The barriers and motivation of parents to take their children with developmental delays for TEDA4I developmental stimulation from 2021 - 2022 in Health Region 1, Thailand
Keywords:
early childhood, developmental delay, developmental stimulation, TEDA4IAbstract
Objective: To explore the barriers and motivation of parents in taking their children aged birth to five years with developmental delays for developmental stimulation with the Thai Early Developmental Assessment for Intervention (TEDA4I) from 2021 - 2022 in Health Region 1, Thailand.
Methods: This mixed-method study consisted of a retrospective analysis of the Health Data Center database and phone interviews to collect data on developmental screening results, follow-up status, and parental barriers and motivation regarding developmental stimulation. Data were analyzed by using descriptive statistics, chi-square test, and Wilcoxon rank-sum test.
Results: A total of 1,061 parents agreed to participate in the study, with the majority being female (81.0%) and 21 - 50 years old (87.9%). Most children were male (67.9%) and had at least one area of developmental delay (76.7%). Key factors influencing attendance at the TEDA4I sessions included the child’s gender and age, developmental status, and distance to stimulation centers. Approximately 43.6% of the participants reported that they could not bring their children to the sessions, primarily due to perceived lack of time, childcare expenses, and travel distance. Additionally, 23.8% of this group declined to bring their children back to stimulation due to time-consuming and/or believing that it was unnecessary. In contrast, those able to take their children for stimulation as appointments reasoned that their children still had developmental delay or showed improvement from the last stimulation.
Conclusion: Travel challenges, financial constraints, and parental attitudes present significant barriers to children’s proper developmental stimulation. An online system to monitor children in need of TEDA4I developmental stimulation, alongside policies aimed at raising awareness of this issue, should be implemented.
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