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Parents of newborns (N = 218) completed a 39-question online survey using 7-point Likert-type items and responded to one open-ended question. Survey development was guided by the Theoretical Domains Framework (TDF) and Capacity, Opportunity, and Motivation Model of Behavior (COM-B). The open-ended question (n = 112) aimed to capture the main barriers hindering parental adherence. Descriptive analysis of item ratings and deductive-inductive theming of open-ended responses were synthesized. Survey findings underscored factors related to six COM-B subdomains\u2014psychological and physical capability, social and environmental opportunity, and automatic and reflective motivation\u2014influenced parental adherence. Open-ended responses revealed six overarching themes: (1) comprehensive detailed information, (2) infant\u2019s limited tolerance for prone position, (3) parental-related adjustment factors, (4) time and household management, (5) access to reliable resources, and (6) social support. This study highlights key factors influencing parental adherence to CA prevention, including a need for clear information, social support, and practical strategies for busy households. Addressing these barriers may enhance adherence and improve prevention efforts and newborn outcomes.<\/jats:p>","DOI":"10.1177\/13674935261499318","type":"journal-article","created":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T10:11:45Z","timestamp":1792318305000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring factors associated with parental adherence to prevention strategies for positional plagiocephaly or brachycephaly: multi-method study results"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6624-9875","authenticated-orcid":false,"given":"Nathalie","family":"Trottier","sequence":"first","affiliation":[{"name":"Universit\u00e9 de Sherbrooke"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3441-7106","authenticated-orcid":false,"given":"Karen","family":"Hurtubise","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Sherbrooke"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5503-3403","authenticated-orcid":false,"given":"Chantal","family":"Camden","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Sherbrooke"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2881-4714","authenticated-orcid":false,"given":"Isabelle","family":"Gaboury","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Sherbrooke"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,18]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-015-2520-x"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.2176\/jns-nmc.2023-0216"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200405000-00004"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0605-9"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-018-3212-0"},{"key":"e_1_3_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(08)70010-2"},{"key":"e_1_3_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13040"},{"key":"e_1_3_8_9_1","volume-title":"Census profile. 2021 census of population","author":"Canada S","year":"2023","unstructured":"Canada S (2023) Census profile. 2021 census of population. 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