Islamic civilization is one of the major civilizations that has significantly contributed to the development of science and education worldwide. During its golden age, it established educational institutions, fostered scholarly traditions, and produced influential scholars whose ideas continue to shape modern knowledge in the digital era. This article examines the relevance of Islamic civilizational values to the development of modern education through qualitative library research using thematic content analysis. The findings show that Islamic education was distinguished by four interrelated values, namely a strong culture of literacy, the integration of religious and general knowledge, an emphasis on moral formation (akhlak), and openness to knowledge from other civilizations, which together enabled scholars to advance science while upholding ethical and social responsibility. These values are highly relevant to addressing contemporary educational challenges, including declining critical literacy, uncritical dependence on digital technology and artificial intelligence, and the ongoing crisis of learners’ character. These values can inform the development of a modern educational system that integrates critical thinking, digital literacy, character education, and lifelong learning while maintaining moral and social responsibility.
Inclusive education requires instructional strategies that respond to differences in students’ abilities and learning needs, particularly those of slow learners in junior secondary schools. This study aimed to describe teachers’ inclusive strategies for accommodating the learning needs of students in Class VII A at SMP Negeri 2 Teluk Pandan, Kutai Timur Regency, Indonesia. A qualitative approach with a case study design was employed from September to December 2025. The participants comprised one homeroom teacher and two students with learning difficulties, identified as H and AR. Data were collected through observation, interviews, and documentation, then analyzed through data reduction, data display, and conclusion drawing. Data credibility was examined through source and technique triangulation. The findings revealed four forms of accommodation: repeated explanations and simplified instructions, adjustments to assignments and assessments according to students’ abilities, additional time for task completion, and seating arrangements combined with positive feedback. The teacher also provided individual assistance to help students understand learning materials and complete assignments. However, small-group and heterogeneous-group activities were not implemented consistently. These findings highlight the importance of flexible accommodations, progress monitoring, and varied instructional strategies to support student participation in inclusive learning environments. ABSTRAK Pendidikan inklusif memerlukan strategi pembelajaran yang responsif terhadap perbedaan kemampuan dan kebutuhan belajar murid, khususnya murid dengan hambatan belajar (slow learner) di sekolah menengah pertama. Penelitian ini bertujuan mendeskripsikan strategi inklusif guru dalam mengakomodasi kebutuhan belajar murid kelas VII A SMP Negeri 2 Teluk Pandan, Kabupaten Kutai Timur. Penelitian menggunakan pendekatan kualitatif dengan desain studi kasus yang dilaksanakan pada September–Desember 2025. Subjek penelitian terdiri atas seorang wali kelas dan dua murid dengan hambatan belajar, yaitu H dan AR. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi, kemudian dianalisis melalui reduksi data, penyajian data, dan penarikan kesimpulan. Keabsahan data diperiksa menggunakan triangulasi sumber dan teknik. Hasil penelitian menunjukkan empat bentuk akomodasi, yaitu pengulangan materi dan penyederhanaan instruksi, penyesuaian tugas dan penilaian berdasarkan kemampuan murid, pemberian waktu tambahan, serta pengaturan tempat duduk dan umpan balik positif. Guru juga memberikan pendampingan individual untuk membantu murid memahami materi dan menyelesaikan tugas. Namun, penggunaan kelompok kecil atau heterogen belum dilakukan secara konsisten. Penelitian ini menegaskan pentingnya akomodasi fleksibel, pemantauan perkembangan, dan variasi strategi untuk mendukung partisipasi murid dalam pembelajaran inklusif.
ABSTRACT The structural complexity of Arabic verbs (fi'il) frequently presents a distinct challenge for Indonesian middle school learners, primarily due to the absence of inflectional markers for person, tense, and case in their native language. This article offers an in-depth review to unpack the typology of such verbal construction deviations, trace their underlying triggers, and formulate pedagogical remediation directions for the classroom. Employing a qualitative literature review approach, the analytical procedure adapts an error analysis framework supported by theoretical corpora and contemporary research documents. Conceptual findings successfully map eight primary categories of grammatical anomalies—ranging from tense selection, conjugation, agreement, to i'rāb morphosyntax—triggered by accumulated first-language interference, rule overgeneralization, incomplete rule application, and learners' psychological pressures. The final synthesis asserts that instructional remediation should not rely solely on mechanical correction, but rather necessitates the design of category-based diagnostic assessments and feedback strategies that foster autonomous learner awareness. ABSTRAK Kompleksitas struktural fi'il dalam tata bahasa Arab sering kali menghadirkan tantangan tersendiri bagi pembelajar tingkat menengah penutur bahasa Indonesia, terutama karena ketiadaan infleksi persona, waktu, dan kasus pada bahasa ibu mereka. Artikel ini menawarkan tinjauan mendalam guna membedah tipologi penyimpangan konstruksi verba tersebut, menelusuri akar pemicunya, serta merumuskan arah pembenahan pedagogis di kelas. Menggunakan pendekatan kualitatif berbasis kajian literatur, alur penelaahan mengadaptasi kerangka kerja analisis kesalahan yang didukung oleh penelusuran korpus teoretis serta dokumen riset mutakhir. Temuan konseptual berhasil memetakan delapan kategori utama anomali gramatikal mulai dari pilihan waktu, konjugasi, kesesuaian, hingga tata bentuk i'rāb yang dipicu oleh akumulasi interferensi bahasa pertama, generalisasi aturan, kelemahan penerapan kaidah, hingga tekanan psikologis pembelajar. Sintesis akhir menegaskan bahwa perbaikan pengajaran tidak boleh bertumpu pada koreksi mekanis semata, melainkan menuntut perancangan asesmen diagnostik berbasis kategori serta strategi umpan balik yang membangun kesadaran mandiri.
The article offers a comparative analysis of the concept of pedagogical mastery in Uzbek, Russian and international scholarship and systematises official statistical data on the teaching workforce in Uzbekistan's general secondary education. The study uses a documentary-analytical review, comparative analysis and descriptive statistics; no experimental component was conducted. According to the National Statistics Committee, the number of teachers in general secondary schools grew from 486.6 thousand in 2019/2020 to 577.7 thousand in 2025/2026 (+18.7%), women account for 72.5% of the workforce, and regional differences reach a factor of 4.6. International evidence (Shulman; Hattie; Kunter et al.; Darling-Hammond et al.) indicates that teaching quality depends less on workforce expansion than on the integration of knowledge, practice, personal-value, reflective and digital-methodological components. The author proposes a five-component integrative conceptual model and formulates recommendations for qualitative monitoring of teacher capacity and for the design of professional development
ABSTRACT. The relationship between instructional leadership behaviours and lecturers’ job performance is important in higher education. Understanding this relationship can help academic leaders support lecturers and improve teaching, research, and academic development. Therefore, this study determines how instructional leadership behaviour of heads of departments (HoDs) influences lecturers’ job performance at the major public universities in Kumasi, Ghana. A cross-sectional survey design was employed to collect data from lecturers in public universities at a single point in time. The sample includes public university lecturers. A stratified random sampling technique was used to select 155 lecturers to provide quantitative data. Data were collected using a questionnaire and analyzed with both descriptive and inferential statistics, including frequencies, percentages, means, and standard deviations, along with the Pearson product-moment correlation coefficient. The findings indicate that HoDs demonstrate active involvement in setting institutional direction, monitoring instruction, and supporting staff development. However, the findings reveal insufficient mentorship to support lecturers’ professional learning and performance. This lack of mentorship could limit opportunities for developing leadership potential among teachers and supporting their career growth. Lecturers displayed effectiveness in their teaching practices. The statistical results confirmed a significant effect of instructional leadership behaviours on lecture delivery (F(4,98) = 20.382, p < 0.01). It was recommended that HoDs should communicate departmental goals clearly and ensure that lecturers understand their teaching, assessment, research, and administrative responsibilities. Additionally, the strong positive correlation between the communication of institutional objectives and lecturer effectiveness highlights the need for university goals, teaching expectations, and performance standards to be communicated clearly across departments.
This mixed-methods study examined whether first-year teachers could improve relationships with students through Positive Behavioral Interventions and Supports (PBIS). Fifty novice teachers implemented one of three PBIS strategies: daily one-on-one conversation, verbal praise, or immediate rewards with 192 selected students over a two-week period. Teacher-student relationships were measured using the Student-Teacher Relationship Scale (STRS) before and after the intervention. Results showed significant reductions in conflict (t(191) = 7.14, p < .001, d = 0.98) and moderate increases in closeness (t(191) = –7.11, p < .001, d = 0.67). No significant differences emerged across grade levels, teacher and student gender, or PBIS strategy type. Thematic analysis of teacher reflections highlighted improvements in engagement, cooperation, emotional regulation, and relational trust. Although the study was limited by its two-week duration and reliance on teacher self-reports, the findings demonstrate that even brief PBIS interventions can yield measurable relational benefits. Implications are discussed for teacher preparation programs and school-based practice. Keywords: teacher-student relationships, Positive Behavioral Interventions and Supports (PBIS), teacher preparation programs, first-year/novice teachers, school climate.
The use of the cooperative learning model of Teams Games Tournament (TGT) supported by Baamboozle media has the potential to increase student engagement through discussion, collaboration, and game-based activities. This study examines the effectiveness of the TGT model supported by Baamboozle media in improving students' learning outcomes in the topic of Work and Energy at SMA Negeri 2 Tondano. The study used a quasi-experimental method with a non-equivalent pretest-posttest control group design. The sample consisted of 30 students divided into an experimental class and a control class, with 15 students in each class. The descriptive analysis showed that the average score in the experimental class increased from 30.6 to 78.93, while the average score in the control class increased from 26.46 to 69.46. The average N-Gain score was 0.6991 in the experimental class and 0.5949 in the control class. Both classes were in the moderate category, but the improvement in learning outcomes was greater in the experimental class than in the control class. These findings indicate that the TGT model supported by Baamboozle media can be an alternative teaching strategy for improving student learning outcomes. The implication of this study is that the TGT model supported by Baamboozle media can be considered for use in physics learning to create an interactive and collaborative learning environment that encourages active student participation
This article analyzes Brazilian academic production on Food and Nutrition Education (FNE) and teacher education based on theses and dissertations available in the Brazilian Digital Library of Theses and Dissertations, published between 2006 and 2024. The review was conducted in seven stages and used content analysis to investigate the selected studies. The results highlight the contribution of different fields of knowledge to the area, with a predominance of female researchers holding degrees in Nutrition or teacher education programs. Most studies focused on Elementary Education, particularly within the Natural Sciences curriculum, and employed participatory methodologies such as action research and ethnography. The teacher education initiatives analyzed were generally grounded in the Reference Framework for Food and Nutrition Education and the Dietary Guidelines for the Brazilian Population, fostering reflective and contextualized approaches. Thus, the present study found that teacher education in Food and Nutrition Education should promote autonomy, critical reflection, and the collective construction of knowledge, in line with contemporary educational perspectives.
Religious education is often expected to promote tolerance, but respect for religious difference does not necessarily ensure accurate understanding of religious others. This study examines how religious education policies in Indonesia and England emphasize different forms of cognitive tolerance. Using qualitative document analysis and comparative policy analysis, the study analyzes selected legal, curricular, and pedagogical documents through four components: Knowledge of Religious Others, Recognition of Internal Diversity, Critical Reflection, and Understanding Commonalities and Differences. Indonesian policy gives greater relative emphasis to understanding commonalities and differences within religion-specific formation, social harmony, and responsible citizenship. English policy gives greater emphasis to critical reflection and knowledge of religious and non-religious worldviews through shared enquiry. Recognition of Internal Diversity appears in similar proportions in both datasets, but it serves different curricular functions. The findings show differently configured pathways toward cognitive tolerance, combining the same cognitive components with different relative emphases and curricular purposes.
Academic writing development in open and distance learning (ODL) environments remains challenging because students must independently regulate complex writing processes while receiving limited opportunities for continuous interaction and feedback. Existing digital learning platforms often emphasize assignment submission rather than supporting writing development as an iterative process involving planning, feedback utilization, reflection, and revision. This study aimed to develop and evaluate SIM-Aril as an online portfolio-based self-regulated feedback platform for supporting academic writing development in an ODL context. This study employed a Research and Development (R&D) design involving needs analysis, platform development, validation, implementation, and evaluation. Data were collected from 122 students and 38 tutors through self-regulated writing questionnaires, tutor competency questionnaires, expert evaluation, and qualitative responses. Quantitative data were analyzed using descriptive statistics, reliability analysis, correlation analysis, regression analysis, and exploratory factor analysis, while qualitative data were analyzed thematically. The findings demonstrate that SIM-Aril supported academic writing development through the integration of digital portfolio assessment, tutor scaffolding, and student self-regulated writing processes. Students demonstrated strong engagement in revision, feedback utilization, metacognitive monitoring, and other writing regulation activities. Tutor evaluation indicated that academic writing supervision represented an important component supporting SIM-Aril implementation. The integrated findings show that SIM-Aril functions not merely as a digital submission platform but as a self-regulated feedback ecosystem that connects learner autonomy, instructional support, and formative feedback. This study contributes theoretically by extending digital assessment research through a model that integrates individual self-regulation, socially shared regulation, and feedback literacy within technology-supported academic writing environments. Practically, the findings suggest that effective digital assessment in ODL should be designed to support learning processes rather than only evaluate final outcomes.
Digital technology is increasingly being incorporated into higher education, creating new ways to teach and interact with students. However, technology alone does not necessarily enhance student engagement. This study investigates the effects of four Technology-Integrated Curriculum dimensions on Student Engagement. A quantitative research design was adopted. A survey questionnaire was completed by 388 hinger education students from Shandong Province in China. The four dimensions studied were Balance of Curriculum, Technology, and Pedagogy; Content Knowledge and Supports Meaningful Learning; Enables Differentiated Instruction; and Encourages Innovation. Data analysis using descriptive and inferential statistical techniques. The results showed significant positive effects of all four study dimensions on Student Engagement (p < .001). Enables Differentiated Instruction demonstrated the strongest effect (? = .430, t = 12.358), followed by Balance of Curriculum, Technology, and Pedagogy (? = .408, t = 13.934), Encourages Innovation (? = .406, t = 12.237), and Content Knowledge and Supports Meaningful Learning (? = .364, t = 11.326). All four alternative hypotheses (Ha1–Ha4) were supported. The findings reveal the significance of the integration of technology with appropriate pedagogy and curriculum rather than regarding technology as an independent educational medium. This study, therefore, provides empirical evidence of how technology-integrated curriculum influences Student Engagement within the context of Chinese higher education. More importantly, higher education institutions should focus more on strengthening technology-supported differentiated instruction and fostering meaningful learning, pedagogical alignment, and innovation in the Technology-Integrated Curriculum for future studies. Future studies should examine the relationships between various entities with diverse configurations.
This study examined how classroom observation by school leaders influenced teachers’ effectiveness in lesson preparation and presentation in public secondary schools in Kyerwa District Council, Kagera, Tanzania. The study was guided by the pragmatist paradigm and employed a mixed-methods approach using a convergent parallel research design. A sample of 87 respondents was selected through stratified random, simple random, and purposive sampling techniques. The sample size was determined using Yamane’s (1967) formula (n=N/[1+N(e)^2]). Quantitative data were collected using structured questionnaires and classroom observation checklists, while qualitative data were collected through semi-structured interviews. Quantitative data were analysed using frequencies, percentages, means, correlation, and regression analysis, whereas qualitative data were analysed thematically. The findings indicated that classroom observation by school leaders contributed to teachers’ effectiveness in lesson preparation and presentation through professional feedback, identification of instructional weaknesses, guidance, and follow-up support. The findings further showed that regular and constructive classroom observation enhanced teachers’ preparedness, organisation of lesson content, use of teaching and learning materials, and classroom presentation practices. However, inadequate time, limited follow-up, and competing administrative responsibilities constrained the effectiveness of classroom observation. The study concluded that systematic, supportive, and constructive classroom observation was an important instructional supervision practice for improving teachers’ effectiveness in lesson preparation and presentation. The study recommended that school leaders and education authorities should strengthen regular classroom observation, professional feedback, and follow-up mechanisms to promote continuous improvement in teaching practices.
Achieving Sustainable Development Goal 4 (SDG 4) requires elementary science instruction that develops not only conceptual understanding but also students’ learning independence. However, previous studies have predominantly examined Outdoor Study and Problem-Based Learning as separate instructional approaches, leaving limited empirical evidence on their integrated application in elementary science education. This study aimed to examine the effectiveness of integrating Outdoor Study with Problem-Based Learning in supporting conceptual understanding and learning independence. A quasi-experimental pretest–posttest control group design was conducted at SD Negeri 3 Nglengkir (n = 19) and SD Negeri 2 Nglengkir (n = 17), Blora Regency, Indonesia. Data were collected using a conceptual understanding test and a learning independence questionnaire, analyzed using paired-samples t-tests, independent-samples t-tests, and MANOVA. The experimental group demonstrated significantly higher conceptual understanding and learning independence scores than the control group (p < .001). MANOVA also revealed a significant simultaneous difference between groups, Wilks' Λ = .241, F(2; 33) = 52.061, p < .001, partial η² = .759. These findings indicate that the integration of Outdoor Study and Problem-Based Learning offers a promising approach for strengthening science learning outcomes and learner autonomy. The study contributes empirical evidence for competency-oriented elementary science instruction aligned with SDG 4.
Character education is an important foundation for preparing preservice teachers. However, the internalization of moral values does not necessarily entail the ability to make ethical decisions in professional practice. This article aims to synthesize the conceptual relationships among character education, moral development, professional identity, and professional ethics among preservice teachers and formulate a framework for strengthening teacher education. The study employed an integrative literature review involving targeted searches for major theoretical works and scholarly articles on character education, moral reasoning, teachers’ professional ethics, and preservice teacher education. The literature was analyzed thematically by comparing theoretical foundations, research contexts, findings, and pedagogical implications. The synthesis indicates that the transition from personal character to professional ethics is a nonlinear process integrating five mechanisms: recognition of values and moral sensitivity, role modeling, reasoning through ethical dilemmas, guided reflection during field placements, and an institutional culture consistent with ethical values. The synthesis also identifies a gap between ethical knowledge and the ability to apply moral concepts explicitly when considering conflicts between values. These findings underscore the need for ethics education that connects an understanding of norms with reasoning practice and reflection on professional experiences. This article proposes a Character–Professional Ethics Transition Model linking value internalization, moral reasoning, professional identity formation, and accountable ethical action. In practical terms, the framework may guide the integration of learning based on ethical dilemmas, reflection on field placements, and the strengthening of institutional culture into preservice teacher education. The proposed model requires empirical testing, particularly through longitudinal research in Indonesian teacher education contexts.
Although Kurikulum Merdeka promotes flexible, student-centered learning, the implementation of Natural and Social Sciences (IPAS) instruction in elementary schools continues to face various challenges. This study aimed to describe the challenges in implementing IPAS instruction under Kurikulum Merdeka in Grade V at SD Negeri 005 Desa Baru, Kampar Regency. The study employed a descriptive qualitative approach involving two fifth-grade teachers and six purposively selected students. Three students had IPAS scores above 75, and three had scores below 75. Data were collected through nonparticipant observation, structured interviews, and documentation and analyzed through data reduction, data display, and conclusion drawing. Data trustworthiness was assessed through triangulation of sources and data collection techniques. The findings identified three domains of challenges related to students, teachers, and learning assessment. Student-related challenges were the most prominent, including differences in understanding, declining attention after approximately 15–20 minutes of lecturing, interest that depended on the type of activity, uneven participation, dependence on external motivation, inconsistent task management, and varying levels of learning readiness. Teacher-related challenges included the breadth of integrated science and social studies content and classroom management during group activities. Assessment involved oral quizzes and student worksheets, supplemented by remedial instruction and enrichment. Achievement scores ranged from 60 to 96, with a mastery threshold of 75. These findings underscore the need for differentiated instruction, concrete and contextually relevant instructional media, clearly assigned group roles, time management, and the use of assessment results to improve instruction. This study provides a contextual account of challenges in IPAS instruction and the need to adapt fifth-grade teaching practices. Its restriction to one school and a focused observation period highlights the need for further research covering more lessons and IPAS topics.
Integrating traditional Bugis-Makassar games into physical education has the potential to support the development of elementary school students’ fundamental movement skills and physical fitness. However, its effectiveness requires empirical testing. This article presents a simulated analysis to illustrate the evaluation of physical education instruction based on traditional Bugis-Makassar games. The research scenario follows a quasi-experimental design involving two groups of fifth-grade students, with 30 students each in the experimental and control groups. The simulated data represent fundamental movement skills and physical fitness test scores before and after the intervention. The analysis includes descriptive statistics, normality tests, homogeneity of variance tests, independent-samples t tests, and normalized gain (N-gain) calculations. The simulated results show that the experimental group’s mean fundamental movement skills score increased from 58.40 to 82.30, while the control group’s mean score increased from 59.10 to 69.20. The between-group difference in the simulated data was significant (t = 5.842; p < .001). For physical fitness, the experimental group’s mean score increased from 61.20 to 79.40, while the control group’s mean score increased from 60.80 to 68.50, with a significant between-group difference (t = 4.763; p < .001). The experimental group’s N-gain values were 0.57 for fundamental movement skills and 0.47 for physical fitness, both classified as moderate. These simulated patterns may inform hypothesis formulation and the design of evaluations for Physical Education, Sports, and Health (PJOK) instruction based on local wisdom. Conceptually, this approach connects the development of students’ motor skills with the use of traditional games in instruction. Its effectiveness requires verification through field research using appropriate instruments and documented data collection procedures.
Early childhood is a critical period for emotional development and behavioral regulation. Increasing digital device use among young children has raised concerns about its association with tantrum behavior, although research examining addiction-related use rather than screen duration alone remains limited. This study aimed to examine the relationship between gadget addiction levels and tantrum behavior among children aged 4–6 years at Widya Santhi Buana Kindergarten, West Denpasar District. A quantitative correlational approach with a cross-sectional design was employed, involving 45 parents or guardians recruited through total sampling. Data were collected on April 15, 2026, through online questionnaires administered using Google Forms. The instruments comprised an adapted Digital Addiction Scale for Children with 25 items, which demonstrated high internal consistency during pilot testing (Cronbach’s α = .977), and the 31-item Rating Scale of Angry Emotional Behavior and Temper Tantrum. Univariate analysis summarized the distributions of gadget addiction levels and tantrum behavior, while Spearman’s rank correlation assessed their relationship. The results showed that 48.9% of children were classified as having moderate gadget addiction levels. Regarding tantrum behavior, 53.3% were classified as exhibiting no tantrum behavior, whereas 22.2% were classified as exhibiting severe tantrum behavior. A strong, positive, and statistically significant correlation was identified between gadget addiction levels and tantrum behavior (ρ = .641, p < .001). Higher parent-reported gadget addiction levels were therefore associated with greater tantrum severity within the participating group. The cross-sectional design and reliance on parent-reported measures limit causal interpretation. These findings may inform parent education concerning supervised device use and consistent family rules. Further research should include larger samples, examine parenting styles and other relevant factors, and use longitudinal designs to clarify the direction of the relationship.
Transitioning out of professional sport can present challenges for athletes and their wider environments, frequently necessitating coordinated physical, psychological, and economic support. Although these concerns have been documented in elite cycling, the extent to which structured transition programmes exist within the sport remains insufficiently understood, particularly in Europe, the historical centre of professional cycling. We conducted a cross-sectional qualitative documentary analysis, distributing a standardised inquiry to all European Cycling Federations (ECFs; N = 51) between December 2024-March 2025. Federations were asked whether they had formal strategies, policies, or resources related to athlete retirement. Responses were categorised as “ECF-level literature or initiative”, “No ECF-level provision”, or “No response” and relevant materials were descriptively synthesised. Amongst the 21 federations that responded, the majority (n = 17; ≈81%) reported no ECF-level retirement initiatives. Common reasons included limited resources, low perceived demand, or reliance on national or international bodies (i.e., Olympic Committees or sport-specific unions). Four ECFs (~19%) described transition-related structures, though these varied considerably in scope, definition, and delivery. Despite well-documented needs, structured retirement support for professional cyclists remains uncommon across European national federations, and existing programmes appear heterogeneously applied. As cycling expands globally, effective transition planning becomes increasingly important for athlete wellbeing and the long-term sustainability of the sport. Holistic, international collaborations led by cycling’s major governance bodies could strengthen career-long support systems, reinforce the public image of cycling as a health-promoting discipline, and create responsible, athlete-centered ecosystems.
Background: Patients with chronic kidney disease undergoing hemodialysis frequently experience physical and psychological complaints that may affect their sleep quality. Uremic pruritus, restless legs syndrome, anxiety, and post-hemodialysis fatigue are potential factors that may disrupt sleep quality. Objective: This study aimed to identify the factors influencing the sleep quality of patients with chronic kidney disease undergoing hemodialysis at Bahteramas Regional General Hospital, Southeast Sulawesi Province. Methods: This study employed a quantitative analytical approach with a cross-sectional design. The sample consisted of 83 respondents. Data were collected using the Pittsburgh Sleep Quality Index (PSQI), 5-D Itch Scale, International Restless Legs Syndrome Rating Scale (IRLS), Hospital Anxiety and Depression Scale-Anxiety (HADS-A), and a post-hemodialysis fatigue assessment instrument. Data were analyzed using the Chi-square test and binary logistic regression. Results: Bivariate analysis showed that uremic pruritus (p = 0.046), restless legs syndrome (p = 0.015), anxiety (p = 0.029), and post-hemodialysis fatigue (p = 0.049) were statistically significant factors associated with sleep quality. Simultaneously, the four variables had a statistically significant effect on sleep quality (p = 0.007), with a Nagelkerke R Square value of 0.217. In the multivariable analysis, only anxiety showed a statistically significant independent effect (p = 0.019). Conclusion: Uremic pruritus, restless legs syndrome, anxiety, and post-hemodialysis fatigue were statistically associated with sleep quality in the bivariate analysis. The four variables were jointly significant in the multivariable model, whereas only anxiety remained statistically significant after adjustment for the other variables.
Abstract Child and adolescent externalizing problems have often been conceptualized broadly with imprecise language (e.g., “disruptive behavior”) or inconsistently across varying taxonomies (e.g., oppositional defiant and conduct disorder symptoms, aggressive and rule-breaking behaviors). Establishing clarity around dimensions of externalizing problems is an essential step toward more accurate measurement and construct validity across the externalizing domain. To that end, the current study investigated fine-grained dimensions in the structure of youth externalizing psychopathology. Caregiver-report survey data were collected for a national community sample of 576 youth (ages 6–14; 45% female, 25% Hispanic), including measures of irritability, oppositionality, reactive and proactive aggression, conduct problems, hyperactivity/impulsivity, and inattention. We used exploratory factor analysis (EFA) to examine relations among externalizing dimensions at the item-level followed by confirmatory factor analysis (CFA) to examine relations at the construct-level. EFA results suggested that a 3-factor model best fit the data, including factors characterized by externalizing affect (e.g., “felt mad”), externalizing behavior (e.g., “bullies, threatens, or intimidates others”), and ADHD symptoms (e.g., “talks excessively”), with a few cross-loadings. Similarly, confirmatory models indicated that a 3-factor, non-hierarchical structure fit the data best when compared to three other models. Results provide support for distinct facets of the externalizing spectrum in child psychopathology, suggesting a preliminary direction for a unifying framework. These findings highlight the potential for future measurement research to further disentangle the distinct and overlapping facets of externalizing constructs, particularly using multiple methods and informants and with replication across samples.
