Family and Community Capability Developing Model Efficacy in Promoting Early Childhood Development of Thailand
Prasert Prasomruk¹, Suraporn Loiha¹, Chanida Thaweewannakij², Kornkawat Darunikorn¹
Affiliation : ¹ Mahidol University Amnatcharoen Campus, Amnatcharoen, Thailand; ² Trakan Phuet Phon Hospital, Trakan Phuet Phon, Ubonratchathani, Thailand
Background: Childhood developmental delay problem is still a global crucial public health problem. Thailand has a high ratio of childhood developmental delay problem, even with the commitment and actions taken to date. Hence, family and community must participate in the childhood developmental intervention program developing model.
Materials and Methods: The present study was done to develop a family and community capability model for childhood developmental promotion. Forty-four children of primary age group, three to five years old, and 40 family caregivers/parents in Ban Tab-Moe Child Development Center (BTMCDC) were tested by a trained person for knowledge related to child developmental delay. The developmental Surveillance and Promotion Manual (DSPM) was also applied. The intervention for the present research included four platforms as 1) training for developing capability of family and community personnel for childhood developmental intervention, 2) conference/seminar set for reflection about the lesson learned and advocated campaign, 3) expanded DSPM model applied to close friends of the mother (Mea Siow), 4) follow up by home visits. All collected data were statistically analyzed by using McNemar’s test and paired sample t-test.
Results: Most primary child caregivers were parents, for 40%, mostly were female, at 92.5%, and over 55 years old for 30%. After implementing the model, they gained knowledge that enabled better care giving behavior changing the childhood developmental intervention with statistically significant difference (p<0.001). The model was able to reduce the number of problem child development condition from eleven cases to one case (p<0.001), with efficacy of family and community capability developed toward child developmental promotion (p<0.001).
Conclusion: Childhood developmental promotion with family and community capability developing model could enhance positively the child development.
Received 7 December 2023 | Revised 16 April 2024 | Accepted 24 April 2024
DOI:10.35755/jmedassocthai.2024.7.14010
Keywords : Childhood developmental disorders (CDD); Family and community capability developing model; Primary child caregivers; Developmental Surveillance and Promotion Manual (DSPM)
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