The Influence of Parental Knowledge and Experience on Behavioral Management in Child Rearing
DOI:
https://doi.org/10.33755/jkk.v12i1.939Keywords:
Children, behavioral management, experience, knowledge, parentsAbstract
Background: Children’s emotional reactions, such as fear or resistance, are strongly influenced by how parents manage their behavior during medical procedures. Effective behavioral management which means parenting practices in managing children’s behavior, plays a crucial role in helping children face medical procedures calmly and cooperatively. Various factors may affect implementation of behavioral management, including knowledge and experience.
Objective: This study aimed to examine the association of parents’ knowledge and experience on the implementation of behavioral management in parenting.
Methods: This study employed a quantitative, non-experimental design. The population consisted of parents whose children received health examinations at the Pediatric Outpatient Clinic, with a total of 70 participants selected using accidental sampling. Data were analyzed using ordinal logistic regression.
Results: Respondents with poor knowledge had a 68% lower likelihood of demonstrating better behavior management compared with those with good knowledge (OR = 0.32; 95% CI: 0.10–0.96; p = 0.05), while moderate knowledge showed a similar but statistically non-significant trend (OR = 0.42; p = 0.09). Respondents with poor experience had a 70% lower likelihood of exhibiting better behavior management (OR = 0.30; 95% CI: 0.09–1.00; p = 0.05), whereas moderate experience was not significantly associated with behavior management (OR = 1.18; p = 0.73).
Conclusion: Parents are expected to apply behavioral management strategies in clinical setting based on knowledge and experience to reduce fear and anxiety in children, such as preparatory communication, distraction techniques, play therapy and collaboration with health care staff.
References
1. The National Academies of Science Enginering Medicine. Parenting Matters: Supporting Parents of Children Ages 0-8. Gadsden VL, Ford M, Breiner H, editors. Wahington DC: The National Academic Press; 2016.
2. Sullivan JA, Zvara BJ, Keim SA, Andridge R, Anderson SE. Knowledge of Infant Development and Parent Well-Being: Cross-Sectional Analysis of Toddlers. J Dev Behav Pediatr [Internet]. 2021 Aug;42(6):442–9. Available from: https://journals.lww.com/10.1097/DBP.0000000000000918
3. Iwanski A, Lichtenstein L, Paulus J, Werner C, Walper S, Vierhaus M, et al. Parental emotion regulation and children’s mental health: Longitudinal mediation by parenting stress and sensitive challenging parenting. Pers Individ Dif [Internet]. 2025 Nov;246:113262. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0191886925002247
4. Do H, McCoy DC. The Relations Between Caregiver Education, Home Stimulation, and Children’s Developmental Outcomes: Research in Majority World Countries. Int J Early Child [Internet]. 2025 Apr 10;57(1):295–318. Available from: https://link.springer.com/10.1007/s13158-024-00398-x
5. Jeong J, Franchett EE, Ramos de Oliveira C V., Rehmani K, Yousafzai AK. Parenting interventions to promote early child development in the first three years of life: A global systematic review and meta-analysis. Persson LÅ, editor. PLOS Med [Internet]. 2021 May 10;18(5):e1003602. Available from: https://dx.plos.org/10.1371/journal.pmed.1003602
6. Wright JH, Cox MN, Giuliani NR. Caregiver Assistance with Young Children’s Emotion Regulation Strategies: Correspondence Between Global and Momentary Reports. Affect Sci [Internet]. 2025 Sep 6;6(3):403–13. Available from: https://link.springer.com/10.1007/s42761-025-00308-x
7. Paley B, Hajal NJ. Conceptualizing Emotion Regulation and Coregulation as Family-Level Phenomena. Clin Child Fam Psychol Rev [Internet]. 2022 Mar 30;25(1):19–43. Available from: https://link.springer.com/10.1007/s10567-022-00378-4
8. Puskesmas Tajinan. Laporan Kinerja Puskesmas Tajinan. Kabupaten Malang; 2025.
9. Patel J, A S, Patel B. Separation Anxiety Among Toddlers Due to Long Hospitalization: A Narrative Review. J Perinat Pediatr Neonatal Nurs [Internet]. 2025;7(2). Available from: https://matjournals.net/nursing/index.php/JPPNN/article/view/458
10. Coyne I, Hallström I, Söderbäck M. Reframing the focus from a family-centred to a child-centred care approach for children’s healthcare. J Child Heal Care [Internet]. 2016 Dec 25;20(4):494–502. Available from: https://journals.sagepub.com/doi/10.1177/1367493516642744
11. Santrock JW. Life-Span Development. 17th ed. New York: McGraw-Hill Education; 2019.
12. Sağlık DS, Çağlar S. The Effect of Parental Presence on Pain and Anxiety Levels During Invasive Procedures in the Pediatric Emergency Department. J Emerg Nurs [Internet]. 2019 May;45(3):278–85. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30121121
13. Sobol-Kwapińska M, Sobol M, Woźnica-Niesobska E. Parental behavior and child distress and pain during pediatric medical procedures: Systematic review and meta-analysis. Health Psychol [Internet]. 2020 Jul;39(7):558–72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32281822
14. Staddon J. Theoretical Behaviorism. In: Contemporary Behaviorisms in Debate [Internet]. Cham: Springer International Publishing; 2021. p. 79–95. Available from: https://link.springer.com/10.1007/978-3-030-77395-3_7
15. Rienks K, Salemink E, Laas Sigurðardóttir LB, Melendez-Torres GJ, Staaks JPC, Leijten P. Supporting parents to reduce children’s anxiety: A meta-analysis of interventions and their theoretical components. Behav Res Ther [Internet]. 2025 Feb;185:104692. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0005796725000142
16. Graaf JVH De, Hoogenboom M, Roos S De, Bucx F. Socio-demographic Correlates of Fathers’ and Mothers’ Parenting Behaviors. J Child Fam Stud [Internet]. 2018 Jul 22;27(7):2315–27. Available from: https://link.springer.com/10.1007/s10826-018-1059-7
17. Elgar FJ, Waschbusch DA, Dadds MR, Sigvaldason N. Development and Validation of a Short Form of the Alabama Parenting Questionnaire. J Child Fam Stud [Internet]. 2007 Apr 22;16(2):243–59. Available from: https://link.springer.com/10.1007/s10826-006-9082-5
18. Kyriazos TA, Stalikas A. Alabama Parenting Questionnaire—Short Form (APQ-9): Evidencing Construct Validity with Factor Analysis, CFA MTMM and Measurement Invariance in a Greek Sample. Psychology [Internet]. 2019;10(12):1790–817. Available from: http://www.scirp.org/journal/doi.aspx?DOI=10.4236/psych.2019.1012117
19. Kyriazos TA, Stalikas A. Nicomachus-Positive Parenting (NPP): Development and Initial Validation of a Parenting Questionnaire within the Positive Psychology Framework. Psychology [Internet]. 2019;10(15):2115–65. Available from: https://www.scirp.org/journal/doi.aspx?doi=10.4236/psych.2019.1015136
20. Syandri F, Latifah M. Mother’s Knowledge, Parenting Style, And Motor Development in Stunting and Non-Stunting Toddler. J Child, Fam Consum Stud [Internet]. 2024 Jun 27;3(2):107–16. Available from: https://journal.ipb.ac.id/index.php/jcfcs/article/view/52454
21. Ferreira JM, Midgette AJ. Learning and teaching care within the family: Experiential learning reflecting informal teaching. J Soc Pers Relat [Internet]. 2024 Apr 3;41(4):971–96. Available from: https://journals.sagepub.com/doi/10.1177/02654075231211359
22. Garg S, Kothiwale T, Parihar R. A Review of Factors Influencing Parental Perception of Parenting. Int J Indian Psychol [Internet]. 2024;12(2):1–18. Available from: https://www.ijip.in
23. Onishi R. Parental Information-Use Strategies in a Digital Parenting Environment and Their Associations With Parental Social Support and Self-Efficacy: Cross-Sectional Study. JMIR Pediatr Parent [Internet]. 2024 Dec 19;7:e58757. Available from: http://www.ncbi.nlm.nih.gov/pubmed/39700496
24. Indrasari SY, Affiani L. Peran persepsi keterlibatan orang-tua dan strategi pengasuhan terhadap parenting self-efficacy. J Psikol Sos [Internet]. 2018 Aug 31;16(2):74–85. Available from: http://jps.ui.ac.id/index.php/jps/article/view/jps.2018.8
25. Gao F, Xu C, Lv Q, Zhao Y, Han L. Parent-child communication and educational anxiety: a longitudinal analysis based on the common fate model. BMC Psychol [Internet]. 2024 Oct 28;12(1):594. Available from: https://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-024-02093-x
26. Mo X, Wang Z, Shao J. Parent-child attachment and good behavior habits among Chinese children: Chain mediation effect of parental involvement and psychological Suzhi. Gros-Louis JJ, editor. PLoS One [Internet]. 2021 Jan 6;16(1):e0241586. Available from: https://dx.plos.org/10.1371/journal.pone.0241586
27. Twork K, Ludwig J, Kiess W, Poulain T. Parent-child interaction frequency: associations with age, sibling presence, and child health. Pediatr Res [Internet]. 2025 Jul;98(1):114–20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/39543403
28. Ke J, Luo B, Huang C, Tong Y, Wang Y, Li X, et al. Associations between the number of siblings, parent-child relationship and positive youth development of adolescents in mainland China: A cross-sectional study. Child Care Health Dev [Internet]. 2024 May;50(3):e13259. Available from: http://www.ncbi.nlm.nih.gov/pubmed/38578056
29. Huang C, Shen AC, Li X, Feng JY. Happy parents, happy kids: Marital happiness, parenting styles, and children’s behavioral outcomes in Chinese societies. Fam Relat [Internet]. 2024 Jul 24;73(3):1763–80. Available from: https://onlinelibrary.wiley.com/doi/10.1111/fare.12997
30. Segers EW, Ketelaar M, de Man MACP, Schoonhoven L, van de Putte EM, van den Hoogen A. How to support children to develop and express their coping preferences around minor invasive medical procedures: children’s and parents’ perspectives. Eur J Pediatr [Internet]. 2023 Oct 3;182(12):5553–63. Available from: https://link.springer.com/10.1007/s00431-023-05222-7
31. Chrisler AJ, Claridge AM, Staab J, Daniels SR, Vaden V, McTaggart D. Current evidence for the effectiveness of psychosocial interventions for children undergoing medical procedures. Child Care Health Dev [Internet]. 2021 Nov;47(6):782–93. Available from: http://www.ncbi.nlm.nih.gov/pubmed/34322912
32. Emerson ND, Bursch B. Communicating with Youth about Pain: Developmental Considerations. Child (Basel, Switzerland) [Internet]. 2020 Oct 15;7(10). Available from: http://www.ncbi.nlm.nih.gov/pubmed/33076255
33. Gökoğlu A, Sukut Ö. Should I play or should I watch: the effects of active and passive distraction methods on children’s pain, fear and anxiety during invasive procedures: a randomized controlled clinical trial. BMC Pediatr [Internet]. 2025 Oct 28;25(1):875. Available from: http://www.ncbi.nlm.nih.gov/pubmed/41152799
34. Goktas N, Avci D. The effect of visual and/or auditory distraction techniques on children’s pain, anxiety and medical fear in invasive procedures: A randomized controlled trial. J Pediatr Nurs [Internet]. 2023 Nov;73:e27–35. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0882596323001823
35. Abdi F, Karamoozian A, Lotfilou M, Gholami F, Shaterian N, Niasar AA, et al. Effect of play therapy and storytelling on the anxiety level of hospitalized children: a randomized controlled trial. BMC Complement Med Ther [Internet]. 2025 Jan 24;25(1):23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/39856674
36. Zengin M, Yayan EH, Düken ME. The Effects of a Therapeutic Play/Play Therapy Program on the Fear and Anxiety Levels of Hospitalized Children After Liver Transplantation. J PeriAnesthesia Nurs [Internet]. 2021 Feb;36(1):81–5. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1089947220302422
37. Hay S, Kinney S, Richards S, Newall F, Hawley M, O’Neill J. Parents’ Experiences of Holding Their Child for Healthcare Procedures: A Qualitative Exploratory Study. J Adv Nurs [Internet]. 2025 Dec;81(12):8839–47. Available from: http://www.ncbi.nlm.nih.gov/pubmed/40172863
38. Seniwati T, Rustina Y, Nurhaeni N, Wanda D. Patient and family-centered care for children: A concept analysis. Belitung Nurs J [Internet]. 2023;9(1):17–24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/37469640
39. Sholikha DW. Pendidikan Parenting : Mengembangkan Kemampuan Orang Tua Dalam Mendidik Anak. Educatio [Internet]. 2023 Feb 15;17(2):178–91. Available from: https://e-journal.hamzanwadi.ac.id/index.php/edc/article/view/9437
40. Li D, Li W, Zhu X. Parenting style and children emotion management skills among Chinese children aged 3–6: the chain mediation effect of self-control and peer interactions. Front Psychol [Internet]. 2023 Sep 18;14. Available from: https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1231920/full
41. Park YR, Nix RL, Gill S, Hostetler ML. What kind of parenting is associated with early self-control among toddlers living in poverty? The importance of learning support. Dev Psychol [Internet]. 2022 Mar;58(3):425–37. Available from: http://www.ncbi.nlm.nih.gov/pubmed/35007108
42. Puglisi N, Rattaz V, Favez N, Tissot H. Father involvement and emotion regulation during early childhood: a systematic review. BMC Psychol [Internet]. 2024 Nov 19;12(1):675. Available from: http://www.ncbi.nlm.nih.gov/pubmed/39558210
43. Pena-Shaff J, Heckart A, Mannion C, Barry K. Caregivers’ anxiety and perception of their children’s wellbeing: a year into the COVID-19 pandemic. Front Psychol [Internet]. 2023 May 18;14. Available from: https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1115322/full
44. Muthmainah, Dody Hartanto. Self-Control of Children Aged 3-4 Years: Predictor Effects of Gentle Parenting and Parents Coping Skills. J Pendidik Anak Usia Dini Undiksha [Internet]. 2025 Apr 25;13(1):142–53. Available from: https://ejournal.undiksha.ac.id/index.php/JJPAUD/article/view/84400












