The effect of psychosocial stimulation on the development, nutrition, and treatment outcomes of hospitalised children with severe acute malnutrition in Southern Ethiopia: a cluster randomised control trial: EPSoSAMC study
Psychosocial stimulation is one of the recommended interventions in the management of hospitalised children with severe acute malnutrition (SAM). However, there is currently limited scientific evidence supporting the effectiveness of the intervention. The study aimed to examine the effects of psycho...
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Cambridge University Press
2025-01-01
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| Series: | Journal of Nutritional Science |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2048679024000946/type/journal_article |
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| author | Tesfalem Teshome Tessema Andamlak Gizaw Alamdo Eyoel B. Mekonnen Tewodros G. Yirtaw Fanna A. Debele Teklu Gemechu Tefera Belachew |
| author_facet | Tesfalem Teshome Tessema Andamlak Gizaw Alamdo Eyoel B. Mekonnen Tewodros G. Yirtaw Fanna A. Debele Teklu Gemechu Tefera Belachew |
| author_sort | Tesfalem Teshome Tessema |
| collection | DOAJ |
| description | Psychosocial stimulation is one of the recommended interventions in the management of hospitalised children with severe acute malnutrition (SAM). However, there is currently limited scientific evidence supporting the effectiveness of the intervention. The study aimed to examine the effects of psychosocial stimulation on the development, nutrition, and treatment outcomes of hospitalised SAM children. A cluster-randomised controlled trial was conducted among health facilities that provide inpatient care for children with SAM in Silti Zone, Ethiopia. Fifty-eight children enrolled in the intervention facilities were provided stimulation intervention during their inpatient care and for 6 months after discharge. Sixty-eight children enrolled from control health facilities received routine inpatient care without stimulation and were followed for six months. Health education was provided to all caregivers on child health-related topics. Child development and nutrition outcomes were assessed four times using Denver II-Jimma and anthropometric measurements while the length of hospitalisation was used to measure treatment outcome. Children in the intervention group showed significantly better scores in Personal Social (p=0.001, effect size=0.77), Fine Motor (p=0.001, effect size=1.87), and Gross Motor (p=0.001, effect size=0.78) developmental domains from baseline to end line. Language domain however showed a significant difference only after discharge and intervention children scored better at six months (p<0.001, effect size=0.59). The intervention significantly improved treatment outcomes (p=0.010), but no significant changes in nutritional outcomes were documented. The findings highlighted the benefits of the intervention and the need to promote these interventions in health facilities within resource-limited settings. |
| format | Article |
| id | doaj-art-8cbd062d33414c13839af30d360485fc |
| institution | Kabale University |
| issn | 2048-6790 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Nutritional Science |
| spelling | doaj-art-8cbd062d33414c13839af30d360485fc2025-02-11T01:58:13ZengCambridge University PressJournal of Nutritional Science2048-67902025-01-011410.1017/jns.2024.94The effect of psychosocial stimulation on the development, nutrition, and treatment outcomes of hospitalised children with severe acute malnutrition in Southern Ethiopia: a cluster randomised control trial: EPSoSAMC studyTesfalem Teshome Tessema0Andamlak Gizaw Alamdo1Eyoel B. Mekonnen2Tewodros G. Yirtaw3Fanna A. Debele4Teklu Gemechu5Tefera Belachew6School of Public Health, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia SANKOFA Research and Consulting Plc, Addis Ababa, EthiopiaSchool of Public Health, St. Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaSchool of Public Health, St. Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaSchool of Public Health, St. Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaSchool of Public Health, St. Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaJimma University College of Education, Jimma, EthiopiaJimma University College of Public Health and Medical Sciences, Nutrition and Dietetics, Jimma, EthiopiaPsychosocial stimulation is one of the recommended interventions in the management of hospitalised children with severe acute malnutrition (SAM). However, there is currently limited scientific evidence supporting the effectiveness of the intervention. The study aimed to examine the effects of psychosocial stimulation on the development, nutrition, and treatment outcomes of hospitalised SAM children. A cluster-randomised controlled trial was conducted among health facilities that provide inpatient care for children with SAM in Silti Zone, Ethiopia. Fifty-eight children enrolled in the intervention facilities were provided stimulation intervention during their inpatient care and for 6 months after discharge. Sixty-eight children enrolled from control health facilities received routine inpatient care without stimulation and were followed for six months. Health education was provided to all caregivers on child health-related topics. Child development and nutrition outcomes were assessed four times using Denver II-Jimma and anthropometric measurements while the length of hospitalisation was used to measure treatment outcome. Children in the intervention group showed significantly better scores in Personal Social (p=0.001, effect size=0.77), Fine Motor (p=0.001, effect size=1.87), and Gross Motor (p=0.001, effect size=0.78) developmental domains from baseline to end line. Language domain however showed a significant difference only after discharge and intervention children scored better at six months (p<0.001, effect size=0.59). The intervention significantly improved treatment outcomes (p=0.010), but no significant changes in nutritional outcomes were documented. The findings highlighted the benefits of the intervention and the need to promote these interventions in health facilities within resource-limited settings.https://www.cambridge.org/core/product/identifier/S2048679024000946/type/journal_articleDevelopmentMalnourished ChildrenNutritionPsychosocial-StimulationTreatment outcomes |
| spellingShingle | Tesfalem Teshome Tessema Andamlak Gizaw Alamdo Eyoel B. Mekonnen Tewodros G. Yirtaw Fanna A. Debele Teklu Gemechu Tefera Belachew The effect of psychosocial stimulation on the development, nutrition, and treatment outcomes of hospitalised children with severe acute malnutrition in Southern Ethiopia: a cluster randomised control trial: EPSoSAMC study Journal of Nutritional Science Development Malnourished Children Nutrition Psychosocial-Stimulation Treatment outcomes |
| title | The effect of psychosocial stimulation on the development, nutrition, and treatment outcomes of hospitalised children with severe acute malnutrition in Southern Ethiopia: a cluster randomised control trial: EPSoSAMC study |
| title_full | The effect of psychosocial stimulation on the development, nutrition, and treatment outcomes of hospitalised children with severe acute malnutrition in Southern Ethiopia: a cluster randomised control trial: EPSoSAMC study |
| title_fullStr | The effect of psychosocial stimulation on the development, nutrition, and treatment outcomes of hospitalised children with severe acute malnutrition in Southern Ethiopia: a cluster randomised control trial: EPSoSAMC study |
| title_full_unstemmed | The effect of psychosocial stimulation on the development, nutrition, and treatment outcomes of hospitalised children with severe acute malnutrition in Southern Ethiopia: a cluster randomised control trial: EPSoSAMC study |
| title_short | The effect of psychosocial stimulation on the development, nutrition, and treatment outcomes of hospitalised children with severe acute malnutrition in Southern Ethiopia: a cluster randomised control trial: EPSoSAMC study |
| title_sort | effect of psychosocial stimulation on the development nutrition and treatment outcomes of hospitalised children with severe acute malnutrition in southern ethiopia a cluster randomised control trial epsosamc study |
| topic | Development Malnourished Children Nutrition Psychosocial-Stimulation Treatment outcomes |
| url | https://www.cambridge.org/core/product/identifier/S2048679024000946/type/journal_article |
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