Evidence map›Paper›PMID 38439152›Full record

ArticlePalliative medicine2024

'My life is a mess but I cope': An analysis of the language children and young people use to describe their own life-limiting or life-threatening condition.

Katherine Bristowe, Debbie Braybrook, Hannah M Scott, Lucy Coombes, Daney Harðardóttir, Anna Roach, Clare Ellis-Smith, Myra Bluebond-Langner, Lorna Fraser, Julia Downing and 2 more

Abstract read
In one paragraph

Article in Palliative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Katherine BristoweCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0003-1809-217X
Debbie BraybrookCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0001-9253-4955
Hannah M ScottCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0003-1243-3500
Lucy CoombesCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.
Daney HarðardóttirCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.
Anna RoachGreat Ormond Street Institute of Child Health, Faculty of Population Health Sciences, London, UK.
Clare Ellis-SmithCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0003-3453-3203
Myra Bluebond-LangnerLouis Dundas Centre for Children's Palliative Care, University College London, London, UK.ORCID 0000-0001-9281-5431
Lorna FraserCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0002-1360-4191
Julia DowningCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.
Fliss MurtaghWolfson Palliative Care Research Centre, Hull York Medical School, Hull, UK.ORCID 0000-0003-1289-3726
Richard HardingCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0001-9653-8689

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren and young people with life-limiting and life-threatening conditions have multidimensional needs and heterogenous cognitive and communicative abilities. There is limited evidence to support clinicians to tailor their communication to each individual child.

aimTo explore the language children and young people use to describe their own condition, to inform strategies for discussing needs and priorities.

designPositioned within a SETTING/

participantsA total of 26 children and young people aged 5-17 years with life-limiting or life-threatening conditions (6 cancer; 20 non-cancer) were recruited from nine clinical services (six hospitals and three hospices) across two UK nations.

resultsThe language children and young people use positions them as 'experts in their condition'. They combine medical terminology with their preferred terms for their body to describe symptoms and treatments, and use comparatives and superlatives to communicate their health status. Their language depicts their condition as a 'series of (functional and social) losses', which single them out from their peers as 'the sick one'. Older children and young people also incorporate figurative language to expand their descriptions. CONCLUSION/DISCUSSION: Children and young people can provide rich descriptions of their condition. Paying attention to their lexical choices, and converging one's language towards theirs, may enable more child-centred discussions. Expanding discussions about 'what matters most' with consideration of the losses and differences they have experienced may facilitate a fuller assessment of their concerns, preferences and priorities.

Indexed as

Hospice CarePalliative CareAdolescentChildCommunicationHumansLanguageQualitative ResearchCommunicationlinguisticspaediatricspalliative carequalitative research

Identifiers

PMID38439152
PMCPMC10973786

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Registered trials

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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.