Caregiver and child satisfaction with modified ride-on car use in young children with disabilities: a qualitative study

Purpose: The purpose of this study was to explore child and caregiver (CG) satisfaction including their perceived benefits and barriers to modified ride-on car (MROC) use via a phenomenological qualitative research approach. Materials and methods: Six families received MROCs from a local GoBabyGo program and were instructed to use their MROC at least 1 h per week for 8 weeks. Following the study period, 4 child participants (3 years, 5 months to 4 years, 5 months) and 6 caregivers participated in semi-structured interviews about their lived experiences using MROCs. The data were analysed through open coding and content analysis qualitative approach. Results: Analysis revealed the overarching theme, satisfaction/"it's so cool!" The theme of benefits included subthemes of (1) "on his/her own," (2) "more freedom," (3) social/cognitive changes, with categories of peer engagement and "smiles the whole time," (4) individualisation of the MROC, and (5) other likes by adults. The theme of barriers included subthemes of (1) equipment issues, (2) driving on uneven terrain, and (3) need for adult supervision/assistance. Conclusion: This study provided details of the value of MROCs from the child's and caregiver's perspectives, which helps clinicians understand satisfaction and the physical and social/cognitive benefits and barriers of MROC use that are most important to young children with mobility challenges and their caregivers.