title: Video diaries to capture children's participation in the dental GA pathway.
abstract: OBJECTIVE
  To explore children's experiences of having teeth extracted under general anaesthetic, with a focus on opportunities to participate in their care pathway.
  
  
  METHODS
  Qualitative study where analysis was informed by a narrative approach.
  
  
  METHODS
  Ten fit and healthy children, aged 6-11 years, who required multiple dental extractions under general anaesthesia at a UK Children's Hospital, participated in the study. Participants were invited to keep a video diary of their thoughts and experiences leading up to, and following, their hospital admission. Data collection was supported by two semi-structured home interviews.
  
  
  RESULTS
  Three themes emerged relating to participation: (i) children's prior knowledge and expectations of the dental general anaesthetic (DGA); (ii) their role in decision-making about the DGA and (iii) opportunities identified by children to actively participate in their care pathway. Children's feedback suggested that they did not feel fully informed or involved in decisions about the procedure and were upset about not being able to keep their extracted teeth.
  
  
  CONCLUSIONS
  Child-centred resources and decision-aids may be helpful in providing greater opportunities for children to participate in their DGA pathway. However, considerable challenges lie in engaging children without increasing pre-DGA anxiety or conflicting with parents' views about what is best for their child.
authors.affiliation: School of Clinical Dentistry, University of Sheffield, Sheffield, UK, h.d.rodd@sheffield.ac.uk.
authors.forename: H D
authors.initials: HD
authors.lastname: Rodd
authors.forename: M
authors.initials: M
authors.lastname: Hall
authors.forename: C
authors.initials: C
authors.lastname: Deery
authors.forename: F
authors.initials: F
authors.lastname: Gilchrist
authors.forename: B
authors.initials: B
authors.lastname: Gibson
authors.forename: Z
authors.initials: Z
authors.lastname: Marshman
mesh_terms: D000768:Anesthesia, General; D002648:Child; D003657:Decision Making; D016854:Dental Anxiety; D006801:Humans; D010290:Parents; D014081:Tooth Extraction