Making choices about medical interventions
The experience of disabled young people with degenerative conditions
Bibliographic Data
| ID | 19509099 |
|---|---|
| Authors | Wendy Mitchell (0000-0003-0862-7935, University of York, corresponding author), Wendy A Mitchell |
| Year | 2014 |
| Volume | 17 |
| Issue | 2 |
| Pages | 254-266 |
| Publication date | 2014-04-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Expectations (JOURNAL) |
| Journal identifiers | ISSN: 1369-6513 • E-ISSN: 1369-7625 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1369-7625.2011.00752.x |
| PMID | 22296527 |
| OpenAlex | W1800974056 |
| Language | EN |
| Citations received | 3 |
| References cited | 29 |
Background Current western policy, including the UK, advocates choice for service users and their families, taking greater control and being more involved in decision making. However, children’s role in health decision making, especially from their own perspective, has received less research attention compared to doctors and parents’ perspectives. Objective To explore the perspective and experiences of disabled young people with degenerative conditions as they face significant medical interventions and engage in decision‐making processes. Design and methods Findings from a longitudinal qualitative study of 10 young people (13–22 years) with degenerative conditions are reported. Individual semi‐structured interviews were conducted with participants over 3 years (2007–2010); the paper reports data from all three interview rounds. Interviews focused on medical intervention choices the young people identified as significant. Results Although the young people in this study felt involved in the medical intervention choices discussed, findings demonstrate a complex and diverse picture of decision making. Results highlighted different decisional roles adopted by the young people, the importance of information heuristics and working with other people whilst engaging in complex processes weighing up different decisional factors. Discussion Young people’s experiences demonstrate the importance of moving beyond viewing health choices as technical or rational decisions. How each young person framed their decision was important. Recognizing this diversity and the importance of emerging themes, such as living a normal life, independence, fear of decisions viewed as ‘irreversible’ and the role of parents and peers in decision making highlights that, there are clear practice implications including, active practitioner listening, sensitivity and continued holistic family working
Heuristics · Psychiatry · Psychological intervention · Qualitative research · Sociology · Applied Psychology · Children's Rights and Participation · Disability Rights and Representation · Ethics and Legal Issues in Pediatric Healthcare · Psychology · Social Psychology
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| Citations per year | 0.21 |
|---|---|
| Citation span | 2012 - 2016 (5) |
| Highly cited | No |