{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:12:19Z","timestamp":1790100739484,"version":"4.0.1"},"reference-count":59,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Musculoskeletal pain and injury are common in childhood. To assess and manage children's pain appropriately, it is crucial to understand their perspective on how the problem started and how it feels. There are multiple barriers to children being heard. Offering visual\u2010based communication opportunities, in addition to traditional language\u2010based communication, could potentially help children to retell their experiences. The aim of the public involvement event was to establish how children chose to retell their experience of musculoskeletal pain or injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>As part of the preliminary work for the design of a clinical intervention, children's opinions were sought at a public event. An interactive exhibit invited children to retell their musculoskeletal pain and injury experiences through talking, drawing, acting, writing, using a human figurine, or combining these methods. Observation and note\u2010taking were used by exhibit facilitators to record how children chose to retell their experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and twelve children aged 2\u201317\u2009years participated in the interactive exhibit. Most children choose to use a creative activity in addition to talking about their experience. Drawing or using a human figurine was the most frequently used creative activity. Creative methods, most often drawing, enabled some children to communicate their pain experience without talking. Age and gender differences were observed, with younger children being more likely to draw and boys using human figurines more often.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There was no \u2018one size fits all\u2019 approach to communication as children had different preferences. The most frequently used creative methods, drawing and the use of a human figurine, will inform the design of a tailored physiotherapy intervention developed with service users.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This public involvement event highlights the valuable role children can play in shaping research processes to inform the development of interventions. The broader research programme, including this event, was supported by the University Faculty of Medicine Youth Advisory Group, comprising nine members aged 14\u201318, who actively contributed by helping to determine the methods used, during two 1\u2010h sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration<\/jats:title>\n                    <jats:p>The wider programme of research about which public involvement was informed is registered and listed on the ISRCTN registry, with study registration number ISRCTN18918987.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70347","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T14:15:19Z","timestamp":1752070519000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Children's Communication Choices About Musculoskeletal Pain and Injury: Insights From a Public Involvement Event"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3712-3341","authenticated-orcid":false,"given":"Rhiannon","family":"Joslin","sequence":"first","affiliation":[{"name":"School of Health Sciences, Faculty of Environmental and Life Sciences University of Southampton Southampton UK"},{"name":"Women's and Children's Department University Hospitals Sussex, St. Richards Hospital Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maggie","family":"Donovan\u2010Hall","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Environmental and Life Sciences University of Southampton Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2976-0217","authenticated-orcid":false,"given":"Mary","family":"Barker","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Environmental and Life Sciences University of Southampton Southampton UK"},{"name":"MRC Lifecourse Epidemiology Centre, Faculty of Medicine University of Southampton Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8223-8834","authenticated-orcid":false,"given":"Kathryn. A.","family":"Birnie","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine University of Calgary Calgary Canada"},{"name":"Solutions for Kids in Pain Dalhousie University Halifax Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleanor","family":"Melfi","sequence":"additional","affiliation":[{"name":"School of Nursing and Allied Health University of Chichester Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2662-6696","authenticated-orcid":false,"given":"Lisa","family":"Roberts","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Environmental and Life Sciences University of Southampton Southampton UK"},{"name":"Therapy Services Department University Hospital Southampton NHS Foundation Trust Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Convention on the Rights of the Child. Article 12. 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