Application of Dedi Nataniel Application in Early Detection of Childhood Intellectual Disability and Delay to Increase Public Health Resilience Through an Interprofessional Approach to Education

Nurwening Tyas  Wisnu; Hery Sumasto; Triana Septianti  Purwanto; Feby Angzila Fadmayanti

doi:10.35882/ficse.v5i3.157

Authors

Nurwening Tyas Wisnu Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia https://orcid.org/0000-0002-8745-0463
Hery Sumasto Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia https://orcid.org/0000-0001-7964-8472
Triana Septianti Purwanto Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia https://orcid.org/0009-0009-1297-0286
Feby Angzila Fadmayanti Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia

DOI:

https://doi.org/10.35882/ficse.v5i3.157

Keywords:

Early Detection, Intellectual Disability, Developmental Delay, DeDi NaTaNiel Application, Interprofessional

Abstract

Early detection of intellectual disabilities and developmental delays in children remains a challenge in community-based health services, particularly in rural areas where developmental monitoring primarily focuses on physical growth indicators, while cognitive, language, and intellectual development receive limited attention. Inadequate knowledge among health workers, community health cadres, and parents, combined with the limited utilization of digital screening technology, may contribute to delayed identification and intervention. This community service program aimed to improve the knowledge and capacity of health workers, Posyandu cadres, Bina Keluarga Balita (BKB) cadres, and parents in conducting early detection of childhood intellectual disabilities and developmental delays through the implementation of the DeDi NaTaNiel application using an Interprofessional Education (IPE) approach. The program employed a pre-experimental design with a participatory and evaluative-descriptive approach, conducted from March to September 2026 in five Posyandu (Anggrek 1–5) in Ngiliran Village, Magetan Regency, East Java. The intervention involved 60 participants and included educational sessions, application demonstrations, hands-on training, and supervised screening of 159 toddlers. Knowledge improvement was assessed using pre-test and post-test questionnaires, while application acceptance was evaluated across six dimensions. Data were analyzed descriptively and using the Wilcoxon signed-rank test. The results demonstrated a substantial improvement in participants' knowledge, with the proportion of participants in the good knowledge category increasing from 20.0% (12 participants) before the intervention to 91.7% (55 participants) afterward. Meanwhile, the poor knowledge category decreased from 41.7% (25 participants) to 0%. The improvement was statistically significant (p < 0.001). Participants also demonstrated positive acceptance of the application's usability and perceived benefits. In conclusion, integrating the DeDi NaTaNiel application with an IPE-based educational approach effectively improved participants' short-term knowledge and supported community-based early detection capacity. Broader implementation, continuous training, and longitudinal evaluation are recommended to strengthen sustainable child development monitoring and improve early intervention services.

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