{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T22:29:43Z","timestamp":1790634583152,"version":"4.1.0"},"reference-count":91,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":88,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Optimal early childhood development predicts lifelong health and well\u2010being. A child's immediate environment, especially the home, shapes cognitive, physical, language, motor, social and emotional development. Contextually relevant data on the proximal settings that support preschool\u2010aged children are lacking in low\u2010 and middle\u2010income countries (LMICs) across the East Asia and Pacific region. This systematic review synthesises evidence on associations between home\u2010based learning opportunities and caregiving experiences and the cognitive and overall development of children aged 2\u20135\u2009years in LMICs of the East Asia and Pacific region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched Medline, Embase, PsycINFO, Emcare and Global Health for studies published between January 1990 and January 2025. The search strategy used subject headings and free text terms using the condition, context and population (CoCoPop) framework to capture studies on cognitive or overall development (condition), home\u2010based learning opportunities and responsive caregiving (context) and children aged 24\u201359\u2009months in LMICs in the East Asia and Pacific region (population). Data were independently extracted and appraised using the Joanna Briggs Institute Critical Appraisal Tools risk of bias and quality assessment checklists. The findings were summarised using narrative syntheses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Studies were from lower and upper middle\u2010income countries in East Asia, and the study quality ranged from medium to high. Eighteen of the 19 included studies reported significant positive associations between home\u2010based learning opportunities and caregiving and higher child development. The strongest effects were linked with psychosocial stimulation, academic\u2010focused caregiving and enriched home learning environments. Measures of learning opportunities and caregiving varied widely.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The review findings suggest that home\u2010based learning opportunities and responsive caregiving experiences may be associated with improved developmental outcomes among 2\u2010 to 5\u2010year\u2010old children. Although these patterns are consistent with broader evidence, the heterogeneity of measures and limited representation mean that conclusions should be interpreted with caution. Future research could prioritise underrepresented settings, including low\u2010income countries and Pacific Island nations, to ensure policy reflects regional diversity. The heterogeneity in measures highlights the need for standardised tools to better capture associations between child development and the home environment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cch.70265","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T08:17:19Z","timestamp":1774858639000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Home\u2010Based Learning Opportunities, Responsive Caregiving and the Development of Preschool\u2010Aged Children in Low\u2010 and Middle\u2010Income Countries of the East Asia and Pacific Region: A Systematic Review"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7549-6192","authenticated-orcid":false,"given":"Sally","family":"Popplestone","sequence":"first","affiliation":[{"name":"Global and Women's Health, School of Public Health and Preventive Medicine Monash University  Melbourne 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