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Warraitch A, Wacker C, Biju S, Lee M, Bruce D, Curran P, Khraisha Q, Hadfield K. Positive Impacts of Adolescent Involvement in Health Research: An Umbrella Review. J Adolesc Health 2024:S1054-139X(24)00121-6. [PMID: 38597838 DOI: 10.1016/j.jadohealth.2024.02.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 02/15/2024] [Accepted: 02/16/2024] [Indexed: 04/11/2024]
Abstract
Despite an increased recognition of the right of adolescents to be involved in decisions that affect them, young people continue to be under-involved in health research. One of the reasons is a lack of awareness among researchers on the current evidence base around the benefits of involving adolescents. To address this, we conducted an umbrella review to synthesize the evidence on the positive impacts of adolescent involvement in health research. This umbrella review was preregistered with PROSPERO (CRD42021287467). We searched 11 databases, Google Scholar, PROSPERO, reference lists, 10 journals, websites of 472 organizations, and sought input from experts. Ultimately, we included 99 review articles. We found that adolescent involvement has many positive impacts on young people, including increased knowledge and skills; personal development; financial benefits; career and academic growth; enhanced relationships; and valuing their experience. The positive impacts of adolescent involvement on the research itself include increased relevance of the study to adolescents, improved recruitment, development of more adolescent-friendly materials, enhanced data collection and analysis, and more effective dissemination. Researchers also benefited from adolescents' involvement through increased knowledge, skills, and a shift in their attitudes. The evidence supporting the positive impacts of adolescent involvement in research is substantial but limited by a lack of rigorous evaluation, inconsistent reporting, and unclear evaluation methods.
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Affiliation(s)
- Azza Warraitch
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Psychology, Trinity College Dublin, Dublin, Ireland.
| | - Ciara Wacker
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Psychology, Trinity College Dublin, Dublin, Ireland
| | - Sanjana Biju
- Department of Social Work and Social Policy, Trinity College Dublin, Dublin, Ireland
| | - Maria Lee
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Psychology, Trinity College Dublin, Dublin, Ireland
| | - Delali Bruce
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Engineering, Stanford University, Stanford, California
| | - Paul Curran
- Department of Psychology, Trinity College Dublin, Dublin, Ireland
| | - Qusai Khraisha
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Psychology, Trinity College Dublin, Dublin, Ireland
| | - Kristin Hadfield
- Trinity Centre for Global Health, Trinity College Dublin, Dublin, Ireland; Department of Psychology, Trinity College Dublin, Dublin, Ireland
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Erwin J, Burns L, Devalia U, Witton R, Shawe J, Wheat H, Axford N, Doughty J, Kaddour S, Nelder A, Brocklehurst P, Boswell S, Paisi M. Co-production of health and social science research with vulnerable children and young people: A rapid review. Health Expect 2024; 27:e13991. [PMID: 38403901 PMCID: PMC10895074 DOI: 10.1111/hex.13991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 01/23/2024] [Accepted: 02/03/2024] [Indexed: 02/27/2024] Open
Abstract
BACKGROUND The term 'care-experienced' refers to anyone who is currently in care or has been in care at any stage in their life. A complex interplay of factors leads to care-experienced children and young people (CECYP) experiencing poorer oral health and access to dental care than their peers. A rapid review of the co-production of health and social care research with vulnerable children and young people (CYP) was carried out to inform the development of a co-produced research project exploring the oral health behaviours and access to dental services of CECYP. Here, 'co-production' refers to the involvement of CYP in the planning or conduct of research with explicit roles in which they generate ideas, evidence and research outputs. AIM To learn how to meaningfully involve vulnerable CYP in the co-production of health and social science research. OBJECTIVES To identify: Different approaches to facilitating the engagement of vulnerable CYP in co-production of health and social science research; different activities carried out in such approaches, challenges to engaging vulnerable CYP in co-production of health and social science research and ways to overcome them and areas of best practice in relation to research co-production with vulnerable CYP. SEARCH STRATEGY A rapid review of peer-reviewed articles was conducted in six databases (MEDLINE, Embase, SocINDEX, CINAHL, PsycINFO and Web of Science) and grey literature to identify studies that engaged vulnerable CYP in co-approaches to health and social research. MAIN RESULTS Of 1394 documents identified in the search, 40 were included and analysed. A number of different approaches to co-production were used in the studies. The CYP was involved in a range of activities, chiefly the development of data collection tools, data collection and dissemination. Individual challenges for CYP and researchers, practical and institutional factors and ethical considerations impacted the success of co-production. DISCUSSION AND CONCLUSION Co-production of health and social science with vulnerable CYP presents challenges to researchers and CYP calling for all to demonstrate reflexivity and awareness of biases, strengths and limitations. Used appropriately and well, co-production offers benefits to researchers and CYP and can contribute to research that reflects the needs of vulnerable CYP. Adherence to the key principles of inclusion, safeguarding, respect and well-being facilitates this approach. PATIENT AND PUBLIC CONTRIBUTION Members of our patient and public involvement and stakeholder groups contributed to the interpretation of the review findings. This manuscript was written together with a young care leaver, Skye Boswell, who is one of the authors. She contributed to the preparation of the manuscript, reviewing the findings and their interpretation.
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Affiliation(s)
- Jo Erwin
- Peninsula Dental School, University of Plymouth, Plymouth, UK
| | - Lorna Burns
- Peninsula Dental School, University of Plymouth, Plymouth, UK
| | - Urshla Devalia
- Royal National ENT and Eastman Dental Hospital, London, UK
| | - Robert Witton
- Peninsula Dental School, University of Plymouth, Plymouth, UK
| | - Jill Shawe
- Peninsula Dental School, University of Plymouth, Plymouth, UK
| | - Hannah Wheat
- Peninsula Dental School, University of Plymouth, Plymouth, UK
| | - Nick Axford
- Peninsula Dental School, University of Plymouth, Plymouth, UK
| | - Janine Doughty
- School of Dentistry, Royal Liverpool University Dental Hospital, Liverpool, UK
| | | | | | | | | | - Martha Paisi
- Peninsula Dental School, University of Plymouth, Plymouth, UK
- School of Nursing and Midwifery, University of Plymouth, Plymouth, UK
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Corrigendum. Health Expect 2023; 26:940. [PMID: 36571270 PMCID: PMC10010074 DOI: 10.1111/hex.13695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
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Lygnegård F, Thell M, Sarkadi A. Adolescent co-researchers identified the central role of social media for young people during the pandemic. Acta Paediatr 2023; 112:787-793. [PMID: 36645244 DOI: 10.1111/apa.16670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 01/10/2023] [Accepted: 01/11/2023] [Indexed: 01/17/2023]
Abstract
AIM To test the method of engaging co-researcher adolescents in data collection and explore stated motives for their selection of social media material related to COVID-19. METHODS Twenty-three adolescents, 13-19-years old, in Sweden participated as co-researchers collecting material from their social media related to COVID-19. Specifically, they motivated their selection of social media material in field notes. Their motives were explored using content analysis. RESULTS Adolescent co-researchers understood and performed the task well, providing insight into the social media exchanges of adolescents during the pandemic. An overarching theme for the motivation for their selection emerged: Social media is an important tool for adolescents' communication and information exchange during COVID-19. Four categories were identified: Keeping track of the talk of the town; Recognition of personally relevant topics; Adolescents as information consumers; Social media as a means for expressing feelings, advice and existential reflections. Co-researchers reported challenges relating to the quality of pandemic-related information available to adolescents. CONCLUSION Including young people as co-researchers on matters relevant to them was successful. This study also underlines the need to consider the role of social media in information exchange during crises and to co-produce health communication with adolescents to meet their specific needs.
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Affiliation(s)
- Frida Lygnegård
- School of Health and Welfare, Jönköping University, Jönköping, Sweden.,CHILD Research Environment, Jönköping University, Jönköping, Sweden
| | - Maria Thell
- Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Anna Sarkadi
- Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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A Blueprint for Involvement: Reflections of lived experience co-researchers and academic researchers on working collaboratively. RESEARCH INVOLVEMENT AND ENGAGEMENT 2022; 8:68. [PMID: 36471372 PMCID: PMC9724262 DOI: 10.1186/s40900-022-00404-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 11/18/2022] [Indexed: 05/10/2023]
Abstract
Patient and public involvement in health research is important to ensure that research remains relevant to the patient groups it intends to benefit. The UK NIHR funded Blueprint study aimed to develop a 'model' of effective service design for children and young people with common mental health problems. To ensure Blueprint's findings were rooted in lived experience and informed by different perspectives, six young adults with lived experience of mental health issues were recruited, trained and employed as co-researchers to work alongside academic researchers . Blueprint collaborated with a third sector partner (McPin) to recruit, employ and mentor the co-researchers and deliver a bespoke training and mentoring package to support their development. Since Blueprint's scheduled work plan was significantly impacted by the Covid-19 pandemic, planned co-researcher activities had to be adapted to accommodate distance learning and remote fieldwork and analysis. Blueprint's co-researchers, academic researchers and a representative of McPin collaboratively used a process of reflexivity and thematic analysis to capture Blueprint's involvement journey. We identified numerous benefits but also challenges to involvement, some of which were exacerbated by the pandemic. Navigating and overcoming these challenges also allowed us to collectively identify key guidelines for involvement for the wider research community which focus on enabling access to involvement, supporting co-researchers and optimising involvement for the benefit of co-researchers and research teams. This paper presents an overview of the Blueprint involvement journey from co-researcher, academic researcher and McPin perspectives, sharing our learning from the recruitment, training, fieldwork and analysis phases in order to inform the knowledge base on lived experience involvement and provide guidance to other researchers who seek to emulate this approach.
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Dubois AC, Lahaye M, Aujoulat I. From research 'on' to research 'with' children about their family lives: A scoping review of ethical and methodological challenges. Child Care Health Dev 2022; 48:203-216. [PMID: 34859480 DOI: 10.1111/cch.12937] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 11/17/2021] [Accepted: 11/23/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Since the Convention on the Rights of the Child in 1989, interest in the ethical and methodological challenges involved in conducting research with children has increased considerably. Researchers who work with children have to take into account children's intrinsic physical, mental and emotional vulnerability as well as their interdependence with other family members, particularly their parents. This is especially challenging in research that seeks to explore children's lived experience in relation to aspects of their family lives. OBJECTIVE We aimed to identify specific ethical issues and ways of overcoming challenges in conducting research with children on some aspects of their family lives. METHODS We conducted a scoping review according to the PRISMA Extension for Scoping Reviews Checklist. Seventeen publications were selected for data extraction and synthesis, 4 of which were original studies and 13 reflexive papers. RESULTS Our results confirm that a research project that asks children about aspects of their family lives leads to a number of ethical tensions: While children depend on their parents and family to ensure that their safety and physical needs are met, they also greatly contribute to the development of family dynamics. We highlight methodological strategies that allow researchers to mitigate the ethical challenges that are inherent to this type of research. DISCUSSION/CONCLUSION A promising approach is to use participative methods at each stage of research, including developing a trusting and triadic partnership that includes parents, children, a multidisciplinary research team and professional gatekeepers. Benefits as well as possible risks for participants should also be considered when children and their parents are engaged in a study.
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Affiliation(s)
- Anne-Catherine Dubois
- Institute of Health and Society (IRSS), Université Catholique de Louvain, Brussels, Belgium
| | - Magali Lahaye
- Psychological Science Research Institute (IPSY), Université Catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Isabelle Aujoulat
- Institute of Health and Society (IRSS), Université Catholique de Louvain, Brussels, Belgium
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Preston J, Nafria B, Ohmer A, Gaillard S, Dicks P, West L, Turner MA. Developing a More Tailored Approach to Patient and Public Involvement with Children and Families in Pediatric Clinical Research: Lessons Learned. Ther Innov Regul Sci 2022; 56:948-963. [PMID: 35182389 PMCID: PMC8857393 DOI: 10.1007/s43441-022-00382-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 01/24/2022] [Indexed: 12/04/2022]
Abstract
Listening to, and acting on, the voices of children and families during clinical research and innovation is fundamental to ensuring enhanced pediatric health care, medicines development, and technological advances. While this is often discussed as an important step in ensuring patient-centered care, involving children and families across the life cycle of clinical research is not currently routine. The pediatric research community needs to address how to meaningfully involve children and families if they are to succeed in designing clinical research that suits the needs of pediatric patients and their families. This paper describes how an international community working under the umbrella International Children’s Advisory Network (iCAN) and European Young Person’s Advisory Group Network (eYPAGnet) has involved children and families in the design and delivery of pediatric clinical research. It offers practical solutions through various case studies assessed against seven patient engagement quality criteria within the Patient Engagement Quality Guidance (PEQG) tool, highlighting some of the lessons learnt from involving and engaging with children and families across different stages of clinical research, including pediatric trials for drug development programs.
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Affiliation(s)
- J Preston
- Faculty of Health and Life Sciences, Women's and Children's Health, Liverpool Health Partners, University of Liverpool, Liverpool, UK. .,Department of Women's and Children's Health, Institute in the Park, University of Liverpool, Alder Hey NHS Children's Foundation Trust, Liverpool, UK.
| | - B Nafria
- Institut de Recerca Sant Joan de Déu, Spain and Innovation and Research Department, Hospital Sant Joan de Déu Pg, Santa Rosa 39-57, Sant Joan de Déu, 2, Esplugues de Llobregat, 08950, Barcelona, Spain
| | - A Ohmer
- International Children's Advisory Network, Atlanta, GA, USA
| | - S Gaillard
- Hospices Civils de Lyon, EPICIME-CIC 1407 de Lyon, Inserm, CHU-Lyon, 69677, Bron, France
| | - P Dicks
- NHS-NRS Children, NHS Grampian, Royal Aberdeen Children's Hospital, Aberdeen, AB25 2ZG, Scotland, UK
| | - L West
- Georgia Institute of Technology, and International Children's Advisory Network, Atlanta, GA, USA
| | - M A Turner
- Faculty of Health and Life Sciences, Women's and Children's Health, Liverpool Health Partners, University of Liverpool, Liverpool, UK
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Viksveen P, Cardenas NE, Ibenfeldt M, Meldahl LG, Krijger L, Game JR, Andvik MM, Cuddeford O, Duerto S, Mustafa M, Tong M. Involvement of adolescent representatives and coresearchers in mental health research: Experiences from a research project. Health Expect 2021; 25:322-332. [PMID: 34761487 PMCID: PMC8849237 DOI: 10.1111/hex.13383] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 09/08/2021] [Accepted: 10/06/2021] [Indexed: 11/29/2022] Open
Abstract
Introduction In spite of adolescents' rights to be involved in decisions that concern their health and life, limited research has been published reporting on their involvement in mental health research. Therefore, we aim to present experiences and reflections based on the involvement of adolescents in mental health research, to describe the collaborative relationship between researchers and coresearchers, including the values that underpin their collaboration. Methods An autoethnographic approach was used, combined with group reflections. The process was jointly developed, carried out and analysed by adolescent coresearchers and the project's lead researcher over a period of 2 years. The article is jointly authored by the researcher and the ten coresearchers. Results Six themes were developed to describe our collaborative relationship, resulting in the involvement of adolescents in decisions about research priorities; in planning and carrying out the research; through to analysis, dissemination and communication of results. The themes include: (1) Commitment motivated by altruism, personal interests and a common purpose; (2) Inclusiveness and support to reduce social uncertainty and strengthen collaboration; (3) Reduced power differentials while ensuring clarity of roles and tasks; (4) Diversity in representation to expand the perspectives of ‘the adolescent voice’; (5) Self‐determination—supporting adolescents' involvement in decision‐making processes; and (6) Flexible and systematic project management. The themes describe the collaboration, the underlying values and motives, the challenges faced and how they were overcome. Conclusion This self‐reflective process describing a 4‐year collaborative research project resulted in the development of recommendations for involving adolescents in mental health research. The recommendations could potentially contribute to a change of ‘research culture’ to expand the currently limited involvement of adolescents in research. Patient or Public Contribution Adolescents have contributed as coresearchers through all phases of the research project and as coauthors of this article, including planning, participation in the self‐ and group‐reflective processes, analysis and authoring the article.
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Affiliation(s)
- Petter Viksveen
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway
| | - Nicole E Cardenas
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,School of Psychology (Psychology), University of Aberdeen, Aberdeen, Scotland
| | - Maya Ibenfeldt
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,Faculty of Biology, Medicine and Health (Pharmacology), University of Manchester, Manchester, UK
| | - Laia G Meldahl
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,Faculty of Health Sciences (Psychology), UiT Arctic University of Norway, Tromsø, Norway
| | - Lou Krijger
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,ESCP Business school, Business Management, Ecole Supérieure de Commerce de Paris, Paris, France
| | - Julia R Game
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,Faculty of Medicine (Medicine), Institute of Medicine, Pomeranian Medical University, Szczecin, Poland
| | - Maren McLean Andvik
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,College of Medicine, Veterinary and Life Sciences (Zoology), University of Glasgow, Glasgow, Scotland
| | - Oliver Cuddeford
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,School of Arts and Humanities, Faculty of Art Design and Architecture (Architecture), University of Huddersfield, Huddersfield, UK
| | - Samuel Duerto
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,Faculty of Philosophy, Theology and Religious Studies (Philosophy, Politics and Societies), Radboud Univeirsty, Nijmegen, The Netherlands
| | - Murad Mustafa
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,Faculty of Health Sciences (Nursing), University of Stavanger, Stavanger, Norway
| | - Mathias Tong
- Department for Quality and Health Technology, Faculty of Health Sciences, SHARE-Center for Resilience in Healthcare, University of Stavanger, Stavanger, Norway.,Department of Chemical Engineering and Analytical Science (Chemical Engineering), University of Manchester, Manchester, UK
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Fløtten KJØ, Guerreiro AIF, Simonelli I, Solevåg AL, Aujoulat I. Adolescent and young adult patients as co-researchers: A scoping review. Health Expect 2021; 24:1044-1055. [PMID: 33991369 PMCID: PMC8369088 DOI: 10.1111/hex.13266] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 02/20/2021] [Accepted: 04/10/2021] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND As part of a research project aimed at evaluating a hospital-based adolescent transition programme, we asked ourselves what is known about the ethical and methodological challenges of research involving adolescent patients as co-researchers. The aim of our review was to summarize empirical evidence and identify knowledge gaps about the involvement of young patients as co-researchers. METHODS We conducted a scoping review through searches in MEDLINE, EMBASE, PsychINFO, AMED. RESULTS We found reports of young patients being actively engaged as co-researchers in any stage of a research project, although commonly they were not involved in every stage. Including young patients as co-researchers is resource demanding and time-consuming. Involving young patients as co-researchers contributes to the fulfilment of their right to participation and may improve the relevance of research. Benefits for the young co-researcher include empowerment, skills building and raised self-esteem. Few authors go into detail about ethical considerations when involving young co-researchers. None of the included articles discuss legal considerations. DISCUSSION AND CONCLUSION No lists of recommendations are given, but recommendations can be deduced from the articles. There is need for time, funding and flexibility when including young patients as co-researchers. Knowledge gaps concern legal and ethical dilemmas of including a vulnerable group as co-researchers. More reflection is needed about what meaningful participation is and what it entails in this context. PATIENT OR PUBLIC CONTRIBUTION This review is part of a research project where the hospital youth council has been involved in discussions of focus area and methods.
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Affiliation(s)
- Kjersti J. Ø. Fløtten
- Department of Integrated Care and Health PromotionAkershus University HospitalLørenskogNorway,International Network of Health Promotion Hospitals and Health Services (HPH)Taskforce on Children & Adolescents (HPH‐CA)TrentoItaly
| | - Ana Isabel Fernandes Guerreiro
- International Network of Health Promotion Hospitals and Health Services (HPH)Taskforce on Children & Adolescents (HPH‐CA)TrentoItaly,Independent Consultant on Children's Rights in Health CareAlbufeiraPortugal
| | - Ilaria Simonelli
- International Network of Health Promotion Hospitals and Health Services (HPH)Taskforce on Children & Adolescents (HPH‐CA)TrentoItaly,Integrated Care DirectorateHealthcare Trust of the Autonomous Province of TrentoTrentoItaly
| | - Anne Lee Solevåg
- Department of Paediatric and Adolescent MedicineAkershus University HospitalLørenskogNorway,Department of Paediatric and Adolescent MedicineOslo University HospitalOsloNorway
| | - Isabelle Aujoulat
- International Network of Health Promotion Hospitals and Health Services (HPH)Taskforce on Children & Adolescents (HPH‐CA)TrentoItaly,Institute of Health & SocietyUCLouvainBrusselsBelgium
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