Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty:

Berhanu Nigussie Worku1,2, Teklu Gemechu Abessa3,4, Mekitie Wondafrash5,6

  • 1Department of Psychology, Jimma University, Jimma, Ethiopia. brexnigussie83@yahoo.com.

BMC Pediatrics
|February 7, 2018
PubMed

Insights

Intensive home-based play stimulation significantly improved developmental outcomes in Ethiopian children in foster care. This intervention shows promise for reducing developmental problems in resource-limited settings.

Area of Science:

  • Child Development
  • Global Health
  • Intervention Studies

Background:

  • Children in Ethiopian foster care face developmental risks in resource-limited settings.
  • The efficacy of play-assisted developmental stimulation is not well-established in this population.

Purpose of the Study:

  • To assess the impact of a play-assisted intervention on the developmental performance of children in foster families experiencing extreme poverty.
  • To evaluate the integration of this intervention into basic services.

Main Methods:

  • A randomized single-blind controlled trial involving 78 children aged 3-59 months in Jimma, Ethiopia.
  • Intervention group received weekly home-based play stimulation for six months alongside basic services.
  • Developmental outcomes (personal-social, language, motor, social-emotional) assessed using standardized tools; data analyzed with Generalized Estimating Equations (GEE).

Main Results:

  • Significant improvements observed in language (P=0.0014), personal-social (P=0.0087), and social-emotional (P<0.0001) development.
  • Midline analysis showed positive effects on language (effect size=0.34) and social-emotional (effect size=-0.603) development.
  • Intervention effects varied by child's sex for language and family income for personal-social development.

Conclusions:

  • Home-based play-assisted stimulation effectively reduced developmental problems in foster children living in extreme poverty.
  • The findings support the use of such interventions in resource-limited settings.
  • Further research with longer follow-up is recommended to ascertain sustained developmental improvements.
Abstract

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