{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T21:17:51Z","timestamp":1792358271076,"version":"4.4.0"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,8,9]],"date-time":"2016-08-09T00:00:00Z","timestamp":1470700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study sought to better understand parent, grandparent and clinician views of prevention, treatment and costs of plagiocephaly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative study was conducted using focus groups and semi\u2010structured interviews. A grounded theory approach was taken to build theories from the qualitative data collected. A subjectivist epistemological orientation was taken under the paradigm of positivism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010one parents, 6 grandparents and 24 clinicians were recruited from the community as well as primary and tertiary care clinics. Plagiocephaly worried most parents because it could permanently affect their child's \u2018looks\u2019 and some thought it would affect a child's development. Parents were \u2018willing to do anything\u2019 to prevent plagiocephaly including using products or sleeping positions that are contraindicated under sudden infant death syndrome guidelines. Parents found the care pathway convoluted and inconsistent messages were given from different health providers. For clinicians, the high prevalence of flat head is \u2018clogging up their patient pool\u2019, taking up time they used to spend with children with more severe conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is a need to re\u2010emphasize sudden infant death syndrome guidelines for families when they present with an infant with plagiocephaly. Stronger messaging regarding the lack of safety of current pillows marketed to prevent flat head may be useful to decrease their use. Increasing education for all health professionals including general practitioners, allied health and complementary health providers and standardizing assessment and referral criteria may allow the majority of diagnosis and treatment of positional plagiocephaly to occur at points of first contact (e.g. general practitioners, community nurse) and may prevent further burden on the health care system.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.12386","type":"journal-article","created":{"date-parts":[[2016,8,9]],"date-time":"2016-08-09T14:04:25Z","timestamp":1470751465000},"page":"941-950","source":"Crossref","is-referenced-by-count":27,"title":["Positional plagiocephaly reduces parental adherence to SIDS Guidelines and inundates the health system"],"prefix":"10.1111","volume":"42","author":[{"given":"A.","family":"Martiniuk","sequence":"first","affiliation":[{"name":"University of Sydney, George Institute for Global Health, University of Toronto: Edward Ford Building  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Jacob","sequence":"additional","affiliation":[{"name":"Edward Ford Building University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Faruqui","sequence":"additional","affiliation":[{"name":"Edward Ford Building University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Yu","sequence":"additional","affiliation":[{"name":"Basic Physician Trainee John Hunter Hospital  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,8,9]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Bringing User Experience to Healthcare Improvement: The Concepts, Methods and Practices of Experience Based Design","author":"Bate P.","year":"2007"},{"key":"e_1_2_6_3_1","unstructured":"British Columbia Coroners Service Child Death Review Unit(2009).Report on sudden infant death in sleep\u2010related circumstances. Available at:http:\/\/www.pssg.gov.bc.ca\/coroners\/shareddocs\/cdru\u20102009annualreport.pdf Cited: 12\/04\/2015."},{"key":"e_1_2_6_4_1","volume-title":"Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis","author":"Charmaz K.","year":"2006"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1779"},{"key":"e_1_2_6_6_1","volume-title":"The Foundations of Social Research: Meaning and Perspective in the Research Process","author":"Crotty M.","year":"1998"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedhc.2011.10.002"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2009.01356.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/01942630903011016"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31821b62d6"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2014.01.026"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1597\/09-096"},{"key":"e_1_2_6_14_1","first-page":"697","volume-title":"The Sage Encylcopedia of Qualitative Research Methods. (Vol. 2)","author":"Palys T.","year":"2008"},{"key":"e_1_2_6_15_1","volume-title":"Information Statement: Baby's Head Shape","author":"SIDS and Kids National Scientific Advisory Group, NSAG","year":"2009"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEP.0000000000000048"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-2285"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_6_19_1","unstructured":"Tortle Head Positioning Beanie(2015) Available at:http:\/\/tortle.com\/. 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