“Demanding, but Worth It”: The Parental Experience of Home-Based Vojta Therapy for Children Presenting Global Developmental Delay—A Qualitative Study Using Photo-Elicitation

<b>Background/Objectives:</b> Introducing a demanding home-based program (HBP) of Vojta therapy (VT) into their daily activities is a life-altering event for parents of children with global developmental delay (GDD). This study aims to document the experiences of parents of children with GDD administering a HBP of VT. <b>Methods:</b> A multicentre study with a qualitative case design based on an interpretative approach is presented. Interviews were conducted with 10 parents using photo-elicitation (PE). Inductive and thematic analyses were used. <b>Results:</b> Four common experiential themes were identified. Firstly, crying was identified as the most significant barrier to administering therapy (despite parents accepting that crying was not pain-related). Secondly, parents described the intense and variable emotional impact of being responsible for the therapy and its effects on their child. Thirdly, parents unanimously felt that their involvement was worthwhile, with the developmental results they perceived outweighing the emotional, physical and time demands of administering the VT. Finally, parents developed a narrative of hope stemming from the therapy and its observed effects. <b>Conclusions:</b> The physical, emotional and time demands on parents when administering a HBP of VT are very significant. The main barriers to adherence to the program are identified as the child's crying during therapy and time management. Intense emotional experiences, both positive and negative, arise while administering a HBP of VT. Parents are not only able to overcome all emotional and logistical challenges when they recognize improvements in their child, but they also begin to hope for further improvement. Implications for the professional design of HBPs of VT include the following: advanced warning that crying is normal, part of the therapy and not pain-related; training and ongoing support from a qualified therapist; training in recognising developmental improvement; and psychological support to deal with the emotional journey.

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Journal
Journal of Clinical Medicine
Published
2025-12-21
DOI
https://doi.org/10.3390/jcm15010045
Primary Topic
Infant Health and Development
Type
article
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article

“Demanding, but Worth It”: The Parental Experience of Home-Based Vojta Therapy for Children Presenting Global Developmental Delay—A Qualitative Study Using Photo-Elicitation

Ana San-Martín-Gómez, Lívia Gomes Viana-Meireles, Perez-Corrales Jorge, María Salcedo-Perez-Juana et al.
Journal of Clinical Medicine
Infant Health and Development
article

“Demanding, but Worth It”: The Parental Experience of Home-Based Vojta Therapy for Children Presenting Global Developmental Delay—A Qualitative Study Using Photo-Elicitation

Ana San-Martín-Gómez, Lívia Gomes Viana-Meireles, Perez-Corrales Jorge, María Salcedo-Perez-Juana, Domingo Palacios-Ceña, Carmen Jiménez-Antona, Roberto Cano-de-la-Cuerda
article en

Abstract

<b>Background/Objectives:</b> Introducing a demanding home-based program (HBP) of Vojta therapy (VT) into their daily activities is a life-altering event for parents of children with global developmental delay (GDD). This study aims to document the experiences of parents of children with GDD administering a HBP of VT. <b>Methods:</b> A multicentre study with a qualitative case design based on an interpretative approach is presented. Interviews were conducted with 10 parents using photo-elicitation (PE). Inductive and thematic analyses were used. <b>Results:</b> Four common experiential themes were identified. Firstly, crying was identified as the most significant barrier to administering therapy (despite parents accepting that crying was not pain-related). Secondly, parents described the intense and variable emotional impact of being responsible for the therapy and its effects on their child. Thirdly, parents unanimously felt that their involvement was worthwhile, with the developmental results they perceived outweighing the emotional, physical and time demands of administering the VT. Finally, parents developed a narrative of hope stemming from the therapy and its observed effects. <b>Conclusions:</b> The physical, emotional and time demands on parents when administering a HBP of VT are very significant. The main barriers to adherence to the program are identified as the child's crying during therapy and time management. Intense emotional experiences, both positive and negative, arise while administering a HBP of VT. Parents are not only able to overcome all emotional and logistical challenges when they recognize improvements in their child, but they also begin to hope for further improvement. Implications for the professional design of HBPs of VT include the following: advanced warning that crying is normal, part of the therapy and not pain-related; training and ongoing support from a qualified therapist; training in recognising developmental improvement; and psychological support to deal with the emotional journey.

Journal of Clinical MedicineVol. 15(1)
Universidad Rey Juan Carlos (ES), Universidade Federal do Ceará (BR), Instituto Federal de Educação, Ciência e Tecnologia do Ceará (BR)
Openalex Percentile: Top 27%
Infant Health and Development
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