Children are increasingly acknowledged to have rights in the determination of decisions that affect them. This has encouraged research to be undertaken with children themselves to understand their own views, experiences and relationships, and has demonstrated a considerable gulf from parental concerns and observations. Methods for research with children are, however, relatively under-developed. This article reflects on our experience of conducting focus groups with children aged 7-11 years to examine their experiences of living with asthma. It discusses the use of child-friendly techniques to promote participation and access children’s meanings, and raises issues about the size and composition of groups and recruitment strategies, group dynamics, tensions and sensitive moments. We conclude that focus groups are a valuable method for eliciting children’s views and experiences and complement personal interviews, while important questions relate to enhancing children’s participation in other stages of the research process.

Embedded hierarchical relationships between children and adults constrain children's voice. For adults to support children's participation in decisions they need to learn new ways of working; to enable children to communicate their views, develop their ideas, make group decisions and take joint action. This article explores the different roles that caring professionals adopt when facilitating children's participation within Child-to-Child community health projects. It shows how even committed adults can struggle with shifting their practice and highlights the importance of facilitators adopting a reflective approach rooted in genuine dialogue with children in order to determine the most appropriate level of adult support.