Table 2

The nine-step process to develop the MPH dialogue tool for children

StepWho is involvedContent
Step 1Participants—during second part of the interviewDo children think the dimensions belong to their concept of health (yes/no/don’t know)?
Step 2Participants—during second part of the interviewWhat reasons do children give for a dimension belonging (or not belonging) to their concept of health?
Step 3Participants—during second part of the interviewWhich aspects belong to each dimension?
Step 4Participants—during second part of the interviewWhich of the themes and sub-themes that were mentioned in the open part of the interview* should perhaps be added to one of the dimensions?
Step 5ResearcherDrawing conclusions based on steps 1–4 and designing a preliminary version of the tool
Step 6Multidisciplinary research teamDiscussion of the conclusions (step 5) by the multidisciplinary research team
Step 7Multidisciplinary research teamDefining the dimensions and corresponding aspects
Step 8Children’s councilPresenting the health dimensions and aspects to the children’s council of the Wilhelmina Children’s Hospital†
Step 9Multidisciplinary research teamEstablishing the Final version of the My Positive Health dialogue tool for children and publication for use.
  • *These themes were derived from the analysis of the first part (ie, open dialogue) of the interviews.

  • †This council consists of 10 patients aged 8 to 18, who advise the hospital’s management team on topics related to healthcare improvement.