{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T14:15:11Z","timestamp":1788531311466,"version":"build-2803163510"},"reference-count":90,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100032559","name":"Breakthrough T1D","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100032559","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100018940","name":"Diabetesforeningen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100018940","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Child-centred care is increasingly advocated in paediatric healthcare, yet its theoretical foundations remain fragmented and poorly defined. This review aimed to identify and synthesize theoretical perspectives applied to child-centred care in healthcare and to develop a theory-informed framework that clarifies its theoretical foundations and operationalisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The review followed the JBI methodology for systematic scoping reviews and was conducted and reported in accordance with the PRISMA Extension for Scoping Reviews (PRISMA-ScR). A comprehensive search of MEDLINE, Embase, and CINAHL was conducted for studies published between 1946 and August 2024. Peer-reviewed studies involving children, parents, or healthcare professionals that applied theoretical perspectives to child-centred care were included. Screening and data extraction were conducted independently by multiple reviewers. Data were synthesized in three steps: (1) grouping studies by theoretical framework, (2) analysing shared elements across six theories, and (3) integrating themes to construct a framework and identify core domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen studies were included, identifying six theoretical perspectives underpinning child-centred care. Synthesis of these perspectives resulted in a theory-informed framework comprising three interrelated domains: (1) the competent child, (2) social context and ecologies, and (3) development as a dynamic process. Together, these domains conceptualise child-centred care as a relational, contextual, and developmental process that supports children's participation, agency, and well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review advances conceptual clarity by integrating six theoretical perspectives into a theory-informed framework of child-centred care. The framework positions child-centred care as a dynamic, relational, and developmental process linking children's agency, social context, and development. The framework provides a tentative, structured foundation for guiding practice, education, and research. Further research is required to test and refine the framework across diverse cultural, geographic and healthcare contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1900023","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T13:23:20Z","timestamp":1788528200000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Towards a theory-informed framework of child-centred care in paediatric healthcare: a systematic scoping review"],"prefix":"10.3389","volume":"14","author":[{"given":"Patricia","family":"DeCosta","sequence":"first","affiliation":[{"name":"Department of Prevention, Health Promotion and Community Care, Copenhagen University Hospital \u2013 Steno Diabetes Center Copenhagen","place":["Herlev, Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Grabowski","sequence":"additional","affiliation":[{"name":"Department of Prevention, Health Promotion and Community Care, Copenhagen University Hospital \u2013 Steno Diabetes Center Copenhagen","place":["Herlev, Denmark"]},{"name":"Department of Health Services Research, University of Southern Denmark","place":["Odense, Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tue Helms","family":"Andersen","sequence":"additional","affiliation":[{"name":"Department of Education, Copenhagen University Hospital \u2013 Steno Diabetes Center Copenhagen","place":["Herlev, Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imelda","family":"Coyne","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Trinity College Dublin","place":["Dublin, 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