Development of Severely Malnourished Children Who Received Psychosocial Stimulation: Six-Year Follow-up

PEDIATRICS ◽  
1987 ◽  
Vol 79 (2) ◽  
pp. 247-254 ◽  
Author(s):  
Sally Grantham-McGregor ◽  
William Schofield ◽  
Christine Powell
Keyword(s):  
Home Visiting ◽  
Intervention Group ◽  
Severe Malnutrition ◽  
The Third ◽  
Malnourished Children ◽  
Catching Up ◽  
Psychosocial Stimulation ◽  
Catch Up ◽  
Home Visiting Program

The development of 16 children who were hospitalized for severe malnutrition and participated in a home-visiting program of psychosocial stimulation was compared with that of two other groups who were also hospitalized but received standard medical care only: severely malnourished group (n = 18) and an adequately nourished one (n = 20). All groups were assessed regularly on the Griffiths Mental Development Scales and the Stanford-Binet test. Both groups of malnourished children were markedly behind the adequately nourished group on admission to the hospital and the group that received no intervention showed little sign of catching up. The intervention group caught up to the adequately nourished group in 2 years. This report covers the third year of home-visiting and the 3 years following its cessation. The intervention group showed a decline in three of the five Griffiths subscales. However, they retained a marked advantage over the nonintervention group of malnourished children on the Stanford-Binet test until the end of follow-up, showing no further decline in the last year. For height, both malnourished groups failed to catch up to the adequately nourished group. It was concluded that a relatively simple intervention can benefit the development of severely malnourished children.

Evaluation of the Healthy Families New York Home Visiting Program, Age Seven Follow Up, 2007-2009

2012 ◽  
Author(s):  
Kimberly DuMont ◽  
Monica L. Rodriguez ◽  
Kristen Kirkland ◽  
Susan Mitchell-Herzfeld ◽  
Susan Ehrhard-Dietzel ◽  
...  
Keyword(s):  
New York ◽  
Home Visiting ◽  
Home Visiting Program

Evaluation of the Healthy Families New York Home Visiting Program, Age Seven Follow Up, 2007-2009

2012 ◽  
Author(s):  
Kimberly DuMont ◽  
Monica L. Rodriguez ◽  
Kristen Kirkland ◽  
Susan Mitchell-Herzfeld ◽  
Susan Ehrhard-Dietzel ◽  
...  
Keyword(s):  
New York ◽  
Home Visiting ◽  
Home Visiting Program

scholarly journals Effect of play-based family-centered psychomotor/psychosocial stimulation on the development of severely acutely malnourished children under six in a low-income setting: a randomized controlled trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Teklu Gemechu Abessa ◽  
Berhanu Nigussie Worku ◽  
Mekitie Wondafrash ◽  
Tsinuel Girma ◽  
Johan Valy ◽  
...  
Keyword(s):  
Low Income ◽  
Effect Size ◽  
Linear Growth ◽  
Intervention Group ◽  
Fine Motor ◽  
Social Emotional ◽  
Gross Motor ◽  
Psychosocial Stimulation ◽  
Low Income Setting

Abstract Background The World Health Organization (WHO) recommends incorporating psychosocial stimulation into the management of severe acute malnutrition (SAM). However, there is little evidence about the effectiveness of these interventions for SAM children, particularly when serious food shortages and lack of a balanced diet prevail. The objective of this study was to examine whether family-based psychomotor/psychosocial stimulation in a low-income setting improves the development, linear growth, and nutritional outcomes in children with SAM. Method Children with SAM (N = 339) admitted for treatment to the Jimma University Specialized Hospital, Ethiopia, were randomized to a control (n = 170) or intervention (n = 169) group. Both groups received routine medical care and nutritional treatment at the hospital. The intervention group additionally received play-based psychomotor/psychosocial stimulation during their hospital stay, and at home for 6 months after being discharged from hospital. The fine motor (FM) and gross motor (GM) functions, language (LA) and personal-social (PS) skills of the children were assessed using adapted Denver II, the social-emotional (SE) behavior was assessed using adapted Ages and Stages Questionnaires: Social-Emotional, and the linear growth and nutritional status were determined through anthropometric assessments. All outcomes were assessed before the intervention, upon discharge from hospital, and 6 months after discharge (as end-line). The overtime changes of these outcomes measured in both groups were compared using Generalized Estimating Equations. Results The intervention group improved significantly on GM during hospital follow-up by 0.88 points (p < 0.001, effect size = 0.26 SD), and on FM functions during the home follow-up by 1.09 points (p = 0.001, effect size = 0.22 SD). Both young and older children benefited similarly from the treatment. The intervention did not contribute significantly to linear growth and nutritional outcomes. Conclusion Psychomotor/psychosocial stimulation of SAM children enhances improvement in gross motor functions when combined with standard nutrient-rich diets, but it can enhance the fine motor functions even when such standard dietary care is not available. Trial registration The trial was retrospectively registered on 30 January 2017 at the US National Institute of Health (ClinicalTrials.gov) # NCT03036176.

scholarly journals Intervening with Attachment and Biobehavioral Catch-Up to decrease disrupted parenting behavior and attachment disorganization: The role of parental withdrawal

2019 ◽  
Vol 32 (3) ◽  
pp. 1139-1148 ◽  
Author(s):  
Heather A. Yarger ◽  
Elisa Bronfman ◽  
Elizabeth Carlson ◽  
Mary Dozier
Keyword(s):  
African American ◽  
Cognitive Abilities ◽  
Structural Equation ◽  
Home Visiting ◽  
Controlled Trial ◽  
Intervention Group ◽  
Parenting Behavior ◽  
Fine Motor ◽  
Attachment Quality ◽  
Catch Up

AbstractThis randomized controlled trial investigated the efficacy of Attachment and Biobehavioral Catch-up (ABC; Dozier, Bick, & Bernard, 2011) in reducing disrupted parenting behavior (affective communication errors, role/boundary confusion, fearful/disoriented, intrusive/negativity, and withdrawal) and its association with disorganized attachment. Participants were 105 mother–child dyads randomized to receive either ABC or a control intervention (a 10-session home-visiting intervention focused on improving children's cognitive abilities, gross and fine motor abilities, and language development). At the time of study enrollment, mothers were approximately 26.7 years old (SD = 7.8) and predominantly Black or African American (73.9%). At the first follow-up visit, children were approximately 20.7 months old (SD = 6.3) and most were identified as Black or African American (61.9%). Fifty-two percent of children were male (n = 55). Assessments of disrupted parenting behavior and child attachment quality were assessed approximately 7 months postintervention (SD = 5.8). A one-way analysis of variance revealed that parents who received ABC demonstrated lower levels of parental withdrawal than parents who received the control condition. A structural equation model revealed a significant indirect effect of intervention group on attachment quality through lower levels of parental withdrawal. Results add to the efficacy of the ABC intervention and identified parental withdrawal as a mediator of change.

Physical growth of Jamaican school children who were severely malnourished before 2 years of age

1975 ◽  
Vol 7 (4) ◽  
pp. 445-462 ◽  
Author(s):  
Stephen A. Richardson
Keyword(s):  
School Children ◽  
Head Circumference ◽  
Age Groups ◽  
Physical Growth ◽  
Severe Malnutrition ◽  
Growth Standards ◽  
Catch Up ◽  
Index Cases

SummaryA study is reported of physical growth of Jamaican schoolboys who had been admitted to hospital with severe malnutrition during infancy (index cases). Height, weight and head circumference of the index cases was compared with that of male siblings close in age (siblings), with unrelated classmates or neighbours matched for sex and age (comparisons) and with Jamaican or US growth standards. Index boys were significantly smaller in height and head circumference than comparisons and significantly smaller than sibs only in head circumference. Sibs were intermediate in stature to the index and comparison boys. When the boys were divided into three age groups there was evidence of complete catch-up in height and weight after 7 years of age, but catch-up was incomplete for head circumference in the oldest group. No significant differences in stature at follow-up of the index boys were found in relation to age when admitted to hospital.

How healthy are children one year after discharge from nutritional rehabilitation centres?

2018 ◽  
Vol 48 (4) ◽  
pp. 277-282 ◽  
Author(s):  
Pavan Pandey ◽  
Sneha Jain ◽  
Arushi Sharma
Keyword(s):  
Nutritional Status ◽  
Severe Malnutrition ◽  
Nutritional Rehabilitation ◽  
Malnourished Children ◽  
Nutritional Recovery ◽  
The Mean ◽  
One Year ◽  
Moderate Malnutrition

Nutritional rehabilitation centres (NRCs) have been established to ensure the nutritional recovery of severely malnourished children. The long-term nutritional outcomes in children discharged from NRCs have not been described. In this retrospective cohort study, the nutritional status of 514 children was assessed one year after discharge. Household and maternal data, as well as data regarding variables related to the children’s stay at the NRC, were collected. A total of 33.4% had moderate malnutrition and 11.7% had severe malnutrition. The mean weight for height Z-score at admission, discharge and one year after discharge were −3.61, −1.90 and −2.34, respectively. Thus, long-term monitoring and follow-up of children discharged from NRCs till they achieve normal nutritional status is mandatory.

scholarly journals Linear and knemometric growth in the early phase of rehabilitation from severe malnutrition

2001 ◽  
Vol 85 (6) ◽  
pp. 755-759 ◽  
Author(s):  
C. P. Doherty ◽  
M. A. K. Sarkar ◽  
M. S. Shakur ◽  
S. C. Ling ◽  
R. A. Elton ◽  
...  
Keyword(s):  
Linear Growth ◽  
Lower Leg ◽  
Severe Malnutrition ◽  
Maternal Height ◽  
Leg Length ◽  
Malnourished Children ◽  
Catch Up ◽  
The Relationship ◽  
Length Gain ◽  
Height For Age

The relationship between ponderal, linear and lower leg growth in children recovering from severe malnutrition remains unclear. We report on the early growth of 141 severely malnourished Bangladeshi children aged 6 to 36 months of age who were followed for 90 d. Mean (SD) weight for height (WHZ) and height for age (HAZ) catch-up growth Z scores over the 90 d were 1.6 (0.85) and 0.47 (0.325) respectively. mean (SD) lower leg length growth was 10.35 (4.5) mm. Change in HAZ was significantly associated with initial WHZ, but linear growth occurred in the presence of severe wasting and no threshold WHZ score was identified. Lower leg length gain correlated throughout with ponderal indices but with change in HAZ score only after day 45. Only initial WHZ score and maternal height predicted for linear growth and only accounted for 20 % of total variance. We conclude that linear growth occurs early in severely malnourished children but that knemometry behaves as a ponderal index acutely.

scholarly journals Effect of the board game as educational technology on schoolchildren’s knowledge on breastfeeding

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Fernanda Demutti Pimpão Martins ◽  
Luciana Pedrosa Leal ◽  
Francisca Márcia Pereira Linhares ◽  
Alessandro Henrique da Silva Santos ◽  
Gerlaine de Oliveira Leite ◽  
...  
Keyword(s):  
Educational Technology ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
Board Game ◽  
The Third ◽  
Significant Difference ◽  
Post Test ◽  
Cluster Randomized

ABSTRACT Objective: to evaluate the effect of the board game as an educational technology on schoolchildren’s knowledge on breastfeeding. Method: cluster-randomized clinical trial, held in nine schools, with 99 children in the third grade of elementary school (control group = 51 and intervention group = 48). The pretest was conducted in both groups; intervention consisted in the application of the educational technology immediately after pretest to the intervention group; and the post-test was applied on the 7th and 30th days to both groups. For the analysis of children’s knowledge on breastfeeding, we considered the pre- and post-test score means, using the Mann-Whitney test - for comparing the means between groups - and the Wilcoxon test - within the same group. Results: there was no statistically significant difference between the groups in the pretest. In the follow-up, when comparing the groups, there were higher means in the intervention group, on the 7th (19.68 ±1.788) and on the 30th (20.16±1.260) days, with statistically significant difference. Within the intervention group, there was significant increase of the means in the pretest (15.89±3.082) for the 30th day (20.16±1.260). Conclusion: such educational intervention has significantly contributed to the increase in scores of children’s knowledge on breastfeeding for the intervention group. UTN: U1111-1184-7386.

scholarly journals A Home Visiting Parenting Program and Child Obesity: A Randomized Trial

2018 ◽  
pp. 117-126
Author(s):  
Monica Roosa Ordway ◽  
Lois S. Sadler ◽  
Margaret L. Holland ◽  
Arietta Slade ◽  
Nancy Close ◽  
...  
Keyword(s):  
Young Children ◽  
Low Socioeconomic Status ◽  
Home Visiting ◽  
Maternal Mental Health ◽  
Controlled Trial ◽  
Intervention Group ◽  
Overweight And Obesity ◽  
Control Group ◽  
Home Visiting Program ◽  
Overweight Or Obesity

BACKGROUND Young children living in historically marginalized families are at risk for becoming adolescents with obesity and subsequently adults with increased obesity-related morbidities. These risks are particularly acute for Hispanic children. We hypothesized that the prevention-focused, socioecological approach of the “Minding the Baby” (MTB) home visiting program might decrease the rate of childhood overweight and obesity early in life. METHODS This study is a prospective longitudinal cohort study in which we include data collected during 2 phases of the MTB randomized controlled trial. First-time, young mothers who lived in medically underserved communities were invited to participate in the MTB program. Data were collected on demographics, maternal mental health, and anthropometrics of 158 children from birth to 2 years. RESULTS More children in the intervention group had a healthy BMI at 2 years. The rate of obesity was significantly higher (P &lt; .01) in the control group (19.7%) compared with the intervention group (3.3%) at this age. Among Hispanic families, children in the MTB intervention were less likely to have overweight or obesity (odds ratio = 0.32; 95% confidence interval: 0.13–0.78). CONCLUSIONS Using the MTB program, we significantly lowered the rate of obesity among 2-year-old children living in low-socioeconomic-status communities. In addition, children of Hispanic mothers were less likely to have overweight or obesity at 2 years. Given the high and disproportionate national prevalence of Hispanic young children with overweight and obesity and the increased costs of obesity-related morbidities, these findings have important clinical, research, and policy implications.

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