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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| Titel: | 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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| Autoren: | Jatnika R; Department of Psychology, Faculty of Psychology, Universitas Padjadjaran, Sumedang, Bandung, Indonesia.; Center for Psychometrics Study, Faculty of Psychology, Universitas Padjadjaran, Sumedang, Bandung, Indonesia., Agustiani H; Department of Psychology, Faculty of Psychology, Universitas Padjadjaran, Sumedang, Bandung, Indonesia., Syahlaa S; Department of Psychology, Faculty of Psychology, Universitas Padjadjaran, Sumedang, Bandung, Indonesia. |
| Quelle: | Global health action [Glob Health Action] 2025 Dec; Vol. 18 (1), pp. 2547440. Date of Electronic Publication: 2025 Aug 28. |
| Publikationsart: | Journal Article; Validation Study |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101496665 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1654-9880 (Electronic) Linking ISSN: 16549880 NLM ISO Abbreviation: Glob Health Action Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2016- > : Philadelphia, PA : Taylor & Francis Original Publication: Häggeby : Co-Action Publishing |
| MeSH-Schlagworte: | Growth Disorders*/diagnosis , Child Development*, Humans ; Indonesia/epidemiology ; Infant ; Male ; Female ; Child, Preschool ; Reproducibility of Results ; Anthropometry/methods |
| Abstract: | 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. |
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| Contributed Indexing: | Keywords: Child development card (KKA); Guttman coefficient; Indonesia; cronbach alpha; psychometric properties; stunted Local Abstract: [plain-language-summary] 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. |
| Entry Date(s): | Date Created: 20250828 Date Completed: 20250828 Latest Revision: 20250831 |
| Update Code: | 20250903 |
| PubMed Central ID: | PMC12395626 |
| DOI: | 10.1080/16549716.2025.2547440 |
| PMID: | 40873302 |
| Datenbank: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | 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).<br />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.<br />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.<br />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.<br />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. |
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| ISSN: | 1654-9880 |
| DOI: | 10.1080/16549716.2025.2547440 |