Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty: a randomized single-blind controlled trial
Abstract Background Children living with foster families in a resource-limited setting such as Ethiopia are at risk of developmental problems. It is not yet clear whether intensive home-based developmental stimulation assisted by play can reduce these problems. The main objective of this study was t...
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| Format: | Article |
| Language: | English |
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BMC
2018-02-01
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| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12887-018-1023-0 |
| _version_ | 1819097804506660864 |
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| author | Berhanu Nigussie Worku Teklu Gemechu Abessa Mekitie Wondafrash Johan Lemmens Jan Valy Liesbeth Bruckers Patrick Kolsteren Marita Granitzer |
| author_facet | Berhanu Nigussie Worku Teklu Gemechu Abessa Mekitie Wondafrash Johan Lemmens Jan Valy Liesbeth Bruckers Patrick Kolsteren Marita Granitzer |
| author_sort | Berhanu Nigussie Worku |
| collection | DOAJ |
| description | Abstract Background Children living with foster families in a resource-limited setting such as Ethiopia are at risk of developmental problems. It is not yet clear whether intensive home-based developmental stimulation assisted by play can reduce these problems. The main objective of this study was to examine the effects of play-assisted intervention integrated into basic services on the developmental performance of children living with foster families in extreme poverty. Methods A randomized single-blind (investigator) controlled trial design was used. The study was conducted in Jimma, South West Ethiopia. Using computer-generated codes, eligible children of 3–59 months in age were randomly allocated to intervention (n = 39) and control (n = 39) groups at a 1:1 ratio. Children in the intervention group received home-based play-assisted stimulation in addition to the basic services provided to children in both groups. The intervention consisted of an hour of play stimulation conducted during a weekly home visit over the course of six months. Personal-social, language, fine and gross motor outcomes were assessed using Denver II-Jimma, and social-emotional outcome was obtained using an adapted Ages and Stages Questionnaire: Social-Emotional (ASQ: SE). Information about sociodemographic characteristics was collected using a structured questionnaire. Anthropometric methods were used to determine nutritional status. The effects of the intervention on the abovementioned outcomes over the study period and group differences in change over time were examined using Generalized Estimating Equations (GEE). Results Statistically significant intervention effects were found for language (P = 0.0014), personal-social (P = 0.0087) and social-emotional (P < 0.0001) performances. At the midline of the study, language (effect size = 0.34) and social-emotional (effect size = − 0.603) benefits from the play-assisted stimulation had already been observed for the children in the intervention group. For language, the intervention effect depended on the child’s sex (P = 0.0100) and for personal-social performance, on family income (P = 0.0300). Conclusions Intensive home-based play-assisted stimulation reduced the developmental problems of children in foster families in the context of extreme poverty. Longer follow-up may reveal further improvements in the developmental performance of the children. Trial registration The study was retrospectively registered on ClinicalTrials.gov on 17 November 2016, Study Identifier: NCT02988180. |
| first_indexed | 2024-12-22T00:20:55Z |
| format | Article |
| id | doaj.art-70609937615c4501b2be7d7fe4d0b520 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-22T00:20:55Z |
| publishDate | 2018-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-70609937615c4501b2be7d7fe4d0b5202022-12-21T18:45:10ZengBMCBMC Pediatrics1471-24312018-02-0118111110.1186/s12887-018-1023-0Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty: a randomized single-blind controlled trialBerhanu Nigussie Worku0Teklu Gemechu Abessa1Mekitie Wondafrash2Johan Lemmens3Jan Valy4Liesbeth Bruckers5Patrick Kolsteren6Marita Granitzer7Department of Psychology, Jimma UniversityDepartment of Special Needs and Inclusive Education, Jimma UniversityDepartment of Population and Family Health, Jimma UniversityDepartment of Healthcare, PXL University CollegeDepartment of Healthcare, PXL University CollegeInteruniversity Institute for Biostatistics and Statistical Bioinformatics, Hasselt UniversityDepartment of Food Safety and Food Quality, Faculty of Bioscience Engineering, Ghent UniversityREVAL Rehabilitation Research Centre, Biomedical Research Institute, Faculty of Medicine & Life Sciences, Hasselt UniversityAbstract Background Children living with foster families in a resource-limited setting such as Ethiopia are at risk of developmental problems. It is not yet clear whether intensive home-based developmental stimulation assisted by play can reduce these problems. The main objective of this study was to examine the effects of play-assisted intervention integrated into basic services on the developmental performance of children living with foster families in extreme poverty. Methods A randomized single-blind (investigator) controlled trial design was used. The study was conducted in Jimma, South West Ethiopia. Using computer-generated codes, eligible children of 3–59 months in age were randomly allocated to intervention (n = 39) and control (n = 39) groups at a 1:1 ratio. Children in the intervention group received home-based play-assisted stimulation in addition to the basic services provided to children in both groups. The intervention consisted of an hour of play stimulation conducted during a weekly home visit over the course of six months. Personal-social, language, fine and gross motor outcomes were assessed using Denver II-Jimma, and social-emotional outcome was obtained using an adapted Ages and Stages Questionnaire: Social-Emotional (ASQ: SE). Information about sociodemographic characteristics was collected using a structured questionnaire. Anthropometric methods were used to determine nutritional status. The effects of the intervention on the abovementioned outcomes over the study period and group differences in change over time were examined using Generalized Estimating Equations (GEE). Results Statistically significant intervention effects were found for language (P = 0.0014), personal-social (P = 0.0087) and social-emotional (P < 0.0001) performances. At the midline of the study, language (effect size = 0.34) and social-emotional (effect size = − 0.603) benefits from the play-assisted stimulation had already been observed for the children in the intervention group. For language, the intervention effect depended on the child’s sex (P = 0.0100) and for personal-social performance, on family income (P = 0.0300). Conclusions Intensive home-based play-assisted stimulation reduced the developmental problems of children in foster families in the context of extreme poverty. Longer follow-up may reveal further improvements in the developmental performance of the children. Trial registration The study was retrospectively registered on ClinicalTrials.gov on 17 November 2016, Study Identifier: NCT02988180.http://link.springer.com/article/10.1186/s12887-018-1023-0Developmental performanceDevelopmental stimulationExtreme povertyFoster familyHome-basedPlay-assisted stimulation |
| spellingShingle | Berhanu Nigussie Worku Teklu Gemechu Abessa Mekitie Wondafrash Johan Lemmens Jan Valy Liesbeth Bruckers Patrick Kolsteren Marita Granitzer Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty: a randomized single-blind controlled trial BMC Pediatrics Developmental performance Developmental stimulation Extreme poverty Foster family Home-based Play-assisted stimulation |
| title | Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty: a randomized single-blind controlled trial |
| title_full | Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty: a randomized single-blind controlled trial |
| title_fullStr | Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty: a randomized single-blind controlled trial |
| title_full_unstemmed | Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty: a randomized single-blind controlled trial |
| title_short | Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty: a randomized single-blind controlled trial |
| title_sort | effects of home based play assisted stimulation on developmental performances of children living in extreme poverty a randomized single blind controlled trial |
| topic | Developmental performance Developmental stimulation Extreme poverty Foster family Home-based Play-assisted stimulation |
| url | http://link.springer.com/article/10.1186/s12887-018-1023-0 |
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