Paediatrics, Wilhelmina Children's Hospital University Medical Centre, Utrecht, The Netherlands.
Julius Centre for Health Sciences and Primary Care, UMC Utrecht, Utrecht, The Netherlands.
BMJ Paediatr Open. 2022 Apr;6(1). doi: 10.1136/bmjpo-2021-001373.
Children's views of health were explored in order to develop a health dialogue tool for children.
A qualitative research design was used as part of a codesign process. Based on semi-structured interviews with both healthy children and children with a chronic condition (aged 8-18). Two approaches were applied. The first was an open exploration of children's views on health, which was then thematically analysed. Subsequently, a framework was used, based on the six-dimensional My Positive Health (MPH) dialogue tool for adults, to guide the second part of the interviews, focusing on reviewing the children's view on health within the context of the framework. For the final draft of the dialogue tool, a framework analysis was conducted and then validated by members of the 'children's council' of the Wilhelmina Children's Hospital.
We interviewed 65 children, 45 of whom had a chronic condition and 20 were healthy. The children described a broad concept of health with the central themes of 'feeling good about yourself' and 'being able to participate'. Based on the subsequent framework analysis, the wording of two of the six dimensions of the MPH dialogue tool was adjusted and the related aspects were adapted for better alignment with the children's concept of health. After these modifications, the tool fully matched the children's concept of health.
The MPH dialogue tool for children was developed for children with and without a chronic condition, to help them open up about what they consider important for their health and well-being, and to improve directorship over decisions and actions that would affect their health. The MPH dialogue tool aims to support healthcare professionals in providing the type of care and treatment that is in line with the needs of their young patients/clients.
为了开发一种儿童健康对话工具，我们探讨了儿童对健康的看法。
本研究采用定性研究设计，作为共同设计过程的一部分。研究纳入了健康儿童和患有慢性疾病的儿童（8-18 岁），并对他们进行半结构化访谈。研究采用了两种方法。第一种方法是对儿童的健康观进行开放性探索，然后进行主题分析。随后，基于成年人的六维度 My Positive Health（MPH）对话工具，应用框架来指导访谈的第二部分，重点是在框架内审查儿童对健康的看法。在对话工具的最终草案中，对框架进行了分析，并由威廉敏娜儿童医院的“儿童理事会”成员进行了验证。
我们共访谈了 65 名儿童，其中 45 名患有慢性疾病，20 名健康。儿童们描述了一个广泛的健康概念，核心主题是“自我感觉良好”和“能够参与”。基于随后的框架分析，对 MPH 对话工具的六个维度中的两个维度的措辞进行了调整，并对相关方面进行了调整，以更好地与儿童的健康概念保持一致。经过这些修改，该工具完全符合儿童的健康概念。
为了帮助患有和不患有慢性疾病的儿童开放地谈论他们认为对自己的健康和幸福重要的事情，并改善对可能影响他们健康的决策和行动的自主权，开发了针对儿童的 MPH 对话工具。MPH 对话工具旨在支持医疗保健专业人员提供符合年轻患者/客户需求的护理和治疗。
