Toilet Training the Picture Media for Cognitive Ability in Golden Age Period

Growing and progressing a different event but both of them in the same place. A good growing and progressing will give the result a healthy and  quality generations. Toilet training to children is kind of trying for the train in order children can be control do urination and defecate (Hidayat, 2008). In golden age required toilet training, this period almost all of potential of children to be a sensitive period for growing and progress with quick and great. Toilet training to be done for inculcating a good habit to children, especially about self-hygiene. Teaching Toilet Training could be given by many methods, one of them with picture media. Purpose this research analyzes effects of toilet training the picture media for cognitive in golden age period. The research project which used in this research is Quasi-experiment with approach method one group pretest-posttest design. There are two pair groups are 41 responded. Respondent which have good ability before given treatment is 29 respondents (70.7%) and good ability after given treatment is 37 respondents (90,2%) there is an enhancement to cognitive  ability,  toilet training in golden age period both before and after given treatment.  The result of analysis test Wilcoxon signs rank test available the result that has influence Toilet training the picture media for cognitive ability in golden age period at PAUD dan TK Tunas Harapan Bangsa Mojokerto (Ï=0,02).  For next researcher, better to increase the cognitive ability in golden age period with picture media can be combined with modeling technique.

Growth and development were the different stages but both of them coinciding. High growth and development obtained health-qualify generations. Toilet training was a kind of treatment for children to control urination and defecate (Hidayat, 2008). Toilet training is required in the golden age which is all children's potential growing fast. Toilet training initiated an excellent habit to children, especially about self-hygiene. Teaching about toilet training could be given by many methods, one of them was as picture media. This research aimed to analyze effects of toilet training as media supporting cognitive in golden age period. The research design used in this research was the Quasi-experiment approaching method a group pretest-posttest design. Population in the study of children aged 3-6 years. There was two pairs group include forty-nonrespondents. Filling out the pre-test sheet, giving a treatment toilet training picture media and Fill out the post-test questionnaire sheet. A respondent who had good ability before giving a treatment was 29 respondents (70.7%) and after treatment was37 respondents (90,2%). Increasing cognitive ability was evident. Based on Wilcoxon signs rank test result, there was an impact of media supporting cognitive ability in golden age period at PAUD and TK Tunas HarapanBangsaMojokerto (ρ=0,02). So, It is better to increase the cognitive ability in golden age period with picture media combining with modeling technique referring to next researcher.

PREFACE
Growth and development are different stages but both of them occurring simultaneously. Great growth and development obtain health-qualify generations. Toilet training was a treatment for children to control urination and defecate (Hidayat, 2008). Toilet training initiates a good habit to children, especially about selfhygiene.Learning about toilet training could be given by many methods, one of them is a picture method. Picture method is a visual two dimensions method which shows pictures and explains about toileting in right way. This training must be done at right ages (Fitria,2011).
Indonesia had about 30% toddlers out of 259 million people in 2011. According to the National Household Health Survey (SKRT) 2012, Toddlers which were difficult to control defecate and urination (bedwetting) at the preschool period was about 75 million children. Three years toddlers are ready within cognitive, social and emotional to teach using a toilet. Statistics data showed that 90% children about age 18-36 months were the success to be taught using the toilet with average age 27-28 months, 80% children succeed not having bedwetting at night in age 30-42 months with average age 33 months (Warner, 2007).
Indeed, Toilet training is not quite popular. So, this concept seems to look unimportant in growing stage of children. The negative impact of toilet training was disobedient, careless to surrounding in which children could put urination and defecates everywhere (Wahyuningsih,2008). Role of their parents is needed in this part as an advisor to teach toilet training to children (Munawaroh, 2011).
Toilet training need method or right way easy to understand for children. In right method, that training would influence parents teaching toilet training concept to their children. Based on those issues, It is interested to research about "Influence Toilet Training as Media Supporting Cognitive Ability in Golden Age at PAUD and TK Tunas Harapan Bangsa Mojokerto."

METHOD
The research design used is Quasi-experiment approaching one group pretest-posttest design method. There are forty-one respondents. Randomly cluster sampling is the technique used. Independent variable is toilet training picture media. The dependent variable is the cognitive ability in the golden age. Analyzing data is used cross tabulation and Wilcoxon sign rank test.

Source: Primary Data
Based on Table 2, It is shown that respondents who have good ability before treatment is 29 respondents (70.7%) and after treatment is 37 respondents (90,2%). There is an evident increasing cognitive ability toilet training at a golden age at PAUD and TK Tunas Harapan Bangsa Mojokerto.
The result of statistic test obtains that there is the impact of toilet training supporting cognitive ability in the golden age at PAUD and TK Tunas Harapan Bangsa Mojokerto (p=0,02).

DISCUSSION
Picture media gives the impact for enhancement of cognitive ability toilet training, That is shown from a result of pre-test with post-test as the enhancement of cognitive ability toilet training in the golden age. Based on statistic test, Wilcoxon signs rank test with α=0,05, significant value P=0,02<0,05, means Ho is rejected.
Picture media gives details pictures then children could remember better than a verbal method. Picture media could solve verbal method's problem about the limitation of memory to tell and explain something.
Picture media shows how to use toilet starting from how to use the toilet then take off pants when children want to defecate and urination, sit on chamber pot or toilet, how to do self -cleaning after defecate and urination.
Application of picture media is suitable to condition and respondent's ability of children and made interesting so children could follow and understand about cognitive ability toilet training. Nanny or parents are taking a role to help children in growing stage resulting health generation in future.