The Effect of Health Promotion of Common Cold Massage Skills on The Duration of Healing of ARI (Common Cold) in Toddlers
DOI:
https://doi.org/10.53713/htechj.v4i1.572Keywords:
common cold, massage, complementary therapy, toddlers, health promotionAbstract
Acute respiratory infections (ARIs), particularly the common cold, account for 30–40% of toddler consultations in primary care settings in Indonesia. Nonpharmacological complementary therapies are urgently needed to reduce disease burden and antibiotic misuse. To evaluate the impact of a 2-day parent-administered "common-cold massage" program on illness duration among toddlers with mild ARI. A quasi-experimental, one-group pre-test/post-test study was conducted at PMB Nurul Asyaroti, Malang, Indonesia. Following ethical approval and parental consent, 16 toddlers (12–59 months) meeting the inclusion criteria were enrolled. Parents received a 30-minute health promotion session and an illustrated leaflet and then applied the 10-step massage twice daily for two consecutive days. Illness duration (in hours from baseline to the first 24-hour period free of nasal congestion/rhinorrhea) was documented by parents and verified by a blinded assessor on day 3. Data were analyzed with a paired t-test; effect size (Cohen's d) and 95% CI are reported. Mean illness-duration decreased from 4.6 days (SD 0.89) pre-intervention to 2.9 days (SD 0.62) post-intervention (mean reduction 1.7 days; 95 % CI 1.2–2.1; p < 0.001; Cohen's d = 2.1, indicating a huge effect). No adverse events were reported. Teaching parents a short, standardized massage significantly shortened the duration of common colds in toddlers. A randomized controlled trial is warranted to confirm the efficacy and cost-effectiveness of the intervention before scaling it across Indonesian community health centers.
References
Agustin, L., Retno Wardani, H., Oktaviani, D., & Riskika, S. (2024). Nursing Care in the Case of Infants with Acute Respiratory Infections with Ineffective Airway Nursing Problems: A Case Study. Health and Technology Journal (HTechJ), 2(4), 363–368. https://doi.org/10.53713/htechj.v2i4.215
Al-Sudani, A. O. S., & Ahmed, H. A. J. (2024). Mothers’ knowledge regarding massage therapy for children with lower respiratory tract infections at pediatric hospitals in Baghdad City. Journal of Emergency Medicine, Trauma & Acute Care, 2024(6), 14. https://doi.org/10.5339/jemtac.2024.absc.14
Arumugam, L., Kamala, S., Ganapathy, K., & Srinivasan, S. (2023). Traditional Newborn Care Practices in a Tribal Community of Tamilnadu, South India: A Mixed Methods Study. Indian CJournal of community Medicine, 48(1), 131–136. https://doi.org/10.4103/ijcm.ijcm_498_22
Chen, S., Lin, S., Wang, M., Cheung, D. S. T., Liang, J., Cheng, Z., Yuen, C. S., & Yeung, W. (2024). Pediatric massage therapy in infants and children under 5 years: An umbrella review of systematic reviews. Heliyon, 10(16), e35993. https://doi.org/10.1016/j.heliyon.2024.e35993
Firdaus, Andreas Putro Ragil Santoso, Annif Munjidah, Masita, E. D., Mardiyant, I., & Santy, W. H. (2023). The effectiveness of the combination of clapping and common cold massage therapy on breathing frequency and number of staphylococcus bacteria in toddlers with upper respiratory tract infections (ARI). Bali Medical Journal, 12(3), 2832-2835. https://doi.org/10.15562/bmj.v12i3.4434
Frigati, L., Greybe, L., Andronikou, S., Eber, E., Sunder B. Venkatakrishna, S., & Goussard, P. (2025). Respiratory infections in low and middle-income countries. Paediatric Respiratory Reviews, 54, 43-51. https://doi.org/10.1016/j.prrv.2024.08.002
Fu, X., Lu, C., Zhang, Y., Li, B., Zhao, Z., Huang, C., Zhang, X., Qian, H., Wang, J., Liu, W., Sun, Y., & Norbäck, D. (2022). Effect of prenatal and postnatal exposure to home renovation on the risk of common cold in preschool children. Indoor Air, 32(6), e13063. https://doi.org/10.1111/ina.13063
Geppe, N. A., Zaplatnikov, A. L., Kondyurina, E. G., Chepurnaya, M. M., Kolosova, N. G., Geppe, N. A., Zaplatnikov, A. L., Kondyurina, E. G., Chepurnaya, M. M., & Kolosova, N. G. (2023). The Common Cold and Influenza in Children: To Treat or Not to Treat? Microorganisms, 11(4). https://doi.org/10.3390/microorganisms11040858
Ismarina, Prihayati, Ikhlasiah, M., & Arta, K. (2023). The Effect of Back Massage on Labor Pain in Phase I Active in Maternity Mothers at PMB Intan In Tangerang District 2022. Nursing and Health Sciences Journal (NHSJ), 3(3), 345–348. https://doi.org/10.53713/nhsj.v3i3.278
Jalali, A., Ziapour, A., Ezzati, E., Kazemi, S., & Kazeminia, M. (2024). The Impact of Training Based on the Pender Health Promotion Model on Self-Efficacy: A Systematic Review and Meta-Analysis. American Journal of Health Promotion. https://doi.org/10.1177_08901171231224101
Jusufi, L., Cocchi, E., Blaco, R., Cremonini, V., Cadas, C., Vitale, E., Lupo, R., Nunzio, G. D., Cascio, D., Pasquinelli, G., Conte, L., Rubbi, I., Jusufi, L., Cocchi, E., Blaco, R., Cremonini, V., Cadas, C., Vitale, E., Lupo, R., . . . Rubbi, I. (2025). Pediatric Pain Management: An Observational Study on Nurses' Knowledge of Nonpharmacological Techniques. Nursing Reports, 15(8). https://doi.org/10.3390/nursrep15080290
Komagata, S. (2023). Kanpumasatsu: A superficial self-massage with a dry towel to enhance relaxation and immune functions. Journal of Interprofessional Education & Practice, 31, 100609. https://doi.org/10.1016/j.xjep.2023.100609
Kurniyawan, E. H., Hykal Adlan Zein, A., Selvia Amelinda Novianti, Ivada Dea Nintiarso, Rosyidi Muhammad Nur, K., Dicky Endrian Kurniawan, Tri Afandi, A., & Ida Zuhroidah. (2024). Clean and Healthy Living Behavior to Prevent Acute Respiratory Infection among Farmer’s Families. Health and Technology Journal (HTechJ), 2(4), 424–433. https://doi.org/10.53713/htechj.v2i4.216
La Rosa, V. L., Geraci, A., Iacono, A., & Commodari, E. (2024). Affective Touch in Preterm Infant Development: Neurobiological Mechanisms and Implications for Child–Caregiver Attachment and Neonatal Care. Children, 11(11). https://doi.org/10.3390/children11111407
Mammari, N., Albert, Q., Devocelle, M., Kenda, M., Glavač, N. K., Dolenc, M. S., Mercolini, L., Tóth, J., Milan, N., Czigle, S., Varbanov, M., Mammari, N., Albert, Q., Devocelle, M., Kenda, M., Glavač, N. K., Dolenc, M. S., Mercolini, L., Tóth, J., . . . Varbanov, M. (2023). Natural Products for the Prevention and Treatment of Common Cold and Viral Respiratory Infections. Pharmaceuticals, 16(5). https://doi.org/10.3390/ph16050662
Mursyid, F., Chia, L., Anwar, K., Putri, I., & Alma, B. (2025). The Impact of Tuina Massage Therapy on Sensory Processing, Sleep Disturbances, and Maladaptive Behaviors in Young Children with Autism Spectrum Disorder in Jakarta, Indonesia: A Controlled Clinical Study. Scientia Psychiatrica, 6(2), 748-765. https://doi.org/10.37275/scipsy.v6i2.191
Qijun, Y. (2025). An Exploration of the Application of Massage Techniques in Different Periods of Sports Activities. Academic Journal of Medicine & Health Sciences, 6(4), 40-45. https://dx.doi.org/10.25236/AJMHS.2025.060407
Riyanti, W., & Haque, B. (2023). The Effectiveness of Common Cold Massage in Healing Coughs and Colds in Baby and Toddlers in Rahma Medika Clinic. Proceedings of the International Conference on Nursing and Health Sciences, 4(1), 229-232. https://doi.org/10.37287/picnhs.v4i1.1797
Wade, R., Deng, N. J., Deng, N., Umemneku-Chikere, C., Harden, M., Fulbright, H., ... & Churchill, R. (2024). Initial assessment and management of adults with suspected acute respiratory infection: A rapid evidence synthesis of reviews and cost-effectiveness studies. Health Technology Assessment, 1-53. https://doi.org/10.3310/GRPL6978
Watkinson, M. D., Ehlenbach, M., Chung, P. J., Kelly, M., Werner, N., Jolliff, A., ... & Coller, R. J. (2023). Interventions in the home and community for medically complex children: a systematic review. Pediatrics, 151(5), e2022058352. https://doi.org/10.1542/peds.2022-058352
Yoon, Y., Lee, H. S., Yang, J., Gwack, J., Kim, B. I., Cha, J. O., ... & Lee, Y. S. (2023). Impact of nonpharmacological interventions on severe acute respiratory infections in children: from the National Surveillance Database. Journal of Korean Medical Science, 38(40). https://doi.org/10.3346/jkms.2023.38.e311












