A systematic evidence synthesis of interventions to engage children and young people in health care consultations about their long-term condition.

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Abstract

Children and young people with long-term conditions are not always provided with opportunities to engage fully in consultations. This systematic review examined the effectiveness or value of methods used to engage children and young people with long-term conditions in their consultations. Searches were undertaken in October 2016 in eight databases and of the grey literature. Two reviewers independently screened the results, extracted data and assessed the quality of the studies using a validated and reliable checklist. A narrative synthesis of mixed method data was undertaken. Twelve studies were included in the review. Interventions used to engage children and young people mainly focussed on face to face outpatient consultations, with an emphasis on diabetes and asthma. Most interventions focussed on either improving health professionals’ communication skills or encouraging children’s and young peoples’ engagement through providing condition-related information or a structured way to be included in consultations. Fewer interventions were child-led or directed towards developing children’s and young peoples’ skills to become key reporters of their condition. This review has demonstrated that interventions targeted at children and young people with long-term conditions can improve their levels of engagement in consultations. There is a need for more systematic development and robust evaluation of interventions to improve children’s active participation in consultations
Original languageEnglish
Pages (from-to)122-146
JournalJournal of Child Health Care
Volume22
Issue number1
Early online date25 Dec 2017
DOIs
Publication statusE-pub ahead of print - 25 Dec 2017

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Referral and Consultation
Delivery of Health Care
Health Communication
Literature
Checklist
Outpatients
Asthma
Databases

Keywords

  • Children
  • consultations
  • engagement
  • long-term condition
  • participation
  • systematic review

Cite this

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title = "A systematic evidence synthesis of interventions to engage children and young people in health care consultations about their long-term condition.",
abstract = "Children and young people with long-term conditions are not always provided with opportunities to engage fully in consultations. This systematic review examined the effectiveness or value of methods used to engage children and young people with long-term conditions in their consultations. Searches were undertaken in October 2016 in eight databases and of the grey literature. Two reviewers independently screened the results, extracted data and assessed the quality of the studies using a validated and reliable checklist. A narrative synthesis of mixed method data was undertaken. Twelve studies were included in the review. Interventions used to engage children and young people mainly focussed on face to face outpatient consultations, with an emphasis on diabetes and asthma. Most interventions focussed on either improving health professionals’ communication skills or encouraging children’s and young peoples’ engagement through providing condition-related information or a structured way to be included in consultations. Fewer interventions were child-led or directed towards developing children’s and young peoples’ skills to become key reporters of their condition. This review has demonstrated that interventions targeted at children and young people with long-term conditions can improve their levels of engagement in consultations. There is a need for more systematic development and robust evaluation of interventions to improve children’s active participation in consultations",
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