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Interventions to support children's engagement in health-related decisions: a systematic review

Bryan Feenstra, Laura Boland, Margaret L Lawson

  • 1University of Ottawa, Faculty of Health Sciences, Ottawa, ON, Canada. dstacey@uottawa.ca.

BMC Pediatrics
|April 25, 2014
PubMed

Insights

Few studies support children's health decisions. Decision coaching and workshops show promise, but more research is needed to find effective methods for pediatric health decision-making.

Area of Science:

  • Pediatric Health
  • Health Decision-Making Research
  • Intervention Science

Background:

  • Children require support for health decisions.
  • Limited research exists on interventions for pediatric health decision-making.

Purpose of the Study:

  • To review characteristics of interventions supporting children's health decision-making.
  • To evaluate the effectiveness of these interventions.

Main Methods:

  • Systematic review of studies up to March 2012.
  • Searched multiple electronic databases for intervention studies involving children (≤18 years).
  • Assessed studies based on decision quality or process outcomes using Cochrane Risk of Bias tool.

Main Results:

  • Five studies met eligibility criteria, focusing on risk behaviors, psycho-educational services, and end-of-life decisions.
  • Decision coaching improved child-parent values congruence and child satisfaction.
  • A workshop intervention increased overall decision-making quality.

Conclusions:

  • There is a scarcity of research on interventions to support children's health decision-making.
  • Further research is necessary to identify effective strategies for empowering children in healthcare choices.
Abstract

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