The Application of Jump-Rope Play Therapy in a School-Aged Child with Excessive Gadget Use: A Case Study

Dian Maelana Lestari; Andan Firmansyah

doi:10.56359/kian.v5i2.1078

Authors

Dian Maelana Lestari STIKes Muhammadiyah Ciamis, Jawa Barat, Indonesia
Andan Firmansyah STIKes Muhammadiyah Ciamis, Jawa Barat, Indonesia

DOI:

https://doi.org/10.56359/kian.v5i2.1078

Keywords:

Jump-rope play therapy, Excessive gadget use, Physical activity, Social interaction, school-aged children

Abstract

Introduction: Excessive gadget use among school-aged children may interfere with opportunities for physical activity, social interaction, and participation in age-appropriate recreational activities. Structured traditional play, such as jump-rope activities, may provide an alternative to screen-based entertainment while encouraging physical movement and peer interaction.

Objective: This study aimed to describe the application of jump-rope play therapy as a nursing intervention for a school-aged child with excessive gadget use.

Method: A descriptive case study design was employed using a nursing care approach over three days. The nursing process included assessment, nursing diagnosis, intervention planning, implementation, and evaluation. Jump-rope play therapy was introduced as a structured recreational activity to encourage physical activity and social engagement. Data were collected through interviews with the child and family, behavioral observations, and nursing care evaluations, focusing on gadget-use patterns, physical activity, and social interaction.

Result: Following the three-day intervention, positive behavioral changes were reported and observed, including greater participation in physical play, increased interaction with peers, improved cooperation during activities, and reduced gadget use. Family involvement in establishing appropriate screen-use boundaries and encouraging alternative recreational activities was also identified as an important component of the nursing intervention. However, these findings were based on observations from a single case and were not supported by standardized quantitative measurements.

Conclusion: Jump-rope play therapy may serve as a supportive nursing activity to encourage physical movement and social interaction among school-aged children with excessive gadget use. Nevertheless, the findings should be interpreted cautiously because of the single-case design and short intervention period. Further studies using systematic outcome measurements, longer intervention periods, and larger samples are needed to evaluate its potential benefits

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References

Bacil, E. D. A., da Silva, M. P., Martins, R. V., da Costa, C. G., & de Campos, W. (2024). Exposure to smartphones and tablets, physical activity and sleep in children from 5 to 10 years old: A systematic review and meta-analysis. American Journal of Health Promotion, 38(7), 1033–1047. https://doi.org/10.1177/08901171241242556

Carson, V., Hunter, S., Kuzik, N., Gray, C. E., Poitras, V. J., Chaput, J.-P., Saunders, T. J., Katzmarzyk, P. T., Okely, A. D., Connor Gorber, S., Kho, M. E., Sampson, M., Lee, H., & Tremblay, M. S. (2016). Systematic review of sedentary behaviour and health indicators in school-aged children and youth: An update. Applied Physiology, Nutrition, and Metabolism, 41(6 Suppl. 3), S240–S265. https://doi.org/10.1139/apnm-2015-0630

Council on Communications and Media. (2016). Media use in school-aged children and adolescents. Pediatrics, 138(5), Article e20162592. https://doi.org/10.1542/peds.2016-2592

Deng, L., Wu, H., Ruan, H., Xu, D., Pang, S., & Shi, M. (2024). Effects of fancy rope-skipping on motor coordination and selective attention in children aged 7–9 years: A quasi-experimental study. Frontiers in Psychology, 15, Article 1383397. https://doi.org/10.3389/fpsyg.2024.1383397

Domingues-Montanari, S. (2017). Clinical and psychological effects of excessive screen time on children. Journal of Paediatrics and Child Health, 53(4), 333–338. https://doi.org/10.1111/jpc.13462

Fàbregues, S., & Fetters, M. D. (2019). Fundamentals of case study research in family medicine and community health. Family Medicine and Community Health, 7(2), Article e000074. https://doi.org/10.1136/fmch-2018-000074

Heale, R., & Twycross, A. (2018). What is a case study? Evidence-Based Nursing, 21(1), 7–8. https://doi.org/10.1136/eb-2017-102845

Hutton, J. S., Dudley, J., Horowitz-Kraus, T., DeWitt, T., & Holland, S. K. (2020). Associations between screen-based media use and brain white matter integrity in preschool-aged children. JAMA Pediatrics, 174(1), Article e193869. https://doi.org/10.1001/jamapediatrics.2019.3869

Lai, N. M., Lim, Y. S., Chaiyakunapruk, N., Lee, S. W. H., Liabsuetrakul, T., Sabbir, M., Mahmud, S. M. H., Siddiqi, U. R., Ahmed, T., Hasan, F. U. L., & Kuan, P. X. (2025). The effectiveness of school-based interventions for reducing screen time: A systematic review and meta-analysis. Child and Adolescent Mental Health, 30(3), 223–237. https://doi.org/10.1111/camh.70022

Latimer-Cheung, A. E., Copeland, J. L., Fowles, J., Zehr, L., Duggan, M., & Tremblay, M. S. (2016). The Canadian 24-hour movement guidelines for children and youth: Implications for practitioners, professionals, and organizations. Applied Physiology, Nutrition, and Metabolism, 41(6 Suppl. 3), S328–S335. https://doi.org/10.1139/apnm-2016-0086

Madigan, S., Browne, D., Racine, N., Mori, C., & Tough, S. (2019). Association between screen time and children's performance on a developmental screening test. JAMA Pediatrics, 173(3), 244–250. https://doi.org/10.1001/jamapediatrics.2018.5056

Mallawaarachchi, S., Burley, J., Mavilidi, M., Howard, S. J., Straker, L., Kervin, L., Staton, S., Hayes, N., Machell, A., Torjinski, M., Brady, B., Thomas, G., Horwood, S., White, S. L. J., Zabatiero, J., Rivera, C., & Cliff, D. (2024). Early childhood screen use contexts and cognitive and psychosocial outcomes: A systematic review and meta-analysis. JAMA Pediatrics, 178(10), 1017–1026. https://doi.org/10.1001/jamapediatrics.2024.2620

Paterna, A., Alcaraz-Ibáñez, M., Aguilar-Parra, J. M., Salavera, C., Demetrovics, Z., & Griffiths, M. D. (2024). Problematic smartphone use and academic achievement: A systematic review and meta-analysis. Journal of Behavioral Addictions, 13(2), 313–326. https://doi.org/10.1556/2006.2024.00014

Ponti, M. (2023). Screen time and preschool children: Promoting health and development in a digital world. Paediatrics & Child Health, 28(3), 184–192. https://doi.org/10.1093/pch/pxac125

Presta, V., Guarnieri, A., Laurenti, F., Mazzei, S., Arcari, M. L., Mirandola, P., Vitale, M., Chia, M. Y. H., Condello, G., & Gobbi, G. (2024). The impact of digital devices on children's health: A systematic literature review. Journal of Functional Morphology and Kinesiology, 9(4), Article 236. https://doi.org/10.3390/jfmk9040236

Qi, J., Yan, Y., & Yin, H. (2023). Screen time among school-aged children of aged 6–14: A systematic review. Global Health Research and Policy, 8, Article 12. https://doi.org/10.1186/s41256-023-00297-z

Reid Chassiakos, Y. L., Radesky, J., Christakis, D., Moreno, M. A., & Cross, C. (2016). Children and adolescents and digital media. Pediatrics, 138(5), Article e20162593. https://doi.org/10.1542/peds.2016-2593

Stiglic, N., & Viner, R. M. (2019). Effects of screentime on the health and well-being of children and adolescents: A systematic review of reviews. BMJ Open, 9(1), Article e023191. https://doi.org/10.1136/bmjopen-2018-023191

Teague, S., Somoray, K., Shatte, A., Miller, D., Moss, K., Crawford, A., Wildman, H., Kayal, D., & Hutchinson, D. (2026). Digital media use and child health and development: A systematic review and meta-analysis. JAMA Pediatrics, 180(5), 510–517. https://doi.org/10.1001/jamapediatrics.2026.0085

Tim Pokja SDKI DPP PPNI. (2017). Standar diagnosis keperawatan Indonesia: Definisi dan indikator diagnostik (Edisi 1, Cetakan III revisi). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

Tim Pokja SIKI DPP PPNI. (2018). Standar intervensi keperawatan Indonesia: Definisi dan tindakan keperawatan (Edisi 1, Cetakan II). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

Tim Pokja SLKI DPP PPNI. (2019). Standar luaran keperawatan Indonesia: Definisi dan kriteria hasil keperawatan (Edisi 1, Cetakan II). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

Tremblay, M. S., Carson, V., Chaput, J.-P., Connor Gorber, S., Dinh, T., Duggan, M., Faulkner, G., Gray, C. E., Gruber, R., Janson, K., Janssen, I., Katzmarzyk, P. T., Kho, M. E., Latimer-Cheung, A. E., LeBlanc, C., Okely, A. D., Olds, T., Pate, R. R., Phillips, A., ... Zehr, L. (2016). Canadian 24-hour movement guidelines for children and youth: An integration of physical activity, sedentary behaviour, and sleep. Applied Physiology, Nutrition, and Metabolism, 41(6 Suppl. 3), S311–S327. https://doi.org/10.1139/apnm-2016-0151

Wilhite, K., Booker, B., Huang, B.-H., Antczak, D., Corbett, L., Parker, P., Noetel, M., Rissel, C., Lonsdale, C., Del Pozo Cruz, B., & Sanders, T. (2023). Combinations of physical activity, sedentary behavior, and sleep duration and their associations with physical, psychological, and educational outcomes in children and adolescents: A systematic review. American Journal of Epidemiology, 192(4), 665–679. https://doi.org/10.1093/aje/kwac212

World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour. https://www.who.int/publications/i/item/9789240015128