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Published on: September 19, 2019
Living with unsettled baby behaviours: Qualitative interview study exploring parental perceptions and experiences of
Samantha J Hornsey1, Amy Dobson1, Daniela Ghio2
1Primary Care Research Centre, University of Southampton, Southampton, UK.
Insights
Parents seek answers for unsettled baby behaviors, valuing health professionals but finding access and advice inconsistent. Improved support and reliable information sources are crucial for managing infant behavior concerns.
Area of Science:
- Pediatrics
- Maternal and Child Health
- Qualitative Research
Background:
- Parental uncertainty regarding normal infant behavior is common.
- Help-seeking behaviors for unsettled babies are complex.
- Primary healthcare professionals are a key source of advice for infant behavior.
Purpose of the Study:
- To explore parents' perceptions and experiences of seeking help for unsettled baby behaviors.
- To understand parents' views on obtaining advice from primary healthcare professionals.
- To identify factors influencing parental help-seeking for infant behavioral issues.
Main Methods:
- Qualitative study utilizing semi-structured interviews.
- 25 mothers of infants under 12 months participated.
- Data analyzed using reflexive thematic analysis.
Main Results:
- Parents experience uncertainty about normal infant behavior, leading to diverse help-seeking.
- Perceptions of healthcare professionals include limited access, mixed advice, and varied support.
- Social support and online resources play significant roles in providing emotional and practical assistance.
Conclusions:
- Access to and quality of advice from health professionals are vital for parents.
- Despite the rise of online and social support, professional guidance remains important.
- There is a need for enhanced support and reliable information for parents managing unsettled babies.
Aim:
To explore parents' perceptions/experiences of help-seeking for unsettled baby behaviours, including views and experiences of obtaining advice from primary healthcare professionals.
Design:
Semi-structured qualitative interviews.
Methods:
Recruitment occurred via social media, general practice and health visiting teams. Remote semi-structured interviews were conducted with parents of babies. Babies were under 12 months old at time of interview, and parents had perceived unsettled baby behaviours in their first 4 months of life. Interviews were transcribed and data analysed using reflexive thematic analysis.
Results:
Based on interviews with 25 mothers, four main themes were developed. 'The need for answers' highlighted parental uncertainty about what constitutes normal baby behaviour, leading to help-seeking from multiple sources. 'The importance of health professionals' and 'Experiencing health professional support' identified perceptions about limited access, communication, mixed advice and how these influenced parental perception/management of behaviours. 'Foundations to help-seeking' highlighted important roles of social support and online help for valued shared experiences, emotional and practical support.
Conclusion:
Health professional access and advice are important to parents, despite the increasing role of online help and importance of social support. More support and improved access to reliable sources of information is needed for parents.
Implications For The Profession And/Or Patient Care:
Findings will inform future research and clinical practice to address parental uncertainties. Qualitative research with front-line health professionals is necessary.
Impact:
Findings can inform the development of resources to support professionals/families managing unsettled babies.
Reporting Method:
Standards for Reporting Qualitative Research.
Public Involvement:
A public contributor was involved throughout all stages of the research. Emerging findings were discussed at a parent group. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Addressing parental uncertainties is important; about what is normal, non-pharmacological approaches and when pharmacological intervention is required. A digital information/self-management intervention may be useful for parents/clinicians.
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