{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T19:29:20Z","timestamp":1790278160669,"version":"4.1.0"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T00:00:00Z","timestamp":1722556800000},"content-version":"unspecified","delay-in-days":214,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Nutr Sci"],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>Children with Severe Acute Malnutrition (SAM) are at risk of developmental problems. Psychosocial stimulation can improve the developmental outcomes of hospitalised children with SAM. However, the intervention has remained underutilised in health facilities in resource-poor settings. Moreover, there is limited evidence on the acceptability and feasibility of the intervention. We conducted a qualitative study to explore the acceptability and feasibility of integrating psychosocial stimulation interventions in the inpatient care of children with SAM in selected areas in the Silti Zone, Central Ethiopia. Nine focus group discussions and 15 key informant interviews were conducted with parents, health workers, and other stakeholders. The data were transcribed, translated, and analysed using a thematic approach. Caregivers and health workers had positive attitudes toward the intervention and perceived it beneficial for the children\u2019s development, recovery, and bonding with the mothers. Health workers reported barriers such as lack of materials, time, and space, capacity building training, and supervision for the effective implementation of the intervention. At the household level, gendered factors such as the housework burden of mothers and the inadequate engagement of fathers in childcare were the main challenges to the implementation of the intervention. Overall, psychosocial stimulation intervention was found to be acceptable and feasible for routine implementation with inpatient care provided for children with SAM. The study recommends supporting health facilities, health workers, and partners with the necessary resources and skills to promote the implementation of stimulation interventions along with the existing care provided in health facilities in resource-poor settings.<\/jats:p>","DOI":"10.1017\/jns.2024.27","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T05:48:12Z","timestamp":1722577692000},"source":"Crossref","is-referenced-by-count":4,"title":["Acceptability and feasibility of integrating psychosocial stimulation interventions in the inpatient care of children with severe acute malnutrition in resource-poor settings: a qualitative study"],"prefix":"10.1017","volume":"13","author":[{"given":"Tesfalem Teshome","family":"Tessema","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andamlak Gizaw","family":"Alamdo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyoel B.","family":"Mekonnen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tewodros G.","family":"Yirtaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanna A.","family":"Debele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teklu","family":"Gemechu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tefera","family":"Belachew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,8,2]]},"reference":[{"key":"S2048679024000272_ref21","doi-asserted-by":"crossref","unstructured":"21. Braun, V , Clarke, V. Using thematic analysis in psychology. Qual Res Psychol [Internet]. 2006;3(2):77\u2013101. https:\/\/psychology.ukzn.ac.za\/?mdocs-file=1176 (accessed January 2023).","DOI":"10.1191\/1478088706qp063oa"},{"key":"S2048679024000272_ref27","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-3510"},{"key":"S2048679024000272_ref4","volume-title":"Guidelines for the Inpatient Treatment of Severely Malnourished Children","author":"Ashworth","year":"2003"},{"key":"S2048679024000272_ref19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12889-019-7916-5","article-title":"The effects of psychosocial stimulation on the development, growth, and treatment outcome of children with severe acute malnutrition age 6-59 months in southern Ethiopia: a parallel group cluster randomized control trial (EPSoSAMC study)","volume":"19","author":"Tessema","year":"2019","journal-title":"BMC Public Health"},{"key":"S2048679024000272_ref28","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1007\/s13312-021-2355-7","article-title":"Strengthening psychosocial stimulation in the management of children with severe acute malnutrition: experience from a nutrition rehabilitation center","volume":"58","author":"Kumar","year":"2021","journal-title":"Indian Pediatr."},{"key":"S2048679024000272_ref6","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1111\/nyas.12284","article-title":"Effects of integrated child development and nutrition interventions on child development and nutritional status","volume":"1308","author":"Grantham-McGregor","year":"2013","journal-title":"Ann N Y Acad Sci."},{"key":"S2048679024000272_ref22","first-page":"1","article-title":"Assessment of knowledge, attitude and practice of mothers\/caregivers on infant and young child feeding in Assosa Woreda, Assosa Zone, Benshangul Gumuz Region, Western Ethiopia: a cross-sectional study","volume":"79","author":"Assefa","year":"2021","journal-title":"Arch Public Heal."},{"key":"S2048679024000272_ref24","unstructured":"24. WHO, UNICEF. Global Strategy for Infant and Young Child Feeding. 54th World Health Assembly; 2003 May 13-18. Geneva, Switzerland: World Health Organization; 2003."},{"key":"S2048679024000272_ref15","unstructured":"15. Kerac, M , McGrath, M , Grijalva-Eternod, C , et al. Management of Acute Malnutrition in Infants (MAMI) Project: Technical Review; 2010; https:\/\/www.researchgate.net\/publication\/367362464_Management_of_Acute_Malnutrition_in_Infants_MAMI_Technical_Review_Current_evidence_policies_practices_programme_outcomes (accessed March 2023)."},{"key":"S2048679024000272_ref23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1017\/jns.2021.10","article-title":"Mothers had inadequate knowledge towards key essential nutrition action messages in mainly rural Northeast Ethiopia","volume":"10","author":"Gebremichael","year":"2021","journal-title":"J Nutr Sci."},{"key":"S2048679024000272_ref8","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1542\/peds.79.2.247","article-title":"Development of severely malnourished children who received psychosocial stimulation: six-year follow-up","volume":"79","author":"Grantham-McGregor","year":"1987","journal-title":"Pediatrics."},{"key":"S2048679024000272_ref16","unstructured":"16. CSA. Population Size by Sex, Region, Zone and Wereda. Published 2021; https:\/\/www.statsethiopia.gov.et\/wp-content\/uploads\/2020\/08\/Population-of-Weredas-as-of-July-2021.pdf (accessed January 2022)."},{"key":"S2048679024000272_ref20","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"S2048679024000272_ref25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0264719","article-title":"Nutrition status and morbidity of Ethiopian children after recovery from severe acute malnutrition: prospective matched cohort study","volume":"17","author":"Girma","year":"2022","journal-title":"PLoS One"},{"key":"S2048679024000272_ref11","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1136\/adc.2005.087346","article-title":"WHO guidelines for severe malnutrition: are they feasible in rural African hospitals?","volume":"92","author":"Karaolis","year":"2007","journal-title":"Arch Dis Child."},{"key":"S2048679024000272_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-018-0347-8"},{"key":"S2048679024000272_ref3","volume-title":"Guidelines for the Management of Acute Malnutrition","year":"2016"},{"key":"S2048679024000272_ref7","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2005805"},{"key":"S2048679024000272_ref2","unstructured":"2. UNICEF. Emergency Nutrition Response in Ethiopia. UNICEF; 2019."},{"key":"S2048679024000272_ref9","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1038\/ejcn.2008.44","article-title":"Effects of psychosocial stimulation on growth and development of severely malnourished children in a nutrition unit in Bangladesh","volume":"63","author":"Nahar","year":"2009","journal-title":"Eur J Clin Nutr"},{"key":"S2048679024000272_ref14","first-page":"010405","article-title":"Psychosocial stimulation interventions for children with severe acute malnutrition: a systematic review","volume":"7","author":"Daniel","year":"2017","journal-title":"J Glob Health."},{"key":"S2048679024000272_ref18","unstructured":"18. EPHI, ICF. Ethiopia Mini Demographic and Health Survey 2019: Final Report. Rockville, MD: EPHI and ICF; 2021."},{"key":"S2048679024000272_ref17","first-page":"163","article-title":"Determinants of smallholder commercialization of tomato crop in Siltie Zone, Southern Ethiopia","volume":"9","author":"Ejeta","year":"2020","journal-title":"Agric For Fish."},{"key":"S2048679024000272_ref10","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1186\/s12887-019-1696-z","article-title":"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","volume":"19","author":"Abessa","year":"2019","journal-title":"BMC Pediatr."},{"key":"S2048679024000272_ref26","first-page":"300","article-title":"Determinants of severe acute malnutrition among under five children in Shashogo Woreda, Southern Ethiopia: a community based matched case control study","volume":"4","author":"Dereje","year":"2014","journal-title":"J Nutr Food Sci."},{"key":"S2048679024000272_ref12","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzab100"},{"key":"S2048679024000272_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/125.suppl_8.2212S"},{"key":"S2048679024000272_ref1","unstructured":"1. UNICEF. Unicef Programme Guidance Document: Management of Severe Acute Malnutrition in Children: Working Towards Results at Scale. New York, USA: UNICEF; 2015."}],"container-title":["Journal of Nutritional Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2048679024000272","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T05:48:39Z","timestamp":1722577719000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2048679024000272\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":28,"alternative-id":["S2048679024000272"],"URL":"https:\/\/doi.org\/10.1017\/jns.2024.27","relation":{},"ISSN":["2048-6790"],"issn-type":[{"value":"2048-6790","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e27"}}