Abstract

Objective Parental recognition of children's developmental milestones has been correlated with more effective childcare strategies and overall better outcomes for children. However, the knowledge that parents have about children's development remains uncertain which reflects serious concerns about children's health in Saudi Arabia. Therefore, this study was undertaken to identify parents' knowledge levels about children's developmental milestones and the information sources they rely on for this knowledge. Study Design. We recruited 1471 parents aged ≥18 with at least one child under 14 and living in Riyadh to participate in an online survey between July of 2019 and January of 2020. Results Most respondents showed a poor level of knowledge (80.0%) in all of four domains. However, mothers had more acceptable levels of knowledge (21.0%) than fathers (10.0%) (p ≤ 0.01). There was a significant association between knowledge and age at first child's birth; respondents who had their first child between 39 and 50 had the highest levels of knowledge (37.5%; p ≤ 0.01). In the four domains of development, parents were found to have the most knowledge about physical development (52.3%), followed by cognitive development (21.6%), social development (21.5%), and emotional development (21.2%). Only a few parents (5%) claimed to always rely on their healthcare professionals for information. Conclusion There is a lack of appropriate knowledge about developmental milestones among parents, which reflects serious concerns about children's health in Saudi Arabia. Healthcare institutions and pediatricians currently play a minimal role in health education. Effective health education programs and strategies should be implemented to improve child development outcomes in the community.

Highlights

  • Children’s early life experiences play an important role in shaping productive community members

  • We aim to identify the sources of information that parents in Saudi Arabia rely on for gathering knowledge about children’s developmental milestones

  • The majority of parents had undesirable levels of knowledge and were incapable of correctly answering questions related to children’s developmental milestones; gaps in knowledge about child development exist among parents, females were more competent in identifying milestones than their male counterparts

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Summary

Introduction

Children’s early life experiences play an important role in shaping productive community members. This is especially true of the experiences that happen in the first five years of life, as this period is significant with regard to children’s physical and mental development [1]. Due to parents being the main caregivers of children in their earlier years, parental awareness of developmental milestones helps them create a healthy environment, have appropriate expectations, and interact positively with their child [7,8,9]. It has previously been observed that parents with a low level of knowledge about child development demonstrated neglectful and abusive behaviors towards their children, and they were frustrated by the incompatibility of their expectations with their child’s development [10]. Studies done in Western countries have noted the importance of maternal knowledge about child

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