Impact of a Developmental Stimulation Program on Language Evolution Age in 1- To 3-Year-Old Children with Celiac Disease

Document Type : Original Article

Authors

1 Instructor of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 PhD Student in Nursing, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction:
Children younger than 5 years are in the fastest growth and developmental period of their lives. Regarding this, the present study was conducted to determine the effect of a developmental stimulation program on language evolution criteria in 1- to 3-year-old children with celiac disease.
Materials and Methods:
This clinical trial was performed on two groups (i.e., intervention and control) of 50 children aged 1-3 years with celiac disease using random allocation technique. A developmental stimulation program was implemented for the children in the intervention group in two-hour sessions every week for 2 months. The language evolution age was evaluated by the Bayley Scales of Infant Development (Bayley-III). The data were analyzed using SPSS software (version 11.5).
Results:
The mean age of the participants was 20.6±4.4 months. Prior to the intervention, the mean age of receptive and expressive language development showed no significant difference between the two groups (P=0.672 and P=0.166, respectively). Similarly, immediately after the intervention, the mean age of expressive language development in the intervention group (21.5±3.8) underwent no significant increase, compared to that in the control group (19.1±4.5). This variable was not also significantly different between the groups in the four-month follow-up (P=0.076). Nonetheless, with regard to the mean age of receptive language evolution, this variable demonstrated a significant increase in the intervention group (24.2±4.8), compared to that in the control group immediately after the intervention (19.1±4.3; P=0.002). The results of the four-month follow-up were also indicative of a significant difference between the two groups in terms of the mean age of receptive language evolution (p <0.001).
Conclusion:
Based on the findings of the present study, the developmental stimulation program can be used for promoting receptive language skills in children with celiac or other chronic diseases.

Keywords

References

  1. Black MM, Walker SP, Fernald LC, Andersen CT, DiGirolamo AM, Lu C, et al. Early childhood development coming of age: science through the life course. The Lancet. 2017;389(10064):77-90.
  2. de Moura DR, Costa JC, Santos IS, Barros AJD, Matijasevich A, Halpern R, et al. Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort. Paediatric and perinatal epidemiology. 2010;24(3):211-21.
  3. Nahar B, Hossain M, Hamadani J, Ahmed T, Huda S, Grantham-McGregor S, et al. Effects of a community-based approach of food and psychosocial stimulation on growth and development of severely malnourished children in Bangladesh: a randomised trial. European Journal of Clinical Nutrition. 2012;66(6):701-9.
  4. Piek JP, Barrett NC, Smith LM, Rigoli D, Gasson N. Do motor skills in infancy and early childhood predict anxious and depressive symptomatology at school age? Human movement science. 2010;29(5):777-86.
  5. Amini Ranjbar S, Rezapoor A, Nakhaei N. Screening for Celiac Disease in Growth Retarded Children with or without Chronic Diarrhea: a Study on Children in Kerman/Iran. Journal of Kerman University of Medical Sciences. 2013;20(2):109-14.
  6. Nejad MR, Rostami K, Emami MH, Zali MR, Malekzadeh R. Epidemiology of celiac disease in Iran: a review. Middle East Journal of Digestive Diseases. 2011;3(1):5.
  7. Lundberg A, Eriksson BO, Jansson G. Muscle abnormalities in coeliac disease: Studies on gross motor development and muscle fibre composition, size and metabolic substrates. European Journal of Pediatrics. 1979;130(2):93-103.
  8. Chauhan J, Kumar P, Dutta A, Basu S, Kumar A. Assessment of dietary compliance to gluten free diet and psychosocial problems in Indian children with celiac disease. The Indian Journal of Pediatrics. 2010;77(6):649-54.
  9. Cataldo F, Montalto G. Celiac disease in the developing countries: a new and challenging public health problem. World journal of gastroenterology: WJG. 2007;13(15):2153.
  10. de Almeida Thomazinho P, de Miranda Chaves CRM, Pássaro CP, Meio MDB. Motor delay in cystic fibrosis infants: An observational study. Early human development. 2011;87(12):769-73.
  11. Albers EM, Riksen-Walraven JM, de Weerth C. Developmental stimulation in child care centers contributes to young infants’ cognitive development. Infant Behavior and development. 2010;33(4):401-8.
  12. Jafari S, Rezaeian A, Ghayebie E, Beyraghi Tossi M, Mazlom S, Rezaei Askarieye M. Effect of Developmental Stimulation on the Fine Motor Development Age of Toddlers with Celiac Disease. Evidence Based Care. 2015;5(3):77-90.
  13. Albers CA, Grieve AJ. Test review: Bayley,
    N. (2006). Bayley scales of infant and toddler development–third edition. San Antonio,
    TX: Harcourt assessment. Journal of Psychoeducational Assessment. 2007;25(2):
    180-90.
  14. Jeong J, Obradović J, Rasheed M, McCoy DC, Fink G, Yousafzai AK. Maternal and paternal stimulation: Mediators of parenting intervention effects on preschoolers' development. Journal of Applied Developmental Psychology. 2019; 60: 105-18.
  15. Rezaeian A, Niknejad Jalali A, Mazlom S. An investigation of the effect of implementation of evidence-based care package on the gross motor development of the foster care infants. Evidence Based Care. 2013;3(3):69-80.
  16. Soleimani F, Azari N, Kraskian-Mojembari A, Vameghi R, Shahshahani-Pour S, Sajedi F. Developing of the Persian version of Bayley scales of infant and toddlers development screening test and determine its validity and reliability. Archives of Rehabilitation. 2014; 14(6):18-29.
  17. Rezaeian a. Pediatric Nursing Textbook. mashhad Mashhad University of Medical Sciences 2011.
  18. Aparicio MTS, Balaña JM. Early language stimulation of Down's syndrome babies: A study

 

on the optimum age to begin. Early child development and care. 2002;172(6):651-6.

  1. Yousafzai AK, Rasheed MA, Rizvi A, Armstrong R, Bhutta ZA. Effect of integrated responsive stimulation and nutrition interventions in the Lady Health Worker programme in Pakistan on child development, growth, and health outcomes: a cluster-randomised factorial effectiveness trial. The Lancet. 2014;384(9950):1282-93.
  2. Ageyev VS. Vygotsky in the mirror of cultural interpretations. Vygotsky’s educational theory in cultural context. 2003:432-49.
Journal of Patient Safety & Quality Improvement
Volume 8, Issue 3
July 2020
Pages 153-160

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