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This qualitative case study uses semi-structured interviews and photo-elicitation with a purposeful sample to explore parental perspectives on participation, initial concerns, perceived outcomes, and factors shaping adherence. Seventeen parents identified three themes: active involvement, perceived motor and functional gains, and suitability or implementation worries, concluding that benefits were recognized but should be interpreted cautiously without objective efficacy measures.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/parental-concerns-and-active-participation-in-home-based-vojta-therapy-for-children-with-global-developmental-delay-a-qualitative-study-using-interviews-and-photo-elicitation/462452/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/parental-concerns-and-active-participation-in-home-based-vojta-therapy-for-children-with-global-developmental-delay-a-qualitative-study-using-interviews-and-photo-elicitation/462452.png","ImageObject",300,407,{"name":92,"@type":93},"วิน","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-27","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What motivates parents to participate actively in home-based Vojta therapy?","Question",{"text":112,"@type":113},"Parents reported a desire to become an active agent contributing to their child’s improvement, along with learning, compromise, effort, and time considerations that influence continued involvement.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What results do parents perceive from the home-based VT program?",{"text":117,"@type":113},"Parents perceived motor improvement and better resting, feeding, and breathing. 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Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.  \n1 Research Group of Humanities and Qualitative Research in Health Science (Hum&QRinHS), Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, 28922 Madrid, Spain; [ana.sanmartin@urjc.es](ana.sanmartin@urjc.es) (A.S.-M.-G.); [maria.perezjuana@urjc.es](maria.perezjuana@urjc.es) (M.S.-P.-J.); [domingo.palacios@urjc.es](domingo.palacios@urjc.es) (D.P.-C.)  \n2 Institute of Physical Education and Sports, Universidade Federal do Ceará, Ceará 60455-760, Brazil; [liviagviana@ufc.br](liviagviana@ufc.br)  \n* Correspondence: carmen.jimenez@urjc.es  \nHighlights  \nWhat are the main findings?  \n• Parents reported that home-based Vojta therapy facilitated parent–child affiliative bonding.  \n• Parents in this study indicated that adherence to HBP-delivered VT was perceived as beneficial and sustainable despite their initial concerns.  \nWhat are the implications of the main findings?  \n• Given appropriate information and resources, more parents of GDD children would choose to administer home-based Vojta therapy.  \nAbstract  \nIntroduction: Parents of children presenting global developmental delay (GDD) need tobe involved in their therapy to intensify treatment. Vojta therapy (VT) is an intensive physiotherapeutic treatment that can be administered at home. Whilst parental experience of Home-Based Program (HBP) for preterm or cerebral palsy is well documented, there is a lack of understanding about parents of GDD children on HBP with VT. Objectives: The aim of this work was to describe parents’ perspectives concerning their participation in, concerns with, and perception of the results of an HBP with VT. Methods: A qualitative case design based on an interpretative approach was presented. A purposeful sampling was used. Data was collected in two stages: firstly, semi-structured interviews, and secondly, photo-elicitation. An inductive thematic analysis was used. Results: Seventeen parents were included. Three themes emerged from parents’ perspectives. Firstly, parents’ active participation in VT, which includes their desire to become an active agent to contribute to their child’s improvement, their implication of compromise, learning process, time required, effort, and factors that influence their adherence and continuity. Secondly, parents’perception of the results achieved: motor improvement and better resting, feeding, and breathing; and time and commitment required to achieve them. Thirdly, parents’ initial concerns about suitability, daily implementation, therapy functioning, or evidence, as well as concerns about emotional bonds. Conclusions: Parents universally perceive that their commitment and efforts were rewarded. They recognized that the emotional bond with their child was strengthened by the therapy. The results regarding the beneficial effects  \nperceived by the parents should be treated with caution, as no instruments for assessing the effect or efficacy were used in this study.  \nKeywords: Home-Based Program; parents; Vojta; developmental delay; qualitative research; photo-elicitation  \n1. Introduction  \nGlobal Developmental Delay (GDD) is a neurodevelopmental disorder characterized by the delayed acquisition of two or more developmental milestones [1] . Early intervention is key to reducing ","cbCaikDO6CEGmRO2","https://ap.wps.com/l/cbCaikDO6CEGmRO2","pdf",2613398,"English","# Highlights\n## Main findings\n## Implications\n# Abstract\n# Keywords\n# 1. Introduction\n## Early intervention and developmental delay\n## Neuroplasticity and intensive physiotherapy\n## Role of parental participation\n## Home-based programs and training\n## Vojta therapy rationale and debate","[{\"question\":\"What motivates parents to participate actively in home-based Vojta therapy?\",\"answer\":\"Parents reported a desire to become an active agent contributing to their child’s improvement, along with learning, compromise, effort, and time considerations that influence continued involvement.\"},{\"question\":\"What results do parents perceive from the home-based VT program?\",\"answer\":\"Parents perceived motor improvement and better resting, feeding, and breathing. They also highlighted the time and commitment required to achieve these outcomes.\"},{\"question\":\"What initial concerns do parents have about home-based Vojta therapy?\",\"answer\":\"Parents expressed concerns about suitability and daily implementation, therapy functioning, available evidence, and worries related to emotional bonds with their child.\"}]","Parental Concerns and Active Participation in Home-Based Vojta Therapy for Children with Global Developmental Delay: A Qualitative Study Using Interviews and Photo-Elicitation | PDF",1790764115]