Acceptability of novel point-of-care tests for paediatric febrile illness in the emergency department: a qualitative analysis of views from children and young people in England

Background Rapid point-of-care tests (POCTs) are increasingly used to support clinical decision making. and appropriate antibiotic prescribing. Whilst a few studies have explored healthcare workers’ views on using POCTs in paediatric febrile illness, little is known about the perspectives of children and young people (CYP) who may undergo these tests. This study aimed to explore the acceptability and perceptions of British CYP to POCTs. Methods Three focus groups were conducted with CYP aged 12-18 years, from Young Persons’ Advisory Groups, at university hospitals in Newcastle and London, UK. Data were collected using questionnaires and semi-structured group discussions. Qualitative thematic analysis was undertaken to identify key themes relating to POCT acceptability, availability and perceived impact. Results A total of 54 CYP participated (10 in 2017 focus group, 25 in 2018, and 19 in 2025). The majority supported the implementation of POCT tests, provided they are accessible through community or hospital healthcare services. Key themes identified included altruism, test reliability, and the need for healthcare advice or review in-person following the test. CYP prefer non-invasive tests such as saliva-based sampling, over blood tests, and reported aversion to urine samples. POCTs were viewed as a means of improving assessment of unwell children and potentially reduce the burden on health care services if the test results were reassuring. Conclusion CYP are in favour for POCTs to facilitate and improve the care they receive. They recognised the potential benefits they might have in their care, but are aware of important limitations particularly regarding availability, interpretation and potential impact on the wider healthcare system.