Evidence map›Paper›PMID 40373297›Full record

ArticleJournal of medical Internet research2025

Parents' Motivations for Calling an Out-of-Hours Helpline: Qualitative Study.

Liv Borch-Johnsen, Fredrik Folke, Marianne Sjølin Frederiksen, Morten Schrøder, Gorm Greisen, Stine Lund, Vibeke Zoffmann, Caroline Gren, Tine Tjørnhøj-Thomsen, Dina Cortes

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

10 authors.

Liv Borch-JohnsenDepartment of Pediatrics and Adolescent Medicine, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark.ORCID 0000-0002-1412-9281
Fredrik FolkeEmergency Medical Services Capital Region, Copenhagen, Denmark.ORCID 0000-0002-2284-7857
Marianne Sjølin FrederiksenDepartment of Pediatrics and Adolescent Medicine, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark.ORCID 0009-0004-0512-8836
Morten SchrøderDepartment of Pediatrics and Adolescent Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID 0009-0003-2896-5998
Gorm GreisenDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-8042-3262
Stine LundDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-4426-211X
Vibeke ZoffmannThe Interdisciplinary Research Unit of Women's, Children's and Families' Health, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-0571-5331
Caroline GrenDepartment of Pediatrics and Adolescent Medicine, Helsingborg Hospital, Helsingborg, Sweden.ORCID 0000-0003-0676-3650
Tine Tjørnhøj-ThomsenNational Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.ORCID 0000-0003-3621-6682
Dina CortesDepartment of Pediatrics and Adolescent Medicine, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark.ORCID 0000-0002-6852-6530

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYoung children often get sick, and although they usually do not need treatment, it can be distressing for parents and lead to a high rate of urgent health care use. As the demand for out-of-hours services grows, understanding parents' concerns and needs when caring for an ill child is crucial for designing interventions that support informed health-seeking decisions.

objectiveThis study aimed to investigate why parents contacted a Medical Helpline, their expectations regarding the call, and how their situation changed following telephone triage.

methodsParents who contacted an out-of-hours Medical Helpline in Denmark participated in semistructured interviews that were analyzed using Braun and Clarke's 6-step approach to thematic analysis.

resultsA total of 39 interviews were conducted. Our analysis led to three key themes: (1) parental uncertainty in decision-making: caring for an ill child was associated with stress and uncertainty. Parents lacked the tools to differentiate between acceptable symptoms and signs of severe illness, resulting in catastrophic thinking; (2) validation: parents contacted the medical helpline to validate their assessment and share responsibility with a health care professional; they experienced a conflict between responsible health care usage and the need for reassurance; and (3) feeling safe at home: when the health care professional demonstrated competence, recognized parents' emotions, and dedicated time to explain the symptoms, parents felt empowered to manage their child at home through telephone consultation.

conclusionsUncertainty in assessing a sick child's symptoms can lead parents to seek reassurance and validation by contacting a medical helpline. Telephone consultations often enable parents to manage their children at home. Interventions that help parents distinguish between mild and severe symptoms, and accept frequent illnesses as a normal part of childhood, could reduce stress and reliance on health care services.

Indexed as

After-Hours CareHotlinesMotivationParentsAdultChildChild, PreschoolDenmarkFemaleHumansMaleQualitative Researchacute diseasechild healthchildrendigital interventioninterviewsmedical helplinemedical servicesMH1813mHealthparental motivationspediatricsprimary care knowledgequalitative researchtelehealthyoung

Identifiers

PMID40373297
PMCPMC12123230

What OpenQuestion holds

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Registered trials

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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.