A family- centred core outcome set for infants with developmental dysplasia of the hip undergoing brace treatment

Craven, J, Theunissen, WWES, O'Malley, O, Winson, DMG, Morley, E, Asher, M, Carpenter, C and Perry, DC ORCID: 0000-0001-8420-8252 (2025) A family- centred core outcome set for infants with developmental dysplasia of the hip undergoing brace treatment BONE & JOINT JOURNAL, 107B (9). pp. 973-978. ISSN 2049-4394, 2049-4408

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Abstract

Aims The aim of this study was to identify a minimum set of family-centred outcomes that should be collected in research involving infants with developmental dysplasia of the hip (DDH) undergoing brace treatment. Methods A comprehensive list of potential outcomes was developed through a literature review and survey of key stakeholders including caregivers, clinicians, and researchers. Potential outcomes were evaluated in a two-round Delphi consensus process, which included a UK-led group with international involvement comprising orthopaedic surgeons, physiotherapists, nurse practitioners, researchers, parents, and charity representatives. Outcomes that did not reach consensus were discussed during a final consensus meeting, where a broad group of stakeholders voted on the inclusion or exclusion of these outcomes. Results A total of 14 family-centred outcomes were identified for inclusion in the Delphi process. Of these, 12 were derived from the comprehensive literature review and two additional outcomes were added following the initial stakeholder survey. No additional outcomes were identified during the Delphi process. Of the 14 outcomes, eight achieved ‘consensus in’ during the Delphi rounds and none were excluded. Six outcomes were further discussed at the final consensus meeting, resulting in one being added to the final core outcome set (COS).The final COS includes nine outcomes: infant cleanliness, sleep, comfort, development, skin irritation, and feeding; along with parental wellbeing, bonding, and the availability of information and resources. Conclusion This family-centred COS is recommended as the minimum set of outcomes that should be collected in trials involving infants undergoing brace treatment for DDH. Further work is required to identify or develop an appropriate tool for collecting data on these outcomes.

Item Type:	Article
Uncontrolled Keywords:	Humans, Braces, Consensus, Delphi Technique, Infant, Outcome Assessment, Health Care, Developmental Dysplasia of the Hip
Divisions:	Faculty of Health & Life Sciences Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences > Inst. Life Courses & Medical Sciences Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences > Inst. Life Courses & Medical Sciences (T&R staff) Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences > Women's & Children's Health
Depositing User:	Symplectic Admin
Date Deposited:	09 Feb 2026 10:17
Last Modified:	16 Jun 2026 05:15
DOI:	10.1302/0301-620X.107B9.BJJ-2025-0059.R1
Related Websites:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3196876
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