Developmental Guidelines for Interviewing Young Children

Caplan, Rochelle; Bursch, Brenda; Leipzig, Amara

doi:10.1093/med/9780199843824.003.0012

Cited by 2 publications

(3 citation statements)

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“…For example, younger children may rely on their parents more than older children to report their pain on their behalf, because they may not have developed the understanding and/or vocabulary to be able to describe pain experiences to a healthcare professional (Chan & von Baeyer, 2016 ). Most theories of cognitive development posit that it takes up to around 11 years of age to develop the intellectual capacity to process complex information to understand and to then describe complex concepts or experiences such as pain (Caplan & Bursch, 2012 ). Furthermore, the degree to which healthcare interactions are co‐ordinated according to developmentally appropriate principles will further influence the degree of participation by younger patients (Rapley et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

‘That's what makes me better’: Investigating children and adolescents' experiences of pain communication with healthcare professionals in paediatric rheumatology

Lee

Mountain

Connelly

et al. 2022

European Journal of Pain

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Background Pain communication should be an integral part of clinical consultations, particularly in paediatric rheumatology where children and adolescents frequently present with chronic musculoskeletal pain. To date, literature exploring the nature of and extent to which pain communication occurs has focused on healthcare professionals as respondents, yielding inconsistent and incomplete findings. The aim of this study was to explore children and adolescents' experiences of pain communication in the context of paediatric rheumatology consultations. Methods Data were collected using semi‐structured telephone interviews with children and adolescents recruited from three tertiary paediatric rheumatology centres in the United Kingdom. A framework analysis approach was used to explore the similarities and divergences in participant accounts. Results Twenty‐six children and adolescents (aged 6–18 years, median = 14, 58% female) participated. Diagnoses included: juvenile idiopathic arthritis, Chronic Idiopathic Pain Syndromes, Ehlers Danlos Syndrome/Hypermobility. Four themes were identified: (1) Co‐ordination of pain communication; (2) Barriers to pain communication; (3) Facilitators of pain communication; (4) Dissatisfaction with pain communication. These themes particularly encompassed the process of communication, disclosure of effective and ineffective approaches and the impact of communication. Participants expected questions about pain, felt cared about and found talking about pain natural. Challenges included augmenting the feeling of being different to peers and concerns about management plans changing as a result of pain conversations. Conclusions Children and adolescents recalled a range of effective and ineffective pain communication approaches. Our study informs recommendations which highlight how healthcare professionals can improve their communication about pain with children and adolescents in the future. Significance Our findings demonstrate that children and adolescents attending paediatric rheumatology expect to be and value being asked about their pain during consultations with healthcare professionals. Children and adolescents remember many of the processes involved, experiences of and the outcomes of pain communication. The current study reveals insights which can improve healthcare professional pain communication with children and adolescents. Our study introduces key recommendations for healthcare professionals to have more effective pain conversations in future.

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Section: Discussionmentioning

confidence: 99%

‘That's what makes me better’: Investigating children and adolescents' experiences of pain communication with healthcare professionals in paediatric rheumatology

Lee

Mountain

Connelly

et al. 2022

European Journal of Pain

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“…Parental views may be different from a teenaged person [6]. Clinicians often have to address both these views while treating a young person with cancer.…”

Section: Unique Psychological Challenges In Paediatric Psycho-oncologymentioning

confidence: 99%

“…In fact, too much or too little emotion can hamper the communication process and build mistrust in the doctor–patient relationship. Communicating with children using language appropriate to their developmental level is also important [6]. Recognising the need for psycho-oncology training, we propose that training in paediatric psycho-oncology (Figure 1) may broadly be carried out in three levels:…”

Section: Content Of a Paediatric Psycho-oncology Training Programmementioning

confidence: 99%

What do you need to learn in paediatric psycho-oncology?

Datta

Saha

Ojha

et al. 2019

ecancer

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Paediatric psycho-oncology is an evolving speciality and is increasingly being recognised as an essential component in children’s cancer care. Modern paediatric oncology services aspire to integrate physical care with psycho-social care and build capacity within clinical teams to address the emotional needs of parents and children side by side with other aspects of medical care. This article discusses the unique challenges of paediatric psycho-oncology and common situations where psychological assessment and management of children and young people with cancer become especially important. The authors propose a tiered structure of training. Providing empathic evidence-based psycho-social care is ‘everyone’s business’ in paediatric oncology and not merely that of mental health professionals. However, there are times when a more specialist intervention by a paediatric liaison psychiatrist and/or a clinical psychologist is needed for optimum outcome. Learning interviewing techniques suitable for children and adolescents should be a core part of the training in paediatric psycho-oncology. Professionals should be encouraged to reflect on their own emotional wellbeing, which in turn will provide a stable foundation of emotionally matured care to children, young people and their families.

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Developmental Guidelines for Interviewing Young Children

Cited by 2 publications

References 0 publications

‘That's what makes me better’: Investigating children and adolescents' experiences of pain communication with healthcare professionals in paediatric rheumatology

‘That's what makes me better’: Investigating children and adolescents' experiences of pain communication with healthcare professionals in paediatric rheumatology

What do you need to learn in paediatric psycho-oncology?

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