{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T20:44:10Z","timestamp":1783543450177,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T00:00:00Z","timestamp":1530748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1057997"],"award-info":[{"award-number":["1057997"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to explore health professionals' experiences of implementing hip surveillance for young people with cerebral palsy (CP) and to identify any barriers they encounter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional web\u2010based survey of health professionals supporting children with CP was conducted. Responses were analysed through mixed methods. Responses to items presented as ordinal scales were analysed using descriptive statistics, and open\u2010ended responses through a qualitative approach to identify themes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 32 paediatricians, 2 rehabilitation specialists and 50 physiotherapists completed the survey, with respondents working within both hospital\u2010 and community\u2010based settings. Barriers most frequently reported were inconsistency in radiology practice and reporting (35%), parent engagement (32%), limited communication between clinicians (31%), lack of clarity in lines of responsibility (27%) and forgetting to undertake surveillance (26%). Four major themes were identified through qualitative analysis: (i) recognition of the importance of clinical guidelines to hip surveillance; (ii) the value of each role in the team around a child; (iii) the challenge of sharing responsibility; and (iv) the importance of communication in facilitating collaboration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Barriers can be encountered at each phase of the hip surveillance process, but there are also factors that act as facilitators. Locally, the results will inform the development of an enhanced state\u2010wide approach to hip surveillance for all children with CP. The identified barriers do not appear unique to the local context, and the findings may be transferable to other settings. Awareness of the potential barriers and facilitators would be valuable to those implementing hip surveillance in other areas.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14108","type":"journal-article","created":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T10:22:14Z","timestamp":1530786134000},"page":"32-41","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Health professionals' experiences and barriers encountered when implementing hip surveillance for children with cerebral palsy"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3352-2820","authenticated-orcid":false,"given":"Kate L","family":"Willoughby","sequence":"first","affiliation":[{"name":"Centre of Research Excellence in Cerebral Palsy Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Orthopaedic Department Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7860-3846","authenticated-orcid":false,"given":"Rachel","family":"Toovey","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Cerebral Palsy Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7821-9617","authenticated-orcid":false,"given":"Jan M","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6607-7631","authenticated-orcid":false,"given":"H Kerr","family":"Graham","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Cerebral Palsy Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Orthopaedic Department Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Neurodevelopment and Disability Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinah S","family":"Reddihough","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Cerebral Palsy Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"Neurodevelopment and Disability Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13171"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2010.532281"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/17518423.2014.941116"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.01063"},{"key":"e_1_2_9_6_1","unstructured":"HagglundG.Radiographic Follow\u2010Up in CPUP to Prevent Hip Dislocation. Lund: CPUP;2013. Available from:http:\/\/cpup.se\/wp-content\/uploads\/2013\/07\/CPUPprevent_hip_dislocation20130210.pdf[accessed 28 November 2017]."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12754"},{"key":"e_1_2_9_8_1","unstructured":"National Institute for Health and Care Excellence.Clinical Guideline for Spasticity in Under 19s: Management. London: The Institute;2012. Available from:https:\/\/www.nice.org.uk\/guidance\/CG145\/chapter\/1-Guidance[accessed 28 November 2017]."},{"key":"e_1_2_9_9_1","unstructured":"CPOP National Steering Committee.Follow\u2010Up Program for Cerebral Palsy: Orthopaedic Surgery. Aalborg: The Committee;2017. Available from:http:\/\/www.cpop.dk\/fagprofessionelle\/ortopaedkirurgi[accessed 28 November 2017]."},{"key":"e_1_2_9_10_1","unstructured":"British Columbia Hip Surveillance Planning Committee.Hip Surveillance for Children with Cerebral Palsy. Vancouver: Child Health BC;2017. 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