiness, User Competency, and Sustainability. Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan. 2025;3(4).

Artikel Terkait

Determinan Niat dan Ide Bunuh Diri Pada Remaja Menurut Theory of Planned Behavior (TPB); Studi Literatur Tahun 2021-2025

Siti Naila Sya’bani; Luqman Effendi

Determinan Kualitas Tidur Remaja Menurut Social Cognitive Theory Model : Tinjauan Pustaka Tahun 2020-2025

Muhammad Adithya Sasmitha; Luqman Effendi

Determinan Perilaku Merokok pada Remaja Menurut Teori Health Belief Model: Studi Literatur Tahun 2014-2025

Diyah Nur Muizzah; Luqman Effendi

Perbandingan Kenaikan Berat Badan pada Pasien yang Menggunakan KB suntik 1 Bulan dengan KB suntik 3 Bulan di Bidan Praktik Mandiri Wilayah Kerja Puskesmas Kragilan Serang, Banten Tahun 2023

Dian Retha Dwiyana; Sandy Armandha Adianto Djojosugito; Susanti Susanti

The Effect of Deep Breathing Techniques on Reducing Menstrual Related Stress Among Students of SMPN 2 Rambutan, Banyuasin Regency

Tri Sartika; Ayu Devita Citra Dewi

Hubungan Asupan Protein dan Kebiasaan Merokok terhadap Kebugaran Jasmani (VO2maks) pada Atlet Sepak Bola Persela Football Academy (PFA) U-18

Rahma Ramadhanti; Satwika Arya Pratama
Tren Sitasi Jurnal