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Researching children: issues arising from a phenomenological study with children who have diabetes mellitus
1Department of Midwifery and Child, University of Hertfordshire, College Lane, Hatfield AL10 9AB, England.
Insights
Children with diabetes mellitus want their voices heard in healthcare research. This study found non-verbal communication crucial for understanding their experiences and perspectives.
Area of Science:
- Pediatric Healthcare
- Qualitative Research Methods
- Chronic Illness Management
Background:
- Rising incidence of childhood diabetes mellitus in Britain.
- Children with chronic conditions are lifelong healthcare consumers.
- Importance of incorporating children's perspectives into healthcare research.
Purpose of the Study:
- To explore the lived experiences of children with diabetes.
- To identify challenges and best practices in conducting research with pediatric populations.
- To understand children's views on their healthcare.
Main Methods:
- Phenomenological study design.
- In-depth interviews with six children aged 7-12 years with diabetes.
- Focus on ethical considerations, consent processes, and communication strategies.
Main Results:
- Gaining access to child participants requires ethical committee and parental negotiation.
- Child consent is an ongoing process, not a one-time event.
- Effective communication relies heavily on non-verbal cues, surpassing verbal methods for this age group.
- Children possess significant awareness and maturity regarding their health concerns.
Conclusions:
- Researchers must avoid underestimating children's capacity to express their views.
- Non-verbal communication is paramount when researching children's health experiences.
- Future research should prioritize children's perceptions in healthcare studies.
Abstract:
In Britain the incidence of diabetes mellitus in children is increasing. These children are health care consumers and will continue to be throughout their lives. It is important that their views are sought regarding their health care condition. A phenomenological study was undertaken with six children aged 7-12 years regarding their experience of living with diabetes. This research highlighted several issues regarding the conduct of research with children. Access to children required negotiation with the ethics committee and the parents. It was also important to seek the consent of the children via the signing of a consent form, as well as an on-going process throughout the conduct of the research. In addition, appropriate communication methods had to be utilized, acknowledging the age and abilities of individual children. The use of both verbal and non-verbal communication skills were important, but the use of non-verbal skills appeared to be the most significant. Researchers should not be bound by the supposed abilities of children and should take care not to underestimate the awareness and maturity that some children possess when addressing issues of concern to themselves. When given the opportunity, children were keen to express their views and were very articulate in doing so. There is much scope for future research studies seeking children's perceptions about their health care condition.
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