Purpose
The study aimed to develop a play toolkit to facilitate infants’ and toddlers' symbolic thought and fine motor development.
Methods
This study used a methodological study design including two phases of development and evaluation. After reviewing the play culture and developmental health issues in Kyrgyzstan through a literature review and interviews with local experts and parents, the toolkit was developed and evaluated using content validity and utilization tests.
Results
The toolkit was based on Westby’s symbolic play and the fine motor milestones in the Bright Futures Guidelines. The Toolkits were composed of an overall suggested play schedule according to the child’s age, four kinds of play props, and a utilization guidebook for parents. The play props were a felt book, sorting and assembling blocks, cup blocks, and a tangram. The guidebook contained age-appropriate operating methods and alternative ways to use the materials.
Conclusion
A play toolkit was developed to enhance nurturing practices among parents of infants and toddlers. The findings may help facilitate effective interactions between parents and their children. Considering that nurturing care is critical for achieving better child health outcomes, enhancing parenting resources and parent-child relations could function as an effective strategy for promoting child health.

Purpose
A hand-washing program using role-playing was developed for preschool children and tested to verify its usefulness.
Methods
The participants were 46 preschool children (experimental group, 23; control group, 23). Data were collected from August 7, 2017 to September 20, 2017. The first posttest was carried out on the day after the initial intervention was completed, and the second posttest was performed after a month. Data were analyzed using the x2 test, Fisher exact test, Shapiro-Wilk test, Mann-Whitney test, and Friedman test.
Results
In the experimental group, the frequency of practicing hand-washing was significantly higher than in the control group on the next day (z=-4.94, p<.001) and after a month (z=-3.15, p=.002). The accuracy of hand-washing was significantly higher in the experimental group than in the control group on the next day (z=-4.02, p<.001) and after a month (z=-3.86, p<.001).
Conclusion
The hand-washing program developed in this study was found to be an effective intervention strategy for improving the frequency and accuracy of hand-washing among preschool children.

Citations

• Impact of Personal Hygiene Education Based on Social Learning Theory on Preschool Children
  Isin Biyikoglu Alkan, Nebahat Bora Gunes, Musa Ozsavran, Tulay Kuzlu Ayyildiz
  Early Childhood Education Journal.2025; 53(2): 539.     CrossRef
• The Effect of Video-Supported Hand-washing Training on Hand-washing Knowledge and Skills in Children in Need of Protection
  Refiye Akpolat, Zehra Şevval Yavuz, Elçin Birce Birkan, Cansu Yeşil
  Middle Black Sea Journal of Health Science.2025; 11(2): 116.     CrossRef
• Status of Early Childhood Health Promotion Education and Educational Needs Perceived by Primary Caregivers
  Young-Ran Lee, Eunjeong Nam, Sun-Nam Park, Mi-Ran Lee
  Journal of Korean Academy of Fundamentals of Nursi.2025; 32(3): 376.     CrossRef
• İlköğretim Öğrencilerine Rol Oynama (Rol-Play) Yöntemi ile Uygulanan El Hijyeni Eğitiminin Öğrencilerin El Yıkama Bilgi ve Becerilerine Etkisi
  Hatice YUMRU, Şerife KOÇ
  Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elek.2021; 14(3): 188.     CrossRef
• Rinse-free hand wash for reducing absenteeism among preschool and school children
  Zachary Munn, Catalin Tufanaru, Craig Lockwood, Cindy Stern, Helen McAneney, Timothy H Barker
  Cochrane Database of Systematic Reviews.2020;[Epub]     CrossRef