{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T21:17:52Z","timestamp":1792358272360,"version":"4.4.0"},"reference-count":65,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,1,15]],"date-time":"2023-01-15T00:00:00Z","timestamp":1673740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Deformational plagiocephaly can be prevented in many healthy infants if strategies are implemented early after birth. However, despite efforts to disseminate accurate information, parental adherence to evidence\u2010based prevention strategies is a challenge. To date, factors \u2013 barriers and facilitators \u2013 influencing parental adherence to strategies have yet to be identified in a comprehensive manner.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This scoping review aims to identify and synthesize current evidence on barriers and facilitators impacting adherence of parents of newborns to deformational plagiocephaly prevention strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This review followed the Joanna Briggs Institute (JBI) process guidelines. Seven electronic (Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, SPORTDiscus, Academic Search Complete, AMED, PsychINFO and Scopus) and two grey literature (Health Systems Evidence and Grey Literature Report) databases were searched. Studies published between 2001 and 2022 were included. The deductive thematic data analysis used was guided by the Capability, Opportunity, Motivation Behavioral Model (COM\u2010B) of health behaviour change.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From a total of 1172 articles, 15 met the eligibility criteria. All components of the COM\u2010B framework were identified. Capability\u2010psychological and opportunity\u2010environmental factors dominated the literature, whereas capability\u2010physical, motivation and, in particular, opportunity\u2010social factors were understudied. The most often reported barriers were a lack of knowledge of deformational plagiocephaly and the associated prevention strategies, ambiguous or inconsistent messaging, intolerance of babies to prone positioning and a lack of time. The most frequently reported facilitators were an awareness of deformational plagiocephaly, postural asymmetry and prevention strategies, skill acquisition with practice, accurate convincing information, scheduled time and environmental organization to position the baby at home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Recommendations focused on diffusing accurate and detailed information for parents. Our review also suggests a gap regarding the comprehensive identification of factors influencing parental adherence to deformational plagiocephaly prevention strategies. Further studies exploring comprehensive opportunity\u2010social and motivation factors influencing parental adherence to deformational plagiocephaly prevention strategies are warranted to inform prevention programmes and foster better infant outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.13095","type":"journal-article","created":{"date-parts":[[2023,1,7]],"date-time":"2023-01-07T14:47:41Z","timestamp":1673102861000},"page":"852-869","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Barriers and facilitators influencing parental adherence to prevention strategies for deformational plagiocephaly: Results from a scoping review"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6624-9875","authenticated-orcid":false,"given":"Nathalie","family":"Trottier","sequence":"first","affiliation":[{"name":"Facult\u00e9 de m\u00e9decine et sciences de la sant\u00e9 Universit\u00e9 de Sherbrooke  Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3441-7106","authenticated-orcid":false,"given":"Karen","family":"Hurtubise","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de m\u00e9decine et sciences de la sant\u00e9 Universit\u00e9 de Sherbrooke  Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5503-3403","authenticated-orcid":false,"given":"Chantal","family":"Camden","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de m\u00e9decine et sciences de la sant\u00e9 Universit\u00e9 de Sherbrooke  Qu\u00e9bec Canada"},{"name":"CanChild Centre for Childhood Disability Research McMaster University  Hamilton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5050-3317","authenticated-orcid":false,"given":"Windy","family":"Cloutier","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de m\u00e9decine et sciences de la sant\u00e9 Universit\u00e9 de Sherbrooke  Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2881-4714","authenticated-orcid":false,"given":"Isabelle","family":"Gaboury","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de m\u00e9decine et sciences de la sant\u00e9 Universit\u00e9 de Sherbrooke  Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,15]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"AAP. 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