ผลของโปรแกรมการส่งเสริมความรอบรู้ด้านสุขภาพต่อพฤติกรรมการส่งเสริมพัฒนาการ ด้านการใช้ภาษาของผู้ดูแล และพัฒนาการด้านการใช้ภาษาในเด็กอายุ 2 - 5 ปี

Thanavee Thanachaibubparom; Apawan  Nookong; Somsiri  Rungamornrat

Authors

Thanavee Thanachaibubparom Faculty of Nursing, Mahidol University, Bangkok
Apawan Nookong Faculty of Nursing, Mahidol University
Somsiri Rungamornrat Faculty of Nursing, Mahidol University

Keywords:

health literacy enhancement program, behaviors for promoting language development, language development, children’s caregivers, children aged 2 - 5 years old

Abstract

Introduction: Promoting health literacy among caregiverss supports the enhancement of language development promoting behaviors in caregivers and improves expressive language in children with developemtal delays.

Research objectives: To compare health literacy and language development promoting behaviors of caregivers, the number of words the child pronounces and the expressive language development of children beteween the experimental and control groups.

Research methodology: This quasi - experimental research was a two – group design. The sample groups were 66 pairs of caregivers and children aged 2 - 5 years with delayed language development (33 per sample group). Data were collected using the health literacy of caregivers’ questionnaire, the language development promoting behaviors questionnaire, the number of words records form and the Manual for Surveillance and Promotion of Early Childhood Development (DSPM). Data were analyzed using Repeated measures ANOVA, Independent t - test, Chi - square and Fisher's Exact test.

Results: Caregivers in the experimental group had significantly higher scores of health literacy and language development promoting behaviors than the control group (F = 9.40, p < .003; F = 4.74, p < .033, respectively). The children in the experimental group did not significantly differ from the control group in terms of expressive language development and the number of words produced by the children. However, after implementing the program, children in the experimental group had higher numbers
of normal language development than control group (p < .01), while the control group was no different.

Conclusion: The health literacy enhancement program can promote health literacy and expressive language development behaviors of caregivers, and children had better expressive language development.

Implications: The intervention should be modifiy specifically to the developmental stage of each children. The program should integrate technology for continuous monitoring and support caregiver’s behaviors for promoting development of children.

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