Parents’ experience in pediatric Tuina treatment program for congenital muscular torticollis in infants and children: qualitative findings from individual interviews
Abstract Background Pediatric tuina treatment program is an intervention of traditional Chinese medicine that involves specific manual techniques applied to the bodies of infants and children to promote health and treat conditions such as congenital muscular torticollis (CMT). This study was conduct...
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| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Complementary Medicine and Therapies |
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| Online Access: | https://doi.org/10.1186/s12906-025-05000-y |
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| author | Shu Cheng Chen Xuan Zhang Juan Yu Shuang Lan Lin Fei Fei Ding Jia Wen Shou Ge Ren Lok Yi Pang Wing Fai Yeung |
| author_facet | Shu Cheng Chen Xuan Zhang Juan Yu Shuang Lan Lin Fei Fei Ding Jia Wen Shou Ge Ren Lok Yi Pang Wing Fai Yeung |
| author_sort | Shu Cheng Chen |
| collection | DOAJ |
| description | Abstract Background Pediatric tuina treatment program is an intervention of traditional Chinese medicine that involves specific manual techniques applied to the bodies of infants and children to promote health and treat conditions such as congenital muscular torticollis (CMT). This study was conducted to understand facilitators, barriers, and influencing factors in the implementation of pediatric tuina treatment program based on parents’ experiences. Methods Semi-structured individual interviews were conducted with parents’ experience in Shandong province, China. Purposive sampling was applied to recruit 13 parents whose children had received a pediatric tuina training program for at least three months to participate voluntarily. Interviews were audio-recorded, transcribed verbatim, and analyzed using template analysis to identify key themes and subthemes. NVivo 12 software was used to facilitate the organization and coding of the data. Results Three themes were identified: (1) facilitators to the use of pediatric tuina treatment program, (2) barriers to the use of pediatric tuina treatment program, and (3) modulating factors of the use of pediatric tuina treatment program. The theme of the facilitators of intervention implementation included the subthemes of (a) merits of pediatric tuina, (b) perceived benefits by patients, and (c) parents’ concerns and expectations. The theme of barriers to intervention implementation included the subthemes of (a) perceived problems by patients, (b) limited medical resources, (c) family pressure, and (d) manipulation particularity. Modulating factors included (a) parents’ perception, (b) patients’ adherence, and (c) parents’ mentality. Conclusion Perceived beneficial effects on improving children’s CMT symptoms and constitutions as well as the conservative nature of pediatric tuina treatment mainly facilitated the treatment. Disease recurrence limited medical resources, long-term family pressure, and noncooperation of children were the dominant barriers to treatment implementation. Parents’ adherence, mentality, and perceptions on CMT and intervention selection modulated the effects of the treatment. Further research is needed to confirm these findings and explore additional factors affecting the effectiveness and implementation of pediatric tuina treatment. |
| format | Article |
| id | doaj-art-e3c757d96d4747efacd1ed715a74523c |
| institution | Kabale University |
| issn | 2662-7671 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Complementary Medicine and Therapies |
| spelling | doaj-art-e3c757d96d4747efacd1ed715a74523c2025-08-20T03:45:45ZengBMCBMC Complementary Medicine and Therapies2662-76712025-07-0125111210.1186/s12906-025-05000-yParents’ experience in pediatric Tuina treatment program for congenital muscular torticollis in infants and children: qualitative findings from individual interviewsShu Cheng Chen0Xuan Zhang1Juan Yu2Shuang Lan Lin3Fei Fei Ding4Jia Wen Shou5Ge Ren6Lok Yi Pang7Wing Fai Yeung8School of Nursing, The Hong Kong Polytechnic UniversityShandong University of Traditional Chinese MedicineAffiliated Hospital of Shandong University of Traditional Chinese MedicineCollege of Nursing, Dali UniversityAffiliated Hospital of Shandong University of Traditional Chinese MedicineLi Dak Sum Yip Yio Chin R&D Centre, The Chinese University of Hong KongDepartment of Health Technology and Informatics, The Hong Kong Polytechnic UniversitySchool of Nursing, The Hong Kong Polytechnic UniversitySchool of Nursing, The Hong Kong Polytechnic UniversityAbstract Background Pediatric tuina treatment program is an intervention of traditional Chinese medicine that involves specific manual techniques applied to the bodies of infants and children to promote health and treat conditions such as congenital muscular torticollis (CMT). This study was conducted to understand facilitators, barriers, and influencing factors in the implementation of pediatric tuina treatment program based on parents’ experiences. Methods Semi-structured individual interviews were conducted with parents’ experience in Shandong province, China. Purposive sampling was applied to recruit 13 parents whose children had received a pediatric tuina training program for at least three months to participate voluntarily. Interviews were audio-recorded, transcribed verbatim, and analyzed using template analysis to identify key themes and subthemes. NVivo 12 software was used to facilitate the organization and coding of the data. Results Three themes were identified: (1) facilitators to the use of pediatric tuina treatment program, (2) barriers to the use of pediatric tuina treatment program, and (3) modulating factors of the use of pediatric tuina treatment program. The theme of the facilitators of intervention implementation included the subthemes of (a) merits of pediatric tuina, (b) perceived benefits by patients, and (c) parents’ concerns and expectations. The theme of barriers to intervention implementation included the subthemes of (a) perceived problems by patients, (b) limited medical resources, (c) family pressure, and (d) manipulation particularity. Modulating factors included (a) parents’ perception, (b) patients’ adherence, and (c) parents’ mentality. Conclusion Perceived beneficial effects on improving children’s CMT symptoms and constitutions as well as the conservative nature of pediatric tuina treatment mainly facilitated the treatment. Disease recurrence limited medical resources, long-term family pressure, and noncooperation of children were the dominant barriers to treatment implementation. Parents’ adherence, mentality, and perceptions on CMT and intervention selection modulated the effects of the treatment. Further research is needed to confirm these findings and explore additional factors affecting the effectiveness and implementation of pediatric tuina treatment.https://doi.org/10.1186/s12906-025-05000-yCongenital muscular torticollisMassageFamily careChinese medicineQualitative research |
| spellingShingle | Shu Cheng Chen Xuan Zhang Juan Yu Shuang Lan Lin Fei Fei Ding Jia Wen Shou Ge Ren Lok Yi Pang Wing Fai Yeung Parents’ experience in pediatric Tuina treatment program for congenital muscular torticollis in infants and children: qualitative findings from individual interviews BMC Complementary Medicine and Therapies Congenital muscular torticollis Massage Family care Chinese medicine Qualitative research |
| title | Parents’ experience in pediatric Tuina treatment program for congenital muscular torticollis in infants and children: qualitative findings from individual interviews |
| title_full | Parents’ experience in pediatric Tuina treatment program for congenital muscular torticollis in infants and children: qualitative findings from individual interviews |
| title_fullStr | Parents’ experience in pediatric Tuina treatment program for congenital muscular torticollis in infants and children: qualitative findings from individual interviews |
| title_full_unstemmed | Parents’ experience in pediatric Tuina treatment program for congenital muscular torticollis in infants and children: qualitative findings from individual interviews |
| title_short | Parents’ experience in pediatric Tuina treatment program for congenital muscular torticollis in infants and children: qualitative findings from individual interviews |
| title_sort | parents experience in pediatric tuina treatment program for congenital muscular torticollis in infants and children qualitative findings from individual interviews |
| topic | Congenital muscular torticollis Massage Family care Chinese medicine Qualitative research |
| url | https://doi.org/10.1186/s12906-025-05000-y |
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