Evidence map›Paper›PMID 41023688›Full record

ArticleInternational journal for equity in health2025

Challenges and opportunities for inclusive, equitable and accessible school holiday clubs for children with special educational needs and disabilities (SEND).

Lorna Hatch, Laura Tinner, Cecilia Khofi-Szeremley, Florence Darling, Sophie Clohessy, Jessica Tanner, Hannah Robinson, Russell Jago, Carolyn Summerbell, Laura Mazzoli-Smith and 3 more

Abstract read
In one paragraph

Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Lorna Hatch *Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Laura Tinner *Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK. laura.tinner@bristol.ac.uk.
Cecilia Khofi-SzeremleyPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Florence DarlingDepartment of Sport and Exercise Sciences, Durham University, Durham, UK.
Sophie ClohessyDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Jessica TannerDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Hannah RobinsonPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Russell JagoPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Carolyn SummerbellDepartment of Sport and Exercise Sciences, Durham University, Durham, UK.
Laura Mazzoli-SmithDepartment of Sport and Exercise Sciences, Durham University, Durham, UK.
Miranda PallanDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Margaret A DefeyterDepartment for Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK.
Marie MurphyDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.

Funding

National Institute for Health and Care Research (NIHR) School for Public Health Research (SPHR) NIHR 204000
6 · The paper itself

Abstract

backgroundChildren with special educational needs and disabilities (SEND), particularly those from families with low-income, experience inequities across educational and health outcomes. The school holidays are difficult for families with low-income, prompting UK government programmes including the Holiday Activity and Food (HAF) clubs. Little is known about how inclusive these holiday clubs are for children with SEND, despite this being a group who may particularly benefit. This study is embedded within a wider project on the HAF programme to explore the challenges and opportunities for inclusive and accessible holiday club provision and provides recommendations for the HAF Toolkit.

methodsParticipant experiences were captured using two qualitative methods: 1) interviews with holiday programme delivery staff and parents of attendees (staff n=28, parents n=10); 2) focus group discussions at creative workshops with parents whose children are eligible for the holiday programme but do not attend (n=22). The Framework Method and Reflexive Thematic Analysis were used. 

methodsParticipant experiences were captured using two qualitative methods: (1) interviews with holiday programme delivery staff and parents of attendees (staff n = 28, parents n = 10); (2) focus group discussions at creative workshops with parents whose children are eligible for the holiday programme but do not attend (n = 22). The Framework Method and Reflexive Thematic Analysis were used.

resultsFindings reveal challenges and opportunities around accessing and experiencing the holiday clubs for children with SEND. Access subthemes included: lack of clarity in advertising whether clubs welcome children with SEND; frequent non-disclosure from parents of their child's needs; accessible transportation; and additional resources needed for SEND provision. Experience subthemes included: food provision for children with SEND; training and staffing that covers the range of needs; and the experiences of children within mainstream provision versus specialist providers of SEND clubs. All participant groups illuminated areas where holiday clubs could be improved to ensure an enjoyable and equitable experience for children with SEND. However, wider debates around ableism and the challenges children with SEND face in society broadly were also illustrated in data. Further, the current economic context and the additional resources needed to support inclusive holiday club provision underpinned much of the data. Opportunities were highlighted such as parent volunteers and external investment, that could maximise the potential of the current government funding.

conclusionsOur findings highlight issues in access and experience of holiday clubs for children with SEND and provide potential avenues for promoting inclusivity, including how adaptations to the Toolkit could specifically improve HAF. There are considerable challenges to achieving inclusive holiday clubs (financial or otherwise) but if we are to reduce inequities, addressing these should be a public health priority.

Indexed as

Children with DisabilitiesEducation, SpecialHolidaysSchoolsAdolescentChildChild, PreschoolFemaleFocus GroupsHumansMaleParentsPovertyQualitative ResearchUnited KingdomChildren and young peopleInclusionSchool holiday provisionSEND

Identifiers

PMID41023688
PMCPMC12481733

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.