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      Research agenda setting with children with juvenile idiopathic arthritis: Lessons learned

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          Abstract

          Aim

          The aim of this qualitative study is to understand the research priorities of Dutch children with juvenile idiopathic arthritis (JIA) as well as researching how children can be involved.

          Background

          Several health research agendas have successfully been developed with adults but rarely with children. Children are still seldom recognized as possessing credible knowledge about their own body and life. This research project with focus group discussions and interviews with children with juvenile idiopathic arthritis (JIA) was an innovative addition to a nationwide prioritization of research questions of patients with JIA, their carers and health care professionals, based on the James Lind Alliance (JLA) methodology.

          Results

          Children with JIA appreciated being invited to give their opinion on JIA research prioritization as knowledgeable actors. They have clear views on what topics need most attention. They want more insight on how to medically and socially treat JIA so that they can better fulfil their aspirations at school, later in work and with their relationships.

          Conclusion

          We have identified the Top 5 research priorities for children with JIA. Most priorities are unique and differ from the priorities of the adolescents and young adults, parents and healthcare professionals in the main JLA priority setting exercise. Ultimately, two of the children's priorities were included in the final JLA Top 10.

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          Most cited references36

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          Three approaches to qualitative content analysis.

          Content analysis is a widely used qualitative research technique. Rather than being a single method, current applications of content analysis show three distinct approaches: conventional, directed, or summative. All three approaches are used to interpret meaning from the content of text data and, hence, adhere to the naturalistic paradigm. The major differences among the approaches are coding schemes, origins of codes, and threats to trustworthiness. In conventional content analysis, coding categories are derived directly from the text data. With a directed approach, analysis starts with a theory or relevant research findings as guidance for initial codes. A summative content analysis involves counting and comparisons, usually of keywords or content, followed by the interpretation of the underlying context. The authors delineate analytic procedures specific to each approach and techniques addressing trustworthiness with hypothetical examples drawn from the area of end-of-life care.
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            Biomedical research: increasing value, reducing waste.

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              Patient participation as dialogue: setting research agendas.

              Collaboration with patients in healthcare and medical research is an emerging development. We aimed to develop a methodology for health research agenda setting processes grounded in the notion of participation as dialogue. We conducted seven case studies between 2003 and 2007 to develop and validate a Dialogue Model for patient participation in health research agenda setting. The case studies related to spinal cord injury, neuromuscular diseases, renal failure, asthma/chronic obstructive pulmonary disease, burns, diabetes and intellectual disabilities. The Dialogue Model is grounded in participatory and interactive approaches and has been adjusted on the basis of pilot work. It has six phases: exploration; consultation; prioritization; integration; programming; and implementation. These phases are discussed and illustrated with a case description of research agenda setting relating to burns. The dialogue model appeared relevant and feasible to structure the process of collaboration between stakeholders in several research agenda setting processes. The phase of consultation enables patients to develop their own voice and agenda, and prepares them for the broader collaboration with other stakeholder groups. Challenges include the stimulation of more permanent changes in research, and institutional transitions.
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                Author and article information

                Contributors
                k.aussems@amsterdamumc.nl
                Journal
                Child Care Health Dev
                Child Care Health Dev
                10.1111/(ISSN)1365-2214
                CCH
                Child
                John Wiley and Sons Inc. (Hoboken )
                0305-1862
                1365-2214
                12 August 2021
                January 2022
                : 48
                : 1 ( doiID: 10.1111/cch.v48.1 )
                : 68-79
                Affiliations
                [ 1 ] Department of Ethics, Law and Humanities Amsterdam UMC (Location VUmc) Amsterdam The Netherlands
                [ 2 ] Department of Pediatric Rheumatology and Immunology, Wilhelmina Children's Hospital University Medical Center Utrecht Utrecht The Netherlands
                [ 3 ] Department of Pediatric Rheumatology and Immunology, Beatrix Children's Hospital, University Medical Center (MCG) University of Groningen Groningen The Netherlands
                [ 4 ] James Lind Alliance University of Southampton Southampton UK
                Author notes
                [*] [* ] Correspondence

                Karijn Aussems, Department of Ethics, Law and Humanities, Amsterdam UMC (Location VUmc), De Boelelaan 1089a, 1081 HV Amsterdam, The Netherlands.

                Email: k.aussems@ 123456amsterdamumc.nl

                Author information
                https://orcid.org/0000-0002-9308-5060
                https://orcid.org/0000-0002-9547-0616
                https://orcid.org/0000-0003-2774-9989
                https://orcid.org/0000-0003-3296-4245
                Article
                CCH12904
                10.1111/cch.12904
                9290128
                34348417
                17260fa9-ca63-4af5-a2c6-6d9f54e2da45
                © 2021 The Authors. Child: Care, Health and Development published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 23 July 2021
                : 20 November 2020
                : 28 July 2021
                Page count
                Figures: 2, Tables: 4, Pages: 12, Words: 8593
                Funding
                Funded by: PGOsupport
                Funded by: Wilhelmina Kinderziekenhuis , doi 10.13039/501100008955;
                Funded by: Jeugdreuma Vereniging Nederland
                Funded by: Nederlandse Vereniging voor Kinderreumatologie
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                January 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.7 mode:remove_FC converted:18.07.2022

                Pediatrics
                child participation,james lind alliance,juvenile idiopathic arthritis (jia),patient involvement,research agenda setting

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