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

dc.contributor.authorFeenstra, Bryan
dc.contributor.authorBoland, Laura
dc.contributor.authorLawson, Margaret L
dc.contributor.authorHarrison, Denise
dc.contributor.authorKryworuchko, Jennifer
dc.contributor.authorLeblanc, Michelle
dc.contributor.authorStacey, Dawn
dc.identifier.citationBMC Pediatrics. 2014 Apr 23;14(1):109
dc.description.abstractAbstract Background Children often need support in health decision-making. The objective of this study was to review characteristics and effectiveness of interventions that support health decision-making of children. Methods A systematic review. Electronic databases (PubMed, the Cochrane Library, Web of Science, Scopus, ProQuest Dissertations and Theses, CINAHL, PsycINFO, MEDLINE, and EMBASE) were searched from inception until March 2012. Two independent reviewers screened eligibility: a) intervention studies; b) involved supporting children (≤18 years) considering health-related decision(s); and c) measured decision quality or decision-making process outcomes. Data extraction and quality appraisal were conducted by one author and verified by another using a standardized data extraction form. Quality appraisal was based on the Cochrane Risk of Bias tool. Results Of 4313 citations, 5 studies were eligible. Interventions focused on supporting decisions about risk behaviors (n = 3), psycho-educational services (n = 1), and end of life (n = 1). Two of 5 studies had statistically significant findings: i) compared to attention placebo, decision coaching alone increased values congruence between child and parent, and child satisfaction with decision-making process (lower risk of bias); ii) compared to no intervention, a workshop with weekly assignments increased overall decision-making quality (higher risk of bias). Conclusions Few studies have focused on interventions to support children’s participation in decisions about their health. More research is needed to determine effective methods for supporting children’s health decision-making.
dc.titleInterventions to support children’s engagement in health-related decisions: a systematic review
dc.typeJournal Article
dc.rights.holderFeenstra et al.; licensee BioMed Central Ltd.
CollectionLibre accès - Publications // Open Access - Publications