Effectiveness of a Caregiver-Promoting Play Program on Fine Motor and Cognitive Development among Preschool Children from Skipped-Generation Families: A Cluster Randomized Controlled Trial.
Fine motor and cognitive skills are vital for early learning; however, children from skipped-generation families may face developmental risks due to limited caregiver stimulation. This cluster-randomized controlled trial evaluated the effectiveness of the Caregiver-Promoting Play Program in Thailand...
| Published in: | Pacific Rim International Journal of Nursing Research Vol. 30; no. 3; pp. 652 - 667 |
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| Main Authors: | , , |
| Format: | research tables/charts randomized controlled trial Journal Article |
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Thailand Nursing & Midwifery Council
Jul-Sep2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195469679&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195469679 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19068107 B7IM jtl: Pacific Rim International Journal of Nursing Research issn: 19068107 maglogo: N pubinfo: dt: Jul-Sep2026 vid: 30 iid: 3 pid: 26313 pub: Thailand Nursing & Midwifery Council artinfo: ui: 195469679 195469679 195469679 10.60099/prijnr.2026.279494 195469679 ppf: 652 ppct: 15 formats: fmt: @attributes: type: P tig: atl: Effectiveness of a Caregiver-Promoting Play Program on Fine Motor and Cognitive Development among Preschool Children from Skipped-Generation Families: A Cluster Randomized Controlled Trial. aug: au: Mad-a-dam, Wikanda Komjakraphan, Patcharee Balthip, Kansunaphat affil: RN, MSN, Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand sug: subj: Caregivers Play and Playthings Program Evaluation Motor Skills In Infancy and Childhood Cognition In Infancy and Childhood Age Specific Care Treatment Outcomes Child Development Human Thailand Male Female Child, Preschool Randomized Controlled Trials Random Assignment Cluster Sample Random Sample Questionnaires Chi Square Test Fisher's Exact Test Descriptive Statistics Data Analysis Software Self-Efficacy Nurses Community Health Workers Program Implementation Child, Preschool: 2-5 years Male Female ab: Fine motor and cognitive skills are vital for early learning; however, children from skipped-generation families may face developmental risks due to limited caregiver stimulation. This cluster-randomized controlled trial evaluated the effectiveness of the Caregiver-Promoting Play Program in Thailand, organizing play activities to enhance f ine motor and cognitive development in preschool children from skipped-generation families. Two community clusters were randomly assigned to the experimental and control groups, and 50 caregiver--child pairs were recruited from selected sites. Data were collected using the Caregiver Competency Questionnaire and the Developmental Surveillance and Promotion Manual (DSPM). Statistical analyses comprised descriptive statistics and generalized estimating equations to account for correlated pre--post measurements. The study found that at the post-intervention assessment, children in the experimental group achieved greater gains in f ine motor and cognitive development than those in the control group. Caregivers in the experimental group also demonstrated signif icantly higher caregiving competency in organizing play activities after completing the program. These f indings indicated the effectiveness of the Caregiver-Promoting Play Program in strengthening caregiver capacity and improving developmental outcomes among preschool children in skipped-generation families. The f indings suggest that nurses and community health personnel can implement the program to support early childhood development in vulnerable family contexts. However, further study with longer follow-up periods is recommended to examine the sustainability of program effects. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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