Being recovered: a qualitative study of parents’ experience of their child’s recovery up to a year after a displaced distal radius fracture

Author:

Phelps Emma E.1ORCID,Tutton Elizabeth12ORCID,Costa Matthew L.1ORCID,Achten Juul1ORCID,Gibson Phoebe3,Moscrop Amy3,Perry Daniel C.14ORCID

Affiliation:

1. Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Kadoorie, Oxford Trauma and Emergency Care, Oxford University, Oxford, UK

2. Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK

3. Alder Hey Children’s NHS Foundation Trust, Liverpool, UK

4. Department of Child Health, University of Liverpool, Alder Hey Hospital, Liverpool, UK

Abstract

AimsThe aim of this study was to explore parents’ experience of their child’s recovery, and their thoughts about their decision to enrol their child in a randomized controlled trial (RCT) of surgery versus non-surgical casting for a displaced distal radius fracture.MethodsA total of 20 parents of children from 13 hospitals participating in the RCT took part in an interview five to 11 months after injury. Interviews were informed by phenomenology and analyzed using thematic analysis.ResultsAnalysis of the findings identified the theme “being recovered”, which conveyed: 1) parents’ acceptance and belief that their child received the best treatment for them; 2) their memory of the psychological impact of the injury for their child; and 3) their pride in how their child coped with their cast and returned to activities. The process of recovery was underpinned by three elements of experience: accepting the treatment, supporting their child through challenges during recovery, and appreciating their child’s resilience. These findings extend our framework that highlights parents’ desire to protect their child during early recovery from injury, by making the right decision, worrying about recovery, and comforting their child.ConclusionBy one year after injury, parents in both treatment groups considered their child “recovered”. They had overcome early concerns about healing, the appearance of the wrist, and coping after cast removal. Greater educational support for families during recovery would enable parents and their child to cope with the uncertainty of recovery, particularly addressing the loss of confidence, worry about reinjury, and the appearance of their wrist.Cite this article: Bone Jt Open 2024;5(5):426–434.

Publisher

British Editorial Society of Bone & Joint Surgery

Reference13 articles.

1. Perry DC , Costa ML , Appelbe D , et al. Children’s Radius Acute Fracture Fixation Trial. A multi-centre prospective randomised non-inferiority trial of surgical reduction versus non-surgical casting for displaced distal radius fractures in children . CRAFFT . 2020 . https://www.ndorms.ox.ac.uk/research/clinical-trials/current-trials-and-studies/crafft ( date last accessed 1 May 2024 ).

2. Protecting my injured child: a qualitative study of parents’ experience of caring for a child with a displaced distal radius fracture;Phelps;BMC Pediatr,2022

3. “It makes me feel old”: understanding the experience of recovery from ankle fracture at 6 months in people aged 50 years and over;Tutton;Qual Health Res,2023

4. A qualitative study of patient experience of an open fracture of the lower limb during acute care;Tutton;Bone Joint J,2018

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