MedPath

Intervention on Development and Growth at Children in Poverty

Not Applicable
Completed
Conditions
Child Malnutrition
Interventions
Other: basic services
Other: the play-based developmental stimulation
Registration Number
NCT02988180
Lead Sponsor
Hasselt University
Brief Summary

Children in extreme poverty lack adequate care and face increased health risks. The earlier poverty strikes in the developmental process, the more deleterious and long-lasting its effects. There is, however, growing evidence that early interventions can prevent the negative consequences. Such interventions are effective, particularly when they are of high quality, organized at home and parents are involved. Recently, baseline assessment of developmental and nutritional status of SOS children and children in extreme poverty in Jimma region of South-West Ethiopia revealed that these children have developmental problems in language, motor, social-emotional skills and nutritional status. The impact of play-oriented stimulation activities integrated into the existing SOS basic program, on developmental outcomes, has never been investigated in this context. The main objective of the study is, therefore, to evaluate the impact of play-oriented stimulation integrated into the basic SOS program on the developmental outcomes of children living with foster families. This was done by comparing the intervention children with their age-matched children (control), not receiving the stimulation package. It was hypothesized that this package would significantly improve the developmental skills of these children.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
78
Inclusion Criteria
  • Children who were selected by the SOS children's village as lacking parental care and receive basic services;
  • Children living in Jimma town;
  • Children from 3 months to 59 months of age.
Exclusion Criteria
  • Children with observable physical disabilities which hinders mobility;
  • Children with severe mental retardation;
  • Children with discernable hearing and visual impairments.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
intervention groupthe play-based developmental stimulationChildren in the intervention group received basic services such as family-home, food, clothing, health care, protection and education for older children. In addition, there received play-based developmental stimulation integrated into the services.
control groupbasic servicesThe age-matched control children received the basic services such as family-home, food, clothing, health care, protection and education. However, they were not provided with the play-based developmental stimulation.
intervention groupbasic servicesChildren in the intervention group received basic services such as family-home, food, clothing, health care, protection and education for older children. In addition, there received play-based developmental stimulation integrated into the services.
Primary Outcome Measures
NameTimeMethod
fine motor outcome6 months

Denver II-Jimma was used to test fine motor outcome and performance ratio was calculated for analysis

language outcoome6 months

Denver II-Jimma was used to test language outcome and performance ratio was calculated for analysis

Personal-social outcomemonth 6

Denver II-Jimma was used to test personal-social outcome and performance ratio was calculated for analysis

gross motor outcome6 months

Denver II-Jimma was used to test gross motor outcome and performance ratio was calculated for analysis

Social-emotional outcome6 months

Ages and Stages Questionnaires: Social Emotional (ASQ: SE) was used to measure social-emotional development of the children

language outcome3 months

Denver II-Jimma was used to test language outcome and performance ratio was calculated for analysis

Secondary Outcome Measures
NameTimeMethod
weight6 months

A child's weight was measured by using a calibrated electronic weighing scale.

Height6 months

For children under two years of age, a length measuring board on a flat table was used. The height of a child above two years of age was measured by using a portable stadiometer.

Trial Locations

Locations (2)

Ghent University

🇧🇪

Ghent, Belgium

2. Jimma University

🇪🇹

Jimma, Ethiopia

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