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Factors Affecting Early Detection and Stimulation by Mothers and their Impact on Receptive Language Skills of Children Age 4 to 6 Years
[摘要] Background:   Language is a communication tool used by humans since birth. Receptive langu­age can be interpreted as the ability to com­mu­nic­ate symbolically both visual and auditory. Through early detection measures, parents can find out the problem of child growth and deve­lop­­ment early, so that prevention, stimu­lation, heal­ing, and recovery efforts can be given with clear in­di­ca­tions at critical times of the child's growth and development process. Stimulation of child growth and development is carried out by mothers and fathers who are the closest people to children, other family mem­bers, and community groups in their respective households and in everyday life. This study aims to analyze the relationship bet­ween early detection and early stimulation with the receptive language skills of preschool children using the Health Belief Model (HBM) theory . Subjects and Method: This research was con­duc­ted using a cross-sectional research design in Surakarta, from December 2019 - January 2020. A sample of 200 children was selected using a fix­ed disease sampling tech­ni­que. The dependent va­riable is receptive langua­ge ability. The inde­pen­dent variables are per­ception of vulnerability, perception of serious­­­ness, cues to action, and self-efficacy. The intermediate variables are early detection and early stimulation. Data collection using questionnaires and Receptive One-Word Picture Vocabulary Test(ROWPVT), data were analyzed using path analysis with Stata 13. Results: Receptive language skills are improved with mothers who do early detection (b= 0.83 units; 95% CI= 0.19 to 1.47; p= 0.011) and early stimulation (b= 0.87 units; 95% CI= 0.28 to 1.47; p= 0.004). Conclusion: Children's receptive language skills increase with mothers who do early detec­tion and early stimulation. Children's receptive language skills are indirectly affected by per­cep­tion of vulnerability, perception of serious­­ness, cues to action, and self-efficacy through early detection or early stimulation by the mother.
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[关键词] receptive language skill;early detection;early stimulation;health belief models. [时效性] 
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