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Factors associated with carrying out activities to stimulate child development in the family context.

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Τίτλος: Factors associated with carrying out activities to stimulate child development in the family context.
Συγγραφείς: Teixeira JH; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil. Electronic address: jhannaht@usp.br., Teixeira JA; Universidade de São Paulo, Faculdade de Saúde Pública, São Paulo, SP, Brazil., Venancio SI; Instituto de Saúde da Secretaria de Saúde do Estado de São Paulo, São Paulo, SP, Brazil., Linhares MBM; Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil., Lerner R; Universidade de São Paulo, Instituto de Psicologia, São Paulo, SP, Brazil., Menezes-Filho NA; INSPER, São Paulo, SP, Brazil; Universidade de São Paulo, Departamento de Economia, São Paulo, SP, Brazil., Mello DF; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Συλλογικό Έργο: CPAPI - The Brazilian Center for Early Child Development – Centro Brasileiro de Pesquisa Aplicado à Primeira Infância; INSPER, São Paulo, SP, Brazil.
Πηγή: Jornal de pediatria [J Pediatr (Rio J)] 2026 Jul-Aug; Vol. 102 (4), pp. 101555. Date of Electronic Publication: 2026 Jun 01.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier Editora Ltd Country of Publication: Brazil NLM ID: 2985188R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1678-4782 (Electronic) Linking ISSN: 00217557 NLM ISO Abbreviation: J Pediatr (Rio J) Subsets: MEDLINE
Imprint Name(s): Publication: Rio de Janeiro, Brazil : Elsevier Editora Ltd
Original Publication: Rio de Janeiro.
Ιατρικοί όροι (MeSH): Child Development*, Humans ; Cross-Sectional Studies ; Female ; Child, Preschool ; Infant ; Male ; Brazil ; Play and Playthings ; Adult
Περίληψη: Objective: Early childhood stimulation is pivotal for enabling children to achieve their full developmental potential and thrive across the life course. Drawing on the Nurturing Care Framework (NCF) and the multigenerational life course model, this study examined the determinants of child development (CD) stimulation activities.
Methods: This cross-sectional study was conducted with 365 mothers of children up to three years old who were seen at Primary Health Care units in a municipality in southeastern Brazil. Poisson regression with robust variance was performed to assess associations between contextual and environmental variables and the NCF domains and the practice of four or more stimulus activities, and to evaluate each activity individually.
Results: Engaging in four or more stimulating activities was more prevalent among children who had books at home (IRR: 1.53; 95% CI: 1.23-1.92), attended daycare (IRR: 1.42; 95% CI: 1.15-1.75), and played with toys and/or household objects (IRR: 1.24; 95% CI: 1.02-1.51). The multigenerational life course model demonstrated that book ownership, daycare attendance, playing with toys and/or household objects, information received from health professionals, maternal occupation, and concern for CD were associated with engaging in activities that promote CD.
Conclusion: The availability of books, toys, and play equipment in the home environment, regular attendance at daycare, and health guidelines to promote development make a difference in the first three years of life. The findings provide insights for public policies aimed at strengthening responsive care and learning opportunities for healthy early childhood.
(Copyright © 2026 The Authors. Published by Elsevier España S.L.U. All rights reserved.)
Competing Interests: Conflicts of interest The authors declare no conflicts of interest.
References: PLoS Med. 2021 May 10;18(5):e1003602. (PMID: 33970913)
Dev Sci. 2023 Nov;26(6):e13404. (PMID: 37114644)
J Glob Health. 2024 Feb 23;14:04028. (PMID: 38385435)
Lancet. 2017 Jan 7;389(10064):77-90. (PMID: 27717614)
Soc Sci Med. 2021 Oct;287:114369. (PMID: 34517203)
PLoS One. 2020 Jul 10;15(7):e0236107. (PMID: 32649702)
J Glob Health. 2020 Dec;10(2):020406. (PMID: 33214898)
BMC Med Res Methodol. 2017 Dec 6;17(1):162. (PMID: 29207961)
PLoS Med. 2021 Sep 16;18(9):e1003781. (PMID: 34529666)
Rev Lat Am Enfermagem. 2018 Jul 16;26:e3007. (PMID: 30020338)
J Pediatr (Rio J). 2020 Nov - Dec;96(6):778-789. (PMID: 31794693)
Lancet. 2017 Jan 7;389(10064):91-102. (PMID: 27717615)
Rev Saude Publica. 2005 Aug;39(4):523-9. (PMID: 16113899)
Child Youth Care Forum. 2022 Apr;51(2):395-420. (PMID: 35662808)
BMC Pregnancy Childbirth. 2024 Jan 5;24(1):37. (PMID: 38182969)
Korean J Anesthesiol. 2013 May;64(5):402-6. (PMID: 23741561)
Lancet Reg Health Am. 2021 Dec 23;5:100139. (PMID: 36776455)
BMJ Paediatr Open. 2025 Apr 17;9(1):. (PMID: 40250853)
Contributed Indexing: Keywords: Child care; Child development; Child health; Parent-child relations
Entry Date(s): Date Created: 20260513 Date Completed: 20260715 Latest Revision: 20260813
Update Code: 20260813
PubMed Central ID: PMC13251659
DOI: 10.1016/j.jped.2026.101555
PMID: 42128366
Βάση Δεδομένων: MEDLINE
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  Data: Factors associated with carrying out activities to stimulate child development in the family context.
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  Data: <searchLink fieldCode="AU" term="%22Teixeira+JH%22">Teixeira JH</searchLink>; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil. Electronic address: jhannaht@usp.br.<br /><searchLink fieldCode="AU" term="%22Teixeira+JA%22">Teixeira JA</searchLink>; Universidade de São Paulo, Faculdade de Saúde Pública, São Paulo, SP, Brazil.<br /><searchLink fieldCode="AU" term="%22Venancio+SI%22">Venancio SI</searchLink>; Instituto de Saúde da Secretaria de Saúde do Estado de São Paulo, São Paulo, SP, Brazil.<br /><searchLink fieldCode="AU" term="%22Linhares+MBM%22">Linhares MBM</searchLink>; Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil.<br /><searchLink fieldCode="AU" term="%22Lerner+R%22">Lerner R</searchLink>; Universidade de São Paulo, Instituto de Psicologia, São Paulo, SP, Brazil.<br /><searchLink fieldCode="AU" term="%22Menezes-Filho+NA%22">Menezes-Filho NA</searchLink>; INSPER, São Paulo, SP, Brazil; Universidade de São Paulo, Departamento de Economia, São Paulo, SP, Brazil.<br /><searchLink fieldCode="AU" term="%22Mello+DF%22">Mello DF</searchLink>; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
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  Data: Objective: Early childhood stimulation is pivotal for enabling children to achieve their full developmental potential and thrive across the life course. Drawing on the Nurturing Care Framework (NCF) and the multigenerational life course model, this study examined the determinants of child development (CD) stimulation activities.<br />Methods: This cross-sectional study was conducted with 365 mothers of children up to three years old who were seen at Primary Health Care units in a municipality in southeastern Brazil. Poisson regression with robust variance was performed to assess associations between contextual and environmental variables and the NCF domains and the practice of four or more stimulus activities, and to evaluate each activity individually.<br />Results: Engaging in four or more stimulating activities was more prevalent among children who had books at home (IRR: 1.53; 95% CI: 1.23-1.92), attended daycare (IRR: 1.42; 95% CI: 1.15-1.75), and played with toys and/or household objects (IRR: 1.24; 95% CI: 1.02-1.51). The multigenerational life course model demonstrated that book ownership, daycare attendance, playing with toys and/or household objects, information received from health professionals, maternal occupation, and concern for CD were associated with engaging in activities that promote CD.<br />Conclusion: The availability of books, toys, and play equipment in the home environment, regular attendance at daycare, and health guidelines to promote development make a difference in the first three years of life. The findings provide insights for public policies aimed at strengthening responsive care and learning opportunities for healthy early childhood.<br /> (Copyright © 2026 The Authors. Published by Elsevier España S.L.U. All rights reserved.)
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  Data: Conflicts of interest The authors declare no conflicts of interest.
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  Data: PLoS Med. 2021 May 10;18(5):e1003602. (PMID: <searchLink fieldCode="PM" term="%2233970913%22">33970913)</searchLink><br />Dev Sci. 2023 Nov;26(6):e13404. (PMID: <searchLink fieldCode="PM" term="%2237114644%22">37114644)</searchLink><br />J Glob Health. 2024 Feb 23;14:04028. (PMID: <searchLink fieldCode="PM" term="%2238385435%22">38385435)</searchLink><br />Lancet. 2017 Jan 7;389(10064):77-90. (PMID: <searchLink fieldCode="PM" term="%2227717614%22">27717614)</searchLink><br />Soc Sci Med. 2021 Oct;287:114369. (PMID: <searchLink fieldCode="PM" term="%2234517203%22">34517203)</searchLink><br />PLoS One. 2020 Jul 10;15(7):e0236107. (PMID: <searchLink fieldCode="PM" term="%2232649702%22">32649702)</searchLink><br />J Glob Health. 2020 Dec;10(2):020406. (PMID: <searchLink fieldCode="PM" term="%2233214898%22">33214898)</searchLink><br />BMC Med Res Methodol. 2017 Dec 6;17(1):162. (PMID: <searchLink fieldCode="PM" term="%2229207961%22">29207961)</searchLink><br />PLoS Med. 2021 Sep 16;18(9):e1003781. (PMID: <searchLink fieldCode="PM" term="%2234529666%22">34529666)</searchLink><br />Rev Lat Am Enfermagem. 2018 Jul 16;26:e3007. (PMID: <searchLink fieldCode="PM" term="%2230020338%22">30020338)</searchLink><br />J Pediatr (Rio J). 2020 Nov - Dec;96(6):778-789. (PMID: <searchLink fieldCode="PM" term="%2231794693%22">31794693)</searchLink><br />Lancet. 2017 Jan 7;389(10064):91-102. (PMID: <searchLink fieldCode="PM" term="%2227717615%22">27717615)</searchLink><br />Rev Saude Publica. 2005 Aug;39(4):523-9. (PMID: <searchLink fieldCode="PM" term="%2216113899%22">16113899)</searchLink><br />Child Youth Care Forum. 2022 Apr;51(2):395-420. (PMID: <searchLink fieldCode="PM" term="%2235662808%22">35662808)</searchLink><br />BMC Pregnancy Childbirth. 2024 Jan 5;24(1):37. (PMID: <searchLink fieldCode="PM" term="%2238182969%22">38182969)</searchLink><br />Korean J Anesthesiol. 2013 May;64(5):402-6. (PMID: <searchLink fieldCode="PM" term="%2223741561%22">23741561)</searchLink><br />Lancet Reg Health Am. 2021 Dec 23;5:100139. (PMID: <searchLink fieldCode="PM" term="%2236776455%22">36776455)</searchLink><br />BMJ Paediatr Open. 2025 Apr 17;9(1):. (PMID: <searchLink fieldCode="PM" term="%2240250853%22">40250853)</searchLink>
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