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Psychosocial Stimulation Interventions to Optimise The Developmental Growth Process of Stunted Toodlers in The First 1000 Days of Life: A Systematic Review
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Abstract
This systematic review investigates the efficacy of psychosocial stimulation interventions in improving the developmental outcomes of stunted toddlers during their first 1000 days of life. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework to analyse 13 articles that met strict inclusion criteria from various scientific disciplines. Our findings reveal that interventions emphasising family empowerment, enhanced hygiene, and strategic health education significantly impact child growth and cognitive development. Community-based approaches, including cash transfers and educational programs, support sustainable development in resource-limited settings. This review also identifies the importance of cultural adaptation in intervention strategies, ensuring community acceptance and effective implementation. Despite the promising outcomes, the variability in research methodologies and the focus on specific socio-economic contexts limit the generalizability of the results. Future research should expand the studies' geographical and cultural scope to validate these findings comprehensively. The implications of this review support the integration of psychosocial stimulation into public health policies, highlighting its potential to improve developmental trajectories and reduce stunting in affected populations substantially.
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References
Abessa, T. G., Worku, B. N., Wondafrash, M., Girma, T., Valy, J., Lemmens, J., Bruckers, L., Kolsteren, P., & Granitzer, M. (2019). Effect of play-based family-centred psychomotor/psychosocial stimulation on the development of severely acutely malnourished children under six in a low-income setting: a randomised controlled trial. BMC Pediatrics, 19(1), 336. https://doi.org/10.1186/s12887-019-1696-z
Agustin, L., & Rahmawati, D. (2022). Analisis Perbedaan Parameter Stimulasi Psikososial Pada Balita Stunting dan Normal. JURNAL KEBIDANAN, 11(1), 62–65. https://doi.org/10.35890/jkdh.v11i1.253
Akseer, N., Tasic, H., Nnachebe Onah, M., Wigle, J., Rajakumar, R., Sanchez-Hernandez, D., Akuoku, J., Black, R. E., Horta, B. L., Nwuneli, N., Shine, R., Wazny, K., Japra, N., Shekar, M., & Hoddinott, J. (2022). Economic costs of childhood stunting to the private sector in low- and middle-income countries. EClinicalMedicine, 45, 101320. https://doi.org/10.1016/j.eclinm.2022.101320
Alam, M. A., Richard, S. A., Fahim, S. M., Mahfuz, M., Nahar, B., Das, S., Shrestha, B., Koshy, B., Mduma, E., Seidman, J. C., Murray-Kolb, L. E., Caulfield, L. E., Lima, A. A. M., Bessong, P., & Ahmed, T. (2020). Correction: Impact of early-onset persistent stunting on cognitive development at five years of age: Results from a multi-country cohort study. PLOS ONE, 15(2), e0229663. https://doi.org/10.1371/journal.pone.0229663
Bhavnani, S., Mukherjee, D., Bhopal, S., Sharma, K. K., Dasgupta, J., Divan, G., Soremekun, S., Roy, R., Kirkwood, B., & Patel, V. (2021). The association of a novel digital tool for assessment of early childhood cognitive development, ‘DEvelopmental assessment on an E-Platform (DEEP)’, with growth in rural India: A proof of concept study. EClinicalMedicine, 37, 100964. https://doi.org/10.1016/j.eclinm.2021.100964
Black, M. M., Trude, A. C. B., & Lutter, C. K. (2020). All Children Thrive: Integration of Nutrition and Early Childhood Development. Annual Review of Nutrition, 40(1), 375–406. https://doi.org/10.1146/annurev-nutr-120219-023757
Emmers, D., Yu, W., Shen, Y., Feng, C., Misra, M., Peng, A., Wang, J., Wu, F., Ye, S., & Rozelle, S. (2024). Supporting cognitive catch‐up: The effects of cluster‐randomized psychosocial stimulation interventions on preterm low birthweight children in rural China. Child Development. https://doi.org/10.1111/cdev.14068
Fatima, S., Manzoor, I., Joya, A. M., Arif, S., & Qayyum, S. (2020). Stunting and associated factors in children of less than five years: A hospital-based study. Pakistan Journal of Medical Sciences, 36(3), 581. https://doi.org/10.12669/pjms.36.3.1370
Frongillo, E. A., Leroy, J. L., & Lapping, K. (2019). Appropriate Use of Linear Growth Measures to Assess Impact of Interventions on Child Development and Catch-Up Growth. Advances in Nutrition, 10(3), 372–379. https://doi.org/10.1093/advances/nmy093
Galasso, E., Weber, A. M., Stewart, C. P., Ratsifandrihamanana, L., & Fernald, L. C. H. (2019). Effects of nutritional supplementation and home visiting on growth and development in young children in Madagascar: a cluster-randomised controlled trial. The Lancet Global Health, 7(9), e1257–e1268. https://doi.org/10.1016/S2214-109X(19)30317-1
Handryastuti, S., Pusponegoro, H. D., Nurdadi, S., Chandra, A., Pramita, F. A., Soebadi, A., Widjaja, I. R., & Rafli, A. (2022). Comparison of Cognitive Function in Children with Stunting and Children with Undernutrition with Normal Stature. Journal of Nutrition and Metabolism, 2022, 1–5. https://doi.org/10.1155/2022/9775727
Helmizar, H., Jalal, F., Lipoeto, N. I., & Achadi, E. L. (2017). Local food supplementation and psychosocial stimulation improve linear growth and cognitive development among Indonesian infants aged 6 to 9 months. Asia Pacific Journal of Clinical Nutrition, 26(1), 97–103. https://search.informit.org/doi/10.3316/ielapa.559211177626695
Hossain, S. J., Rahman, S. M., Fisher, J., Rahman, A., Tofail, F., & Hamadani, J. D. (2024). Effect of a parenting and nutrition education programme on development and growth of children using a social safety-net platform in urban Bangladesh: a cluster randomized controlled trial. The Lancet Regional Health - Southeast Asia, 25, 100388. https://doi.org/10.1016/j.lansea.2024.100388
Hossain, S. J., Roy, B. R., Sujon, H. M., Tran, T., Fisher, J., Tofail, F., El Arifeen, S., & Hamadani, J. D. (2022). Effects of integrated psychosocial stimulation (PS) and Unconditional Cash Transfer (UCT) on Children’s development in rural Bangladesh: A cluster randomized controlled trial. Social Science & Medicine, 293, 114657. https://doi.org/10.1016/j.socscimed.2021.114657
Jacob, S., Jatau, A. A., Darbe, J. W., Olakunle, F. J., Jacob, H. S., & Buhari, M. (2023). Effects of Integrated Intervention of Psychosocial Stimulation, Nutritional Support, and Water Sanitation Hygiene on Malnourished Children in Kanam, Plateau State, Nigeria. European Journal of Education and Pedagogy, 4(3), 37–41.
Leroy, J. L., Frongillo, E. A., Dewan, P., Black, M. M., & Waterland, R. A. (2020). Can Children Catch up from the Consequences of Undernourishment? Evidence from Child Linear Growth, Developmental Epigenetics, and Brain and Neurocognitive Development. Advances in Nutrition, 11(4), 1032–1041. https://doi.org/10.1093/advances/nmaa020
Li, M., Mustillo, S., Liu, B., & Wang, W. (2024). Combined nutrition and psychosocial stimulation intervention for child development in rural China: the role of parental resources. Chinese Sociological Review, 56(2), 233–260. https://doi.org/10.1080/21620555.2024.2305787
Mahfuz, M., Alam, M. A., Das, S., Fahim, S. M., Hossain, M. S., Petri, W. A., Ashorn, P., Ashorn, U., & Ahmed, T. (2020). Daily Supplementation With Egg, Cow Milk, and Multiple Micronutrients Increases Linear Growth of Young Children with Short Stature. The Journal of Nutrition, 150(2), 394–403. https://doi.org/10.1093/jn/nxz253
Nataningtyas, C. D., Kumalasari, D., Kurniasari, M. A., & Putri, E. R. T. (2024). Factors Affecting Early Complementary Feeding of Mothers With Babies Aged 0-6 Months. Indonesian Midwifery and Health Sciences Journal, 8(1), 54–63. https://doi.org/10.20473/imhsj.v8i1.2024.54-63
Nurliyana, A. R., Mohd Shariff, Z., Mohd Taib, M. N., Gan, W. Y., & Tan, K.-A. (2020). Early growth and home environment are associated with cognitive development in the first year of life of Malaysian infants. Early Human Development, 140, 104890. https://doi.org/10.1016/j.earlhumdev.2019.104890
Pangaribuan, I. K., Simanullang, E., & Poddar, S. (2020). The analyze toddler growth and development according to family’s economic status in Village Limau Manis, Districts Tanjung Morawa. Enfermería Clínica, 30, 92–95. https://doi.org/10.1016/j.enfcli.2019.11.029
Prado, E. L., Larson, L. M., Cox, K., Bettencourt, K., Kubes, J. N., & Shankar, A. H. (2019). Do effects of early life interventions on linear growth correspond to effects on neurobehavioural development? A systematic review and meta-analysis. The Lancet Global Health, 7(10), e1398–e1413. https://doi.org/10.1016/S2214-109X(19)30361-4
Putri, N. R., Perestroika, G. D., Kusmawati, I. I., Nugraheni, A., Sukamto, I. S., & Argaheni, N. B. (2023). Identifikasi Edukasi dan Stimulasi Pertumbuhan dan Perkembangan Psikologis Anak Penyandang HIV-AIDS. JMM (Jurnal Masyarakat Mandiri), 7(5), 4060. https://doi.org/10.31764/jmm.v7i5.16546
Ramírez-Luzuriaga, M. J., DiGirolamo, A. M., Martorell, R., Ramírez-Zea, M., Waford, R., & Stein, A. D. (2021). Influence of enhanced nutrition and psychosocial stimulation in early childhood on cognitive functioning and psychological well-being in Guatemalan adults. Social Science & Medicine, 275, 113810. https://doi.org/10.1016/j.socscimed.2021.113810
Rezaeizadeh, G., Mansournia, M. A., Keshtkar, A., Farahani, Z., Zarepour, F., Sharafkhah, M., Kelishadi, R., & Poustchi, H. (2024). Maternal education and its influence on child growth and nutritional status during the first two years of life: a systematic review and meta-analysis. EClinicalMedicine, 71, 102574. https://doi.org/10.1016/j.eclinm.2024.102574
RI, K. (2018). Riset Kesehatan Dasar 2018.
Riyadi, H., Khomsan, A., Anwar, F., Herawati, T., Hernawati, N., Rahma, A., Diana, R., & Prasetya, G. (2019). Nutrition Education and Psychosocial Stimulation Improves Child Development in Rural Early Childhood Education in Indonesia. Journal of Food and Nutrition Research, 7(10), 717–724. https://doi.org/10.12691/jfnr-7-10-5
Ruswiyani, E., Dirawan, G. D., Saman, A., & Thaha, A. R. (2021). Effects of psychosocial stimulation and daily egg consumption on the nutritional status of stunted children aged 6-23 months.
Sarma, H., Khan, J. R., Asaduzzaman, M., Uddin, F., Tarannum, S., Hasan, M. M., Rahman, A. S., & Ahmed, T. (2017). Factors influencing the prevalence of stunting among children aged below five years in Bangladesh. Food and Nutrition Bulletin, 38(3), 291–301.
Sharma, P., Budhathoki, C. B., Maharjan, R. K., & Singh, J. K. (2023). Nutritional status and psychosocial stimulation associated with cognitive development in preschool children: A cross-sectional study at Western Terai, Nepal. PLOS ONE, 18(3), e0280032. https://doi.org/10.1371/journal.pone.0280032
Soliman, A., De Sanctis, V., Alaaraj, N., Ahmed, S., Alyafei, F., Hamed, N., & Soliman, N. (2021). Early and long-term consequences of nutritional stunting: From childhood to adulthood. Acta Bio Medica: Atenei Parmensis, 92(1). https://doi.org/https://doi.org/10.23750%2Fabm.v92i1.11346
Stein, A. D., Adair, L. S., Donati, G., Wray, C., Richter, L. M., Norris, S. A., Stein, A., Martorell, R., Ramirez-Zea, M., Menezes, A. M. B., Murray, J., Victora, C., Lee, N., Bas, I., Kowalski, A., DiGirolamo, A., Scerif, G., Mpondo, F., Belleza, D., … Wehrmeister, F. C. (2023). Early-life stature, preschool cognitive development, schooling attainment, and cognitive functioning in adulthood: a prospective study in four birth cohorts. The Lancet Global Health, 11(1), e95–e104. https://doi.org/10.1016/S2214-109X(22)00448-X
Suaib, F. (2021). Family Empowerment through Psychosocial Stimulation Assistance and Child Feeding in Increasing Nutrition Intake and Body Weight of Children 2-3 Years Old to Prevent Stunting. Indian Journal of Forensic Medicine & Toxicology, 15(3), 4339–4344.
Sukmawati, & Suaib, F. (2021). Family Empowerment through Psychosocial Stimulation Assistance and Child Feeding in Increasing Nutrition Intake and Body Weight of Children 2-3 Years Old to Prevent Stunting. Indian Journal of Forensic Medicine & Toxicology, 15(3), 4339–4344. https://doi.org/https://doi.org/10.37506/ijfmt.v15i3.15973
Tessema, T. T., Alamdo, A. G., Yirtaw, T. G., Deble, F. A., Mekonen, E. B., Abessa, T. G., & Lema, T. B. (2019). The effects of psychosocial stimulation on the development, growth, and treatment outcome of children with severe acute malnutrition age 6–59 months in southern Ethiopia: a parallel group cluster randomized control trial (EPSoSAMC study). BMC Public Health, 19(1), 1610. https://doi.org/10.1186/s12889-019-7916-5
UNICEF, W. H. O. (2019). World Health Organization, International Bank for Reconstruction and Development/The World Bank. Levels and Trends in Child Malnutrition: Key Findings of the 2019 Edition of the Joint Child Malnutrition Estimates. Geneva (Switzerland): World Health Organization.
Walker, S. P., Chang, S. M., Wright, A., Osmond, C., & Grantham-McGregor, S. M. (2015). Early Childhood Stunting Is Associated with Lower Developmental Levels in the Subsequent Generation of Children. The Journal of Nutrition, 145(4), 823–828. https://doi.org/10.3945/jn.114.200261
Wang, D., Liu, X., Zhou, B., Kuang, W., & Guo, T. (2017). Advanced research on deep brain stimulation in treating mental disorders (Review). Experimental and Therapeutic Medicine, 15(1), 3–12. https://doi.org/10.3892/etm.2017.5366
Wijeakumar, S., Forbes, S. H., Magnotta, V. A., Deoni, S., Jackson, K., Singh, V. P., Tiwari, M., Kumar, A., & Spencer, J. P. (2023). Stunting in infancy is associated with atypical activation of working memory and attention networks. Nature Human Behaviour, 7(12), 2199–2211. https://doi.org/10.1038/s41562-023-01725-3