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    Playfulness and prenatal alcohol exposure: A comparative study

    Access Status
    Fulltext not available
    Authors
    Pearton, Jordan
    Ramugondo, Elelwani
    Cloete, Lizahn
    Cordier, Reinie
    Date
    2014
    Type
    Journal Article
    
    Metadata
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    Citation
    Pearton, J. and Ramugondo, E. and Cloete, L. and Cordier, R. 2014. Playfulness and prenatal alcohol exposure: A comparative study. Australian Occupational Therapy Journal. 61 (4): pp. 259-267.
    Source Title
    Australian Occupational Therapy Journal
    DOI
    10.1111/1440-1630.12118
    ISSN
    0045-0766
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/38285
    Collection
    • Curtin Research Publications
    Abstract

    Background/aim: South Africa carries a high burden of alcohol abuse. The effects of maternal alcohol consumption during pregnancy are most pronounced in poor, rural communities. Earlier research suggests that children with prenatal alcohol exposure have poor social behaviour; however, to date, no research has investigated their playfulness. This study investigated the differences in playfulness of children with and without prenatal alcohol exposure. Methods: Grade one learners with a positive history of prenatal alcohol exposure (n = 15) and a reference group without a positive history of prenatal alcohol exposure (n = 15) were filmed engaging in free play at their schools. The Test of Playfulness was used to measure playfulness from recordings. Data were subjected to Rasch analysis to calculate interval level measure scores for each participant. The overall measure scores and individual Test of Playfulness social items were subjected to paired samples t-tests to calculate if significant differences existed between the groups. Results: Children with prenatal alcohol exposure had a significantly lower mean overall playfulness score than the reference group (t = -2.51; d.f. = 28; P = 0.02). Children with prenatal alcohol exposure also scored significantly lower than the reference group on 5 of the 12 Test of Playfulness items related to social play. Conclusions: This research suggests that children with prenatal alcohol exposure are more likely to experience poorer overall quality of play, with particular deficits in social play. Considering play is a child's primary occupation, this finding becomes pertinent for occupational therapy practice, particularly in post-apartheid South Africa, where high prenatal alcohol exposure prevalence rates are couched within persistent socio-economic inequalities.

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