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Volume 12, Issue 4 (2024)                   Health Educ Health Promot 2024, 12(4): 561-569 | Back to browse issues page
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Qorib F, Nurdiarti R, Septiani F, Setiawan R. Teacher-Parent Collaboration; Enhancing Education for Children with Intellectual Disabilities. Health Educ Health Promot 2024; 12 (4) :561-569
URL: http://hehp.modares.ac.ir/article-4-76870-en.html
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1- Department of Communication Science, Faculty of Social and Political Science, University of Tribhuwana Tunggadewi, Malang, Indonesia
2- Department of Communication Science, Faculty of Communication and Multimedia, University of Mercubuana Yogyakarta, Yogyakarta, Indonesia
3- Department of Public Administration, Faculty of Social and Political Science, University of Bandar Lampung, Bandar Lampung, Indonesia
* Corresponding Author Address: Department of Communication Science, Faculty of Social and Political Science, University of Tribhuwana Tunggadewi, Jl. Telaga Warna, Tlogomas, Kec. Lowokwaru, Kota Malang, Jawa Timur, Indonesia. Postal Code: 65144 (fathul.qorib@unitri.ac.id)
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Introduction
Children with intellectual disabilities (ID) face profound challenges, significantly affecting their cognitive, emotional, and social development. These challenges not only stem from the inherent limitations of the disability itself but are also compounded by societal perceptions, limited access to healthcare, and inclusive educational opportunities. According to Glasson et al. [1], the prevalence of intellectual disabilities is estimated at 1% to 2% of the child population, indicating an urgent need for specialized support and interventions that can address these challenges.
Cognitive challenges are one of the most prominent aspects among children with ID. These children often show deficits in various cognitive domains, including learning, memory, and problem-solving abilities. For example, limitations in cognitive processing make it difficult for these children to assimilate new educational material, ultimately impacting their academic performance [2]. In addition, research shows that children with ID often experience significant delays in developing adaptive behaviors, which are critical for daily functioning and independence. These cognitive delays are a major obstacle in academic settings, where children with ID require customized educational strategies to facilitate their learning [3].
Furthermore, children with intellectual disabilities often encounter significant challenges in developing a sense of independence. This independence is typically linked to the ability to carry out daily tasks on their own, such as dressing, bathing, and eating. However, children with intellectual disabilities often experience delays in acquiring essential self-care skills, which can hinder their development and self-esteem [4, 5]. Research suggests that efforts to foster independence should begin early in a child's life; If independence is not nurtured from a young age, the likelihood of achieving full independence later in life is significantly reduced [6]. This confirms the importance of targeted interventions to promote independence and adaptive skills in children with special needs.
Communication is a vital element in the education of students with cognitive impairments, particularly when it comes to teaching the skills necessary for achieving independence. Effective communication strategies can enhance learning, allowing children to understand better and practice self-care tasks [7]. For example, video modeling is an effective method for teaching dressing skills to children with intellectual disabilities, as it provides visual cues that facilitate learning [8]. In addition, parents and caregivers should be equipped with the necessary skills to support their children in developing independence. Training programs that educate parents on how to teach self-care skills at home can significantly improve children's ability to perform daily tasks independently [9].
Motor skills are also integral to fostering independence in children with intellectual disabilities. Research shows that children with these disabilities often experience gross and fine motor development delays, which can hinder their ability to engage in self-care activities [4, 10]. For example, children may have difficulty in tasks such as tying shoelaces or using cutlery, which are essential for daily life [5]. Interventions focusing on improving motor skills can improve children's abilities and promote greater independence [11]. In addition, research shows a correlation between motor skills and self-concept, suggesting that as children's motor skills improve, their self-esteem and confidence in performing tasks independently may also increase [12].
Educational institutions are very important in promoting independence among children with special needs. Schools that implement individualized education programs (IEPs) tailored to the specific needs of children with intellectual disabilities can significantly impact their ability to develop independence [13]. These programs should include objectives related to self-care, social skills, and communication so that children receive comprehensive support in all aspects of development. In addition, inclusive education practices that encourage peer interaction can foster social skills and self-confidence, further contributing to a child's sense of independence [14].
Schools that serve children with special needs in Indonesia are known as Sekolah Luar Biasa (SLB) or extraordinary schools. One example is SLB Bina Siwi, located in Manukan, Bantul Regency, Indonesia. This school focuses on teaching skills to students with mental and physical disabilities, with the aim that they can survive despite their imperfections [15, 16]. In addition, the learning materials and methods delivered at this school are designed to be interesting and appropriate to the needs of the students. Bina Siwi SLB also pays special attention to teaching how to communicate with children with disabilities. Children with disabilities have diverse abilities that need to be honed. However, they often need help channeling and utilizing these abilities and skills because their intelligence is below the average child in general. Therefore, therapeutic communication is indispensable to help children with disabilities express their talents and skills, even if they are not as optimal as their non-disabled peers [17, 18].
Although many studies have explored the importance of therapeutic communication and inclusive education strategies for children with intellectual disabilities, there is still a significant gap regarding how collaboration between teachers and parents can play a crucial role in implementing therapeutic communication in special schools. While previous research [19, 20] emphasizes the importance of parental involvement in the education of children with special needs, very few studies have specifically explored the interaction and synergy between teachers and parents in therapeutic communication. This area of research still needs to be touched upon, especially in the Indonesian context, which has different educational and cultural dynamics.
Research on therapeutic communication in education, particularly in Indonesia, remains limited. Most existing studies focus on its role in healthcare settings, neglecting its crucial application in the education of children with intellectual disabilities. Teachers in schools like Sekolah Luar Biasa (SLB) face unique challenges that require not only pedagogical skills but also emotional support to address each child's individual needs. Despite its significance, the use of therapeutic communication in these educational environments is under-researched, creating a gap in understanding how teachers can effectively nurture emotional, cognitive, and social development in special education students. Additionally, in many cases, teachers in special schools do not initially aim to work in this field. However, they must adapt to its demands, further complicating the integration of therapeutic communication into their teaching strategies.
To tackle these challenges, collaboration between teachers and parents is essential in implementing therapeutic communication. This partnership ensures that consistent educational strategies are employed both at home and in school, allowing both parties to share methods that improve educational outcomes for children. For instance, research has shown that parental involvement reinforces school-based interventions and provides emotional support for children with special needs [21]. Moreover, observations from SLB Bina Siwi reveal that teachers often face the additional obstacle of limited training in therapeutic communication, making the collaboration with parents even more critical. By focusing on how teachers and parents interact and use therapeutic communication strategies together, this research aims to explore its impact on the overall development of children with intellectual disabilities in the Indonesian context, where educational and cultural dynamics present unique challenges. Understanding these dynamics is essential for improving both teacher training and educational practices, ensuring better outcomes for students in special education settings.
This study aims to investigate how collaboration between teachers and parents is specifically utilized to implement therapeutic communication tailored to each child's unique needs. It explores the challenges of maintaining this collaborative approach and its impact on the cognitive, emotional, and social development of children with intellectual disabilities. By examining the strategies employed to overcome these challenges, the research also seeks to highlight the critical role of emotional support in enhancing the overall effectiveness of therapeutic communication. Through this, the study hopes to shed light on how collaborative efforts can address the diverse needs of children and create a more supportive learning environment in special schools.
Furthermore, this research seeks to provide valuable insights into the forms of collaboration between teachers and parents and their influence on educational outcomes for children with disabilities. It aims to show how synergies between home and school environments offer a more holistic support system for these children. Given that children with intellectual disabilities require consistent, integrated approaches, the research's findings could inform more inclusive and adaptive education policies in Indonesia. Although focused on one particular school, the results are expected to provide a model for similar schools, contributing practical and theoretical insights that could improve the quality of education for children with disabilities across the country.

Participants and Methods
This research used a qualitative case study approach to explore the collaboration between teachers and parents in implementing therapeutic communication at Sekolah Luar Biasa Bina Siwi, Bantul, Indonesia. This approach allows for a more in-depth understanding of the complex dynamics of educating children with intellectual disabilities [22, 23]. Data were collected through in-depth interviews which were semi-structured and conducted over 3 to 6 sessions, depending on data saturation and the need for additional data verification, with each session lasting approximately 45-60 minutes.Ddirect observation and document analysis were also employed involving five teachers and three parents in the educational and therapeutic communication process.
The participants were selected using purposive sampling to ensure experiences and insights that fit the needs of this study [24]. Although the original plan involved 11 teachers and 5 parents, only 5 teachers met the criteria of having at least three years of experience, being willing to be interviewed, and having diverse educational backgrounds. Similarly, only 3 parents were willing to be interviewed for 3 months (Table 1). Extended observation and snowball sampling ensured data saturation, providing a comprehensive view of how therapeutic communication was implemented. To ensure data reliability and validity, the researchers cross-checked the findings, and data saturation was confirmed when no new information emerged, indicating that the data collected was sufficient to support the research analysis and conclusions.

Table 1. Research informant data determined based on purposive sampling
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Data were analyzed using thematic analysis. This method is widely used in qualitative research to identify, analyze and report patterns [25]. The first stage of analysis was familiarization, where the research team reread the interview transcripts and observation notes to identify potential codes. In the next step, we created 21 primary codes from the data extracted from recurring statements and themes in the interviews. These primary codes captured various aspects such as student comfort, emotional reinforcement, parental acceptance, independent living skills, and tantrum handling (Table 2).

Table 2. Thematic Coding Framework for Therapeutic Communication and Adaptive Strategies
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These primary codes were then grouped into four secondary codes for better categorization and organization. For example, primary codes related to student comfort, emotional reinforcement, and parental acceptance were combined into the secondary code “emotional and social support”. From these secondary codes, three concepts were formed; Therapeutic communication for emotional connection, individualized educational adaptations, and fostering independence through practical skills. The final stage of analysis was to make sense of all these concepts and turn them into three themes related to therapeutic communication; Therapeutic communication as a core strategy, building independence through collaboration, and adapting to challenges in special education.
Data triangulation was employed to ensure the credibility and consistency of the findings. This was achieved by cross-verifying data from interviews, observations, and documents, which helped maintain the robustness of the analysis. To enhance validity, member checks were conducted, where researchers reviewed the identified codes and themes to confirm their accuracy and representation of participants’ perspectives. Additionally, peer debriefing sessions were held regularly, allowing colleagues to review and refine interpretations, thus minimizing potential bias and improving analytical rigor [26]. Furthermore, prolonged engagement, through three months of direct observation, contributed to a deeper understanding of the context, increasing the overall reliability of the results [27].

Findings
Children with mental disabilities in the view of teachers and parents
Teachers at SLB Bina Siwi face challenges teaching children with mental disabilities, but they remain determined and patient. These children need more than academic instruction; They require emotional support and an individualized approach. Teachers focus on making children feel comfortable and accepted, using therapeutic communication to create a safe environment. This method builds trust, fosters positive relationships, and reduces stress and anxiety, helping children learn at their own pace.
Teachers in special schools cannot apply the same learning process as in regular schools ... The first thing teachers do at school is to make children feel comfortable by meeting new people, as these children find it difficult to accept new people, especially in large numbers” (Interview with SLB teacher).
Parents also play a key role, supporting education at home and embracing their child's condition as a gift. One parent shared, “At first, I felt sad ... I must accept my child's condition because this is a gift from God, so no matter what, I must sincerely care for and raise him”. Collaboration between teachers and parents creates a consistent, supportive environment. A parent explained, “At home, we also teach independent behavior. My child now showers by himself, wears his own uniform, and buttons his clothes”.
With this collaborative and supportive approach, children at SLB Bina Siwi benefit from therapeutic communication that promotes their social, emotional, and cognitive development, fostering independence and self-confidence.
Teacher and parent cooperation in educating children with special needs
At SLB Bina Siwi, teachers play a crucial role in using therapeutic communication to promote the independence of children with disabilities. This approach combines empathy with effective communication techniques, creating a supportive learning environment. Teachers encourage independence in daily activities like eating, bathing, and dressing, ensuring each child feels valued and supported.
We always try to communicate with parents about what we teach at school, so they can continue it at home” (Interview with SLB teacher).
This highlights the importance of therapeutic communication that involves not only teachers and students but also parents, ensuring consistent learning both at school and home. Teachers serve as consultants, offering parents strategies to foster independence.
At first, I didn’t know how to teach independence to my child. After communicating with the teachers and following their advice, I saw many positive changes” (Interview with SLB parent).
This quote reflects the significance of teacher support in guiding parents. Teachers also use praise to motivate children, fostering emotional connections that enhance learning.
They like to be praised, like ‘come on to school to get smarter,’ ... we have to be smart to make them happy and motivated to attend school” (Interview with SLB teacher).
Verbal praise and emotional support are central to building confidence and independence in children. Teachers adapt their communication style to meet each child’s needs, demonstrating flexibility.
Children with intellectual disabilities cannot be taught only once; It must be repeated continuously” (Interview with SLB teacher).
This patient and personalized approach ensures that children can master skills at their own pace. Collaboration between teachers and parents is essential for tracking progress and adjusting teaching methods.
Teachers in SLB cannot apply the learning process like in schools in general ... The first thing teachers apply at school is to make children feel comfortable” (Interview with SLB teacher).
Regular meetings between teachers and parents foster open communication, helping children thrive both emotionally and academically. This partnership between home and school is key to the holistic development of children with intellectual disabilities at SLB Bina Siwi.
Obstacles in the learning process in special schools
The learning process at Sekolah Luar Biasa (SLB) Bina Siwi faces unique challenges, especially when teaching children with intellectual disabilities. One major obstacle is managing the children's mood during the learning process. Since these children often arrive at school in a bad mood, teachers must make extra efforts to stabilize their emotions for effective learning.
If we keep them in a good mood all the time, it's impossible because sometimes even at home they are not in the mood to go to school, so at school, it is quite difficult to restore or change their mood (Interview with SLB teacher).
This statement highlights the need for therapeutic communication, where teachers use empathy and understanding to respond to the children's mood changes. Techniques like active listening and emotional support are crucial in overcoming these challenges. Another challenge is the need for repetition in teaching. Children with intellectual disabilities require repeated lessons to fully grasp new concepts, which demands patience and persistence from teachers.
Children with intellectual disabilities cannot be taught just once ... So, the repetition of each lesson or skill must always be repeated so that they can apply it (Interview with SLB teacher).
Repetition aligns with therapeutic communication principles, helping children internalize information at their own pace. Teachers also face tantrums, which can disrupt the learning process. Recognizing when to pause and give children time to calm down is essential.
There is no learning process for children who are having tantrums, because they cannot communicate and certainly cannot accept what the teacher teaches (Interview with SLB teacher).