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Validation of the Child Development Card (KKA) as a growth and development tool for stunted and normal children in West Java, Indonesia.

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Název: Validation of the Child Development Card (KKA) as a growth and development tool for stunted and normal children in West Java, Indonesia.
Autoři: Jatnika, Ratna1,2 (AUTHOR) ratna@unpad.ac.id, Agustiani, Hendriati1 (AUTHOR), Syahlaa, Syauqiyyah1 (AUTHOR)
Zdroj: Global Health Action. Dec2025, Vol. 18 Issue 1, p1-11. 11p.
Témata: *CONSENSUS (Social sciences), *MOTOR ability, *GUTTMAN scale, *RESEARCH funding, *CRONBACH'S alpha, *RESEARCH methodology evaluation, *HUMAN growth, *DESCRIPTIVE statistics, *DEVELOPMENTAL disabilities, *STATURE, *PSYCHOMETRICS, *CHILD development, *RESEARCH methodology, *NUTRITIONAL status, *CLUSTER sampling, *GROWTH disorders, *ANTHROPOMETRY, *MEDICAL screening, *COMPARATIVE studies, *COGNITION, *LANGUAGE acquisition, *CHILDREN, RESEARCH evaluation
Geografický termín: INDONESIA
Abstrakt: Background: Stunting remains a major public health issue in Indonesia, and the limitations of anthropometric measures highlight the need for alternative tools such as the Child Development Card (KKA). Objectives: This study aimed to determine the validity and reliability of the KKA as a tool to measure the growth and development of stunted and normal children through direct observation. Methods: The revised KKA was administered to 262 children aged 13–60 months, including 174 normal and 88 stunted children, from three stunting-locus regencies in West Java Province, Indonesia. The data were analysed using content validity, the Guttman coefficient of reproducibility, and Cronbach alpha to develop a revised KKA observation guideline. Results: A total of 15 conceptually inappropriate items were revised, and an observation guideline was developed as a guide for the direct observation of children. In each aspect of growth and development, age range, and sample category, the reproducibility and scalability coefficients showed values of >0.9 and >0.6, respectively. Meanwhile, Cronbach alpha values for each age range and sample category were >0.7. Conclusion: The revised KKA demonstrated both validity and reliability as a tool for the detection, monitoring, and early intervention of growth and developmental delays in children with stunted as well as those with normal development. Paper Context: Main findings: Developed a direct observation-based tool for assessing child development in both stunted and normal children. Added knowledge: Provided psychometric properties for a community-based developmental assessment tool tailored to the Indonesian context. Global health impact for policy and action: Offers a low-cost, comprehensive developmental assessment using simple household items, making it feasible for implementation in high-stunting prevalence areas. [ABSTRACT FROM AUTHOR]
Databáze: Academic Search Index
Popis
Abstrakt:Background: Stunting remains a major public health issue in Indonesia, and the limitations of anthropometric measures highlight the need for alternative tools such as the Child Development Card (KKA). Objectives: This study aimed to determine the validity and reliability of the KKA as a tool to measure the growth and development of stunted and normal children through direct observation. Methods: The revised KKA was administered to 262 children aged 13–60 months, including 174 normal and 88 stunted children, from three stunting-locus regencies in West Java Province, Indonesia. The data were analysed using content validity, the Guttman coefficient of reproducibility, and Cronbach alpha to develop a revised KKA observation guideline. Results: A total of 15 conceptually inappropriate items were revised, and an observation guideline was developed as a guide for the direct observation of children. In each aspect of growth and development, age range, and sample category, the reproducibility and scalability coefficients showed values of >0.9 and >0.6, respectively. Meanwhile, Cronbach alpha values for each age range and sample category were >0.7. Conclusion: The revised KKA demonstrated both validity and reliability as a tool for the detection, monitoring, and early intervention of growth and developmental delays in children with stunted as well as those with normal development. Paper Context: Main findings: Developed a direct observation-based tool for assessing child development in both stunted and normal children. Added knowledge: Provided psychometric properties for a community-based developmental assessment tool tailored to the Indonesian context. Global health impact for policy and action: Offers a low-cost, comprehensive developmental assessment using simple household items, making it feasible for implementation in high-stunting prevalence areas. [ABSTRACT FROM AUTHOR]
ISSN:16549716
DOI:10.1080/16549716.2025.2547440