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August 28, 2026Health ExpectationsOpen Access

Communication Strategies to Improve Child Participation in Triadic Consultations Within Healthcare Settings: A Scoping Review

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Authors

MAMaha A. AlharbiSGSuzanne GrantGCGeorge Cherukara

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Overview

Scoping review shows minimal child engagement in triadic healthcare visits, indicating that supportive communication styles from clinicians and caregivers are vital for active participation.

Key Points

  • To identify and map effective communication strategies utilized by healthcare providers and caregivers to enhance child participation during triadic healthcare consultations.
  • Conducted a scoping review adhering to JBI methodology and PRISMA guidelines across PubMed, PsycINFO, Scopus, and CINAHL.
  • Included qualitative, quantitative, and mixed-methods studies evaluating children under 18 years participating in triadic healthcare consultations with clinicians and caregivers.
  • Across 41 identified studies, 37 reported that child participation in triadic consultations is predominantly minimal, driven largely by healthcare provider and caregiver communication styles.
  • Supportive and facilitative clinician styles improved engagement through rapport-building, open-ended questions, and interactive techniques, whereas task-focused dyadic styles sidelined youth.
  • Evaluations utilized heterogeneous tools, including the Roter Interaction Analysis System and conversational analysis, with a noted absence of standardized measurement instruments limiting comparability.

Cite This Study

Alharbi et al. (2026) studied this question.

synapsesocial.com/papers/6a91466cd15324a1df3aa050https://doi.org/10.1111/hex.70853
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Also Consider

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  1. 1A Systematic Review on Children's Participation in Healthcare From a Child's Perspective2025
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  4. 4Child participation during outpatient consultations: a mixed methods study2024 · 3 citations
  5. 5Perceptions of Children’s Participation in Their Healthcare: A Critical Review2015 · 29 citations