Related Experiment Video
Updated: Feb 14, 2026

Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
Published on: June 6, 2025
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.
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.
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 .
More Related Videos
14:05Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
03:26Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain
Published on: March 8, 2024
Related Concept Videos
Blind Procedures
Blinding
Social Foundations of Self I: Play and Game
Trial and Error and Algorithm
Clinical Trials: Overview
Clinical Trials
There are four phases in a clinical trial. A phase one...