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Lampiran 3. Wawancara dan pemeriksaan fisik Nomor urut sampel :
Sekolah Dasar : Kelas : Tanggal : Pewawancara :
IDENTITAS SAMPEL PENELITIAN
1. NAMA : 2. TANGGAL LAHIR/UMUR : 3. JENIS KELAMIN : 4. ALAMAT : 5. BERAT BADAN : kg 6. TINGGI BADAN : cm
RIWAYAT KESEHATAN DAN PEKERJAAN
1. Apakah anak menderita sindrom down atau kelainan kongenital lainnya ? ( ) Ya ( ) Tidak
2. Apakah anak memiliki riwayat gangguan pendengaran dan penglihatan ? ( ) Ya ( ) Tidak
3. Apakah anak menderita penyakit neurologis ? ( ) Ya ( ) Tidak
4. Apakah anak bekerja lebih dari 2 jam per hari ? ( ) Ya ( ) Tidak
Lampiran 4. Kuesioner deteksi dini GPPH
KUESIONER DETEKSI DINI
GANGGUAN PEMUSATAN PERHATIAN DAN HIPERAKTIVITAS (Abbreviated Conner Rating Scale)
NAMA ANAK: NO :
No Kegiatan yang diamati Tidak
pernah
Kadang -kadang
Sering Selalu 1 Tidak kenal lelah, atau aktivitas berlebihan
2 Mudah menjadi gembira 3 Mengganggu anak-anak lain
4 Gagal menyelesaikan kegiatan yang telah dimulai, rentang perhatian pendek
5 Menggerak-gerakan anggota badan atau kepala secara terus-menerus
6 Kurang perhatian, mudah teralihkan 7 Permintaannya harus segera dipenuhi 8 Sering dan mudah menangis
9 Suasana hatinya mudah berubah dengan cepat dan drastis
10 Ledakan kekesalan, tingkah laku eksplosif dan tak terduga
JUMLAH
PENILAIAN :
- Tidak pernah, nilai 0 - Kadang-kadang, nilai 1 - Sering, nilai 2
- Selalu, nilai 3 Interpretasi :
Lampiran 5 . Home Observation for Measurement of the Environment-Short Form (HOME-SF) untuk usia 6-9 tahun
Kuisioner Stimulasi Kognitif HOME-SF 6-9 Tahun
Berilah tanda centang () di kotak pada jawaban yang sesuai menurut Anda
Lampiran 6 . Home Observation for Measurement of the Environment-Short Form (HOME-SF) untuk usia 10-14 tahun
Kuisioner Stimulasi Kognitif HOME-SF 6-9 Tahun
Berilah tanda centang () di kotak pada jawaban yang sesuai menurut Anda
Lampiran 8. Hasil Analisis Statistik Karakteristik Sampel
Jenis_kelamin
Frequency Percent Valid Percent Cumulative Percent Valid laki-laki 31 44.3 44.3 44.3 perempuan 39 55.7 55.7 100.0 Total 70 100.0 100.0 usia
Frequency Percent Valid Percent Cumulative Percent Valid 9.0 5 7.1 7.1 7.1 10.0 42 60.0 60.0 67.1 11.0 23 32.9 32.9 100.0 Total 70 100.0 100.0 Kategori IQ
Frequency Percent Valid Percent Cumulative Percent Valid dibawah rata-rata 18 25.7 25.7 25.7 rata-rata 47 67.1 67.1 92.9 diatas rata-rata 5 7.1 7.1 100.0 Total 70 100.0 100.0
Prestasi Belajar Frequenc y Percent Valid Percent Cumulative Percent Valid prestasi tinggi 23 32.9 32.9 32.9 prestasi sedang 28 40.0 40.0 72.9 prestasi rendah 19 27.1 27.1 100.0 Total 70 100.0 100.0
Uji Bivariat Inteligensi dengan Prestasi Belajar
Kategori IQ * Prestasi Belajar Crosstabulation
Prestasi Belajar Total prestasi tinggi prestasi sedang prestasi rendah kategori IQ Di atas rata-rata Count 4 1 0 5 Expected Count 1.6 2.0 1.4 5.0 % of Total 5.7% 1.4% 0.0% 7.1% Rata-rata Count 19 22 6 47 Expected Count 15.4 18.8 12.8 47.0 % of Total 27.1% 31.4% 8.6% 67.1% Dibawah rata-rata Count 0 5 13 18 Expected Count 5.9 7.2 4.9 18.0 % of Total 0.0% 7.1% 18.6% 25.7% Total Count 23 28 19 70 Expected Count 23.0 28.0 19.0 70.0 % of Total 32.9% 40.0% 27.1% 100.0%
Chi-Square Tests
Value df Asymp. Sig. (2-sided) Pearson Chi-Square 30.245a 4 .000 Likelihood Ratio 33.272 4 .000 Linear-by-Linear Association 25.261 1 .000 N of Valid Cases 70
a. 4 cells (44.4%) have expected count less than 5. The minimum expected count is 1.36.
Penggabungan Kategori IQ * Prestasi Belajar Crosstabulation Prestasi Belajar prestasi tinggi prestasi sedang prestasi rendah Penggabun gan Kategori IQ di atas rata-rata + rata-rata Count 23 23 6 Expected Count 17.1 20.8 14.1
di bawah rata-rata Count 0 5 13
Expected Count 5.9 7.2 4.9
Total Count 23 28 19
Expected Count 23.0 28.0 19.0 Chi-Square Tests
Value df Asymp. Sig. (2-sided) Pearson Chi-Square 27.008a 2 .000 Likelihood Ratio 29.831 2 .000 Linear-by-Linear Association 24.312 1 .000 N of Valid Cases 70
a. 1 cells (16.7%) have expected count less than 5. The minimum expected count is 4.89.
Uji Interclass Correlation Coefficient (ICC) HOME-SF
Intraclass Correlation Coefficient Intraclass
Correlatio nb
95% Confidence Interval
F Test with True Value 0
Lower Bound Upper Bound Value df1 df2 Sig Single Measures .898a .735 .971 27.324 9 18 .000 Average Measures .963c .893 .990 27.324 9 18 .000 Two-way mixed effects model where people effects are random and measures effects are fixed. a. The estimator is the same, whether the interaction effect is present or not.
b. Type C intraclass correlation coefficients using a consistency definition-the between-measure variance is excluded from the denominator variance.
Conner ADHD
Intraclass Correlation Coefficient Intraclass
Correlatio nb
95% Confidence Interval
F Test with True Value 0
Lower Bound Upper Bound Value df1 df2 Sig Single Measures .920a .787 .977 35.394 9 18 .000 Average Measures .972c .917 .992 35.394 9 18 .000 Two-way mixed effects model where people effects are random and measures effects are fixed. a. The estimator is the same, whether the interaction effect is present or not.
b. Type C intraclass correlation coefficients using a consistency definition-the between-measure variance is excluded from the denominator variance.
c. This estimate is computed assuming the interaction effect is absent, because it is not estimable otherwise.
Lampiran 9. Lampiran Kuesioner
Lampiran 10. Biodata mahasiswa
Identitas
Nama : Muhamad Tri Sutrisno NIM : 22010111120055 Tempat Lahir : Demak
Tanggal Lahir : 20 April 1992 Jenis Kelamin : Laki-laki
Alamat : Sidokumpul RT 08/01 Kec Guntur, Demak Nomor HP : 085641995440
Email : [email protected]
Riwayat Pendidikan Formal
1. SD : SD Negeri 1 Sidokumpul Lulus tahun : 2005 2. SMP : SMP Negeri 34 Semarang Lulus tahun : 2008 3. SMA : SMA Negeri 2 Semarang Lulus tahun : 2011 4. S1 : Pendidikan Dokter Fakultas Kedokteran
Universitas Diponegoro Masuk tahun : 2011
Pengalaman Organisasi
1. Staff Ahli Bidang Informasi dan Komunikasi HIMA KU Universitas Diponegoro Tahun 2013
2. Kepala Departemen Syiar ROHIS Fakultas Kedokteran Universitas Diponegoro Tahun 2013
4. Menteri Informasi dan Komunikasi BEM FK UNDIP Tahun 2014 5. Konselor Lembaga Pers Mahasiswa Impuls FK UNDIP Tahun 2015
