فهرست مطالب jamile ahmadi

The initial years of life particularly the first two years are regarded as the most important brain development period. The development of children is an important determinant of health throughout the whole of life. We aimed to evaluate an educational program to improve the fine motor skills of 18-month-old children.

This randomized clinical trial was conducted in the city of Saqqez, Iran in 2015-2016. Seventy 18-month-old infants were randomly assigned to control (n=35), and intervention (n=35) groups. The training of fine motor skills was given to the mothers of the children of intervention group, including: painting, building a tower, stringing, tearing and crushing a piece of paper, targeting and dropping. Fine motor skills were measured before intervention and 4 and 8 weeks after the intervention using ASQ-II screening tool (Age and Stage Questionnaire, Second Edition). Data were analyzed using SPSS software version 20.0.

In the intervention and control group, 51.5% (n=17) were male and 48.5% (n=16) were female. Statistical test of Chi-square showed that there was no statistically significant difference in terms of gender (p=0.59). According to independent t-test, there was no significant difference in the mean of fine motor score before intervention in the two groups with (p = 0.13). The repeated measurement test showed that 4 and 8 weeks after training, the scores of fine movements with (p = 0.04) became significant.

Based on the results, developmental skills training compared with control group improved the fine motor skills of 18-month-old children in this study.

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.
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.
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).
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.