The Impact of Playfulness on the Development of School-Aged Children in Keamari, Karachi

Playfulness and Development in Children

Authors

  • Amna Subhan Khan Milestones Center of Cognitive and Language Development, Karachi, Pakistan
  • Shazia Batool Malik Ziauddin University, Karachi, Pakistan

Keywords:

Playfulness, Child development, Test of Playfulness, Karachi, Schools

Abstract

Background: Playfulness is a core occupation of childhood and is essential for cognitive, social, emotional, and physical development. In densely populated urban settings such as the Keamari towns of Karachi, children’s opportunities for play may be constrained by academic pressure, limited access to safe outdoor spaces, and increased screen exposure. Despite these challenges, local data on children’s playfulness are scarce. This study aimed to assess the level of playfulness among school-going children aged 7–14 years in Keamari, Karachi.

Methods: A cross-sectional survey was conducted between March and August 2024 among school-going children aged 7–14 years. Following cultural and linguistic adaptation, the 21-item Urdu version of the Test of Playfulness (ToP) was administered to parents, teachers, and caregivers using online Google Forms. Descriptive statistics summarized playfulness domains, while chi-square tests examined differences across age groups and gender. Internal consistency of the instrument was assessed using Cronbach’s alpha.

Results: Complete responses were obtained for 384 children (50.7% boys, 48.8% girls), with a mean age of 9.5 ± 2.3 years. Overall, 67% of children demonstrated high interest in play and 60% showed high imaginative play. However, only 38% exhibited high confidence in selecting games independently. Younger children (7–10 years) scored significantly higher in creativity and social framing of play compared with older children (p < 0.01). No significant gender differences were observed across playfulness domains. The Urdu ToP showed excellent internal consistency (Cronbach’s α = 0.943).

Conclusion: Despite urban environmental stressors, playfulness remains relatively resilient among children in Keamari. However, reduced autonomy in game selection highlights the need for school- and community-based initiatives that protect time, space, and resources for self-directed play to support optimal child development.

Author Biographies

Amna Subhan Khan, Milestones Center of Cognitive and Language Development, Karachi, Pakistan

Occupational Therapist

Shazia Batool Malik, Ziauddin University, Karachi, Pakistan

Occupational Therapist

References

Bone M. The Role of Play in Early Child Development: An In-depth View.

Román-Oyola R, Bundy A, Lane SJ, Bonilla-Rodríguez VE. Development of the Scale of Parental Playful Attitude during the Co-occupation of Play. The American Journal of Occupational Therapy. 2024 Jul 1;78(4):7804185140.

Yogman M, Garner A, Hutchinson J, Hirsh-Pasek K, Golinkoff RM, Committee on Psychosocial Aspects of Child and Family Health, Council on Communications and Media. The power of play: A pediatric role in enhancing development in young children. Pediatrics. 2018 Sep 1;142(3):e20182058.

Pakistan Urban Forum. Karachi open-space audit 2023.

Shehzad K, Riaz F, Zafar MI. Significance of parents’ involvement, cultural religious values, gender role and family teaching values in relation to children’s personality development and their educational achievements in Punjab Province, Pakistan. Journal of Religion and Society. 2025 Dec 3;4(02):568-84.

Haider S. Is playtime a luxury for children and youth? Express Tribune. 2023.

Lillard AS, Lerner MD, Hopkins EJ, Dore RA, Smith ED, Palmquist CM. The impact of pretend play on children's development: a review of the evidence. Psychological bulletin. 2013 Jan;139(1):1.

Pellegrini AD, Smith PK. The Nature of Play: Great Apes and Humans. 2021 ed.

Hansen Sandseter EB, Kleppe R, Ottesen Kennair LE. Risky play in children’s emotion regulation, social functioning, and physical health: an evolutionary approach. International journal of play. 2023 Jan 2;12(1):127-39.

Whitebread D et al. The importance of play. University of Cambridge; 2022.

World Health Organization. Guidelines on physical activity, sedentary behaviour and sleep for children. 2021 update.

Zosh JM et al. Learning through play: a review of the evidence. LEGO Foundation; 2021.

Shorer M, Ben-Ami N, Ezra S, Nahari A, Cohen S. Can we guide parents to be playful? The effect of stimulated parental playfulness on children's emotional expression. Early Child Development and Care. 2025 Feb 17;195(3):147-62.

Feniger-Schaal R, Constien T, Orkibi H. Playfulness in times of extreme adverse conditions: A theoretical model and case illustrations. Humanities and Social Sciences Communications. 2024 Oct 30;11(1):1-0.

Rüdisüli C, Duss I, Lannen P, Wustmann Seiler C. Relations between teacher–child interaction quality and children’s playfulness. Early child development and care. 2024 Jun 10;194(7-8):883-97.

Lanning AC. Reconnecting to Our Child-Like" Twinkle" How Play May Restore the Magic in Our Lives (Master's thesis, University of West Georgia).

Feniger‐Schaal R, Stern A, Elizarov E. The effect of medical/therapeutic clowns on the playfulness of children with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities. 2023 Jan;36(1):186-95.

Fells G. What do we need? Exploring how the creation and performance new music can be regulating, healing, beneficial for wellbeing and provide self-care for neurodiverse musicians, including myself. This PhD encompasses my navigating my needs as an artist with ADHD and Autism as well as being researched and written through the eleven unique perspectives of my DID* system.* DID-Dissociative Identity Disorder is a condition characterised by experiences of amnesia and the presence of 2 or more distinct identities ... (Doctoral dissertation, University of Antwerp).

Hoffmann J, Russ S. Pretend play, creativity, and emotion regulation in children. Psychology of aesthetics, creativity, and the arts. 2012 May;6(2):175.

Johnstone A, Martin A, Cordovil R, Fjørtoft I, Iivonen S, Jidovtseff B, Lopes F, Reilly JJ, Thomson H, Wells V, McCrorie P. Nature-based early childhood education and children’s social, emotional and cognitive development: A mixed-methods systematic review. International journal of environmental research and public health. 2022 May 13;19(10):5967.

Beaulieu E, Beno S. Healthy childhood development through outdoor risky play: Navigating the balance with injury prevention. Paediatrics & child health. 2024 Jul;29(4):255-61.

Fjørtoft I. The natural environment as a playground for children: The impact of outdoor play activities in pre-primary school children. Early childhood education journal.

Gradi N, Chopin A, Bavelier D, Shechner T, Pichon S. Evaluating the effect of action-like video game play and of casual video game play on anxiety in adolescents with elevated anxiety: protocol for a multi-center, parallel group, assessor-blind, randomized controlled trial. BMC psychiatry. 2024 Jan 19;24(1):56.Verenikina I, Kervin L. Digital play and learning. J Early Child Lit. 2022;22(2):267-285.

Vygotsky LS. Mind in Society (re-issue). Harvard Univ Press; 2023.

Whit M, Stoecklin V. Children’s play and learning environments. White Hutchinson; 2020.

Beheiry DA, Gabr HS. The child as an active participant: enhancing the child's attachment to kindergartens through architectural design. Archnet-IJAR: International Journal of Architectural Research. 2022 Feb 14;16(1):46-68.

Whitaker J, Tonkin A. Play for health across the lifespan: Stories from the seven ages of play. Routledge; 2021 May 17.

Russ SW, Lee AW. Pretend play and creativity. InCreativity and Innovation 2021 Sep 3 (pp. 133-149). Routledge.

Downloads

Published

2025-12-25

How to Cite

Khan, A. S., & Malik, S. B. (2025). The Impact of Playfulness on the Development of School-Aged Children in Keamari, Karachi: Playfulness and Development in Children. Pakistan Journal of Occupational Therapy and Health , 1(2), 25–30. Retrieved from https://pjoth.com/index.php/anp/article/view/32

Similar Articles

1 2 > >> 

You may also start an advanced similarity search for this article.