Childhood Developmental Disorders Research Articles

Formulasi Sosis Ikan Tuna dan Hati Ayam sebagai Pangan Alternatif Pencegahan Stunting dan Anemia pada Balita

<p><em> </em><strong>Stunting is a chronic nutritional deficiency issue that can lead to growth and development disorders in children. Children suffering from stunting are also likely to have significantly lower hemoglobin levels. This study aims to analyze the effect of adding tuna fish and chicken liver on the nutrient content of sausage food products and to assess the acceptance of the sausages among semi-trained panelists at Al-Azhar University Indonesia. The research was conducted using an experimental method with 33 panelists, employing a Completely Randomized Design (CRD) with three treatment levels. The results of the hedonic sensory analysis and hedonic quality were analyzed using One-Way ANOVA. The hedonic test results showed significant differences (p<0.05) in all parameters: taste, texture, aftertaste and overall acceptance. The hedonic quality test also indicated significant differences (p<0.05) in the same parameters. The selected formula based on the MPE test was formula F1, consisting of 35% chicken liver and 65% tuna fish. Nutritional analysis of formula F1 revealed energy content of 155 kcal, protein 12.5 g, total fat 2.6 g, total carbohydrates 20.4 g, moisture content 62.6%, ash content 1.9%, and iron content 3.5 mg. The F1 sausage formula can be considered a high-iron and high-protein food for toddlers aged 1 to 3 years.</strong><em></em></p><p><strong><em>Keywords – </em></strong><em>Chicken Liver, High Protein, Sausage, Stunting, Tuna Fish.</em></p>

Irregular sleep-wake rhythm disorder: From the pathophysiologic perspective to the treatment.

Irregular sleep-wake rhythm disorder (ISWRD) is an intrinsic circadian rhythm disorder caused by loss of the brain's circadian regulation, through changes of the input and/or output to the suprachiasmatic nucleus (SCN), or of the SCN itself. Although there are limited prevalence data for this rare disease, ISWRD is associated with neurodegenerative disorders, including the Alzheimer disease (AD) and the Parkinson disease (PD), which will become increasingly prevalent in an aging population. It additionally presents in childhood developmental disorders, psychiatric disorders, and traumatic brain injury (TBI). Patients present with unpredictable, short sleep periods over a 24-h period, with significant day-to-day and weekly variability. Symptoms manifest as insomnia and excessive daytime sleepiness. Sleep logs and actigraphy monitoring capture rest-activity patterns required for diagnosis. Treatment aims to enhance external circadian cues through timed light therapy, behavioral activity regimens, and melatonin, but efficacy remains quite limited. Pathophysiology of ISWRD in association with various diseases and their specific management are discussed. There is a need for further investigation of disease pathophysiology, development of widely applicable tools for diagnosis, and development of treatments.

Reducing Stunting in South Lampung Regency through Preventing Early Marriage: A Critical Analysis

South Lampung Regency is recognized as one of the 100 priority districts/cities for addressing child stunting, as designated by the Poverty Reduction Acceleration Team. Efforts to prevent and reduce stunting vary across regions, with the South Lampung Regional Government implementing its own strategies. However, the stunting rate in South Lampung Regency has not shown a significant decline to date. This study aims to analyze policies aimed at reducing stunting rates in South Lampung Regency, with a particular focus on the prevention of early marriage. The research is situated within the framework of public legal policy, specifically addressing the reduction of stunting through measures to prevent early marriage in the region. To this end, a policy-oriented approach was adopted. Findings reveal that early marriage is a contributing factor to growth and developmental disorders in children, manifesting as stunting indicated by height or length measurements below standard norms. The correlation between stunting prevalence and the number of marriage dispensations granted in South Lampung Regency underscores this relationship. The South Lampung Regional Government’s efforts to combat stunting are encapsulated in the South Lampung Regent Regulation Number 15 of 2023, which focuses on accelerating stunting reduction. This policy highlights the critical need to address early marriage as a key strategy in mitigating stunting and ensuring healthier developmental outcomes for children in the region.

Relationship between Vitamin D Deficiency and Lipopolysaccharides Porphyromonas gingivalis Bacteria in Stunting Children

Background: Stunting is a condition of growth and development disorders in children under 5 years of age who appear shorter than their age caused by nutritional deficiencies. The stunted growth and development of children can be influenced by deficiencies in the intake of macronutrients such as protein and micronutrients such as calcium, phosphorus, zinc, and vitamin D. One nutrient that is relevant to current dental health research is vitamin D. Objective: This review article will further analyze the relationship between vitamin D deficiency and Porphyromonas gingivalis bacterial lipopolysaccharide in stunting children. Literature review: Vitamin D deficiency can cause various problems related to the oral cavity such as a decrease in salivary flow rate, buffer capacity, and salivary content such as protein. A decrease in salivary flow rate causes secretory Immunoglobulin A (IgA) to decrease, thus disrupting the colonization of normal microflora in the oral cavity. Reduced vitamin D levels can potentially increase the number of Porpyhromonas gingivalis bacteria and also lipopolysaccharides (LPS), thus inhibiting the proliferation and differentiation of alveolar bone cells. Conclusion: Therefore, lack of micronutrient intake such as vitamin D deficiency can trigger the growth of Porphyromonas gingivalis bacteria and an increase in bacterial products such as lipopolysaccharides, especially in stunted children.

Trends in Mental, Behavioral, and Developmental Disorders Among Children and Adolescents in the US, 2016-2021.

Childhood mental, behavioral, and developmental disorders (MBDD) are common and are associated with poor health and well-being. Monitoring the prevalence of MBDDs among children and factors that may influence health outcomes is important to understanding risk and promoting population health. We examined trends in parent-reported lifetime MBDDs among children and associated health promotion and risk indicators from 2016 through 2021 by using data from the National Survey of Children's Health. Estimates of prevalence and average annual percentage change were stratified by specific MBDDs and demographic characteristics (eg, sex, age, race and ethnicity). Children with any MBDDs versus none were compared overall and by MBDD subgroup on health care, family, and community indicators. From 2016 through 2021, MBDD prevalence among children aged 3 to 17 years increased from 25.3% to 27.7%; increases were specific to anxiety, depression, learning disability, developmental delay, and speech or language disorder. Unmet health care needs increased annually by an average of approximately 5% among children with MBDDs. Each year from 2016 to 2021, approximately 60% of children with MBDDs received mental or developmental services in the past 12 months. Each year, a higher percentage of parents of children with MBDDs compared with children without MBDDs reported poor mental health (14.7% MBDD, 5.7% no MBDD) and economic stress (21.6% MBDD, 11.5% no MBDD). Increasing prevalence of certain MBDDs and MBDD-associated indicators, before and during the COVID-19 pandemic, highlights the need for improved pediatric mental health training for health care providers, for prevention and intervention efforts, and for policies addressing economic stability and equitable access to mental health services.

Uncovering the complexity of structural variants in four individuals with autism spectrum disorder.

Autism spectrum disorder (ASD) is an increasingly recognized childhood developmental disorder. Despite extensive study, causal variants and molecular diagnosis remain elusive. There is both heterogeneity of the phenotype, as well as the genetic landscape associated with phenotype, which includes both inherited and de novo mutations. Currently, diagnosis is complex and behaviourally based, oftentimes occurring years after the ideal 1-2 years of age. Structural variants (SVs) are large and sometimes complex genomic variants that are likely underrepresented contributors to ASD due to the limitations of short-read DNA sequencing, such as alignment in repetitive regions and regions with GC bias. Here, we performed long-read sequencing (LRS) on four individuals with autism spectrum disorder to delineate SV complexity and determine precise breakpoints for SVs, which was not possible with short-read whole-genome sequencing (SRS). We use LRS to interrogate the methylation pattern associated with the SVs and phase the SV haplotypes to further clarify their contribution to disorder. LRS allows insight into the genome and methylome that allow us to uncover variant complexity and contribution that was previously unseen with SRS. Ultimately, this furthers precision diagnosis and contributes to individualized treatment for affected individuals and their families within the clinic.

Awareness and Knowledge of Endocrine-Disrupting Chemicals Among Pregnant Women and New Mothers: A Cross-Sectional Survey Study

Background/Objectives: Endocrine-disrupting chemicals (EDCs) are exogenous substances that interfere with hormone regulation, leading to adverse health outcomes. Despite the wide use of EDCs in daily products like plastics, personal care items, and food packaging, public awareness remains low. Pregnant women and new mothers are particularly vulnerable, as exposure to EDCs during early life stages can have long-term health impacts. This cross-sectional, questionnaire-based study aimed to assess the awareness of EDCs among pregnant women and new mothers at a maternity hospital. Methods: This cross-sectional study was conducted in a tertiary care hospital between January and August 2022. A questionnaire based on the Mutualités Libres/AIM 2020 survey was used to assess awareness of EDCs among pregnant and postpartum women. The original survey was adapted culturally and linguistically for the Turkish population through translation and expert review. The questionnaire included sections on sociodemographics, habits, knowledge, information sources, healthcare, readiness for change, expectations, and attitudes. Results: The results showed that 59.2% of participants were unfamiliar with EDCs, and many lacked awareness of the associated health risks, including cancers, infertility, and developmental disorders in children. A significant portion of respondents had never heard of bisphenol A (BPA) or phthalates, while awareness of parabens was relatively higher. Conclusions: The study concluded that increasing awareness of EDCs is essential for fostering informed avoidance behaviors, especially in vulnerable populations like pregnant women and new mothers. Public health campaigns and healthcare provider involvement are crucial for enhancing awareness and reducing the health risks associated with EDCs.

Cerebral palsy: potential risk factors and functional status among children under three years, a case-control study in northwest Iran

BackgroundCerebral palsy (CP) is one of the most common motor-postural disorders in childhood. It occurs due to impairment in the developing brain—before, during, or after birth—and has a significant burden on the public health system. This study aimed to investigate the potential risk factors and detect the associated CP-related disorders.MethodsThis case-control study was conducted on 46 children with CP and 175 matched healthy children less than three years old who referred to the Children’s Hospital, Tabriz, Iran in 2022. Then, a checklist related to the mother’s medical history during current and previous pregnancies, a questionnaire related to perinatal factors of the newborn, types of CP, concurrent disorders, the Gross Motor Function Classification System (GMFCS), and Age and Stage Questionaire (ASQ) were completed. Data was analyzed using Statistical Package for the Social Sciences) SPSS(-21 software by descriptive and analytical statistics consisted of Chi-square, Independent t-test, and Binary logistic regression.ResultsFinally, 35 children with CP and 122 healthy children completed the study and were analyzed. The mean (standard deviation: SD) age of children in the CP group was 15.3 (6.2) and in the healthy group was 14.4 (6.6) months (p = 0.635). Spastic CP (82.9%) was the common type, and the most common prevailing form of the involved limb was quadriplegia (54.3%). The severity of the functional disorder in 39.3% of CP cases was at levels 4 and 5 (severe form). The most prevalent comorbidities were inability to walk (31.4%), speech delay (22.9%), epilepsy (11.4), and strabismus (8.6%). Children with CP had abnormal development in gross motor (82.9%), problem-solving (68.6%), personal-social (65.7%), fine motor (60%), and communication (54.3%). Moreover, duration of pregnancy (p = 0.023), birth weight lower than 2500 g (p = 0.002), problems in the current pregnancy [adjusted odds ratio (aOR) [95% CI]: 3.06 (1.87 to 8.54); p = 0.013] and problems in previous pregnancy ([aOR (95% CI): 4.8 (1.6 to 14.2); p = 0.005) were potential risk factors.ConclusionDue to accompanying movement, vision, and speech problems, especially high developmental disorders in children with CP, necessary measures to prevent the identified risk factors are very important.

The Relationship Between Nutritional Status And The Development Of Children Aged 4-60 Months

Child development is an important aspect of human life, especially in the early period of life, which is often referred to as the critical or golden period as the child's brain undergoes rapid growth. Developmental disorders in children under five, especially in terms of motor skills, have a long-term impact on their development, and a child's nutritional status has been shown to play a role in the process. Therefore, this study aims to determine the relationship between nutritional status and development of children aged 4-60 months in Jember Regency. The research method used was a quantitative correlational approach with a cross-sectional approach, involving a total of 57 children who had a Kartu Menuju Sehat (KMS) as the population. From the results of the formula calculation, the sample size was determined as 50 respondents using a non-randomized (non-probability) method, namely purposive sampling based on certain criteria. The research instruments involved the Kartu Menuju Sehat (KMS) to assess children's nutritional status and the Developmental Pre-Screening Questionnaire (KPSP) to identify children's development. The results of the chi-square statistical test revealed a significant relationship between nutritional status and development of children aged 4-60 months in Jember District. [ Children with good nutritional status show more optimal developmental progress, while children with poor nutritional status tend to experience slower or inappropriate development for their age. This finding supports theories that emphasize the importance of adequate nutrition for children's growth and development. Therefore, efforts to improve children's nutritional status should be a top priority in various child health and education programs. With the right understanding and action, we can help create a healthier and more potential future generation.

Innovative System for Early Detection and Intervention in Developmental Disorders: A Multi-Sensory, Child-Centric Approach

Developmental disorders in children, if left undetected, can significantly affect their cognitive, motor, and social growth. This research presents an innovative system for the early detection and intervention of such disorders, focusing on a multi-sensory, child-centric approach. The system integrates various sensory technologies to assess visual processing, gross and fine motor skills, and cognitive functions in children. By leveraging real-time data, it provides personalized interventions aimed at enhancing developmental outcomes. The solution is designed to be accessible, scalable, and adaptable for use in medical centers, schools, and homes, facilitating early diagnosis and tailored interventions. Preliminary results demonstrate the system's effectiveness in identifying developmental delays and providing actionable feedback for caregivers and professionals. This approach underscores the importance of early intervention and offers a promising tool for improving children's developmental trajectories.

Pemanfaatan Budidaya Lele Sebagai Pemberian Makanan Tambahan (PMT) untuk Peningkatan Gizi Balita dalam Pencegahan Stunting Melalui Program Genting

Stunting, a developmental disorder in children caused by chronic malnutrition and recurrent infections, characterized by below-standard height, remains a critical issue for Indonesia. In Mayang Village, one of the communities supported by the University of Jember, 2.46% of the population experiences stunting. To address this issue, the PPK Ormawa Team of BEM FKG UNEJ developed a stunting prevention program utilizing catfish farming as a source of nutritionally balanced supplementary food, named GENTING (Mayang Village Movement Against Stunting). This initiative involves empowering integrated health post (posyandu) cadres through training in catfish cultivation and the processing of nutritionally balanced supplementary foods. The program outcomes include the production of supplementary food to meet the nutritional needs of toddlers in Mayang Village and the enhancement of knowledge and skills among posyandu cadres in stunting prevention

Maternal risk factors for stunting in children aged 24-59 months

Stunting is a problem of growth and development disorders in children which is related to nutritional problems in the world. In 2022, 21.6% of children aged under five years in Indonesia were stunted. Several factors influence stunting, including environmental (social), household factors, maternal and child factors. The aim of this study was to determine maternal risk factors for stunting in children aged 24 to 59 months. This research, with a case control study design, involved 191 participants (91 stunted children and 100 non-stunting children). The results found that maternal factors associated with stunting in children aged 24-59 months included maternal height (P<0.005, OR 2.025), birth spacing (P<0.005, OR 1.912), gestational age (P<0.005, OR 2.622), history of illness during pregnancy (P<0.005, OR 2.453), and consumption of iron tablets during pregnancy (P<0.001, OR 7.600). In the multivariate analysis, consumption of iron tablets and maternal height were the factors identified as being most related to the incidence of stunting in children aged 24-59 months.

Assessment of the Feasibility of Using Mobile Application in Stunting prevention in Toddlers: Scoping Review

Stunting is a developmental disorder in children caused by malnutrition, susceptibility to infection to disease, and low productivity indicated by a long-term lack of food intake. This scoping review aims to identify the feasibility of mobile applications in preventing stunting in toddlers, through Android-based educational media applications so that stunting in toddlers can be prevented. The structure of writing this scoping review using PRISMA with 5 stages according to Arksey and O'Malley. Article search by 2018- 2023 using several databases including PubMed, Science Direct, and Research Gate. Results of the 666 articles obtained There are 29 potentially relevant articles, ten of which met the inclusion criteria. Presented with three themes viz stunting in toddlers, posyandu during the covid-19 period, and use of mobile applications. The conclusion is there is a relationship significant appropriateness of mobile applications in using mobile application effort prevention stunting. Implications include easier access to nutrition and health information, increased parental awareness on parenting and nutrition, and efficiency in monitoring child growth.

Descriptions of Child Developmental Disorders Living Around Gold Mining

Living around the gold mining area, at risk of exposure to mercury (Hg). Pregnant women exposed to Hg alkyl can cause fetal brain damage so that the baby is born with d efects. This is due to the target toxicity of Hg, especially the organic metal compounds are the nervous system. Based on a child development screening questionnaire, ±100 children were questioned about their development, motor development, language and social interaction. This research was to see a picture of the development of children living around the Gold Mining village of Kalirejo, Kokap district, Kulon Progo District, Yogyakarta. The Longitudinal Observational Research Method with serial measurement measured the level of child development in five domains: cognitive, linguistic, motor, social, emotional and behavioral (adaptive behavior) with the Bayley Scale of Infant and Toddler Development Third Edition (BSID III) against 16 infants in the age range of 2-14 weeks (stage I) and 14-26 weeks. (tahap II). The baby's development observations resulted in an average composite development score of 85. Stage I obtained composite scores of cognitive domain; 102.81, language; 107.38, motor: 98.94, social emotional: 100,63 and behavioral: 90.00, while Stage II of each domain had the same scores as 105.94 : cognitive, 105.38: language, 104.81: motor, social-emotional: 98,69 and behavioural: 92.44. The conclusion that the composite child development score was in the average range of 90 - 109 for all domains, means that the child development composite score was still within the normal range (85-115), indicating that there is no developmental impediment. It is recommended to reduce Hg exposure, provide optimal nutrition to the baby and enhance developmental interventions with stimulation to stimulate auditorium, visual, tactile and kinesthetic, thereby improving the quantity and quality of brain cell synapses, to optimize brain function.

Implementasi Algoritma Teorema Bayes Dengan Pemodelan UML Untuk Mendiagnosis Tingkatan Gangguan Autisme Di SLB Pelita Hati

Autism, as a complex developmental disorder in children with special needs, involves delays in aspects of cognition, emotion, behavior, and social interaction. This research proposes an innovation by applying UML modeling and Bayes Theorem Algorithm to detect the level of autism disorder in Sekolah Luar Biasa (SLB) Pelita Hati. The SLB environment, faced with limited human resources and an increasing number of students, is a major challenge. The developed expert system provides an efficient solution with quick recommendations, reduces the expert's workload, and increases the detection accuracy of autism disorders. The expert approach with Bayes' Theorem provides an accurate insight into the complexity of autism disorders. Bayes' theorem is used to calculate the probability of events based on relevant observations. The application of UML modeling in the design of the expert system proved successful, producing an effective solution to support the diagnosis and treatment of autism disorders in SLB Pelita Hati. The results showed an accuracy of 94%, signifying a heavy level of confidence, with therapy recommendations such as Physiotherapy Therapy, Speech Therapy, Remedial Therapy, Cognitive Therapy, and Game Therapy, Occupational Therapy, Sensory Integrity. This research makes an important contribution in addressing the challenges in autism diagnosis approaches in special education settings.

Menangani Anak dengan Gangguan Speech Delay dalam Berinteraksi Sosial di Kelompok Bermain Barokah Sukasari

The speech delay is a developmental disorder in children. Based on the results of observations of group A KOBER Barokah students, it was found that several children still experienced speech delays. The aim of this research is to find out: (1) the description of speech delay, (2) the factors that cause speech delay (3) the treatment efforts carried out by teachers and parents to improve the abilities of children who experience speech delay. The method used in this research is a qualitative approach. Meanwhile, the data analysis model used is the Miles and Huberman Models. The results of the research show that children with speech delays experience less than perfect pronunciation of certain words, the child tends to only give non-verbal responses to the stimuli given. Factors that cause delayed speaking disorders experienced by children are that children do not get good models to imitate in speaking using the right words, children do not have strong motivation to speak, and opportunities for speaking are not strong enough for children. Meanwhile, the teacher's method of handling is to provide a stimulus to speak in larger portions than other friends. Children will be able to express their desires using verbal language and always collaborate with their parents so that treatment is more optimal.

Reducing Wait Times for Children's Developmental Disorders Consultations Via Simplified Primary Care Assessments

The number of children diagnosed with developmental disorders in Japan is increasing annually, primarily assessed byspecialized physicians in pediatrics, pediatric neurology, and child psychiatry. However, medical institutions for children withdevelopmental disorders often have fully booked schedules, forcing long waiting periods until initial consultations can be obtained. Onereason for this is the shortage of specialized medical institutions and specialists. Prolonged waiting periods may not only delayintervention and support but also exacerbate the child's symptoms and cause psychological distress to the caregivers. Therefore,reducing the waiting period for initial consultations from the perspective of early detection and early support is an urgent issue.However, there is insufficient research on how to shorten the waiting period. Therefore, we focused on local primary care physicians,who are familiar with shortening the waiting time for initial consultations at specialist medical institutions. This aimed to investigatewhether there was a change in the waiting time for initial consultations at specialist medical institutions when local primary carephysicians used a simplified assessment sheet supervised by pediatric specialists, and referrals were made to specialist medical institutionsafter assessment. The participants consisted of 15 individuals referred from primary care physicians to specialist medical institutions and15 who directly visited medical institutions, totaling 30 participants for evaluation. As a result, the group that made appointments andvisited specialist medical institutions directly showed significantly longer waiting periods than those assessed by primary care physiciansand referred to specialist medical institutions (p < 0.05). Assessment and treatment of developmental disorders in early childhood haveprimarily been conducted at specialized medical institutions. Still, using a simplified assessment sheet by primary care physicians suggestsa potential reduction in the waiting time for initial consultations with specialists.

Reviewing the current state of legacy POP-brominated flame retardants in plastic childcare products and toys: a scoping review protocol

BackgroundDue to their adverse environmental and health impacts, brominated flame retardants (BFRs) are listed in Annex A of the Stockholm Convention for global elimination of production and use. Their health impacts include endocrine disruption, cancer, reproductive effects, and neurobehavioral and developmental disorders in children. Emerging literature suggests that legacy POP-BFRs are increasingly found in consumer products, including those used for and by children. The presence of legacy POP-BFRs in children’s products is a big concern. Children are more vulnerable to chemical exposure risks than adults because their bodies are still developing and fragile. The rising problem is contributed to by the global push towards a circular economy that encourages responsible production and consumption by practising the recycling of waste materials. Waste materials such as electronic and electrical equipment plastics often contain POP-BFRs. POP-BFRs in waste materials are transferred into new products through recycling. The recycled products have become a potential source of exposure to legacy POP-BFRs for vulnerable populations, particularly children. Our scoping review aims to map and summarise the emerging literature. This information is needed to inform evidence-based policies to protect children from toxic exposures.MethodsOur scoping review will follow a methodological framework proposed by Arksey and O’Malley. Peer-reviewed and grey literature on the topic will be retrieved from electronic databases and other relevant sites. Two reviewers will screen titles and abstracts, followed by a full-text review of studies for eligibility based on the established inclusion and exclusion criteria. Data will be extracted, and findings will be mapped in a table according to study settings, types of children’s products tested, and concentration of legacy POP-BFRs in contaminated products. A map chart will be created to display how contaminated products are spread globally.DiscussionBecause of their unique vulnerabilities, children continue to suffer disproportionate exposures to toxic chemicals compared to adults. Information on potential exposures, particularly for children, is crucial to make evidence-based policies. We intend to map and summarise the emerging literature on legacy POP-BFRs in children's products. Findings will be disseminated to relevant stakeholders through publishing in a peer-reviewed scientific journal and policy briefs.Systematic review registrationThe protocol is registered with the Open Science Framework (https://doi.org/10.17605/OSF.IO/7KDE5).

Implementing preventive healthcare strategies in early intervention

In recent years, efforts to promote early intervention for children with developmental delays have been made to prevent further pathological invasion in children. Early rehabilitation through early screening not only enhances treatment effectiveness but also significantly reduces the pain and damage caused by diseases to families. In the concept of preventive healthcare strategies, it can be divided into three stages and five levels: (1) Primary prevention: can be divided into two levels, health promotion, and specific protection. (2) Secondary prevention: providing early treatment through early screening. (3) Tertiary prevention: mainly aimed at restoring the maximum function of disabilities caused by diseases, only causing minimal restrictions on personal function, and can be divided into two levels, limitation of disability, and rehabilitation treatment. In this article, besides exploring the causes of early childhood developmental disorders, the author combines preventive healthcare strategies to propose the differentiated application of early intervention in the three stages of preventive healthcare. This article reviews the current situation and challenges in Taiwan, and proposes possible responses based on scholars' views and personal opinions, aiming to enhance the quality of early intervention services provided by interdisciplinary teams.

Modification of ABA VB Therapy Methods with Pomodoro to Improve Verbal Communication in Autism Children

Autism is a pervasive developmental disorder in children characterized by disturbances and delays in cognitive, language, behavioral, and social interactions. Verbal Behavior approach is one of the methods of ABA which is used to increase desired behavior and reduce unwanted problems, while pomodoro is a timing technique. This article describes the implementation of an intervention program for children with autism, this program modifies ABA VB therapy and combines it with a timing technique, namely POMODORO. The author implemented the program for 4 meetings. At the first meeting until the fourth meeting there was an increase in the child's verbal ability although it was not so visible. The intervention program developed by the author had good results, because at the first meeting the results were already visible. This intervention should be done repeatedly or routinely so that children get used to it and get maximum results.