Department of Kinesiology and College of Human Medicine, Michigan State University, East Lansing, MI, USA.
Department of Kinesiology, Michigan State University, East Lansing, MI, USA.
Phys Occup Ther Pediatr. 2020;40(6):651-668. doi: 10.1080/01942638.2020.1742847. Epub 2020 Mar 19.
This study's purpose is to present facilitators and barriers for wakeful prone positioning or "tummy time" during infancy by exploring the personal perspectives of infant caregivers attempting to provide daily tummy time.
The study was qualitative in design, using thematic analysis to identify major and minor themes from semi-structured interviews. The Capability, Opportunity, Motivation - Behavior Model provided a conceptual framework for the interview guide and categorization of major themes.
Within capability, opportunity, and motivation, the major themes of self-efficacy, scheduling, variations, siblings, committed adult help, social responses of acquaintances, and caregiver enjoyment could be barriers or facilitators, depending on the context. Optimized physical circumstances, caregiver interest, perceived benefits to the infant, pride and accomplishment, and obligation were identified as facilitators only. Barriers included negative infant affect.
These results offer preliminary guidance in a knowledge gap: tummy time support that addresses the self-identified concerns of infant caregivers.
本研究旨在通过探讨试图提供日常“俯趴时间”（即醒着时趴着）的婴儿照护者的个人观点，展示婴儿期俯趴的促进因素和阻碍因素。
本研究为定性研究设计，采用主题分析方法，从半结构化访谈中识别主要和次要主题。能力、机会、动机-行为模型为访谈指南和主要主题的分类提供了概念框架。
在能力、机会和动机方面，自我效能感、时间安排、变化、兄弟姐妹、有承诺的成人帮助、熟人的社会反应以及照护者的乐趣等主要主题可能成为障碍或促进因素，具体取决于情境。优化的物理环境、照护者的兴趣、对婴儿的潜在益处、自豪感和成就感以及义务被确定为促进因素。障碍包括婴儿的负面情绪。
这些结果为知识空白提供了初步指导：针对婴儿照护者自我认同的担忧提供俯趴时间支持。
