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ABSTRAKLatar Belakang: Masalah relasi orangtua-anak dapat berdampak fatal, tapi sering
disepelekan. Penanganannya mencakup psikofarmaka dan psikoterapi, khususnya analisis
transaksional (AT). Penelitian ini bertujuan untuk mendapatkan data kebutuhan pelatihan
aplikasi AT, sebagai dasar pembuatan modul aplikasi AT tingkat dasar (AATD) yang
valid dan reliabel. Penelitian juga bertujuan mendapatkan model pelatihan efektif
meningkatkan pengetahuan dan keterampilan AATD untuk penyelesaian masalah relasi
orangtua-anak, menggunakan pendekatan pendidikan berbasis kompetensi agar dapat
menghasilkan luaran psikiater yang kompeten.
Metode: Disain studi adalah mixed methods, terdiri atas: (a) penelitian potong-lintang
analisis kebutuhan pelatihan aplikasi AT melalui survai kepada 54 psikiater dan 53 calon
psikiater di Indonesia yang terpilih secara acak; (b) pembuatan modul AATD; (c) uji
validitas dan reliabilitas modul AATD; (d) penelitian kuasi eksperimental keefektifan
model pelatihan untuk pencapaian kompetensi AATD pada dua kelompok residen
psikiatri; (e) studi kasus implementasi AATD untuk penyelesaian masalah relasi
orangtua-anak, yang dilakukan masing-masing 2 orang dari kedua kelompok tersebut.
Hasil: Seluruh subjek (total 107) menyatakan membutuhkan modul pelatihan AT.
Penilaian modul AATD adalah valid dengan rerata nilai di atas 90 (kategori baik sekali).
Penilaian reliabilitas menggunakan Bland-Altman Plot menunjukkan semua penilaian
berada dalam rentang batas judgment agreement (SB ±1,96). Pada kelompok latih
didapatkan perbedaan bermakna peningkatan pengetahuan AATD (RR=2,54; IK 95 %
1,12-5,75; p <0,001), dan peningkatan keterampilan AATD (RR 4,37; IK 95 % 1,81-
10,54; p<0,001) dibandingkan dengan kelompok baca. Implementasi AATD pada
penyelesaian masalah relasi orangtua-anak menunjukkan cukup efektif dengan rentang
hasil perbaikan dari social control sampai pada tahap transference cure.
Simpulan dan Saran: Modul AT dan pelatihannya dibutuhkan oleh psikiater dan calon
psikiater. Modul AATD valid, reliabel, dan efektif untuk penyelesaian masalah relasi
orangtua-anak. Model perlakuan latih lebih efektif secara bermakna meningkatkan
kompetensi pengetahuan dan ketrampilan AATD. Pengembangan modul aplikasi AT
tingkat lanjut diperlukan untuk penanganan kasus yang lebih kompleks;
ABSTRACTBackground: The parent-child relationship problems can cause fatal effects if they
were not managed properly. Managements of parent-child relationship problems require
pharmacotherapy and psychotherapy, also transactional analysis (TA). The aims of this
study are to obtain data on the training needs of TA applications, which are used as the
basis for the application of basic transactional analysis (ABTA) which is valid and
reliable, also capturing the effective training model to improve the knowledge and skills
of ABTA, as well as evaluating its effectiveness in managing the parent-child
relationship problems. The module approach is competency-based on education in order
to produce psychiatrists who are competent in providing optimal health care.
Method: The design of this study was a mixed methods, comprising: (a) cross-sectional
study of needs training analysis for the TA application by survey on 54 psychiatrists and
53 psychiatrist candidates in Indonesia which were chosen randomly; (b) ABTA module
making along with the tools; (c) validity and reliability test of ABTA module; (d) quasiexperimental
study about the effectivity of training module in order to achieve the
ABTA competency in two groups of psychiatrict candidates; (e) case studies of ABTA
implementation in managing the parent-child relationship problems.
Result: The whole subjects (total 107) declared the needs of ABTA training modules;
demonstrated the validity of the ABTA module was valid, with a mean value of all is the
above 90 (excellent value category) and reliability assessment judgment using the Bland-
Altman Plot indicates that all within the range limits of agreement (± 1.96 SD). In the
training group, a significant difference about the improvement of TA knowledge was
found (RR=2.54; 95 % CI: 1.12-5.75; p<0.001), and the improvement of ABTA skill
(RR=4.37; 95 % CI: 1.81-10.54; p<0.001) compared with the reading group. The
implementation of ABTA indicated that the use of ABTA module was effective enough,
with the results of improvements ranging from the social control to the transference cure
stage.
Conclusion and Recommendation: The TA module and its training is needed by both
psychiatrists and psychiatrist candidates. The ABTA module is valid, reliable, and
effective in managing the parents-child relationship problems. ABTA training module is
more effective and significant to improve the knowledge and skills competency of
ABTA. Development of advanced application module TA is necessary in managing
more complex cases.;Background: The parent-child relationship problems can cause fatal effects if they
were not managed properly. Managements of parent-child relationship problems require
pharmacotherapy and psychotherapy, also transactional analysis (TA). The aims of this
study are to obtain data on the training needs of TA applications, which are used as the
basis for the application of basic transactional analysis (ABTA) which is valid and
reliable, also capturing the effective training model to improve the knowledge and skills
of ABTA, as well as evaluating its effectiveness in managing the parent-child
relationship problems. The module approach is competency-based on education in order
to produce psychiatrists who are competent in providing optimal health care.
Method: The design of this study was a mixed methods, comprising: (a) cross-sectional
study of needs training analysis for the TA application by survey on 54 psychiatrists and
53 psychiatrist candidates in Indonesia which were chosen randomly; (b) ABTA module
making along with the tools; (c) validity and reliability test of ABTA module; (d) quasiexperimental
study about the effectivity of training module in order to achieve the
ABTA competency in two groups of psychiatrict candidates; (e) case studies of ABTA
implementation in managing the parent-child relationship problems.
Result: The whole subjects (total 107) declared the needs of ABTA training modules;
demonstrated the validity of the ABTA module was valid, with a mean value of all is the
above 90 (excellent value category) and reliability assessment judgment using the Bland-
Altman Plot indicates that all within the range limits of agreement (± 1.96 SD). In the
training group, a significant difference about the improvement of TA knowledge was
found (RR=2.54; 95 % CI: 1.12-5.75; p<0.001), and the improvement of ABTA skill
(RR=4.37; 95 % CI: 1.81-10.54; p<0.001) compared with the reading group. The
implementation of ABTA indicated that the use of ABTA module was effective enough,
with the results of improvements ranging from the social control to the transference cure
stage.
Conclusion and Recommendation: The TA module and its training is needed by both
psychiatrists and psychiatrist candidates. The ABTA module is valid, reliable, and
effective in managing the parents-child relationship problems. ABTA training module is
more effective and significant to improve the knowledge and skills competency of
ABTA. Development of advanced application module TA is necessary in managing
more complex cases., Background: The parent-child relationship problems can cause fatal effects if they
were not managed properly. Managements of parent-child relationship problems require
pharmacotherapy and psychotherapy, also transactional analysis (TA). The aims of this
study are to obtain data on the training needs of TA applications, which are used as the
basis for the application of basic transactional analysis (ABTA) which is valid and
reliable, also capturing the effective training model to improve the knowledge and skills
of ABTA, as well as evaluating its effectiveness in managing the parent-child
relationship problems. The module approach is competency-based on education in order
to produce psychiatrists who are competent in providing optimal health care.
Method: The design of this study was a mixed methods, comprising: (a) cross-sectional
study of needs training analysis for the TA application by survey on 54 psychiatrists and
53 psychiatrist candidates in Indonesia which were chosen randomly; (b) ABTA module
making along with the tools; (c) validity and reliability test of ABTA module; (d) quasiexperimental
study about the effectivity of training module in order to achieve the
ABTA competency in two groups of psychiatrict candidates; (e) case studies of ABTA
implementation in managing the parent-child relationship problems.
Result: The whole subjects (total 107) declared the needs of ABTA training modules;
demonstrated the validity of the ABTA module was valid, with a mean value of all is the
above 90 (excellent value category) and reliability assessment judgment using the Bland-
Altman Plot indicates that all within the range limits of agreement (± 1.96 SD). In the
training group, a significant difference about the improvement of TA knowledge was
found (RR=2.54; 95 % CI: 1.12-5.75; p<0.001), and the improvement of ABTA skill
(RR=4.37; 95 % CI: 1.81-10.54; p<0.001) compared with the reading group. The
implementation of ABTA indicated that the use of ABTA module was effective enough,
with the results of improvements ranging from the social control to the transference cure
stage.
Conclusion and Recommendation: The TA module and its training is needed by both
psychiatrists and psychiatrist candidates. The ABTA module is valid, reliable, and
effective in managing the parents-child relationship problems. ABTA training module is
more effective and significant to improve the knowledge and skills competency of
ABTA. Development of advanced application module TA is necessary in managing
more complex cases.]
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