Evidence map›Paper›PMID 34622968›Full record

ReviewChild: care, health and development2022

Parental engagement in early intervention for infants with cerebral palsy-A realist synthesis.

Phillip Antony Harniess, Deanna Gibbs, Jeff Bezemer, Anna Purna Basu

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Child: care, health and development, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07469514 (CIRCLE-CP Study), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07469514 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

CIRCLE-CP Study: Coaching, Learning, Empowerment in Cerebral Palsy - a 6-Week Integrated PT/OT Caregiver "Primer" Bootcamp for Infants Diagnosed With or at High Risk for Cerebral Palsy

TypeinterventionalSponsorUniversity of California, San FranciscoRan2026 to 2027Enrolled32ConditionsCerebral Palsy, Cerebral Palsy (CP), Cerebral Palsy Infantile, InfantArmsCaregiver knowledge, Physical therapy, Occupational Therapy
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 60 citations in OpenAlex.

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  19. Factors influencing caregiver buy-in to early intervention physical therapy.Journal of pediatric rehabilitation medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Phillip Antony HarniessPhysiotherapy Department, Great Ormond Street Hospital, London, UK.ORCID 0000-0003-3609-7556
Deanna GibbsChildren's Research, Barts Health NHS Trust, London, UK.ORCID 0000-0002-6308-6230
Jeff BezemerInstitute of Education, University College London, London, UK.ORCID 0000-0002-9086-937X
Anna Purna BasuPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-1356-3027
Barts Health NHS Trust · GBGreat Ormond Street Hospital · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity College London · GB

Funding

Department of Health ICA-CDRF-2017-03-046
6 · The paper itself

Abstract

backgroundEmphasis on parental engagement strategies within occupational therapy and physiotherapy early intervention (EI) programmes for infants at high risk of cerebral palsy (CP) has increased. This reflects consensus that increasing parent participation enhances treatment efficacy, potentially improving infant and parent outcomes. However, evaluation of parental engagement in EI is complex. Despite the growing application of parental engagement strategies, aligned with family-centred care practice, theoretical evaluation is currently lacking within the literature. This realist synthesis aimed to identify component theories underlying EI strategies to support parental engagement and to use empirical findings to evaluate how these work in practice.

methodsRealist synthesis: Databases Medline, Embase, Amed, CINAHL and PsychInfo were searched (from February 1985 - February 2020); further articles were sourced from reference lists. A data extraction form was used, and a Critical Appraisal Skills Programme tool was used to assess study rigour.

resultsTwenty-six articles were included. Quality of relationships, parent education and intervention co-design were the key themes related to parental engagement strategies. Findings indicate that constructive parent reasoning mechanisms of trust, belief, sense of control, perceived feasibility of home programme delivery and ultimately motivation are linked to the underlying intervention resources afforded by specific strategies (e.g., coaching pedagogy). These responses are precursors to engagement outcomes that include increased parental self-efficacy and adherence. Importantly, parental self-efficacy can initiate a process of change leading to improved parental confidence and anxiety.

conclusionsSensitively designed programme strategies, centred on relational quality between parent, infant and therapist, are fundamental for effective parent connection, involvement and investment within EI for infants with CP.

Indexed as

Cerebral PalsyAnxietyEarly Intervention, EducationalHumansInfantParentsSelf Efficacycerebral palsyearly interventioninfantsparental involvementphysical therapy

Identifiers

PMID34622968
PMCPMC9298289
OpenAlexW3203723480

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.