Abstract Background: The prevalence of people with autism spectrum disorders in some parts of the world tends to increase, in Indonesia alone, accurate and complete data and information from people with autism spectrum disorders (ASD) are still lacking, so it is feared that many children with risk symptoms of autism spectrum disorders do not get treatment early. Aim: This study aims to prevent the risk of autism spectrum disorders in children by applying massage therapy based on analysis of the Modified Check List for Autism in Toddler (M-Chat) scores. Methods: The study was conducted from May 2019 to March 2020 at three public health centers in the city of Jakarta. An analysis was carried out before and after the application of massage in a time series of four periods on 10 children aged 18-36 months with M-Chat scores, then analyzed by receiver operating characteristic (ROC) to obtain a cut off point to determine the risk status of autism spectrum disorders. Results: The results showed that there was an effect of massage therapy on the M-Chat score of children with autism spectrum disorder risk p=0.004 <0.05 and changes in the M-Chat score of children with autism spectrum disorder risk experienced significant changes after massage in the third and fourth therapy periods. with p = 0.005 and p = 0.007 < 0.05. Conclusion: The results show that massage therapy can prevent the risk of autism spectrum disorders in children based on the Modified Check List for Autism in Toddler (M-Chat). Keywords: Massage therapy, babies, autism spectrum disorders, modified checklist for autism in toddler
BACKGROUND: Family resilience is very relevant to clinical practice because most patients need family assistance to recover from illness. Ischemic stroke is a global health problem and the highest cause of death, including in Indonesia. The most common type of stroke in Indonesia is ischemic stroke. Most stroke patients experience cognitive and motor decline which causes limitations in the sufferer in carrying out activities. Therefore, it takes families who have high resilience in rehabilitation efforts and improve the quality of life of stroke sufferers. AIM: This study aims to determine the factors associated with family resilience of stroke patients in the first month after stroke. METHODS: The design of this research is a cross-sectional study conducted between January and February 2022 at the Dr. Drs. M. Hatta Brain Hospital (RSOMH) Bukittinggi. All research subjects were 229 families of respondents with stroke. Data collection using the RESILIENCE-GA questionnaire. Data analysis used univariate analysis, Chi-square for bivariate analysis, and logistic regression for the determinant model of multivariate analysis. RESULTS: The results showed that of the three components of family resilience, the slowest component is the component of values, beliefs, and rules in the family. Multivariate analysis showed that there are variables that affect family resilience, namely, socio-economic status (POR 3.2, 95% CI: 1.32–7.59, p = 0.010), and ethnicity (POR 2.1, 95% CI: 1.07–4.44, p = 0.048). CONCLUSION: The results showed that socio-economic and ethnic factors affect the resilience of stroke survivors’ families.
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