The Effects of a Health Literacy Promotion Program on the Developmental Surveillance and Promotion Manual (DSPM) for Mothers' Receiving Services at the Well Child Clinic at the Metropolitan Health and Wellness Institute, Bangkok
Keywords:
DSPM, health literacy, well child clinic, metropolitan health development instituteAbstract
This quasi-experimental research, two-groups, pre-posttest design research aimed to study the effects of a health literacy promotion program on the use of a developmental surveillance and promotion manual (DSPM) on the health literacy knowledge, length of care received, and satisfaction with care after receiving the program. Data were collected from 144 mothers taking their child aged 2 months, 4 months, or 9 months to receive health care services at the well child clinic at the Metropolitan Health and Wellness Institute in Bangkok. They were randomly assigned into two groups. The 72 participants assigned to the experimental group received the health literacy promotion program for 8 weeks and the 72 participants in the control group received usual care. Data were collected to assess their knowledge about using the DSPM and their satisfaction with the services provided. The content validity indexes (CVI) of the instruments were .91, and .90, respectively. The instruments’ Chronbach alpha's coefficients were .83, and .82, respectively. Data were analyzed using descriptive statistics, frequencies, percentages, means, standard deviations, paired sample t-tests, and independent sample t-tests.
The results showed that, after participating in the program, the experimental group had a mean score for health literacy related to using the DSPM that was statistically significantly higher than that before the program. The experimental group also had mean scores for health literacy related to using the DSPM, and satisfaction with the service which were statistically significantly higher than those of the control group. However, the average duration of service within the experimental group was significantly less than that of the control group. The results pointed out that the health literacy promotion program could effectively help promote the mothers’ knowledge about using the DSPM thus help them to regularly and continuously promote their child's development at home. Moreover, it indicated that it might help the mother to be able to assess their child's development correctly before coming to receive services. As a result, the length of time spent for developmental examinations could be reduced.
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