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Published on: June 20, 2020
Bridging the Gap: Parents' Knowledge of Childhood Developmental Milestones and the Early Identification of Children
Haitham M Alghamdi1,2, Bsaim A Altirkistani1, Rabea A Baatya1
1College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Insights
Parental knowledge of child developmental milestones is alarmingly low, with only 11% demonstrating adequate understanding. Early detection of developmental delays requires improved parental awareness and education on milestone acquisition.
Area of Science:
- Pediatric Health
- Developmental Psychology
- Public Health
Background:
- Monitoring children's developmental milestones is crucial for early detection of delays and intervention.
- Parents play a vital role in identifying developmental delays, complementing pediatricians' evaluations.
- Early intervention can significantly enhance a child's cognitive and social development, promoting independence.
Purpose of the Study:
- To assess parental knowledge of warning signs for delayed developmental milestones.
- To analyze demographic factors influencing parental knowledge of developmental milestones.
- To identify specific developmental domains where parental knowledge is lacking.
Main Methods:
- A cross-sectional study involving 376 parents of children attending pediatric clinics in Jeddah, Saudi Arabia.
- A structured questionnaire with 16 option-based questions assessed knowledge of milestone acquisition ages.
- A passing score of 10 out of 16 was established to define adequate knowledge.
Main Results:
- Only 11% of parents (41 out of 376) met the minimum knowledge threshold.
- The majority of parents (89%) demonstrated insufficient knowledge of developmental milestone timelines (mean score 6.59).
- Knowledge accuracy was highest for motor and cognitive domains, but lower for language and social domains.
Conclusions:
- A significant gap exists in parental knowledge of typical developmental milestone trajectories, even among educated parents with access to health resources.
- There is a critical need for a national initiative to enhance parental understanding and proactive monitoring of child development.
- Improving parental awareness is essential for timely intervention and optimizing children's developmental outcomes.
Abstract:
Background Monitoring children's acquisition of developmental milestones is integral to pediatric practice. Though pediatricians are responsible for evaluating children's development, parents have a crucial role in addressing delays as early as possible, where early detection of developmental delay can help in early intervention and ultimately potentiate a child's cognitive and social abilities toward an independent life. This study assesses parental knowledge of the warning signs denoting delayed developmental milestone acquisition, in addition to analyzing demographic variables that may influence their level of knowledge. Methods This cross-sectional study included 376 parents of children attending pediatric clinics in National Guard Health Affairs- King Abdulaziz Medical City, in Jeddah, Saudi Arabia. A two-section structured questionnaire was utilized. It included 16 option-based questions with one correct answer, while the other options were either an under or overestimate of the age at which the child should acquire a particularly significant milestone development across different domains. A score of 10 out of 16 was chosen as the minimum to show the appropriate level of knowledge. Results Most participants (n=282; 75%) were women, and 174 (46.27%) were between 29 and 39 years old. The highest reported level of education was college or higher (n=214; 56.91%). Only 41 (11%) parents had the required level of knowledge, while the remaining 335 (89%) fell short of meeting the passing level (mean 6.59, SD= 2.72). The motor domain had the highest level of accuracy, followed closely behind the cognitive domain. The language and social domains exhibited lower levels of accuracy. Conclusions Despite the majority of parents in this group possessing a college education and availing multiple health resources, there is a significant gap in their knowledge of typical trajectories of development milestones. Thus, there is a need for a nationwide initiative to promote the parent's proactive role in monitoring their children's growth.
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