A variety of alternatives can be found such as passive parental consent, appointment of a child advocate who is unconnected with the research project, permission from a surrogate parent (such as a social worker, school staff, nurse or physician), guidance by any adult other than parents and consultation with key community members [ 11, 45].
Deepen parental engagement.
Additionally, associations among the types of barriers were observed, including associations between service quality and parental factors, such as forgotten appointments.
It could also be concluded that MHCs' services are based on traditional basic elements (e.g. antenatal health check-ups and screening, health promoting counselling) and modern services, such as group appointments or diverse parental group-activities, were limited.
This finding suggests that the inclusion of BMI screening within current appointments may negatively impact parental ability to remember and understand this information.
Participants indicated that having children immunized against influenza at school would reduce the demand on parental resources (e.g. juggling schedules for appointments, travelling to appointments, lost time from work, stress from dealing with distressed children at immunization appointments).
Most DNA guidelines focus on missed appointments as a result of parental factors.
(Consultant 7) Two hospital-based HCPs advocated addressing parental motivation by penalizing families who miss appointments through monetary fines or withholding treatment, but acknowledged this would be difficult to implement.
Our findings suggest that GPs can be reluctant to interfere with parental responsibilities regarding attendance at children's hospital appointments, focusing primarily on barriers to attending rather than parents' motivations.
The audit covered appointment waiting times, intervention provided, initial follow-up and parental satisfaction with routine consultant-led practice.
