Factors Related to Toddler Development in the Lao People's Democratic Republic
Keywords:
Toddler, Toddler development, Nutritional status, Knowledge of toddler developmentAbstract
Toddler is an important stage of child growth and development. Natural factors (nature) and environmental factors (nurture) affect child development. This descriptive correlational research aimed to study toddler development and identify relationships between nutritional status, mothers' knowledge of toddler development, and toddler development. The participants consisted of 107 pairs of mothers and toddlers seeking service from the Children's Hospital of the Lao People's Democratic Republic. Research instruments included a general information questionnaire, a toddler nutritional assessment form, a maternal knowledge of toddler development assessment form, and an early childhood development surveillance and promotion record form. All instruments underwent content validity and reliability testing. Descriptive statistics, Fisher's exact test, and Spearman’s rank correlation coefficient were used to analyze data.
Findings showed 52.34% of toddlers having appropriate development. Toddlers with suspected developmental delay covered one, two, and three domains. Toddlers with one domain of suspected developmental delay constituted 64.70% of which the highest percentage (48.48%) belonged to receptive language. There was significant correlation between toddler nutrition status and toddler development (p < 0.05). Maternal knowledge of toddler development showed a statistically significant positive relationship with toddler development (r = 0.193, P < 0.05).
The results of this study provide preliminary data on toddler development and its related factors. Healthcare professionals may utilize this data to plan for promotion or encouragement of toddler development among mothers in the Lao People's Democratic Republic.
References
Association for Psychological Science. (2013). Diet, parental behavior and preschool can boost children's IQ. ScienceDaily. www.sciencedaily.com/releases/2013/01/130125111339.htm
Black, M. M., Walker, S. P., Fernald, L. C. H., Andersen, C. T., DiGirolamo, A. M., Lu, C., McCoy, D. C., Fink, G., Shawar, Y. R., Shiffman, J., Devercelli, A. E., Wodon, Q. T., Vargas-Barón, E., & Grantham-McGregor, S. (2017). Early childhood development coming of age: Science through the life course. Lancet (London, England), 389(10064), 77–90. https://doi.org/10.1016/S0140-6736(16)31389-7
Bloom, B. S. (1975). Taxonomy of educational objectives: The classification of educational goals: Handbook 1: Cognitive domain (20th ed.). David McKay.
Brinkman, S. A., Sincovich, A., & Danchev, P. N. (2016). The status of early childhood health and development in northern Lao PDR. World Bank Group. http://documents.worldbank.org/curated/en/228221488446175113/The-status-of-early-childhood-health-and-development-in-northern-Lao-PDR
Bureau of Nutrition Department of Health. (2021). Standard features weighing scale Length or height measuring device of children aged 0 - 5 years. http://core-website.com/public/dispatch_upload/backend/core_dispatch_254286_1.pdf
Centers for Disease Control and Prevention. (2022). Developmental milestones. Centers for Disease Control and Prevention.
Children's Hospital Lao People Democratic Republic. (2020). Annual report 2020 of children's hospital. Vientiane Capital.
Chivanon, N., & Wacharasin, C. (2012). Factors influencing Thai parent–child interaction in a rapidly changing industrial environment. International Journal of Nursing Practice, 18(Suppl. 2), 8-17.
Christodoulou, P., Christopoulou, F., Stergiou, A., & Christopoulos, K. (2020). Quality of life of parents of children with disabilities. European Journal of Education and Pedagogy, 1(1). https://doi.org/10.24018/ejedu.2020.1.1.1
Collier, W. G. (2021). Nature versus nurture. https://sk.sagepub.com/reference/psychology/n60.xml
de Castro Ribas Jr, R., de Moura, M. L. S., & Bornstein, M. H. (2003). Socioeconomic status in Brazilian psychological research: II. Socioeconomic status and parenting knowledge. Estudos de Psicologia (Natal), 8(3), 385-392.
Global Research on Developmental Disabilities Collaborators. (2018). Developmental disabilities among children younger than 5 years in 195 countries and territories, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet Glob Health, 6, e1100–e1121. https://www.thelancet.com/action/showPdf?pii=S2214-109X%2818%2930309-7
Hartnett, J. K. (2022). Delayed speech or language development. https://kidshealth.org/en/parents/not-talk.html
Inthathirath, T. (2021). Screening and evaluation of delay development in children below 5 years at National children’s hospital Vientiane lao PDR [Unpublished master’s thesis]. University of health Sciences.
Kaewlee, P. (2016). Factors related to early childhood development in Ubon Ratchathani Municipality. The 1st Rajathani academic conference and presentation of the work "Create Enhance interdisciplinarity Mixing Thai culture Glide confidently into AC, 1675-1685. (in Thai)
Klunklin, P. (2018). Nursing care for child health promotion (2nd ed.). Smart Coating and Service. (in Thai)
Kueiad, N., Chaimay, B., & Woradet, S. (2018). Early childhood development among Thai children aged under 5 years: A literature review. The Southern College Network Journal of Nursing and Public Health, 5(1), 224-239. (in Thai)
Losatiankit, P., Kangkan, W., Pupongpunkul, K., Phanpong, C., Saenjai, M., Prasith-thimet, T., Bunleang, W., Chunhakhantarot, P., Toopcham, N., Ratnan, Y., Janchua, D., Rueangsri, C., & Suwanbandit, S. (2017). Situation of Thai childhood development in 2014. Journal of Health Science of Thailand, 26(Suppl. 2), S199-S208. https://thaidj.org/index.php/JHS/article/view/193 (in Thai)
McMillin, S. E., Bultas, M. W., Zander, T., Wilmott, J., Underwood, S., Broom, M. A., & Zand, D. H. (2016). The role of maternal knowledge of child development in predicting risk for child maltreatment. Clinical Pediatrics, 55(4), 374–376. https://doi.org/10.1177/0009922815586054
Mother and Child Health Center Ministry of Public Health. (2020). Manual for monitoring and promoting the development of children under 5 years of age. Vientiane Capital.
Murdiningsih, N. K. (2019). Knowledge and parenting patterns with toddler’s growth and Development. International Journal of Public Health Science, 8(2), 179-184. https://media.neliti.com/media/publications/300784-knowledge-and-parenting-patterns-with-to-6254c8ee.pdf
Neesanan, N., Tharaksa, J., Chonchaiya, W., Empremsin, S., & Piyasin, W. (2017). Guide for parents to spread knowledge about child care and development: Early childhood age 0-3 years. Royal College of Pediatricians of Thailand Pediatric Association of Thailand. https://drive.google.com/file/d/1TFPItKAEIkCY_9F-1JBdfvQ6-T1GMPKt/view (in Thai)
Pilun, S., Teemueangsai, W., & Sukmarom, N. (2024). The development of a child development promoting model for children aged 0-5 years with a suspected development delays using community participation in Mueang District Mahasarakham Province. Mahasarakham Hospital Journal, 21(1), 137-152. https://he02.tci-thaijo.org/index.php/MKHJ/article/view/267530/183205 (in Thai)
Polit, D. F., & Beck, C. T. (2014). Essentials of nursing research: Appraising evidence for nursing practice (8th ed.). Lippincott Williams & Wilkins.
Prachuttake, C. (2018). Factors associated with early childhood development in regional health area 9. Regional Health Promotion Center 9 Journal, 12(28), 5–19. (in Thai)
Prendergast, A. J., & Humphrey, J. H. (2021). The stunting syndrome in developing countries. Paediatrics and International Child Health, 34(4), 250-265. https://doi.org/10.1179/2046905514Y.0000000158
Rattanan, Y. (2016). Study of factors affecting the development of Thai early childhood children health area 8. https://hpci.anamai.moph.go.th/hl/Km/KmDetail.aspx?ResCode=25600012 (in Thai)
Rithipukdee, N., & Kusol, K. (2022). Factors associated with the suspected delay in the language development of early childhood in Southern Thailand. Children (Basel, Switzerland), 9(5), 662. https://doi.org/10.3390/children9050662 (in Thai)
Sujaritphong, S., Rungpraiwan, R., Hansakunachai, T., Benjasuwantep, B., Fuengfoo, A., Chuthapisith, J., & Rojmahamongkol, P. (2018). Textbook of child development and behavior volume 4. Child development and behavior club of Thailand. (in Thai)
UNICEF. (2018). Lao social indicator survey II 2017. https://www.unicef.org/laos/reports/lao-social-indicator-survey-lsis-2017
Wacharasin, C., Phaktoop, M., Theinpichet, S., & Chivanon, N. (2013). Association among Selected Factors knowledge of child development and child-abuse risk in families with young children. The Public Health Journal of Burapha University, 8(2), 16-30. (in Thai)
World Health organization [WHO]. (2018). Global nutrition policy review 2016–2017. https://iris.who.int/bitstream/handle/10665/275990/9789241514873-eng.pdf?sequence=1
World Health Organization [WHO]. (2020). Improving early childhood development. https://www.who.int/publications/i/item/97892400020986
Zand, D., Pierce, K., Thomson, N., Baig, M. W., Teodorescu, C., Nibras, S., & Maxim, R. (2014). Social competence in infants and toddlers with special health care needs: The roles of parental knowledge, expectations, attunement, and attitudes toward child independence. Children (Basel), 1(1), 5-20.
Zero to Three. (2016). Toddlers and challenging behavior: Why they do it and how to respond. https://www.zerotothree.org/resource/toddlers-and-challenging-behavior-why-they-do-it-and-how-to-respond/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nursing Journal CMU

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว