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Reducing Anxiety in Pediatric Circumcision Using an Affective-Based Virtual Reality: A Pre-Post Experimental

Jurnal Kesehatan Masyarakat · Vol. 21 No. 3 (2026) · hlm. 519–527

DOI
10.15294/kemas.v21i3.32688
ISSN
2355-3596, 1858-1196
Terbit
2026-01-30
Penerbit
Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)
Bahasa
eng

Abstrak

Anxiety is a common emotional response among children undergoing invasive medical procedures such as circumcision, which can compromise procedural comfort and increase resistance. This study aimed to evaluate the effectiveness of a space adventure-themed Virtual Reality (VR) application as a distraction medium to reduce anxiety in boys during circumcision procedures. It involved 26 children aged 10–14 who participated in this study. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI-T) instrument before and after the intervention. The application was designed using an Affective Virtual Reality methodology, which integrates emotional elements and immersive experiences into a virtual environment to create a relaxed and enjoyable atmosphere. VR was used during the procedure to distract children from painful and fearful stimuli. The results showed decreased anxiety levels after the intervention, indicating that VR technology is effective as a non-pharmacological distraction strategy in clinical contexts. These findings contribute to the use of immersive technology as an innovative approach to supporting children’s psychological comfort during medical procedures and open opportunities for developing similar interventions in other pediatric medical contexts.

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34 penulis · 104 tautan kepenulisan bersama · 2 lintas organisasi

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  • State University of Semarang
  • Universitas Dian Nuswantoro
  • Universitas Gadjah Mada
  • Afiliasi tidak diketahui
  • Organisasi berbeda
  • Organisasi sama
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Tampilkan sebagai tabel
Rekan penulisOrganisasiArtikel bersama
Efa NugrohoState University of Semarang3
Bambang Budi RaharjoState University of Semarang2
Sofwan IndarjoState University of Semarang2
Rika Jane ArdiadnaUniversitas Dian Nuswantoro2
Reza PulunganUniversitas Gadjah Mada1
Oktia Woro Kasmini HState University of Semarang1
Dyah Mahendrasari SukendraState University of Semarang1
Yunita Dyah Puspita SantikState University of Semarang1
Devita Uzlah SibaraniState University of Semarang1
Sherly GusnawanState University of Semarang1
Hermi Nur LaelaState University of Semarang1
Irwan BudionoState University of Semarang1
JamilaState University of Semarang1
Apoina KartiniAfiliasi tidak diketahui1
Alfiana Ainun NisaState University of Semarang1
Erry H KamkaAfiliasi tidak diketahui1
Erina Slamet SaputriAfiliasi tidak diketahui1
Dwi Yunanto HermawanState University of Semarang1
Heny WidyaningrumAfiliasi tidak diketahui1
Arko DwiantoroState University of Semarang1
Farah Azizah MuktiState University of Semarang1
Hauna Anja RamadhantyState University of Semarang1
Fitriana Dwi RahayuState University of Semarang1
Nur SiyamState University of Semarang1
Lukman FauziState University of Semarang1
Fahma Nur FadilaState University of Semarang1
Sifa Ul JanahState University of Semarang1
Nadia Insrswari UtomoAfiliasi tidak diketahui1
Sungatno SungatnoState University of Semarang1
Niken LestariState University of Semarang1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/kemas/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">Reducing Anxiety in Pediatric Circumcision Using an Affective-Based Virtual Reality: A Pre-Post Experimental</dc:title>
	<dc:creator xml:lang="en">Abidin, Zaenal</dc:creator>
	<dc:creator xml:lang="en">Setiawan, Abas </dc:creator>
	<dc:creator xml:lang="en">Rahayu, Sri Ratna</dc:creator>
	<dc:creator xml:lang="en">Hermawati, Bertakalswa</dc:creator>
	<dc:subject xml:lang="en">Anxiety </dc:subject>
	<dc:subject xml:lang="en">Circumcision</dc:subject>
	<dc:subject xml:lang="en">Virtual Reality</dc:subject>
	<dc:description xml:lang="en">Anxiety is a common emotional response among children undergoing invasive medical procedures such as circumcision, which can compromise procedural comfort and increase resistance. This study aimed to evaluate the effectiveness of a space adventure-themed Virtual Reality (VR) application as a distraction medium to reduce anxiety in boys during circumcision procedures. It involved 26 children aged 10–14 who participated in this study. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI-T) instrument before and after the intervention. The application was designed using an Affective Virtual Reality methodology, which integrates emotional elements and immersive experiences into a virtual environment to create a relaxed and enjoyable atmosphere. VR was used during the procedure to distract children from painful and fearful stimuli. The results showed decreased anxiety levels after the intervention, indicating that VR technology is effective as a non-pharmacological distraction strategy in clinical contexts. These findings contribute to the use of immersive technology as an innovative approach to supporting children’s psychological comfort during medical procedures and open opportunities for developing similar interventions in other pediatric medical contexts.</dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)</dc:publisher>
	<dc:date>2026-01-30</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">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/journals/kemas/article/view/32688</dc:identifier>
	<dc:identifier>10.15294/kemas.v21i3.32688</dc:identifier>
	<dc:source xml:lang="en">Jurnal Kesehatan Masyarakat; Vol. 21 No. 3 (2026); 519 - 527</dc:source>
	<dc:source>2355-3596</dc:source>
	<dc:source>1858-1196</dc:source>
	<dc:source>10.15294/kemas.v21i3</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/journals/kemas/article/view/32688/9082</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Jurnal Kesehatan Masyarakat</dc:rights>
</oai_dc:dc>