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PLoS One ; 16(10): e0258650, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34705843

RESUMEN

BACKGROUND: Research on cerebral palsy (CP) has lacked emphasis on knowledge and treatment practices among caregivers, particularly in low- and middle-income countries where socio-cultural contexts encourage a variety of treatment alternatives. In this study, we explored the beliefs and experiences that motivate care-seeking practices among caregivers of children with CP in Ghana. METHODS: Semi-structured interviews were conducted with 25 caregivers, 10 medical providers, and 5 alternative providers in the Greater Accra Region. Participant interviews were analyzed using principles adapted from grounded theory. A conceptual model was constructed to illustrate salient patterns and motivational factors influencing care-seeking practices. RESULTS: Participants' experiences showed that caregivers initially sought physiotherapy and prescription medications from medical providers. Many of them then transitioned to alternative methods to search for a cure or address specific CP symptoms. Over time, most caregivers discontinued both medical and alternative care in favor of at-home treatment. A few withdrew completely from all forms of care. Cost of treatment, caregiver burden, and stigma strongly inhibited care-seeking outside the home. CONCLUSION: Although caregivers were open to exploring a variety of treatment options, at-home treatment was preferred by long-time caregivers for its convenience, low cost, and adaptability to patient and caregiver needs.


Asunto(s)
Cuidadores/psicología , Parálisis Cerebral/psicología , Madres/psicología , Adulto , Estudios de Evaluación como Asunto , Femenino , Ghana , Teoría Fundamentada , Conocimientos, Actitudes y Práctica en Salud , Conducta de Búsqueda de Ayuda , Humanos , Masculino , Edad Materna , Persona de Mediana Edad , Aceptación de la Atención de Salud , Estigma Social , Encuestas y Cuestionarios , Adulto Joven
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