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Effect of play-based intervention on children's mental status and caregiver involvement during hospitalization:

Vardah Noor Ahmed Bharuchi1, Muneera A Rasheed2

  • 1Department of Paediatrics and Child Health, The Aga Khan University, National Stadium Road, Karachi, Pakistan. vardah.bharuchi@aku.edu.

BMC Pediatrics
|April 4, 2024
PubMed

Insights

Play stimulation significantly improves the mental status of hospitalized children. Interventions involving parents and caregivers are feasible and beneficial for children

Area of Science:

  • Pediatric Psychology
  • Child Development
  • Hospital-based Interventions

Background:

  • The Nurturing Care Framework (NCF) promotes child health and development through responsive caregiving.
  • Hospital environments can negatively impact children's emotional and developmental well-being.
  • Applying NCF principles to hospitalized children is a potential strategy to mitigate negative effects.

Purpose of the Study:

  • To assess if play stimulation by non-specialist providers improves hospitalized children's mental status.
  • To investigate variations in effectiveness based on provider type (trainees, caregivers).
  • To examine if outcomes differ by child age and illness severity.

Main Methods:

  • A one-group pretest-posttest study was conducted in a pediatric unit in Pakistan.
  • Children aged 3 months to 6 years received play stimulation from trainee psychologists.
  • Mental status was measured using the Mental Status Examination Scale (MSE-S).

Main Results:

  • Play stimulation led to significant improvements in the Mental Status Examination Scale (MSE-S) scores.
  • Improvements were observed across interventions delivered by trainees, mothers, fathers, and caregivers.
  • Significant variations in MSE-S scores were noted across different age groups and illness criticalness.

Conclusions:

  • Play stimulation positively impacts children's behavior and mental status during hospitalization.
  • Interventions involving parents and caregivers are effective and feasible for hospitalized children.
  • Tailoring interventions based on child age and illness severity may enhance outcomes.
Abstract

Keywords:
ChildrenHospitalizationParent mediated therapyParent-child relationshipPlay stimulationPretest-posttest

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