Educational Strategies to Enhance Motor and Language Development in Children with Stunting: A Systematic Review
DOI:
https://doi.org/10.56988/chiprof.v4i4.119Keywords:
Early Stimulation, Educational Approach, Motor Development, Language Development, StuntingAbstract
Stunting in early childhood is a complex health problem with broad impacts, not only on physical growth but also on motor and language development, which are essential for children's future success. This review was conducted to identify and synthesize the latest scientific evidence on the effectiveness of various educational approaches in stimulating motor and language development in children with stunting. A systematic literature search was carried out through nine scientific databases, covering publications from 2014 to 2024. Articles that met the inclusion criteria were assessed for quality using the JBI appraisal tool and analyzed thematically. A total of 23 primary articles were analyzed, showing that family- and community-based educational interventions—such as home visits, educational games, simple stimulation media, and the Montessori approach—had a positive impact on improving fine motor, gross motor, and both expressive and receptive language skills in stunted children. Approaches that involved active parental participation and were tailored to the local context proved to be more effective than general or non-targeted methods. This review emphasizes the need to strengthen education-based early stimulation programs in Indonesia’s national strategy for addressing stunting.
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References
World Health Organization, Levels and trends in child malnutrition. Geneva: WHO., 2020.
SSGI, “Hasil Survei Status Gizi Indonesia,” Kementeri. Kesehat. Republik Indones., pp. 77–77, 2023, [Online]. Available: https://promkes.kemkes.go.id/materi-hasil-survei-status-gizi-indonesia-ssgi-2022
E. S. Erwina Sumartini, “Studi Literatur : Stunting Dan Masalah Perkembangan Motorik Anak,” J. Kesehat. Mahardika, vol. 10, no. 2, pp. 14–23, 2023, doi: 10.54867/jkm.v10i2.163.
H. Sukmawati and S. S. Rowa, “Serta Peningkatan Berat Badan Anak Balita S Tunting Usia 2-3 Tahun,” Media Gizi Pangan, vol. 27, pp. 68–80, 2020.
F. S. Hati and A. M. Pratiwi, “The Effect of Education Giving on The Parent’s Behavior About Growth Stimulation in Children with Stunting,” NurseLine J., vol. 4, no. 1, p. 12, 2019, doi: 10.19184/nlj.v4i1.8628.
Y. T. Nurfia, “Stimulasi perkembangan bahasa anak usia dini dengan riwayat stunting,” PSYCOMEDIA J. Psikol., vol. 4, no. 1, pp. 50–56, 2024, doi: 10.35316/psycomedia.2024.v4i1.50-56.
B. N. Worku et al., “Effects of home-based play-assisted stimulation on developmental performances of children living in extreme poverty: A randomized single-blind controlled trial,” BMC Pediatr., vol. 18, no. 1, pp. 1–11, 2018, doi: 10.1186/s12887-018-1023-0.
F. Efendi et al., “The Correlation Between Parental Stimulation and Motor Development in Stunted Toddlers,” Int. J. Psychosoc. Rehabil., vol. 24, no. May, p. 2020, 2020, [Online]. Available: https://www.researchgate.net/publication/341568524
et al Page MJ., “The PRISMA 2020 statement: An updated guideline for reporting systematic reviews,” BMJ, no. 372, 2021.
J. Z. E. Aromataris E, Lockwood C, Porritt K, Pilla B, BI Manual for Evidence Synthesis. JBI, 2024.
N. W. Pranoto et al., “Article RETRACTED due to manipulation by the authors Exploration of Children’s Motor Skills with Stunting Vs. Non-Stunting,” Retos, vol. 54, no. February, pp. 224–234, 2024, doi: 10.47197/RETOS.V54.103107.
G. K. M. Muhoozi et al., “Nutrition, hygiene, and stimulation education to improve growth, cognitive, language, and motor development among infants in Uganda: A cluster-randomized trial,” Matern. Child Nutr., vol. 14, no. 2, pp. 1–11, 2018, doi: 10.1111/mcn.12527.
T. G. Abessa et al., “Effect of play-based family-centered psychomotor/psychosocial stimulation on the development of severely acutely malnourished children under six in a low-income setting: A randomized controlled trial,” BMC Pediatr., vol. 19, no. 1, pp. 1–20, 2019, doi: 10.1186/s12887-019-1696-z.
L. H. Kusumawardani, D. Nani, and S. Sulistiani, “Improving gross motor skill development through the Montessori method in children aged 3-5 years,” Sri Lanka J. Child Heal., vol. 49, no. 4, pp. 347–352, 2020, doi: 10.4038/SLJCH.V49I4.9266.
K. N. Meylia, T. Siswati, B. A. Paramashanti, and F. S. Hati, “Fine motor, gross motor, and social independence skills among stunted and non-stunted children,” Early Child Dev. Care, vol. 192, no. 1, pp. 95–102, 2022, doi: 10.1080/03004430.2020.1739028.
J. D. Hamadani et al., “Integrating an early childhood development programme into Bangladeshi primary health-care services: an open-label, cluster-randomised controlled trial,” Lancet Glob. Heal., vol. 7, no. 3, pp. e366–e375, 2019, doi: 10.1016/S2214-109X(18)30535-7.
R. P. Upadhyay et al., “Early child stimulation, linear growth and neurodevelopment in low birth weight infants,” BMC Pediatr., vol. 22, no. 1, pp. 1–9, 2022, doi: 10.1186/s12887-022-03579-6.
A. K. Yousafzai et al., “Effects of responsive stimulation and nutrition interventions on children’s development and growth at age 4 years in a disadvantaged population in Pakistan: a longitudinal follow-up of a cluster-randomised factorial effectiveness trial,” Lancet Glob. Heal., vol. 4, no. 8, pp. e548–e558, 2016, doi: 10.1016/S2214-109X(16)30100-0.
F. Faridah, A. Anies, M. I. Kartasurya, and B. Widjanarko, “Online educational intervention: Improving maternal knowledge and attitudes in providing developmental stimulation for stunting toddlers,” Narra J, vol. 4, no. 1, pp. 1–9, 2024, doi: 10.52225/narra.v4i1.591.
J. Mbabazi et al., “Predictors of change in early child development among children with stunting: Secondary analysis of a randomized trial in Uganda,” PLOS Glob. Public Heal., vol. 4, no. 8 August, pp. 1–13, 2024, doi: 10.1371/journal.pgph.0003456.
H. Basri, V. Hadju, A. Zulkifli, and A. Syam, “Stunted and Stimulation Affect Child Development in Jeneponto District , Indonesia,” Turkish J. Physiother. Rehabil., vol. 32, no. 3, pp. 15018–15022, 2021.
J. Mbabazi et al., “Correlates of early child development among children with stunting: A cross-sectional study in Uganda,” Matern. Child Nutr., vol. 20, no. 2, 2024, doi: 10.1111/mcn.13619.
F. Mutapi et al., “Assessing early child development and its association with stunting and schistosome infections in rural zimbabwean children using the griffiths scales of child development,” PLoS Negl. Trop. Dis., vol. 15, no. 8, pp. 1–21, 2021, doi: 10.1371/journal.pntd.0009660.
J. A. Robinson and P. T. T. Dinh, “High doses of a national preschool program are associated with the long-term mitigation of adverse outcomes in cognitive development and life satisfaction among children who experience early stunting: a multi-site longitudinal study in Vietnam,” Front. Public Heal., vol. 11, no. December, pp. 1–18, 2023, doi: 10.3389/fpubh.2023.1087349.
A. M. Brou, F. A. Djalega, V. Tokpa, E. C. G. Seri, A. L. F. Anoua, and J. A. Robinson, “Urban–rural differences in the relationship between stunting, preschool attendance, home learning support, and school readiness: A study in Côte d’Ivoire,” Front. Public Heal., vol. 10, 2023, doi: 10.3389/fpubh.2022.1035488.
C. R. Sudfeld et al., “Malnutrition and its determinants are associated with suboptimal cognitive, communication, and motor development in Tanzanian children,” J. Nutr., vol. 145, no. 12, pp. 2705–2714, 2015, doi: 10.3945/jn.115.215996.
P. H. Nguyen et al., “Influences of early child nutritional status and home learning environment on child development in Vietnam,” Matern. Child Nutr., vol. 14, no. 1, pp. 1–11, 2018, doi: 10.1111/mcn.12468.
Mulyani Roza, Indriyani Reni, Lupiana Mindo, and Sutrio, “Pengetahuan, Sikap, Dan Praktik Ibu Dalam Stimulasi Dini Perkembangan Bayi Usia 0-12 Bulan Di Desa Lokus Stunting Cipadang Kec. Gedong Tataan Kab. Pesawaran,” PESHUM J. Pendidikan, Sos. dan Hum., vol. 4, no. 1, pp. 530–542, 2024.
P. C. Rockers et al., “Two-year impact of community-based health screening and parenting groups on child development in Zambia: Follow-up to a cluster-randomized controlled trial,” PLoS Med., vol. 15, no. 4, pp. 1–15, 2018, doi: 10.1371/journal.pmed.1002555.
Y. A. Jeong J, Franchett EE, Ramos de Oliveira CV, Rehmani K, “Parenting interventions to promote early child development in the first three years of life: A global systematic review and meta-analysis,” PLOS Med., vol. 18, no. 5, 2021, [Online]. Available: https://doi.org/10.1371/journal.pmed.1003602
A. S. Lillard, M. J. Heise, E. M. Richey, X. Tong, A. Hart, and P. M. Bray, “Montessori preschool elevates and equalizes child outcomes: A longitudinal study,” Front. Psychol., vol. 8, no. OCT, pp. 1–19, 2017, doi: 10.3389/fpsyg.2017.01783.
C. Marshall, “Montessori education: a review of the evidence base,” npj Sci. Learn., vol. 2, no. 1, pp. 1–9, 2017, doi: 10.1038/s41539-017-0012-7.
J. Cuartas et al., “Family play, reading, and other stimulation and early childhood development in five low-and-middle-income countries,” Dev. Sci., vol. 26, no. 6, pp. 1–14, 2023, doi: 10.1111/desc.13404.
S. Onyango et al., “Maternal stimulation and early child development in sub-saharan Africa: evidence from Kenya and Zambia,” BMC Public Health, vol. 23, no. 1, pp. 1–10, 2023, doi: 10.1186/s12889-023-17235-w.
et al Black, R. E., “Maternal and child undernutrition and overweight in low-income and middle-income countries,” Lancet, vol. 382, no. 9890, pp. 427–451, 2013.
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