The Effect of Care Package on Motor Development among 12-Month-Old Infants in Saqqez-Iran: A Randomized Clinical Trial Study

Authors

1 MSc Student of Midwifery Trends Reproductive Health, Nursing and Midwifery College, Shahid Beheshti University of Medical Sciences Tehran, Iran.

2 Reproductive Health, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 Professor of Pediatrics, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

4 Assistant Professor of Biostatistics Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

Background
The initial years of life particularly the first two years are regarded as the most important brain development period. This study attempted to determine the effect of care package on motor development in 12-month-old infants in Saqqez-Iran.
Materials and Methods:This study was a clinical trial conducted in 2016 on 70 infants of 12 months of age selected randomly in intervention and control groups in Saqqez-Iran. The care package was taught to mothers of infants in intervention group) by the researchers based on the book "Ages and Stages Learning Activities 0-5 years". These teachings for gross motor, included walking, pulling and pushing the toys, swinging, playing with ball, crawling, etc. and for fine motor skills included building towers, painting, filling a box with household items and emptying it, giving children books, stringing, etc. Motor skills (gross and fine) were measured by Age and Stage Questionnaire (ASQ-2) screening tool before intervention, 4 and 8 weeks after the intervention. Data were analyzed using SPSS version 20.0 software.
Results: In the intervention group, 56.2% and in the control group 51.4% were female, respectively. Results showed that 4 and 8 weeks after the intervention in gross movement, average scores in the intervention group were more than the control group (P = 0.02), and mean score in three times (before intervention, 4 and 8 weeks after the intervention) was significant difference (P = 0.002). Also, for fine movement, results showed that in this area average scores in the intervention group were more than the control group (P=0.02); and the average score was a significant difference in that three times (P=0.01).
Conclusion: Results revealed that the impact of care package in intervention group compared with control group in level of significance led to an improvement in motor skills domain (gross and fine movement) in 12-month-old infants in this study.

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