The Impact of Modifying Lema (Lego and Maze) Game on Stimming Behaviors in Children with Autism Spectrum Disorder (ASD)

  • Marta Pastari Poltekkes Kemenkes Palembang
  • Meilina Meilina Poltekkes Kemenkes Palembang
  • Sri Martini Poltekkes Kemenkes Palembang
  • Sri Endriyani Poltekkes Kemenkes Palembang
  • Heni Sumastri Poltekkes Kemenkes Palembang
Keywords: electronic medical record, facility condition, willingness

Abstract

ABSTRACT

Children with Autism Spectrum Disorder (ASD) often exhibit self-stimulation behaviors (stimming), such as repetitive movements, sounds, or actions, which can disrupt therapy sessions and social interactions. These behaviors can impede the development of social skills and focus. Given the importance of non-invasive interventions, modifying play-based activities such as LEGO and maze games (LEMA) has been explored as a potential method to reduce stimming behaviors. (LEMA) game on reducing self-stimulation (stimming) behaviors in children with Autism Spectrum Disorder (ASD). The research employed an A-B-A design, including a baseline phase (A1), an intervention phase (B), and a post-intervention phase (A2), conducted over 12 sessions. Two children, RFQ and HG, both of whom exhibited frequent stimming behaviors, were selected as participants. The intensity of their stimming behaviors was measured before and after the intervention using observational data. The data were analyzed using visual analysis to identify changes in the frequency and intensity of stimming behaviors across phases. Additionally, percentage of non-overlapping data (PND) was calculated to evaluate the effectiveness of the intervention data. The findings showed that stimming behaviors in both children, which originally lasted approximately 390 seconds during the baseline phase (A1), significantly decreased during the intervention phase (B), with durations reduced to 48-55 seconds. After the intervention was stopped, stimming behaviors remained reduced in the post-intervention baseline phase (A2), indicating the effectiveness of the LEMA game in reducing these behaviors. Modifying the LEGO and Maze (LEMA) game effectively reduced self-stimulation behaviors in children with ASD. The results align with previous studies suggesting that structured play interventions, like LEGO and maze activities, can enhance focus and reduce repetitive behaviors in children with ASD.

References

American Psychiatric Association. (2022). Diagnosis of Autism Spectrum Disorder. Austin Journal of Autism & Related Disabilities, 8(1). https://doi.org/10.26420/austinjautismrelatdisabil.2022.1058

Aminah, S. (2021). Penerapan Terapi Bermain Untuk Meningkatkan Interaksi Sosial Pada Anak Autis Di Yayasan Rumah Mentari Kecamatan Sidoharjo Kabupaten Pringsewu. In Pharmacognosy Magazine (Vol. 75, Issue 17).

Che Mud, S., Md Sham, F., & Mohd Ali, M. (2021). Kaedah pengawalan tingkah laku bagi anak mengalami Autisme. Al-Irsyad: Journal of Islamic and Contemporary Issues, 6(2), 733–744. https://doi.org/10.53840/alirsyad.v6i2.228

Dwike Amalia, & Dwi Putri Fatmawati. (2023). Pengaruh Bermain Wire Maze Terhadap Kontak Mata Anak Autis Spectrum Disorder di KB/TK Inklusi Srawung Bocah Yogyakarta. Indonesian Journal of Early Childhood: Jurnal Dunia Anak Usia Dini, 5(2), 377–381. https://doi.org/10.35473/ijec.v5i1.2438

Hanum, F., Mutdasir, & Yusuf, R. (2016). Terapi visa terhadap perkembangan bahasa reseptif dan ekspresif pada anak autis. Jurnal Ilmu Keperawatan, 2(1), 97–107. http://www.jurnal.unsyiah.ac.id/JIK/article/view/5291/4434

Huili, S., Cao, X., Guo, G., Yu, J., Yu, L., & Zhang, W. (2023). Research on the design of somatosensory interactive games for autistic children based on art therapy. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2023.1207023

Hutomo, L., & Wulandari, P. Y. (2023). Improving the Ability to Wear Socks in Autistic Children Through Behavior Modification Interventions. Psikostudia : Jurnal Psikologi, 12(1), 79. https://doi.org/10.30872/psikostudia.v12i1.9332

Iskandar, S., & Indaryani, I. (2020). Peningkatan Kemampuan Interaksi Sosial pada Anak Autis Melalui Terapi Bermain Assosiatif. JHeS (Journal of Health Studies), 4(2), 12–18. https://doi.org/10.31101/jhes.1048

KEMENKES RI. (2021). Profil kesehatan indonesia.

Kuswanto, A. V., & Suyadi, S. (2020). Sistematika Lieratur Review: Permainan Maze Dalam Mengembangkan Perkembangan Anak Usia Taman Kanak-Kanak. PAUDIA : Jurnal Penelitian Dalam Bidang Pendidikan Anak Usia Dini, 9(2), 51–61. https://doi.org/10.26877/paudia.v9i2.6712

Lee, G. T., Hu, X., Lian, Z., & Wang, C. (2024). Effects of a Family-Implemented LEGO Intervention on Social Interactions for Children on the Autism Spectrum in China. Journal of Special Education. https://doi.org/10.1177/00224669241256954

Lee, G. T., Jiang, Y., & Hu, X. (2023). Improving Social Interactions for Young Children on the Autism Spectrum Through Parent-Mediated LEGO Play Activities. Remedial and Special Education, 074193252211476–074193252211476. https://doi.org/10.1177/07419325221147699

Maenner, M. J., Warren, Z., Williams, A. R., Amoakohene, E., Bakian, A. V., Bilder, D. A., Durkin, M. S., Fitzgerald, R. T., Furnier, S. M., Hughes, M. M., Ladd-Acosta, C. M., McArthur, D., Pas, E. T., Salinas, A., Vehorn, A., Williams, S., Esler, A., Grzybowski, A., Hall-Lande, J., … Shaw, K. A. (2023). Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2020. MMWR Surveillance Summaries, 72(2). https://doi.org/10.15585/mmwr.ss7202a1

Maris, S. (2023). Prevalensi Gangguan Spektrum Autisme di Indonesia Meningkat karena Paparan BPA? Liputan 6. https://www.liputan6.com/health/read/5260666/prevalensi-gangguan-spektrum-autisme-di-indonesia-meningkat-karena-paparan-bpa?page=3

Nur Rohimah Tisnawati. (2020). Pengaruh Permainan Lego Terhadap Peningkatan Konsentrasi Anak Autis. SPECIAL : Special and Inclusive Education Journal, 1(2), 121–137. https://doi.org/10.36456/special.vol1.no2.a2781

Pastari, M. & S. (2022). The Effect of Baby Massage on Language Development Disorder (Speech Delay). Budapest International Research and Critics Institute-Journal (BIRCI-Journal), 5(2), 11238–11247. https://doi.org/10.33258/birci.v5i2.4941

Pristianto, A., & Herlinawati, I. (2022). The Impact of Puzzle Games on Attention and Fine Motor Abilities Upon Cases of Autism Spectrum Disorder: A Case Report. Physical Therapy Journal of Indonesia, 3(2), 58–62. https://doi.org/10.51559/ptji.v3i2.56

Ramalho, N. C. P., & de Sá Sarmento, S. M. (2019). LEGO® therapy as an intervention in autism spectrum disorders: an integrative literature review. Revista Cefac, 21(2). https://doi.org/10.1590/1982-0216/20192129717

Ravale, U., & Kulkarni, S. P. (2023). An Interactive Game based Learning Model for Autistic Children. 1–6. https://doi.org/10.1109/ICICCS56967.2023.10142344

Twistiandayani, R., Umah, K., & Nasrullah, D. (2019). Implementation of speech therapy and social stories increasing social interaction in children with autism. Indian Journal of Public Health Research and Development, 10(9), 1269–1273. https://doi.org/10.5958/0976-5506.2019.02619.6

WHO. (2023). Autism. World Health Organization. https://doi.org/10.1007/978-1-137-00426-0_3

Wright, B., Kingsley, E., Cooper, C., Biggs, K., Bursnall, M., Wang, H.-I., Chater, T., Coates, E., Teare, M. D., McKendrick, K., de la Cuesta, G. G., Barr, A. C., Solaiman, K., Packham, A., Marshall, D., Varley, D., Nekooi, R., Parrott, S., Ali, S., … Couteur, A. Le. (2023). Play brick therapy to aid the social skills of children and young people with autism spectrum disorder: the I-SOCIALISE cluster RCT. Public Health Research, 11(12), 1–137. https://doi.org/10.3310/vgtr7431

Published
2024-10-30
How to Cite
Pastari, M., Meilina, M., Martini, S., Endriyani, S., & Sumastri, H. (2024). The Impact of Modifying Lema (Lego and Maze) Game on Stimming Behaviors in Children with Autism Spectrum Disorder (ASD). Indonesian Journal of Global Health Research, 6(S5), 701-708. https://doi.org/10.37287/ijghr.v6iS5.4898