ArticlePloS one2021
A qualitative study of child participation in decision-making: Exploring rights-based approaches in pediatric occupational therapy.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Healthcare professionals' understanding of children's rights: a systematic review of the empirical evidence-base.Systematic reviews · 2025Pooled it
- Exploring Therapeutic Relationships in Pediatric Occupational Therapy: A Meta-Ethnography.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2024Pooled it
- Implementing the Cognitive Orientation to Daily Occupational Performance (CO-OP) Approach with Children with Fetal Alcohol Spectrum Disorder: A Feasibility Study.Children (Basel, Switzerland) · 2026Article
- Autistic Children Have a Voice and Want to Use It: Acceptability of Dyadic, Telehealth, Occupation-Based Coaching.International journal of telerehabilitation · 2026Article
- Challenges in Clinical Decision-Making for Nurses in Neonatal Intensive Care Unit (NICU): A Qualitative Study.Critical care research and practice · 2025Article
- Impact of the Stigma of Mental Illness: A Descriptive Exploratory Study of Outpatients in a Public Mental Health Hospital in Ghana.Journal of community psychology · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccording to Article 12 of the United Nations Convention on the Rights of the Child, therapists are duty-bound to include children in decisions that impact them. Although occupational therapists champion client-centred, collaborative practice, there remains a paucity of studies detailing children's rights and experiences of decision-making in pediatric occupational therapy. PURPOSE: This qualitative study described the decision-making experiences of children, parents and therapists in occupational therapy.
methodsSemi-structured interviews were conducted with 17 participants (six children, five parents and six occupational therapists), and data analysed using thematic analysis.
findingsThree themes emerged: 1) Goal-setting experiences; 2) Adults: child-rights gatekeepers or defenders? and 3) Decision-making in context. Findings suggest that decision-making is mostly adult directed, and children's voices are subsumed by adult-led services, priorities, and agendas. IMPLICATIONS: Children's rights need to be embedded as an aspect of best practice in providing services that are child-centred in occupational therapy practices and education.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.