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Factors associated with play behaviors in infants under primary care follow-up and with the knowledge of their caregivers: a cross-sectional study
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Keywords

Infant
Games and toys
Primary health care
Caregivers

How to Cite

Factors associated with play behaviors in infants under primary care follow-up and with the knowledge of their caregivers: a cross-sectional study. (2026). Electronic Journal Collection Health, 26(6), e23585. https://doi.org/10.25248/reas.e23585.2026

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Abstract

Objective: To evaluate factors associated with infant play in primary care and the knowledge of their caregivers. Methods: Cross-sectional study with 57 caregivers of infants enrolled in a Family Health Unit in Recife, Brazil. A questionnaire was applied addressing the biological, socioeconomic, and demographic profile of children and caregivers, play characteristics, and Likert-scale statements to assess caregiver knowledge. Data were double-entered into Excel 2013, and statistical analysis was performed using STATA 12.0, considering p≤0.05 as significant. Results: Fifty-seven caregivers participated, mostly women and mothers, with a mean age of 32 years and completed high school. The infants had a mean age of 11 months; most played at home and outdoors, mainly with structured toys and household objects; 64.3% used electronic devices. All caregivers recognized the benefits of play for health and learning, but 57.9% disagreed that babies can play from the first week of life. A significant association was found between caregivers under 24 years old and lower perception of early play (p=0.026), as well as between educational level and perception of early play (p=0.028), electronic device use (p=0.001), and appreciation of unstructured objects as toys (p=0.003). Conclusion: Gaps in knowledge about early play reinforce the need for educational actions in primary care to promote healthy play experiences from birth.

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References

BARROSO R, MACHADO C. Definições, dimensões e determinantes da parentalidade. Revista Psychologica, 2010;1(52);211-229.

BRANDÃO T. O brincar, a vida dos bebês: um diálogo sobre como brincam os bebês. Recife: Vacatussa, 2021; 37p.

BRASIL. Lei n. 13.257 de 8 de março de 2016. Dispõe sobre as políticas públicas para a primeira infância e altera a Lei nº 8.069, de 13 de julho de 1990 (Estatuto da Criança e do Adolescente), o Decreto-Lei nº 3.689, de 3 de outubro de 1941 (Código de Processo Penal), a Consolidação das Leis do Trabalho (CLT), aprovada pelo Decreto-Lei nº 5.452, de 1º de maio de 1943, a Lei nº11.770, de 9 de setembro de 2008, e a Lei nº 12.662, de 5 de junho de 2012. Brasília, 2016. Acesso em: 7 abr. 2026.

BRASIL. Ministério da educação. Portaria conjunta MEC/MGI/MS/MDHC/MDS nº 255, de 5 de setembro de 2025. Institui o Plano de Ação Estratégico da Política NacionaI Integrada da Primeira Infância - PNIPI para o biênio de 2025-2026. Brasília: MEC, 2025. Acesso em: 7 abr. 2026.

CANKAYA O, et al. Preschool children's loose parts play and the relationship to cognitive development: a review of the literature. Journal of Intelligence, 2023;11(8):151.

COLLIVER Y, et al. Free play predicts self-regulation years later: longitudinal evidence from a large Australian sample of toddlers and preschoolers. Early Childhood Research Quarterly,2022;59:148-161.

FYFFE L, LEWIS A. Does play-based learning support children’s everyday resiliency? A cross-case analysis of parents’ and kindergarten teachers’ perceptions of play-based learning as a precedent to young children’s coping during the pandemic-affected 2020–2021 school year. Children (Basel), 2024;11(11):1378.

JEONG J, et al. Parenting interventions to promote early child development in the first three years of life: A global systematic review and meta-analysis. PLOS Medicine, 2021;18(5):e1003602.

KOERBER MI, et al. Psychosocial work stress and parent-child bonding during the COVID-19 pandemic: clarifying the role of parental symptoms of depression and aggressiveness. BMC Public Health, 2023;23(1):113.

LEE EY, et al. Systematic review of the correlates of outdoor play and time among children aged 3-12 years. The International Journal of Behavioral Nutrition and Physical Activity,2021;18:41.

LIKERT R. A technique for the measurement of attitudes. Archives of Psychology,1932;22(140):5-55.

LIMA M, et al. Características e especificidades do brincar com brinquedos estruturados e não estruturados. Revista e Psicologia da IMED, 2021;13(1):85-104.

MORAIS RLS, et al. The environmental context and the child development: Brazilian studies. Journal of Physical Education, 2016;27:e2714.

NANDY A, et al. Parental toy play and toddlers’ socio-emotional development: the moderating role of coparenting dynamics. Infant Behavior & Development, 2020;60:101465.

NEEDHAM AW, NELSON EL. How babies use their hands to learn about objects: exploration, reach- to-grasp,

manipulation, and tool use. Wiley Interdisciplinary Reviews. Cognitive Science, 2023;14(6):e1661.

NIJHOF SL, et al. Healthy play, better coping: the importance of play for the development of children in health and disease. Neuroscience and Bio Behavioral Reviews, 2018;95:421-429.

NUVOLI V, et al. Digital screen exposure in infants, children and adolescents: a systematic review of existing recommendations. Public Health in Practice (Oxford, England), 2025;10:100653.

POBLETE ALMENDRAS MJ, et al. Revisión narrativa sobre la relación entre estrés tóxico y desempeño ocupacional en la primera infancia. Cadernos Brasileiros de Terapia Ocupacional, 2024;32:e3661.

ROCHA BD, NUNES CJ. Promovendo o brincar dentro da atenção primária: relato de experiência. Health Residencies Journal. 2023;4(18):1-6.

SOCIEDADE BRASILEIRA DE PEDIATRIA(SBP). Benefícios da natureza no desenvolvimento de crianças e adolescentes. São Paulo: SBP, 2024a;32p.

SOCIEDADE BRASILEIRA DE PEDIATRIA(SBP). Menos telas #mais saúde: atualização 2024, 2024b;15p.

SOLIS-CORDERO K, et al. O brincar na rotina doméstica para a promoção do desenvolvimento infantil: estudo transversal. Revista Gaúcha de Enfermagem, 2023;44:e20220127.

SOUSA BVN, et al. Vulnerabilidade de crianças com necessidades especiais de saúde: implicações para a enfermagem. Saúde em Debate, 2022;46(spe5):91–103.

UNITED NATIONS CHILDREN'S FUND (UNICEF). How babies learn through play: discover why play is so important for babies’ development. UNICEF, 2025. Disponível em: https://www.unicef.org/parenting/child-development/how-babies-learn-through-play. Acesso em: 10 ago. 2025.

VYGOTSKY LS. A formação social da mente. 4 ed. São Paulo: Martins Fontes,1984;90p.

WHITMAN E. The impact of social play on young children. Integrated Studies, 2018;94.

WORLD HEALTH ORGANIZATION (WHO). Nurturing care for early childhood development: a framework for helping children survive and thrive to transform health and human potential. Geneva: WHO, 2018;64p. Link de publicação: https://iris.who.int/server/api/core/bitstreams/781de51d-4cef-482e-bb3b-c2b3becf3c9f/content

WYVER S. The influence of outdoor play on social and cognitive development. Sydney: Macquarie University, 2024;9p.

YOGMAN M, et al. The power of play: a pediatric role in enhancing development in young children. Pediatrics, 2018;142(3):e20182058.

YOONG SL, et al. Impact of a multi-component implementation strategy to increase outdoor free play opportunities in early childhood education and care (ECEC) services: the get outside get active (GOGA) randomised controlled trial. The International Journal of Behavioral Nutrition and Physical Activity, 2025;22:51.

ZHOU Y, et al. Relationship between children’s independent activities and the built environment of outdoor activity space in residential neighborhoods: a case study of Nanjing. International Journal of Environmental Research and Public Health, 2022;19(16):9860.