Too vulnerable? Successful practices for conducting research with children and young people who have life-limiting or life-threatening illness.

Background: A dearth of evidence exists on how to include children and young people in palliative care research. Aim: We aimed to identify successful practices in involvement, recruitment and data collection with children and young people with life-limiting illness in research. Design: We synthesise...

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Publicado en:Palliative Medicine Vol. 39; no. 9; pp. 1021 - 1030
Autores principales: Namisango, Eve, Friedel, Marie, Yurduşen, Sema, Alrjoub, Waleed, Braybrook, Debbie, Alarjeh, Ghadeer, Roach, Anna, Boufkhed, Sabah, Farsides, Bobbie, Coombes, Lucy, Harding, Richard
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Too vulnerable? Successful practices for conducting research with children and young people who have life-limiting or life-threatening illness.
      aug:
        au:
          Namisango, Eve
          Friedel, Marie
          Yurduşen, Sema
          Alrjoub, Waleed
          Braybrook, Debbie
          Alarjeh, Ghadeer
          Roach, Anna
          Boufkhed, Sabah
          Farsides, Bobbie
          Coombes, Lucy
          Harding, Richard
        affil: African Palliative Care Association, Kampala, Uganda
      sug:
        subj:
          Research, Medical Ethical Issues
          Critical Illness
          Research Subject Recruitment Ethical Issues
          Research Subject Recruitment Ethical Issues
          Research Ethics
          Human
          Funding Source
          Male
          Female
          Child, Preschool
          Child
          Adolescence
          Jordan
          Turkiye
          Kenya
          Namibia
          South Africa
          Uganda
          Belgium
          United Kingdom
          Data Collection
          Thematic Analysis
          Semi-Structured Interview
          Multimethod Studies
          Health Personnel
          Descriptive Statistics
          Protocols
          Child Health
          Communication
          Patient Participation
          Professional-Patient Relations
          Play Therapy
          Health Literacy
          Clinical Competence
          Caregiver Burden
          Palliative Care
          Photography
          Purposive Sample
          World Health Organization
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Background: A dearth of evidence exists on how to include children and young people in palliative care research. Aim: We aimed to identify successful practices in involvement, recruitment and data collection with children and young people with life-limiting illness in research. Design: We synthesised methods from five primary studies from three geographical regions in which children with life-limiting conditions were recruited and interviewed. Using Expert Elicitation Methodology we identified successful practices in the three areas of involvement, recruitment and data collection. We established consensus on methodological challenges and solutions, and developed 10 recommendations for inclusion in research protocols. Setting: Primary cross-national research in three regions; Middle East (one study), sub-Saharan Africa (one study), Europe (three studies), reporting on studies that recruited N = 244 children aged 5–18 years. Results: Recommendations are: (1) research team supported by advisory group of children for entire research process; (2) appropriate distress protocol tailored to population; (3) opt not to use term 'palliative care' in study materials if significant distress is a risk; (4) be deliberate in purposive sampling to ensure diagnoses heterogeneity where appropriate; (5) age-appropriate information materials pre-tested by children; (6) clinical teams receive training in recruitment; (7) time to build rapport before starting data collection; (8) consider potential biases and advantages of having parent/carer present during interview; (9) use age-appropriate toys/games during interviews; (10) selfcare for researchers to manage distress. Conclusions: These recommendations can guide design and conduct of research, enabling children with life-limiting illness to meaningfully participate and express their views.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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