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NCT Number: NCT07769723

Simulation-Based Education and Caregiving Ability Among Families of Stunted Children

Stunting can affect children's growth and development and requires not only nutritional management but also appropriate stimulation and responsive caregiving. This study evaluated whether adding simulation-based growth and development education to a standard educational module could improve the caregiving ability of families with stunted children. Caregivers received either a standardized take-home module alone or the same module combined with simulation-based education. The study assessed changes in caregivers' knowledge and self-reported ability to perform developmental stimulation activities.

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Key information

Conditions

Stunting Growth Disorders Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Puskesmas Tamansari

Tasikmalaya, West Java, 46196, Indonesia

About this study

This study was a nonrandomized quasi-experimental study using a pretest-posttest control group design. The study was conducted among family caregivers of children with stunting aged 1-3 years in the working area of Tamansari Public Health Center, Tasikmalaya, Indonesia.

Participants were allocated based on geographical areas. The control group received a standardized growth and development education module to use at home. The intervention group received the same module plus simulation-based education. The simulation session included explanation of child growth and development concepts, demonstration of developmental stimulation activities, guided caregiver practice, and corrective feedback from the facilitator.

The study included 55 caregivers in the final analysis, consisting of 31 caregivers in the intervention group and 24 caregivers in the control group. Caregiving ability was assessed in two domains: cognitive ability measured using a 32-item instrument and self-reported psychomotor ability measured using a 20-item questionnaire.

The primary purpose of this study was to determine whether simulation-based education provides additional benefits compared with module-only education in improving caregiver knowledge and perceived ability to perform developmental stimulation activities for children with stunting.

The study received ethical approval from the Health Research Ethics Committee, Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang (Ethical Clearance No. 001/KE/05/2026). Participation was voluntary, and all participants provided written informed consent before joining the study.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Family caregivers of children aged 1-3 years diagnosed with stunting.
  • The caregiver is the primary person responsible for daily child care.
  • The caregiver lives with the child during the study period.
  • The caregiver is willing to participate and provide written informed consent.
  • The caregiver is able to communicate and complete the study questionnaire.

Exclusion criteria

  • Caregivers who cannot participate in the educational sessions.
  • Caregivers who have communication barriers that prevent completion of the assessment.
  • Participants who withdraw consent during the study period.

Treatment and study plan

Simulation-Based Education

Behavioral

A simulation-based educational intervention consisting of growth and development education, demonstration of developmental stimulation activities, guided caregiver practice, and corrective feedback.

Standardized Growth and Development Education Module

Behavioral

A standardized educational module about child growth, development, and caregiving practices provided to caregivers as take-home educational material.

Primary outcomes

  1. Caregiver Ability in Providing Care for Children with Stunting

    Time frame: Immediately after the intervention (posttest)

    The primary outcome was caregiver ability in caring for children with stunting, consisting of cognitive ability and self-reported psychomotor ability related to child growth and development stimulation practices.

Secondary outcomes

  1. Caregiver Cognitive Ability

    Time frame: Immediately after the intervention (posttest)

    Caregiver cognitive ability was assessed using a 32-item instrument measuring knowledge related to child growth, development, and stimulation practices.

  2. Caregiver Self-Reported Psychomotor Ability

    Time frame: Immediately after the intervention (posttest)

    Caregiver self-reported psychomotor ability was assessed using a 20-item questionnaire evaluating the ability to perform developmental stimulation activities.

Sponsors and collaborators

Lead sponsor

Universitas Muhammadiyah Tasikmalaya

Other

Registry information

Official study title

Simulation-Based Education and Caregiving Ability Among Families of Stunted Children: A Nonrandomized Quasi-Experimental Study

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Aug 18, 2026
Registry last updated
Aug 19, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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