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Published on: June 6, 2020
Children's experiences of participation in the cleft lip and palate care pathway
Melanie Hall1, Barry Gibson, Allison James
1Academic Unit of Oral Health and Development, School of Clinical Dentistry, Claremont Crescent, Sheffield, UK. melanie.hall@sheffield.ac.uk
Insights
Children actively participate in cleft lip and palate care decisions, taking on varying roles throughout their treatment journey. This highlights their significant contribution to their own healthcare choices.
Area of Science:
- Pediatric Healthcare
- Qualitative Research
- Patient Experience
Background:
- Cleft lip and palate care requires a multidisciplinary approach.
- Understanding the child's perspective is crucial for effective treatment.
Purpose of the Study:
- To explore children's views on their involvement in the cleft lip and palate care pathway.
- To understand how children participate in treatment decisions.
Main Methods:
- Qualitative study using child-centred interviews with participatory activities.
- Two interviews conducted with 17 children (8-17 years) with cleft lip and palate.
- Interviews covered general life stories and specific aspects of the condition and treatment.
Main Results:
- Children's participation in decision-making varied, ranging from active to passive roles.
- Patients occupied different roles throughout the care pathway, demonstrating dynamic participation.
- Insights into the interaction between young patients, families, and clinicians in treatment decisions were revealed.
Conclusions:
- Young patients play a vital role in their treatment choices.
- Findings support the importance of incorporating children's perspectives in cleft lip and palate care.
- The study offers valuable insights into shared decision-making in pediatric healthcare.
Aim:
This qualitative study sought to explore children's perspectives on their participation in the cleft lip and palate care pathway.
Design:
Eight boys and nine girls (aged 8-17 years), with a range of cleft types and who were patients at a British dental hospital each took part in two child-centred interviews which incorporated participatory activities. An initial interview focused on children's general life stories, and these often encompassed a discussion about cleft lip and/or palate. A follow-up interview explored specific aspects of the condition and its related treatment.
Results:
Data revealed the varying roles that young people can play in decision-making, which can be described as active or passive. In addition, the dynamic degree of participation was highlighted with patients occupying different roles throughout the care pathway.
Conclusion:
The research provides an insight into treatment decisions, and how young people, their families, and clinicians interact to arrive at these. Findings provide further evidence to support the important contribution young patients can make in their own treatment choices.
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