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Preliminary Outcomes and Acceptability of Neuro-Nutrition Biofeedback and Balinese Gamelan Sensorimotor-Rhythm Stimulation for Children with Cognitive Disabilities: A Mixed-Methods One-Group Pilot Study

Journal of Innovation in Educational and Cultural Research · Vol. 7 No. 4 (2026) · hlm. 853–862

DOI
10.46843/jiecr.v7i4.3416
ISSN
2722-9696, 2722-9688
Terbit
2026-08-31
Penerbit
Yayasan Keluarga Guru Mandiri
Bahasa
eng

Abstrak

Children with cognitive disabilities frequently experience interconnected nutritional, cognitive, and behavioral challenges that may restrict learning participation. This mixed-methods one-group pilot study examined the preliminary outcomes and acceptability of an integrated Neuro-Nutrition Biofeedback and Balinese Gamelan Sensorimotor-Rhythm (SMR) stimulation program. Twenty children aged 6–12 years from special education schools in Bali participated in an eight-week intervention. Quantitative outcomes included BMI-for-age z-score, sustained attention, working memory, and EEG-recorded SMR amplitude, while qualitative data were obtained from parent and teacher interviews, behavioral observations, and field notes. Repeated-measures MANOVA indicated a significant multivariate effect of time. Holm-adjusted follow-up analyses showed significant changes in attention and working memory. BMI-for-age and SMR amplitude showed positive changes but did not remain statistically significant after adjustment. Qualitative findings revealed gradual food acceptance, improved learning focus, calmer behavioral responses, and strong cultural acceptance of Balinese gamelan. The integrated findings provide preliminary support for a culturally responsive neuro-educational framework linking nutritional readiness, neuroregulatory support, and culturally mediated engagement. SMR should be regarded as a candidate neurophysiological indicator rather than a demonstrated mediator. Larger controlled studies are required to establish efficacy and causal mechanisms.

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26 penulis · 81 tautan kepenulisan bersama · 25 lintas organisasi

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  • Universitas Pendidikan Ganesha
  • Universitas Panji Sakti
  • Tamkang University
  • University of New England
  • Universitas Hindu Negeri I Gusti Bagus Sugriwa Denpasar
  • Monash University
  • Afiliasi tidak diketahui
  • Organisasi berbeda
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Rekan penulisOrganisasiArtikel bersama
Ni Nyoman RedianiUniversitas Pendidikan Ganesha2
Gede Wira BayuUniversitas Pendidikan Ganesha2
I Nyoman Saputra Wahyu WijayaUniversitas Pendidikan Ganesha1
Ni Luh Putu Risma DewiUniversitas Pendidikan Ganesha1
I Ketut PurnamawanUniversitas Pendidikan Ganesha1
I Gusti Ngurah PugerUniversitas Panji Sakti1
Jian-Bang DengTamkang University1
Kadek Andre Karisma DewantaraUniversitas Pendidikan Ganesha1
Made Pasek SugiartaUniversitas Pendidikan Ganesha1
Leonardo VélizUniversity of New England1
I Gde Wawan SudathaUniversitas Pendidikan Ganesha1
I Komang SudarmaUniversitas Pendidikan Ganesha1
I Gusti Ngurah PujawanUniversitas Pendidikan Ganesha1
Nazmi Nabila PutriUniversitas Pendidikan Ganesha1
Desak Putu ParmitiUniversitas Pendidikan Ganesha1
Made Gautama JayadiningratUniversitas Hindu Negeri I Gusti Bagus Sugriwa Denpasar1
Ade Asih Susiari TantriUniversitas Pendidikan Ganesha1
Luh Putu Dian KresnawatiUniversitas Pendidikan Ganesha1
Michael PhillipsMonash University1

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Sumber metadata: OAI-PMH (metadata jurnal) http://jiecr.org/index.php/jiecr/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Preliminary Outcomes and Acceptability of Neuro-Nutrition Biofeedback and Balinese Gamelan Sensorimotor-Rhythm Stimulation for Children with Cognitive Disabilities: A Mixed-Methods One-Group Pilot Study</dc:title>
	<dc:creator>Antara, Putu Aditya</dc:creator>
	<dc:creator>Marti, Ni Wayan</dc:creator>
	<dc:creator>Paramita, Made Vina Arie</dc:creator>
	<dc:creator>Wirabrata, Dewa Gede Firstia</dc:creator>
	<dc:creator>Setyowahyudi, Rendy</dc:creator>
	<dc:creator>Antara, I Gede Wahyu Suwela</dc:creator>
	<dc:creator>Chui, Chunta</dc:creator>
	<dc:subject xml:lang="en-US">balinese gamelan; cognitive disabilities; electroencephalography; neuro-nutrition biofeedback; sensorimotor rhythm</dc:subject>
	<dc:description xml:lang="en-US">Children with cognitive disabilities frequently experience interconnected nutritional, cognitive, and behavioral challenges that may restrict learning participation. This mixed-methods one-group pilot study examined the preliminary outcomes and acceptability of an integrated Neuro-Nutrition Biofeedback and Balinese Gamelan Sensorimotor-Rhythm (SMR) stimulation program. Twenty children aged 6–12 years from special education schools in Bali participated in an eight-week intervention. Quantitative outcomes included BMI-for-age z-score, sustained attention, working memory, and EEG-recorded SMR amplitude, while qualitative data were obtained from parent and teacher interviews, behavioral observations, and field notes. Repeated-measures MANOVA indicated a significant multivariate effect of time. Holm-adjusted follow-up analyses showed significant changes in attention and working memory. BMI-for-age and SMR amplitude showed positive changes but did not remain statistically significant after adjustment. Qualitative findings revealed gradual food acceptance, improved learning focus, calmer behavioral responses, and strong cultural acceptance of Balinese gamelan. The integrated findings provide preliminary support for a culturally responsive neuro-educational framework linking nutritional readiness, neuroregulatory support, and culturally mediated engagement. SMR should be regarded as a candidate neurophysiological indicator rather than a demonstrated mediator. Larger controlled studies are required to establish efficacy and causal mechanisms.</dc:description>
	<dc:publisher xml:lang="en-US">Yayasan Keluarga Guru Mandiri</dc:publisher>
	<dc:contributor xml:lang="en-US"></dc:contributor>
	<dc:date>2026-08-31</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://jiecr.org/index.php/jiecr/article/view/3416</dc:identifier>
	<dc:identifier>10.46843/jiecr.v7i4.3416</dc:identifier>
	<dc:source xml:lang="en-US">Journal of Innovation in Educational and Cultural Research; Vol 7, No 4 (2026); 853-862</dc:source>
	<dc:source>2722-9696</dc:source>
	<dc:source>2722-9688</dc:source>
	<dc:source>10.46843/jiecr.v7i4</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://jiecr.org/index.php/jiecr/article/view/3416/439</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2026 Journal of Innovation in Educational and Cultural Research</dc:rights>
</oai_dc:dc>