Infants are highly vulnerable to the common cold, experiencing roughly 6-8 upper-respiratory episodes annually and mild respiratory complaints are a leading reason for infant visits to Indonesian community health centers (puskesmas). Mothers’ reliance on therapists limits home management of symptoms. This pilot study examined the association between telehealth-guided aromatherapy massage training and maternal self-efficacy and massage skills at Mutiara Baby Spa, Medan Amplas (March-July 2026). In a one-group pretest-posttest design, 70 consecutively enrolled mothers received three 30-45-minute WhatsApp videosessions one week apart. Self-efficacy (10-item questionnaire, ? = 0.859) and skills (15-item checklist scored by the facilitator, ? = 0.711) were measured before and immediately after the protocol and analyzed with the Wilcox on Signed-Rank Test and Hodges-Lehmann estimates. All mothers improved on both outcomes. Median self-efficacy rose from 55.00 to 90.00 (difference 27.50; 95% CI 25.00-30.00) and median skills from 66.67 to 100.00 (difference 33.33; 95% CI 30.00-36.67), both p < 0.001 with large effect sizes (r ? 0.62); posttest skills showed a ceiling effect. The training was associated with improved maternal self-efficacy and skills; given the uncontrolled design and unblinded assessment, controlled trials with infant outcomes are needed before wider implementation.
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