Evidence map›Paper›PMID 29402258›Full record

Trial reportBMC pediatrics2018

Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty: a randomized single-blind controlled trial.

Berhanu Nigussie Worku, Teklu Gemechu Abessa, Mekitie Wondafrash, Johan Lemmens, Jan Valy, Liesbeth Bruckers, Patrick Kolsteren, Marita Granitzer

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02988180 (Developmental and Growth Status of Children), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02988180 nacompletednot on this map

Developmental and Growth Status of Children (6-60 Months of Age) in Extreme Poverty in Jimma Town of Ethiopia: Effects of Developmental Stimulation - RAI (Risk Analysis and Intervention)

TypeinterventionalSponsorHasselt UniversityRan2015 to 2016Enrolled78ConditionsChild MalnutritionArmsbasic services, the play-based developmental stimulation
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Berhanu Nigussie WorkuDepartment of Psychology, Jimma University, Jimma, Ethiopia. brexnigussie83@yahoo.com.
Teklu Gemechu AbessaDepartment of Special Needs and Inclusive Education, Jimma University, Jimma, Ethiopia.
Mekitie WondafrashDepartment of Population and Family Health, Jimma University, Jimma, Ethiopia.
Johan LemmensDepartment of Healthcare, PXL University College, Hasselt, Belgium.
Jan ValyDepartment of Healthcare, PXL University College, Hasselt, Belgium.
Liesbeth BruckersInteruniversity Institute for Biostatistics and Statistical Bioinformatics, Hasselt University, Hasselt, Belgium.
Patrick KolsterenDepartment of Food Safety and Food Quality, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.
Marita GranitzerREVAL Rehabilitation Research Centre, Biomedical Research Institute, Faculty of Medicine & Life Sciences, Hasselt University, Hasselt, Belgium.
Hasselt University · BEHogeschool PXL · BEJimma University · ETGhent University · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren 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.

methodsA 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).

resultsStatistically 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).

conclusionsIntensive 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 registrationThe study was retrospectively registered on ClinicalTrials.gov on 17 November 2016, Study Identifier: NCT02988180 .

Indexed as

Child DevelopmentHouse CallsPlay and PlaythingsPovertyChild LanguageChild, PreschoolEarly Intervention, EducationalEthiopiaFemaleHumansInfantMaleMother-Child RelationsMotor SkillsSingle-Blind MethodSocial SkillsDevelopmental performanceDevelopmental stimulationExtreme povertyFoster familyHome-basedPlay-assisted stimulation

Identifiers

PMID29402258
PMCPMC5800292
OpenAlexW2785390180

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.