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Using a Respectful Approach to Child-centred Healthcare (ReACH) in a paediatric clinical trial: A feasibility study

Analise Nicholl1, Kate Evelegh1, Kane Evan Deering1

  • 1School of Medical and Health Sciences, Edith Cowan University, Joondalup, Perth, Western Australia, Australia.

Plos One
|November 9, 2020
PubMed

Insights

The Respectful Approach to Child-centred Healthcare (ReACH) improved children's compliance in clinical trial assessments. This child-centred method was found feasible and acceptable to children and parents, enhancing their study experience.

Area of Science:

  • Pediatric ethics
  • Clinical trial methodology
  • Child psychology

Background:

  • Growing need for ethical, respectful research and healthcare protocols in pediatrics.
  • Development and refinement of the 'Respectful Approach to Child-centred Healthcare' (ReACH) framework.
  • ReACH aims to ensure respectful participant interactions within clinical trials.

Purpose of the Study:

  • To evaluate the acceptability and effectiveness of the ReACH approach in a clinical trial involving healthy 4-6-year-old children.
  • To determine if ReACH facilitates compliance with common healthcare assessments.
  • To gather feedback from children and parents on their experience with the ReACH-based protocol.

Main Methods:

  • Mixed-methods evaluation of ReACH-based assessments in a clinical trial.
  • Inclusion of 49 healthy children (46.9% female, mean age 5.24 years) and their parents.
  • Data collection through customized 5-point Likert scales, qualitative feedback, and researcher adherence evaluation.

Main Results:

  • High compliance rates observed: 95% for body composition, 89% for blood pressure, and 92% (baseline) / 87% (post-intervention) for blood draws.
  • Positive association between adherence to ReACH principles and child compliance, particularly for BodPod and blood tests.
  • High participant satisfaction: 91.7% (baseline) and 100% (post-intervention) of parents satisfied with the study; positive qualitative feedback on the experience.

Conclusions:

  • Adherence to the ReACH approach is linked to high child compliance in healthcare assessments.
  • The ReACH method appears feasible and acceptable for pediatric clinical trials.
  • Child-centred methods enhance participant satisfaction and the overall research experience.
Abstract

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