Baraheni Nasrin, Heidarabadi Seifollah, Maleki Zahra, Azhdarzadeh Fatemeh, Bahari Gharehgoz Ali, Bagheri Zahra
Pediatric Health Research Center, Tabriz University of Medical Science, Tabriz, Iran.
Speech therapy, Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Iran J Child Neurol. 2023 Fall;17(4):83-91. doi: 10.22037/ijcn.v17i2.38644. Epub 2023 Oct 26.
Development refers to the progressive enhancement of skills and functional capacity, i.e., qualitative changes in the child's functions. The process of development begins before birth and continues throughout life. The present study aims to evaluate the effectiveness of the "Care for Child Development (CCD)" program on 4-42 months children's developmental skills in orphanages.
In this study, two orphanages in the capitals of East and West Azerbaijan provinces were selected using the convenience sampling technique, and thirty children were included. Then, they were randomly divided into two intervention and control groups (each group, N=15). Next, after obtaining consent from the head of the orphanages, a group of volunteers from the healthcare center performed the CCD program, considering children's chronological ages (4 to 42 months), for three sessions a week, with each session lasting two hours and it lasted for three months. At the end of the intervention process, the Bayley Scale of Infant and Toddler Development 3 version (BSID-III) and the Ages and Stages Questionnaire-II (ASQ) were completed for the two intervention and control groups to compare them in the cognitive, motor, communication, and personal-social domains.
Comparing the two control and intervention groups using the T-test (difference in mean) indicates that except for the domain of cognitive skills (Bayley: P-value = 0.176), there was statistically a significant difference between the two groups in communication (ASQ: P-value = 0.001; Bayley: P-value = 0.003), motor (ASQ: P-value = 0.000; Bayley: P-value = 0.009), and personal-social (ASQ: P-value <0.000) skills.
In the present study, it was concluded that it is required to apply interventions, including standard ones such as the CCD program in environments like orphanages, to enhance the developmental skills of those children living in them.
发育是指技能和功能能力的逐步提升,即儿童功能的质性变化。发育过程始于出生前并持续终生。本研究旨在评估“关爱儿童发育(CCD)”项目对孤儿院中4至42个月大儿童发育技能的有效性。
在本研究中,采用便利抽样技术选取了东阿塞拜疆省和西阿塞拜疆省省会的两家孤儿院,纳入30名儿童。然后,将他们随机分为干预组和对照组(每组N = 15)。接下来,在获得孤儿院院长同意后,医疗中心的一组志愿者根据儿童的实际年龄(4至42个月)实施CCD项目,每周进行三次,每次持续两小时,为期三个月。在干预过程结束时,对干预组和对照组完成贝利婴幼儿发育量表第3版(BSID - III)和年龄与阶段问卷 - II(ASQ),以比较两组在认知、运动、沟通和个人 - 社会领域的情况。
使用t检验(均值差异)比较对照组和干预组表明,除认知技能领域外(贝利量表:P值 = 0.176),两组在沟通(ASQ:P值 = 0.001;贝利量表:P值 = 0.003)、运动(ASQ:P值 = 0.000;贝利量表:P值 = 0.009)和个人 - 社会(ASQ:P值<0.000)技能方面存在统计学上的显著差异。
在本研究中得出结论,需要在孤儿院等环境中应用包括CCD项目等标准干预措施,以提高生活在其中的儿童的发育技能。