ABSTRAKPerkembangan anak merupakan sesuatu yang bersifat multi
dimensi dan terdiri atas area kognitif, bahasa, fungsi gerak, sosial emosional dan
perilaku adaptif, masing-masing memiliki nilai tersendiri namun saling
berintegrasi. Dua metode stimulasi (Glenn Doman (GD) dan Kemenkes (K))
dinilai kualitasnya dalam penelitian ini.
Tujuan.Mengetahui pengaruh perbedaan stimulasi metode GD dan K terhadap
skor perkembangan bayi usia 6-12 bulan.
Metode.Penelitian kohort prospektif pada bayi normal.Skrining perkembangan
awal dilakukan menggunakan alat ukur Denver.Pasca 3 bulan intervensi,
perkembangan bayi dinilai menggunakan BSID edisi-III yang terlebih dahulu
dilakukan uji validitas dan reliabilitas.Kualitas stimulasi rumah di nilai
menggunakan alat ukur HOME.
Hasil.Skor validitas dari BSID edisi-III adalah 0,964 (kognitif), 0,934 (bahasa),
0,822 (gerak) dengan Cronbach Alpha sebesar 0,918 serta reliabilitas test-retest
0,846. Subjek yang memenuhi kriteria sebanyak 88 orang, dengan jenis kelamin
laki-laki (61,4%), usia 9-12 bulan (68,2%), status gizi baik (75%). Perbedaan
bermakna terdapat pada skor HOME dan semua aspek penilaian perkembangan
BSID di kedua grup setelah masa intervensi 3 bulan (p<0,001). Skor grup GD
lebih unggul 1 angka dibandingkan K pada skor HOME (p=0,024) and 32 angka
lebih unggul pada skor BSID (p=0,002). Faktor jumlah anak bermakna secara
statistik memengaruhi perkembangan dengan risiko relative 3.13 (IK 95% 1.18-
8.33, p=0,022).
Simpulan.Instrumen BSID edisi-III versi Bahasa Indonesia merupakan alat ukur
yang sahih dan andal untuk digunakan pada penelitian ini. Secara umum tidak
terdapat perbedaan skor perkembangan bayi usia 6-12 bulan yang mendapat
stimulasi metode GD dan K kecuali perkembangan perilaku adaptif.
ABSTRACTChild development is multi-dimensional and encompasses cognitive, language, sensory-motor, social-emotional, adaptive behavior domains, all of
which are interdependent. Two stimulation interventions (Glenn Doman (GD) and
Kemenkes (K) methods) were conducted in this study.
Aims.To investigate the difference in developmental aspects after intervention
with GD and K methods in infants age 6-12 months.
Methods. This was a prospective cohort study in normal developmental infants.
Developmental screening at enrollment used Denver instrument. Three months
post intervention, the development was assessed with BSID III, in which
validation and reliability test were undertaken as first step. A modified version of
HOME inventory was used as edition to assess home environment.
Results.The validity score of BSID-III was 0.964 (cognitive), 0.934 (language),
0.822 (motor) with Cronbach alpha of 0.918 and a reliability test-retest of 0.846.
There were 88 subjects fulfilled the criteria. Subject mostly were male (61.4%) 9-
12 months old (68.2%), normal anthropometric status (75%). The results revealed
significant differences in HOME score and all aspects of Bayley score in GD and
K group after 3 months intervention period (p<0.001). The GD benefited 1 point
compared with K group in HOME score (p=0.024) and 32 points in Bayley score
(p=0.002). Number of children was the most influential factor in infants’
development with a relative risk of 3.13 (CI95% 1.18-8.33, p=0.022).
Conclusions.The Bahasa Indonesia version of BSID-III was a reliable and valid
tool for the assessment of this study. There was no difference in developmental
score at age 6-12 months who had GD and K stimulation methods except for
adaptive behavior scale.