Parental experiences of children with developmental dysplasia of the hip: a qualitative study

• Published in: BMJ open Vol. 12; no. 9; p. e062585
• Main Authors: Theunissen, WWES, van der Steen, MC, van Veen, MR, van Douveren, FQMP, Witlox, MA, Tolk, JJ
• Format: Journal Article
• Language: English
• Published: London British Medical Journal Publishing Group 23-09-2022; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: Age; Children & youth; Gender; hip; Households; Information sources; Interviews; Medical diagnosis; Medical referrals; Medical research; Orthopedics; paediatric orthopaedic & trauma surgery; paediatric orthopaedics; paediatrics; Parents & parenting; Patients; Pediatrics; Qualitative Research; Surgery; Ultrasonic imaging; Netherlands
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2022-062585

ObjectiveThe aim of this qualitative study was to explore the experiences of Dutch parents of children with developmental dysplasia of the hip (DDH), treated with a Pavlik harness, during the diagnostic and treatment process in the first year of life.DesignA qualitative study by means of semistructured interviews was conducted between September and December 2020. Qualitative content analysis was applied to code, categorise and thematise data.SettingA large, tertiary referral centre for paediatric orthopaedics in the Netherlands.ParticipantsA purposive sample of parents of children aged younger than 1 year, who were treated for DDH with a Pavlik harness, were interviewed until data saturation was achieved. A total of 20 interviews with 22 parents were conducted.ResultsFive main themes emerged: (1) positive experiences with professionals and peers, (2) insufficient information, (3) treatment concerns, (4) difficulties parenting and (5) emotional burden. Most prominent features that resonated across the interviews which led to insecurity by parents were: insufficient pre-hospital information, unfiltered online information and the lack of overview of the patient journey.ConclusionThis study offers novel insights into parental experiences in DDH care. Parents were generally satisfied with DDH care provided by the hospital. The biggest challenges were to cope with (1) insufficient and unfiltered information, (2) the lack of patient journey overview and (3) practical problems and emotional doubts, which led to concerns during treatment. Future research and interventions should focus on optimising information provision and guidance with practical and emotional support for parents of children with DDH.