Evidence map›Paper›PMID 40731009›Full record

ArticleArchives of public health = Archives belges de sante publique2025

"Can someone tell me what's going on with my child?": A qualitative study on parental health-seeking behavior for infant regulatory problems.

Febe Hertveldt, Guido Van Hal, Edwin Wouters, Koen Ponnet, Binu Singh, Helena Van den Steene, Monica Dhar, Bea R H Van den Bergh, Hadewych Weyns, Sara De Bruyn

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
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.

Febe HertveldtDepartment of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, 2610, Belgium. febe.hertveldt@uantwerpen.be.
Guido Van HalDepartment of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, 2610, Belgium.
Edwin WoutersDepartment of Sociology, Faculty of Social Sciences, University of Antwerp, Antwerp, 2000, Belgium.
Koen PonnetDepartment of Communication Sciences, Faculty of Political and Social Sciences, Ghent University, Ghent, 9000, Belgium.
Binu SinghDepartment of Sociology, Faculty of Social Sciences, University of Antwerp, Antwerp, 2000, Belgium.
Helena Van den SteeneUniversity Center for Child and Adolescent Psychiatry Antwerp (ZAS-UKJA), University of Antwerp, Antwerp, 2000, Belgium.
Monica DharUniversity Center for Child and Adolescent Psychiatry Antwerp (ZAS-UKJA), University of Antwerp, Antwerp, 2000, Belgium.
Bea R H Van den BerghResearch Group Health Psychology and Leuven Brain Institute, Catholic University of Leuven, Leuven, 3000, Belgium.
Hadewych WeynsCenter for Developmental Psychiatry, Department of Neurosciences, Catholic University of Leuven, Leuven, 3000, Belgium.
Sara De BruynDepartment of Sociology, Faculty of Social Sciences, University of Antwerp, Antwerp, 2000, Belgium.

Funding

European Cooperation in Science and Technology CA22114Fonds Wetenschappelijk Onderzoek 12D1623NFonds Wetenschappelijk Onderzoek S003524N
6 · The paper itself

Abstract

backgroundAccording to the principles of infant mental health care, young children's gradual attainment of self-regulation is closely tied to co-regulation provided by the caregiver(s). Sometimes, these co- and self-regulatory processes are not seamless and regulatory problems (RP) can arise, which manifest themselves according to age and developmental stage of the child. Parents of children with RP often face prolonged periods of seeking specialized care and become entangled in a cycle of ineffective health-seeking behaviors. The present study aims to understand parental health-seeking behavior in response to their infant's RP, and the missed opportunities therein, by retrospectively analyzing the healthcare journey of families.

methodsRespondents were sampled in collaboration with child psychiatrists from two tertiary care infant mental health day clinics, using extreme case study sampling. Semi-structured interviews were conducted with 14 families (10 fathers and 15 mothers). The mean age of the infants at the time of admission was almost 11 months. The research interviews were qualitatively analyzed via reflexive thematic analysis in NVivo, within the design of a qualitative descriptive study.

resultsFour main themes are identified. (1) 'The need for answers' highlights the fact that parental concerns about what is normal infant behavior, and about possible underlying causes, are significant triggers for seeking (professional) help. (2) 'The search for recognition and understanding' identifies the profound impact on parents of being validated by their social network, but also by healthcare providers, in order to obtain timely referrals to specialized care. (3) 'The lack of a broader approach' discusses the importance of a holistic approach, which considers not only the physical but also the socio-emotional health of the infant, along with the well-being of parents. (4) 'Lost in a healthcare maze' emphasizes how parents feel abandoned by healthcare providers during their search for help.

conclusionsThe complex and fragmented nature of parents' search for help often results in delayed referrals to specialized care. Parents believe that the care pathway for families with infants experiencing RP could be improved by addressing the identified missed opportunities.

Indexed as

Extreme case samplingHealthcare providersHealth-seeking behaviorHolistic healthInfant mental healthMissed opportunitiesQualitative researchRegulatory problems

Identifiers

PMID40731009
PMCPMC12306120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.