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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The effect of a basic home stimulation programme on the development of young children infected with HIV
Developmental Medicine and Child Neurology, Volume 52, No. 6, Year 2010
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Description
Aims: The human immunodeficiency virus (HIV) potentially causes a significant encephalopathy and resultant developmental delay in infected children. The aim of this study was to determine whether a home-based intervention programme could have an impact on the neurodevelopmental status of children infected with HIV. Method: A longitudinal, randomized, controlled trial was conducted. A total of 122 children aged less than 2 years 6 months were assigned to either a comparison or an experimental group. Children in the experimental group were given a home stimulation programme that was updated every 3 months. The home programme included activities to promote motor, cognitive, and speech and language development. Children in the comparison group received no developmental intervention. Children were assessed by a blinded assessor at baseline, 6 months, and 12 months using the Bayley Scales of Infant Development, 2nd edition. Results: The children in this study came from poor socioeconomic backgrounds and their nutritional status was suboptimal. The experimental group included 60 children (30 males, 30 females) with a mean age of 18 months (SD 8.1mo). The comparison group included 62 children (32 males, 30 females) with a mean age 19 months (SD 8.2mo). Cognitive and motor development were severely affected at baseline, with 52% of the children having severe cognitive delay and 72% having severe motor delay at baseline. Children in the experimental group showed significantly greater improvement in cognitive (p=0.010) and motor (p=0.020) development over time than children in the comparison group. Interpretation: A home stimulation programme taught to the caregiver can significantly improve cognitive and motor development in young children infected with HIV. © The Authors. Journal compilation © Mac Keith Press 2009.
Authors & Co-Authors
Potterton, Joanne
South Africa, Johannesburg
University of the Witwatersrand
Stewart, Aimée Vivienne
South Africa, Johannesburg
University of the Witwatersrand
Cooper, Peter Alan
South Africa, Johannesburg
Charlotte Maxeke Johannesburg Academic Hospital
Becker, Pieter J.
South Africa, Tygerberg
South African Medical Research Council
Statistics
Citations: 95
Authors: 4
Affiliations: 3
Identifiers
Doi:
10.1111/j.1469-8749.2009.03534.x
ISSN:
00121622
e-ISSN:
14698749
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Randomised Control Trial
Cohort Study
Quasi Experimental Study
Participants Gender
Female