PROTOCOL EGUBE – Exploring parental barriers and experiences in accessing child therapy services in Germany: A mixed-methods protocol

Early and adequate speech and occupational therapy are essential for supporting children's development and reducing linguistic, academic, and social challenges. However, navigating the German healthcare system to secure these services often poses significant barriers for parents, especially in outpatient settings. This study's primary aim is to identify key barriers and facilitators influencing parental engagement with the healthcare system. Using a mixed-methods approach, the study integrates data from a published pilot project, an online survey, and semi-structured interviews with parents of children receiving or having received therapy within the last two years. Quantitative data are analyzed via descriptive statistics and qualitative data by means of content analysis to capture both overall trends and in-depth perspectives. The role of health literacy and interprofessional collaboration in shaping access to care is also examined. Preliminary insights from the pilot study indicate notable disparities in healthcare access. Findings are expected to highlight specific challenges parents face, including systemic inefficiencies and limited awareness of available resources. Anticipated recommendations include policy changes, practitioner guidelines, improvements in care settings, regulations to foster interdisciplinary collaboration, and the development of targeted informational materials for various parent groups. By emphasizing family-centered care and health literacy-sensitive interventions, the study aims to inform healthcare policies and practices that address these disparities, thereby contributing to global strategies for reducing healthcare inequalities and enhancing therapeutic outcomes for children with developmental needs.