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This research at TPA Siti Hajar aims to determine the impact of democratic parenting on the creativity of early childhood aged 4-5 years. The study found that 80% of respondents demonstrated good assessment results, while 20% achieved excellent grades. Democratic parenting, observed in this study, plays a significant role in fostering independence and confidence in children. This type of parenting is ideal for educating children, as it promotes responsibility, leadership, independence, and the ability to build healthy interpersonal relationships. Creativity, as defined in the study, is the ability to generate new ideas, solve problems, and produce innovative products. Using a quantitative approach with an experimental method, the research involved 10 out of 15 children from TPA Siti Hajar. Data was collected through observation and interviews. The results showed a significant correlation between democratic parenting and the development of children's creativity. Children exposed to democratic parenting exhibited increased independence and creativity, adapting well to their school environment. The study concludes that democratic parenting significantly influences early childhood creativity, fostering a safe and supportive space for children to thrive. This positive influence encourages independence while maintaining clear, consistent boundaries, which enhances their creative and developmental stages.

  The rapid advancement of technology has significantly impacted the field of education, making learning more interactive and engaging. This study aims to investigate the implementation of Google Sites in enhancing the learning motivation of eighth-grade students at SMPN 1 Polongbangkeng Utara in science subjects. The research employed a Classroom Action Research (PTK) approach with a quantitative descriptive method, involving 32 students as participants. Data were collected through observations, questionnaires, and documentation over two cycles of learning interventions. The results showed that students’ learning motivation increased progressively from the pre-cycle, with a low average of 38%, to cycle I with 55% (moderate), and reached 78% (high) in cycle II. Indicators such as diligence, perseverance, attention, achievement, and independence showed significant improvement after utilizing Google Sites. These findings suggest that Google Sites, as an interactive and easily accessible digital learning media, can effectively stimulate student engagement, facilitate understanding of complex concepts, and foster independent learning. The study highlights the potential of integrating technology-based media to enhance motivation in science education.

This research is motivated by the relationship between parenting styles and children's creative thinking abilities, especially in TPA Miftahul Jannah. The purpose of this study is to identify the parenting styles of children's parents with children's creative thinking abilities in TPA. This study uses quantitative methods with correlational design. Data were collected through observation, interview, data collection and documentation techniques, while teachers act as the main participants in this study. The results of the study indicate that parenting styles greatly influence children's creative thinking abilities. Parenting styles are a pattern or way parents educate, guide, and interact with children, which includes how they set rules, provide affection, and control children's behavior. In addition, teachers and caregivers at TPA also have an important role as parents of both children when they are in childcare. Teachers and caregivers at TPA Miftahul Jannah play an active role in caring for and educating children from toddler age to childhood. Parenting styles can improve children's creative thinking abilities. Through this approach, children can think creatively and imaginatively.

The School-Based Curriculum (KSP) is an operational curriculum developed by educational units to align learning objectives with the characteristics of students, local potentials, and the evolving needs of society. KSP provides schools with autonomy to develop curricula that are relevant to their local context, allowing for variations in the approach to learning. This article aims to discuss the basic concept of KSP, the challenges in its implementation, and its evaluation in the context of Indonesian education. The research method used is a literature review, analyzing theories and regulations related to KSP. The results show that KSP plays a strategic role in providing schools with the flexibility to develop curricula that meet the needs of the region and students. However, the implementation of KSP still faces various challenges, such as limited teacher competencies, insufficient understanding of curriculum principles, and weak evaluation and supervision of curriculum implementation. To address these challenges, the evaluation of KSP implementation needs to be strengthened by improving teachers' competencies, developing relevant learning materials, and enhancing ongoing curriculum supervision. By doing so, KSP can be optimized to achieve better educational outcomes in Indonesia.  

This article analyzes the challenges and solutions surrounding funding for Early Childhood Education (ECE) institutions in Indonesia, with a particular focus on the high dependence on parental fees and the limited availability of external support. ECE plays a crucial role in supporting children’s development during their early years; however, many institutions struggle with financial instability due to inadequate and inconsistent funding sources. This study uses a literature review approach by synthesizing relevant books, journal articles, government regulations, and institutional reports to provide a comprehensive understanding of the funding landscape. Findings show that most ECE institutions rely heavily on parental contributions, causing financial vulnerability, limiting program development, and reducing access for low-income families. Government assistance through the Operational Education Assistance (BOP) remains insufficient and often delayed. Meanwhile, collaborations with the private sector, CSR programs, and community-based support are still minimal. Financial challenges negatively affect institutions’ ability to provide adequate facilities, ensure teacher welfare, and implement holistic-integrative learning programs. The study suggests several solutions, including strengthening financial management capacity, applying participatory budgeting, diversifying funding sources, and initiating creative economic programs such as school bazaars and community partnerships. These strategies are expected to improve sustainability and enhance the quality of ECE services in Indonesia.

Early Childhood Education (PAUD) honorary teachers in West Sumatra face serious welfare challenges, with incomes far below the Provincial Minimum Wage (UMP). This condition affects work motivation, limits access to professional development, and reduces the quality of early childhood education services. This study aims to analyze the current welfare conditions of PAUD honorary teachers, identify the factors contributing to low welfare, and offer strategic solutions involving the government, PAUD institutions, the community, and the teachers themselves. This research employed a literature review method by examining scientific journals, educational department reports, statistical data, government regulations, and supporting theories such as Human Capital and Work Motivation. The findings indicate that low welfare is caused by limited regional government budgets, reliance on parental fees, weak legal status of PAUD teachers, limited certification opportunities, and insufficient CSR and community support. Recommended solutions include increasing government funding, expanding ASN/PPPK recruitment opportunities, strengthening institutional management, collaborating with private sectors, and enhancing teacher competence through continuous training. In conclusion, improving the welfare of PAUD teachers is an urgent step to strengthen the quality of early childhood education services and support the achievement of national education goals from an early age.

Swimming performance is strongly influenced by aerobic endurance, which enables athletes to maintain speed, technique efficiency, and physiological stability during prolonged activity. However, quantitative data regarding aerobic endurance levels among club-level swimmers in Indonesia remain limited. This study aimed to describe the aerobic endurance level of athletes from the Science Swimming Team. A descriptive research design was employed involving 11 swimmers selected through purposive sampling. Data were collected using the Cooper Swimming Test conducted over a 15-minute freestyle swimming session, and aerobic capacity was estimated through VO₂max values. The collected data were analyzed descriptively to classify aerobic endurance levels based on established normative categories by sex and age. The findings indicated that most athletes achieved good to very good performance in swimming distance; however, VO₂max classifications showed that aerobic capacity was predominantly in the moderate category, with only one female athlete reaching an excellent level. This disparity suggests that favorable distance performance does not necessarily reflect optimal aerobic capacity. The results imply the need for more targeted training programs focusing on improving VO₂max through structured aerobic and interval-based training. These findings provide practical input for coaches in designing data-driven and individualized training strategies to enhance aerobic endurance and competitive performance in swimming athletes.

Fitness center is a business or service center that provides sports services and sports facilities for its customers. The level of member satisfaction can be seen from the quality of service provided. With the professionalism provided by personal trainers, members will have their own interest in the services and ethics that personal trainers do. This study aims to determine the level of member satisfaction with the professionalism provided by personal trainers at ATLAS CLUB SPORT Surabaya. This type of research is presented using a descriptive quantitative research method with a survey approach, where the questionnaire instrument is used as support for data collection. This study uses the Servqual method to measure the level of professionalism provided by personal trainers to members. This method includes several aspects, namely tangibles, reliability, responsiveness, assurance, and empathy which are used to measure the professionalism of personal trainers. The study population was members who used personal trainer services totaling 100 people, and a sample of 25 people taken using the purposive sampling method. The results of this study indicate that the tangible aspect and the responsiveness aspect received the highest scores, namely 88% and 87%. Meanwhile, the aspects of reliability, assurance, and empathy each received a score of 86%. With the results obtained, it shows that the personal trainer of ATLAS SPORT CLUB Surabaya has provided professional quality, very satisfying service and also understands what members need.

The rapid growth of the digital era significantly reduces children's physical activity, thus having an impact on decreasing gross and fine motor development in elementary school-age children. The habit of excessive use of gadgets causes children to tend to be passive and less involved in structured movement activities. Fundamental Movement Skills (FMS), as the basis of motor competence which includes locomotor, non-locomotor, and manipulative skills, shows increasingly less than optimal development in early childhood and school age. This study examines the contribution of FMS to children's motor development and evaluates the effectiveness of FMS-based learning media, especially modified snake and ladder games, in improving students' basic movement skills. The study used a descriptive-correlational quantitative design involving 40 students aged 6–9 years who were selected through purposive sampling techniques. Data collection was carried out using the Test of Gross Motor Development-2 (TGMD-2) instrument, structured observation rubrics, and supporting documentation. Data analysis used descriptive statistics and Pearson correlation tests to see the relationships between variables. The findings of this research are expected to be the basis for the development of more innovative, adaptive, and fun physical education programs to support children's motor development in the midst of the challenges of the digital era.

This study aims to analyze the role of the Sports Development Facilitator (SP3OR) in increasing community participation in sports activities in Subang Regency. This research uses a descriptive qualitative approach with data collected through interviews, observations, and documentation. The research informants consisted of SP3OR, village officials, sports community administrators, and community members participating in sports activities. The results show that the presence of SP3OR significantly increased community participation from 42% to 71%. SP3OR acts as a motivator, facilitator, and community empowerment agent capable of organizing sports activities and establishing and strengthening sports communities. The facilitation program was considered effective by the community with an average score of 4.18 on a scale of 1–5. This study concludes that SP3OR plays a strategic role in developing a community-based sports culture and recommends continuous collaboration among the regional government, SP3OR, and the community to ensure the sustainability of sports activities in Subang Regency.

The prevalence of chronic diseases in Jambi City has tended to increase in the last three years, especially hypertension and diabetes mellitus. Chronic diseases that are high risk, high volume and high cost have an impact on the household economy of sufferers who tend to incur health costs that exceed the family's financial capacity (catastrophic). The existence of the Chronic Disease Management Program (Prolanis) from BPJS Health should contribute to reducing the number of chronic diseases, reducing the burden of disease and improving the social relations of chronic disease sufferers, however the coverage of Prolanis activity is still low and several responses from community experience indicate there are problems with the acceptability of the program. This research aims to measure the level of community acceptability of health interventions and social relations in the Prolanis practice as assessed by analyzing affective attitudes, burden, ethics, intervention coherence, costs, perceived effectiveness and self-confidence of chronic disease sufferers in Jambi City in 2023. The research was conducted with Quantitative research methods use a cross-sectional design. Respondents were selected based on a purposive sampling technique totaling 180 respondents spread across five Puskesmas work areas in Jambi City. The research instrument is a questionnaire. The research results show that the indicators of burden, ethics and effectiveness are the most dominant factors in influencing the acceptability of Prolanis participants. As a recommendation, it is suggested to the government and BPJS Health to increase public understanding of the importance of using Prolanis in an effort to reduce the number of chronic diseases in Jambi City.

Type 2 diabetes mellitus (DM type 2) is a chronic metabolic disorder marked by elevated blood glucose due to insulin resistance and impaired insulin secretion. Its prevalence continues to rise worldwide, including in Indonesia. Psychological stress is known to worsen glycemic control by activating the sympathetic nervous system and increasing cortisol levels, which can cause fluctuations in blood glucose. This case report aims to describe the effect of combining Benson relaxation techniques with warm foot soaking on blood glucose regulation in a type 2 DM patient. The subject was Mrs. M, a 52-year-old woman diagnosed with type 2 DM. The intervention was conducted for seven consecutive days and consisted of daily Benson relaxation followed by warm foot soaking for 15–20 minutes. Blood glucose levels were measured before and after each session using a glucometer and analyzed descriptively. After seven days, the patient’s blood glucose level decreased from 248 mg/dL to 186 mg/dL. She also reported improved relaxation, better sleep quality, reduced anxiety, and decreased fatigue. These findings suggest that Benson relaxation helps activate the parasympathetic response and reduce stress hormones, while warm foot soaking supports improved circulation and metabolic processes. In conclusion, the combination of Benson relaxation and warm foot soaking is a simple, safe, and effective complementary therapy to support blood glucose regulation in type 2 DM patients. This intervention can be integrated into self-care routines and community nursing practice as part of evidence-based non-pharmacological management.

Background: Mental health during pregnancy is influenced by multiple factors, including the social environment. Family support, peer interactions, and community engagement are critical determinants of psychological well-being, yet their impact local community health settings remains underexplored. Objective: This study aimed examine the influence the social environment the mental health pregnant women Tilongka Billa Community Health Center. Methods: A quantitative correlational study was conducted with 70 pregnant women selected through purposive sampling. Data were collected using structured questionnaires assessing demographic characteristics, social support (family, peer, and community), and mental health status (Perceived Stress Scale and Edinburgh Postnatal Depression Scale). Descriptive statistics summarized the participants’ characteristics, while Pearson Spearman correlation tests analyzed relationships between social environment factors mental health outcomes (p < 0.05). Results: The results indicated that family support had the highest mean score (4.1 ± 0.7), followed by peer support (3.8 ± 0.8) and community involvement (3.5 ± 0.9). Mental health assessments revealed moderate stress levels (18.2 ± 5.0) and mild depression risk (9.5 ± 4.3). Correlation analysis showed significant negative relationships between social support and mental health indicators, with family support exhibiting the strongest correlation with reduced stress (r = -0.48, p = 0.002) and depression (r = -0.52, p = 0.001). Conclusion: The study demonstrates that supportive social environment, particularly family and peer support, plays crucial role in reducing stress and depressive symptoms among pregnant women. Strengthening social support networks through counseling, peer groups, and community engagement programs may enhance maternal mental health and promote positive pregnancy outcomes.

Low Birth Weight (LBW) is one of the leading causes of neonatal mortality and contributes to an increased risk of growth and developmental disorders in later life. Maternal nutritional status during pregnancy and the utilization of antenatal health services are important factors influencing fetal growth and development. Pregnant women with poor nutritional status are at higher risk of delivering low birth weight infants due to insufficient intake of essential nutrients required during pregnancy. In addition, inadequate utilization of antenatal care services may result in delayed detection and management of pregnancy-related complications. This study aimed to determine the relationship between maternal nutritional status and the utilization of health services with the incidence of LBW. The research employed an observational analytic design with a cross-sectional approach. The study population consisted of all women who delivered in the working area of Puskesmas X in 2026. A total of 80 respondents were selected using purposive sampling. Data were collected from maternal and child health (MCH) books and medical records and analyzed using the Chi-square test. The results showed a significant relationship between maternal nutritional status and the incidence of LBW (p=0.002), as well as between the utilization of health services and the incidence of LBW (p=0.004). It can be concluded that maternal nutritional status and compliance with antenatal visits are significantly associated with LBW, highlighting the need to improve nutritional monitoring and the quality of antenatal care services.

Adolescents are a vulnerable age group to nutritional problems due to increased nutritional requirements during periods of rapid growth. Suboptimal nutritional status, including undernutrition and anaemia, can negatively affect health and academic performance. This study aimed to describe the nutritional status of adolescents at SMA Negeri 2 Kendari, Southeast Sulawesi Province. This study employed a descriptive observational design conducted from August to September 2025 with a total sample of 226 twelfth-grade students’ selected using proportionate stratified random sampling. Data were collected through measurements of body weight and height to determine nutritional status based on the BMI-for-Age indicator and haemoglobin levels were assessed using a digital haemometer. Data were analyzed using univariate analysis. The results showed that most respondents had normal nutritional status (52.2%), while a considerable proportion were undernutrition (47.8%). In addition, more than half of the respondents were anaemia (50.9%). These findings indicate that although anthropometric nutritional status was generally normal, anemia remains a health problem that requires attention among adolescents. Regular monitoring of nutritional status and hemoglobin levels accompanied by nutrition education is recommended. Further studies are recommended to use an analytical study design to identify factors associated with nutritional status and anaemia.

This meta-synthesis examines in depth the effectiveness of technology-assisted therapy (TAT) in the treatment of war-related trauma through a systematic analysis of 47 empirical studies with a total of 6,842 participants published between 2010 and 2024. The quantitative synthesis indicates that the implementation of TAT demonstrates statistically significant effectiveness in reducing the severity of post-traumatic stress disorder symptoms (d=0.78, 95% CI [0.65, 0.91]), anxiety (d=0.69, 95% CI [0.54, 0.84]), and depression (d=0.72, 95% CI [0.58, 0.86]) among populations affected by armed conflict. Among the various digital modalities, Virtual Reality Exposure Therapy (VRET) exhibits the strongest therapeutic effect (d=0.85) compared with mobile-based intervention (d=0.71) and teletherapy (d=0.68). Further moderator analysis identifies the optimal intervention duration as 12 to 16 weeks, with a significant effect contribution (β=0.34, p<.001) and a relatively moderate dropout rate of 18.7%. These findings extend Tng et al. (2024) by confirming the superiority of VRET and by confirming the significance of therapist support for the effectiveness of TAT (Wu et al., 2025). In contrast to the meta-analysis by Eshuis et al. (2021), which emphasized a single approach, this study reveals that hybrid interventions that integrate multiple digital platforms simultaneously (d=0.89) are superior to single-platform interventions (d=0.67). Overall, the results of this meta-synthesis provide a strong empirical foundation for the development of more comprehensive, adaptive, and contextually relevant TAT protocols for war-related trauma.

Response time refers to the speed of nurses in providing initial responses to patients, measured from the moment patients arrive at the hospital entrance until they receive medical attention from emergency room staff. Patient satisfaction is an important indicator of healthcare quality, reflecting the comparison between patient expectations and the services received. This study passed the ethical review process with approval number 66/EC-LPPM/UWHS/IV-2025 and used a quantitative correlational design with a cross-sectional approach. The sampling technique applied purposive sampling involving 197 respondents. Data were collected using a nurse response time observation sheet and a patient satisfaction questionnaire that had undergone validity and reliability testing. The validity test using the Pearson Product Moment method showed that the calculated r value was greater than the r table value of 0.361, indicating that all questionnaire items were valid. The reliability test using Cronbach’s alpha produced a coefficient value of 0.855, confirming that the instrument was reliable. Data analysis used univariate and bivariate analysis with the Spearman’s rho test. The results showed that nurse response time was categorized as fast (≤ 5 minutes) for 177 respondents (89.8%). Patient satisfaction levels showed that 177 respondents (89.8%) were very satisfied, 10 respondents (5.1%) were satisfied, and 10 respondents (5.1%) were moderately satisfied. The Spearman Rank test produced a p-value of 0.000 (<0.05) with a correlation coefficient of 0.893, indicating a strong and positive relationship between nurse response time and patient satisfaction in the Emergency Room of Charlie Hospital Kendal.

Cervical cancer remains a major public health problem and is one of the leading causes of cancer-related mortality among women in Indonesia. Early detection through Visual Inspection with Acetic Acid (VIA) is an effective and feasible screening method at the primary health care level. However, the coverage of VIA screening among women of reproductive age (WRA) remains low. Knowledge is considered an important predisposing factor that may influence women’s motivation to undergo VIA screening. This study aimed to analyze the association between cervical cancer knowledge and motivation to undergo VIA screening among women of reproductive age. This study employed a quantitative analytic design with a cross-sectional approach. A total of 105 women of reproductive age were recruited using consecutive sampling at the Payangan Community Health Center, Gianyar Regency, Indonesia. Data were collected using validated and reliable structured questionnaires measuring cervical cancer knowledge and motivation to undergo VIA screening. Univariate analysis was performed to describe respondent characteristics, while bivariate analysis using the chi-square test was applied to examine the association between knowledge and motivation at a significance level of 5%. The results showed that 61.9% of respondents had good knowledge of cervical cancer, while 52.4% demonstrated low motivation to undergo VIA screening. A statistically significant association was found between cervical cancer knowledge and motivation to undergo VIA screening (p = 0.043). Women with higher levels of knowledge tended to have greater motivation to participate in VIA screening. In conclusion, cervical cancer knowledge is significantly associated with motivation to undergo VIA screening among women of reproductive age. These findings suggest that strengthening health education interventions at primary health care facilities is essential to enhance motivation and increase participation in early cervical cancer detection programs.

Leadership management plays a crucial role in developing nursing career paths in hospitals. An effective career path system not only enhances nurses' competence and professionalism but also contributes to job satisfaction and retention. However, scientific evidence regarding the influence of leadership management on nurses' career paths remains scattered and shows varying findings. This systematic review aims to synthesize scientific evidence related to the influence of leadership management on nursing career path development in hospitals. This study used a systematic review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. A literature search was conducted through PubMed and Google Scholar for articles published between 2015 and 2024. Articles were selected based on inclusion and exclusion criteria, resulting in 13 articles for analysis. Data synthesis was conducted using a thematic synthesis approach. The review identified five main themes: leadership style, managerial support, organizational systems and policies, the impact of career paths, and barriers to implementation. Transformational and participatory leadership has been reported to have a positive influence on nurses' career development. Managerial support through coaching, mentoring, and ongoing training strengthens career readiness, increases job satisfaction, and reduces nurse turnover intentions. Leadership management has a significant influence on nursing career development in hospitals. Integrating effective leadership with a clear and transparent career development system is necessary to enhance professionalism, job satisfaction, and the sustainability of the nursing workforce.

Premarital sexual behavior among adolescents remains a public health concern influenced by social change, technological development, and social environment. This study aims to analyze factors associated with adolescent premarital sexual behavior based on the Health Belief Model (HBM). A systematic literature review was conducted on eight studies published between 2019 and 2025, including journal articles, undergraduate theses, and a doctoral dissertation. The findings were analyzed by categorizing the results into six HBM components: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The results indicate that perceived susceptibility is the most consistently associated component with adolescent premarital sexual behavior. Perceived severity, perceived barriers, cues to action, and self-efficacy also show significant associations in several studies, whereas perceived benefits demonstrate the weakest and most inconsistent relationship. Overall, adolescent premarital sexual behavior is shaped by the interaction between risk perception, environmental support, and individual confidence in behavioral control. These findings confirm that the Health Belief Model remains a relevant framework for designing adolescent health promotion and preventive interventions.