Sand Play and 0- to 8-Year-Old Children's Physical, Cognitive and Socioemotional Outcomes: A Mixed-Methods Systematic Review

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-01-21 DOI:10.1111/cch.70034

Susanna Iivonen, Titta Kettukangas, Anne Soini, Helena Viholainen

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引用次数: 0

Abstract

Background

Sand play (SP) is a global phenomenon that may be linked to children's health outcomes, but limited evidence exists. The purpose was to synthesize evidence on the association between SP and 0- to 8-year-old children's physical, cognitive and socioemotional outcomes.

Methods

CINAHL, Academic Search Premier, PsycINFO, SPORTDiscus with Full Text, ERIC, Medline, Scopus and Google Scholar were searched. Studies were eligible if 0- to 8-year-old children's outcomes were reported while attending SP. Synthesis was performed using effect direction (quantitative), thematic (qualitative), narrative and results-based convergent synthesis incorporating the risk of bias and confidence in the evidence assessments. Studies were grouped by SP exposure context as education, leisure and rehabilitation.

Results

The effect direction (Nstudies = 17; Nchildren = 677), thematic (Nstudies = 8; Nchildren = 131) and narrative (Nstudies = 8; Nchildren = 11 784) syntheses included 28 studies published in 1993–2023 (Ntotal = 12 646; Mchildage = 3–6 years; Mgirls 41%; Methnicity Asian 3%, African American/Black/Hispanic 8%, European American/White/Non-Hispanic 56%, Multi-ethnic 36%). Based on very low to moderate confidence in the evidence, findings indicated inconsistent associations between educational, rehabilitational and leisure SP and children's physical, cognitive and socioemotional outcomes. There was inconsistent evidence on the occurrence of SP by children's gender and age.

Conclusion

SP may enhance some childhood outcomes. However, high-quality controlled designs describing the exposure to SP are needed to inform the effectiveness of SP on children's health and development.

查看原文本刊更多论文

沙游戏与0- 8岁儿童的身体、认知和社会情绪结果：一项混合方法的系统评价。

背景：沙游戏（SP）是一种全球现象，可能与儿童的健康结果有关，但证据有限。目的是综合SP与0- 8岁儿童身体、认知和社会情绪结果之间的关系的证据。方法：检索CINAHL、Academic Search Premier、PsycINFO、SPORTDiscus with Full Text、ERIC、Medline、Scopus和谷歌Scholar。如果0- 8岁儿童在参加SP期间报告了结果，则研究符合条件。综合采用效果指导（定量）、主题（定性）、叙述和基于结果的趋同综合，包括证据评估的偏倚风险和置信度。研究按SP暴露环境分为教育、休闲和康复。结果：影响方向(n研究= 17；Nchildren = 677), thematic (Nstudies = 8；Nchildren = 131)和叙事(Nstudies = 8；Nchildren = 11 784)综合纳入1993-2023年发表的28项研究(Ntotal = 12 646；中期= 3-6岁；Mgirls 41%;亚裔3%，非裔美国人/黑人/西班牙裔8%，欧洲裔美国人/白人/非西班牙裔56%，多种族36%)。基于非常低到中等可信度的证据，研究结果表明，教育、康复和休闲SP与儿童的身体、认知和社会情感结果之间存在不一致的关联。关于SP的发生与儿童性别和年龄的关系，证据并不一致。结论：SP可提高儿童的某些预后。然而，需要高质量的对照设计来描述SP暴露，以了解SP对儿童健康和发展的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.