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Engaging Children and Young People in Pediatric Palliative Care Research: A Scoping Review Protocol of Patient and
Aima Molati1, Razieh Safarifard1, Emma Nicholson2
1School of Nursing, Psychotherapy and Community Health, Faculty of Science and Health, Dublin City University - Glasnevin Campus, Glasnevin, County Dublin, D09 V209, Ireland.
Insights
Meaningful engagement of children and young people (CYP) in paediatric palliative care (PPC) research is underdeveloped. This review maps how CYP are involved as active patient and public involvement (PPI) contributors to enhance future research inclusivity and impact.
Area of Science:
- Paediatric Palliative Care
- Patient and Public Involvement (PPI)
- Research Methodology
Background:
- Meaningful engagement of children and young people (CYP) in paediatric palliative care (PPC) research is currently underdeveloped.
- Existing literature offers limited insight into the types, levels, and stages of CYP involvement in PPC research.
- Patient and public involvement (PPI) is recognized for enhancing research relevance, ethics, and impact.
Purpose of the Study:
- To systematically map the existing literature on CYP involvement as active PPI contributors in PPC research.
- To identify and categorize reported outcomes, impacts, and ethical, practical, and emotional considerations.
- To determine factors enabling or hindering meaningful youth participation in PPC research.
Main Methods:
- Adherence to the Joanna Briggs Institute (JBI) methodology for scoping reviews.
- Comprehensive literature search across major databases (Embase, CINAHL, PubMed, Scopus, Cochrane Library).
- Systematic screening and data extraction by independent reviewers, with discrepancies resolved by a third reviewer.
Main Results:
- A comprehensive synthesis of CYP involvement in PPC research will be provided.
- Effective engagement practices and common challenges will be illuminated.
- Critical knowledge gaps in the field will be identified.
Conclusions:
- Insights will inform the development of inclusive and ethically grounded models for youth involvement in PPC research.
- This review will guide the creation of developmentally appropriate approaches for partnering with young people in palliative care research.
- The findings aim to foster a more robust framework for meaningful youth participation in future PPC studies.
Background:
In paediatric palliative care (PPC) research, meaningful engagement of children and young people (CYP) remains underdeveloped. Despite widespread endorsement of patient and public involvement (PPI) for its ability to enhance research relevance, ethics, and overall impact, current studies provide limited insight into how CYP are involved - specifically, the types, levels (e.g., consultation, collaboration, child-led), and stages (from priority setting to dissemination). This scoping review aims to systematically map existing literature on the involvement of CYP (aged 4-24 years) as active PPI contributors in PPC research. We will identify and categorize reported outcomes and impacts, explore ethical, practical, and emotional considerations, and determine the key factors that enable or hinder meaningful youth participation.
Methods:
The scoping review will adhere to the Joanna Briggs Institute (JBI) methodology. A comprehensive search will be conducted across Embase, CINAHL, PubMed, Scopus, and the Cochrane Library. The search will identify English-language empirical and methodological studies detailing CYP involvement at any stage of the research cycle within PPC. Two independent reviewers will screen titles, abstracts, and full texts, with a third reviewer resolving any discrepancies. Extracted data will be descriptively mapped using a structured extraction table.
Conclusion:
This scoping review will provide a comprehensive synthesis of CYP involvement as PPI contributors in PPC research. It will illuminate effective engagement practices, highlight common challenges, and identify critical knowledge gaps. The insights generated from this review will inform the development of more inclusive, ethically grounded, and developmentally appropriate models for involving children and young people as true partners in future palliative care research.
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