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Updated: Aug 17, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Visual narratives of the pediatric illness experience: children communicating with clinicians through video
Michael Rich1, Julie Polvinen, Jennifer Patashnick
1Center on Media and Child Health, Division of Adolescent/Young Adult Medicine, Children's Hospital Boston, MA 02115, USA. michael.rich@childrens.harvard.edu
Insights
The video intervention/prevention assessment (VIA) method offers a flexible, patient-centered approach to understanding pediatric illness. This approach allows for diverse data analysis across various medical and psychiatric conditions in children and adolescents.
Area of Science:
- Pediatric Health
- Qualitative Research Methods
- Patient Experience
Background:
- Pediatric illness is complex, necessitating a multidimensional, patient-centered approach.
- Existing research methods may not fully capture the nuances of a child's health journey.
Purpose of the Study:
- To introduce and elaborate on the video intervention/prevention assessment (VIA) method for studying pediatric illness.
- To highlight the adaptability and multidisciplinary nature of the VIA method.
Main Methods:
- The video intervention/prevention assessment (VIA) method utilizes diverse source data.
- It employs multidisciplinary analytical frameworks for examining findings from multiple perspectives.
- VIA can be applied by asking different research questions to explore human experience.
Main Results:
- VIA has been successfully applied to pediatric conditions including asthma, obesity, spina bifida, and diabetes mellitus.
- Current research using VIA examines the transition to adulthood in pediatric patients with spina bifida, cystic fibrosis, sickle cell disease, and HIV.
Conclusions:
- The VIA method provides a robust framework for exploring the multifaceted experiences of children with chronic illnesses.
- Its flexibility allows for in-depth investigation across a range of pediatric health conditions and life transitions.
Abstract:
The pediatric illness experience is a complex subject that requires a multidimensional, flexible, and patient-centered approach. The video intervention/prevention assessment (VIA) method, with its diverse source data and multidisciplinary analytical frameworks, generates findings that can be examined from any number of perspectives simply by asking different questions. As an exploration of human experience, VIA can be applied to various medical and psychiatric conditions. It has been used to investigate the experiences of children and adolescents who live with asthma, obesity, spina bifida, and diabetes mellitus. VIA currently is being applied to a longitudinal examination of the transition to adulthood by pediatric patients with spina bifida, cystic fibrosis, sickle cell disease, and HIV.
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