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Characteristics of the home environment in children with developmental delays: insights from a cross-sectional study
Emel Ömercioğlu1, Ebru Cihan Çam1, Ömer Nazım Gülçek2
1Division of Developmental Pediatrics, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, Turkiye.
Insights
Children with developmental delays have less stimulating home environments and experience more physical violence. Early interventions are crucial, especially for low-income families in disadvantaged settings.
Area of Science:
- Child Development
- Pediatrics
- Public Health
Background:
- A stimulating home environment is vital for early childhood development.
- Children with developmental delays may face unique environmental challenges.
- This study focuses on children with developmental delays lacking special education support.
Purpose of the Study:
- To evaluate the home environment of preschool children with developmental delays.
- To compare home stimulation levels between children with and without developmental delays.
- To identify factors associated with home stimulation in this population.
Main Methods:
- The study included 50 preschool children with developmental delay and 70 typically developing peers.
- Developmental assessments used the Ages and Stages Questionnaire (ASQ).
- Home environment characteristics were assessed using the Home Environment Questionnaire (HEQ).
Main Results:
- Children with developmental delays had significantly lower home stimulation scores (p < 0.001).
- Physical violence was reported by 34% of parents of children with developmental delays (p < 0.001).
- Developmental delay, socioeconomic status, and family size were associated with home stimulation scores.
Conclusions:
- Children with developmental delays experience less stimulating home environments and higher rates of physical violence.
- Targeted interventions are needed, prioritizing low-income families in disadvantaged areas.
- Early childhood caretakers and public health professionals should collaborate on these interventions.
Background/Aim:
A stimulating home environment in early childhood plays a crucial role in fostering child development. This study aimed to evaluate the home environment of children with developmental delays and who had not received special education support in any developmental domain.
Materials And Methods:
The study comprised of 50 preschool children with developmental delay monitored at Hacettepe University Division of Developmental Pediatrics and 70 typically developing preschool children from Ankara 29 Mayıs State Hospital, General Pediatrics Department. Physicians and experienced child development professionals employed the Ages and Stages Questionnaire (ASQ) to perform developmental assessments on each child. The characteristics of the home environment for all participants were evaluated using the Home Environment Questionnaire (HEQ), and their sociodemographic details were recorded.
Results:
The home stimulation scores for children with developmental delay were significantly lower compared to those for their typically developing peers (p < 0.001). Physical violence against children was reported by 34% of parents of children with developmental delays (p < 0.001). The presence of developmental delay (p < 0.001, CI 12.629-7.927), the family socioeconomic status (p = 0.002, CI 3.813-1.486), and the number of family members (p = 0.001, Cl 2.595-0.708) were significantly associated with home stimulation scores.
Conclusion:
Initial assessment of children with developmental delays suggest that the stimuli in their home environment are of lower quality relative to those of typically developing peers, and these children are subjected to markedly higher levels of physical violence. These results underscore the need for early childhood caretakers, public health practitioners, and other professionals to design and implement targeted interventions, particularly prioritizing low-income families living in disadvantaged environments.
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