Usefulness and accessibility of information on the treatment of children with congenital clubfoot: results of a survey of parents
- Authors: Kenis V.M.1,2, Baindurashvili A.G.1,2, Shpulev P.S.1, Sapogovskiy A.V.1, Melchenko E.V.1, Rustamov G.N.3, Kasev A.N.1, Rustamov K.K.4
- 
							Affiliations: 
							- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- North-Western State Medical University named after I.I. Mechnikov
- N.M. Kurayev Children’s Republican Clinical Hospital
- Republican Specialized Scientific and Practical Center for Traumatology and Orthopedics
 
- Issue: Vol 12, No 3 (2024)
- Pages: 327-334
- Section: Clinical studies
- URL: https://journals.rcsi.science/turner/article/view/272894
- DOI: https://doi.org/10.17816/PTORS634027
- ID: 272894
Cite item
Abstract
BACKGROUND: Treatment of congenital clubfoot remains controversial from both specialists and parents regarding the details of its practical application, individual effectiveness, and follow-up, rehabilitation treatment, prevention, and treatment of relapses. The assessment of parental attitudes using an online survey optimizes doctor–patient interaction. Information available to parents regarding the diagnosis and treatment of children with congenital clubfoot is lacking.
AIM: This study aimed to assess the usefulness and accessibility of information for parents about the treatment of children with congenital clubfoot.
MATERIALS AND METHODS: To assess the usefulness and accessibility of information about the treatment of congenital clubfoot, a survey of the patients’ parents was conducted using an electronic fillable form proposed for anonymous completion in a thematic group dedicated to the treatment of congenital clubfoot on the social network “VKontakte”; the study included 5500 participants at the time of the survey (2 weeks), with 328 responses received.
RESULTS: Most parents noted a lack of information regarding clubfoot treatment before it actually began. The preferred source of information was Internet resources (i.e., websites of medical institutions and social networks). Achilles tenotomy and wearing braces raised the most questions, requiring additional information from both doctors and alternative sources. The possibility of errors and complications in wearing braces caused the greatest concern among parents, as well as possible relapses and the correctness of prescriptions during the rehabilitation treatment. Online parent communities and physician blogs are considered significant information sources. Most parents prefer to expand information about congenital clubfoot on the Internet, including social networks and popular resources.
CONCLUSIONS: Analysis of the results of an anonymous survey of parents of children with congenital clubfoot showed a significant demand for high-quality, accessible information regarding the diagnosis, treatment, and rehabilitation of children with congenital clubfoot. Significant interest in the information provided by social media and other Internet resources determines the need for competent representatives of the professional community to participate in this process.
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##article.viewOnOriginalSite##About the authors
Vladimir M. Kenis
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov
							Author for correspondence.
							Email: kenis@mail.ru
				                	ORCID iD: 0000-0002-7651-8485
				                	SPIN-code: 5597-8832
																		                								
MD, PhD, Dr. Sci. (Medicine), Professor
Russian Federation, Saint Petersburg; Saint PetersburgAlexey G. Baindurashvili
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov
														Email: turner011@mail.ru
				                	ORCID iD: 0000-0001-8123-6944
				                	SPIN-code: 2153-9050
																		                								
MD, PhD, Dr. Sci. (Medicine), Professor, Member of RAS, Honored Doctor of the Russian Federation
Russian Federation, Saint Petersburg; Saint PetersburgPavel S. Shpulev
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
														Email: pavel_shpulev@mail.ru
				                	ORCID iD: 0009-0004-1327-6759
				                																			                								
PhD student
Russian Federation, Saint PetersburgAndrey V. Sapogovskiy
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
														Email: sapogovskiy@gmail.com
				                	ORCID iD: 0000-0002-5762-4477
				                	SPIN-code: 2068-2102
																		                								
MD, PhD, Cand. Sci. (Medicine)
Russian Federation, Saint PetersburgEvgenii V. Melchenko
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
														Email: emelchenko@gmail.com
				                	ORCID iD: 0000-0003-1139-5573
				                	SPIN-code: 1552-8550
																		                								
MD, PhD, Cand. Sci. (Medicine)
Russian Federation, Saint PetersburgGusein N. Rustamov
N.M. Kurayev Children’s Republican Clinical Hospital
														Email: Guseinbs@gmail.com
				                	ORCID iD: 0009-0005-0086-6909
				                																			                								
MD
Russian Federation, Makhachkala, Republic of DagestanAleksandr N. Kasev
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
														Email: an.kasev@aodkb29.ru
				                	ORCID iD: 0009-0006-0802-4949
				                	SPIN-code: 6193-3610
																		                								
PhD student
Russian Federation, Saint PetersburgKhushnud K. Rustamov
Republican Specialized Scientific and Practical Center for Traumatology and Orthopedics
														Email: rxx1982@gmail.com
				                	ORCID iD: 0000-0001-8255-4987
				                	SPIN-code: 3446-0739
																		                								
MD
Uzbekistan, TashkentReferences
- Alberghina F, Testa G, Monforte S, et al. From Codivilla to Ponseti: historical narrative review on clubfoot treatment in Italy. Ann Transl Med. 2021;9(13):1108. doi: 10.21037/atm-20-7956
- Kenis VM, Klychkova IYu, Stepanova JA. Ponseti method of treatment of severe and neurogenic clubfoot. N.N. Priorov Journal of Traumatology and Orthopedics. 2011;(4):67–70. EDN: OTNSZZ
- Maghfuri HB, Alshareef AA. The efficacy of the ponseti method in the management of clubfoot: a systematic review. Cureus. 2024;16(1). doi: 10.7759/cureus.52482
- Agarwal A, Rastogi A, Rastogi P. Relapses in clubfoot treated with Ponseti technique and standard bracing protocol – a systematic analysis. J Clin Orthop Trauma. 2021;18:199–204. doi: 10.1016/j.jcot.2021.04.029
- Shet SS, Murphy B, Boran S, et al. Readability of online information for parents concerning paediatric in-toeing: an analysis of the most popular online public sources. Cureus. 2024;16(3). doi: 10.7759/cureus.57268
- Lander ST, Sanders JO, Cook PC, et al. Social media in pediatric orthopaedics. J Pediatr Orthop. 2017;37(7):e436–e439. doi: 10.1097/BPO.0000000000001032
- de Cruppé W, Geraedts M. Hospital choice in Germany from the patient’s perspective: a cross-sectional study. BMC Health Serv Res. 2017;17(1):720. doi: 10.1186/s12913-017-2712-3
- Li J, Li Y, Xu H, et al. Clubfoot treatment in China before and after the advent of the Ponseti technique: a historical narrative review. Ann Transl Med. 2021;9(13):1107. doi: 10.21037/atm-20-8042
- Kenis VM, Stepanova YuA. Causes of non-optimal conservative treatment of congenital clubfoot in children. Traumatology and Orthopedics of Russia. 2017;23(3):80–85. doi: 10.21823/2311-2905-2017-23-3-80-85
- Bina S, Pacey V, Barnes EH, et al. Interventions for congenital talipes equinovarus (clubfoot). Cochrane Database Syst Rev. 2020;5(5). doi: 10.1002/14651858.CD008602.pub4
- Skalitzky MK, Gulbrandsen TR, Lorentzen W, et al. Health literacy in clubfoot: a quantitative assessment of the readability, understandability and actionability of online patient education material. Iowa Orthop J. 2021;41(1):61–67.
- Chiang BJ, Lo KD, Jorgensen AA, et al. The evolving role of social media in pediatric orthopaedics. J Pediatr Orthop. 2022;42(4):233–238. doi: 10.1097/BPO.0000000000002054
- Hecht CJ 2nd, Burkhart RJ, McNassor R, et al. Readability of online patient educational materials in pediatric orthopaedics: a systematic review. J Pediatr Orthop. 2023;43(7):e591–e599. doi: 10.1097/BPO.0000000000002402
- Feghhi DP, Komlos D, Agarwal N, et al. Quality of online pediatric orthopaedic education materials. J Bone Joint Surg Am. 2014;96(23):e194. doi: 10.2106/JBJS.N.00043
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