| Illustration of Step 1: the collaborative question and answer exercise | |
|---|---|
| Question derived from Review 2 (qualitative evidence) posed to Review 1 (quantitative evidence) | Response from Review 1 (quantitative evidence) |
| Is there any evidence for interventions tailored to the specific needs of the child being more effective than ones which are not? | Some evidence that programmes tailored to the LTC might be more effective than those which are not, eg, tailored to children of a certain age. |
| Question derived from Review 1 (quantitative evidence) posed to Review 2 (qualitative evidence) | Response from Review 2 (qualitative evidence) |
| Interventions in Review 1 were delivered either in a hospital/clinic, school, or at home/over the telephone. Does Review 2 suggest that the setting is a factor that affects the effectiveness of an intervention? | Yes, broadly the setting needs to be accessible and aspects of the setting may affect the extent to which an intervention is perceived to be engaging (see theme 1). Theme 2 regarding safe space implies that as well as the intervention staff, it is important that the setting is familiar and allows for a therapeutic atmosphere. A setting that allows for privacy and anonymity is seen as a positive thing in some studies and as such there are benefits of online interventions. The majority of Review 2 interventions were delivered in hospital/clinics (17 studies), very few were delivered at home, school or by phone. Online setting was next most frequent in 13 studies |
| Illustration of step 3: Description of categories and contribution of findings from each review | ||||
|---|---|---|---|---|
| Category | Summary | Contribution from Review 1 | Contribution from Review 2 | Implications |
| Accessibility and delivery of interventions | Considers the role of the setting, use of technology and flexibility of an intervention in ensuring that it can be accessed by children and young people with a long‐term condition | Some evidence that accessibility and familiarity if interventions may be beneficial, but difficult to tease out from other components of interventions | Familiar setting, use of technology and “therapists” who can relate to the needs of young people all perceived to be effective | Further research to investigate the impact of accessibility and delivery on the effectiveness of interventions is warranted |