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How do children experience participating in a coeliac disease screening? A qualitative study based on childrens written narratives
Umeå University.
Umeå University.
Umeå University.
Lund University Hospital.
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2010 (English)In: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH, ISSN 1403-4948, Vol. 38, no 4, 351-358 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To explore how 12-year-old Swedish children experienced being involved in a coeliac disease (CD) screening. Methods: A qualitative approach was used to analyse short narratives written by children who had taken part in a school-based CD screening. Narratives were written after blood sampling, but prior to learning of the test results. Through an oscillation between the texts, codes, subcategories and four categories, a theme was generated describing the childrens experience. Results: The theme "A Journey towards Confidence" captures the overall experience of the screening. It illustrates that, although some children faced fear or anxiety, overall they had or were provided tools allowing them to cope well and experience a journey towards confidence. The categories describe conditions that contributed to the experience. The first, being involved, reflects the importance of involvement in receiving information and deciding to participate. Being a "good citizen" refers to feeling a duty to help and a trust to be treated fairly. Being able to cope with the screening was influenced by the childrens ability to manage sensations and support received. The last category, being able to balance risk, illustrates that the children were able to balance the risks of screening when they had a realistic understanding of the disease and their vulnerability and had tamed their anxiety. Conclusions: This study increases the understanding of how 12-year-old Swedish children experienced participating in a CD screening and describes conditions important for a positive experience. We show that, although some children faced anxiety, they had, or were provided with, tools allowing them to cope well and gain confidence.

Place, publisher, year, edition, pages
Sage , 2010. Vol. 38, no 4, 351-358 p.
Keyword [en]
Children, coeliac disease, personal narratives, qualitative research, screening
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-57159DOI: 10.1177/1403494810368454ISI: 000278152300003OAI: diva2:323566
Available from: 2010-06-11 Created: 2010-06-11 Last updated: 2010-06-11

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Högberg, Lotta
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Pediatrics Faculty of Health Sciences
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