Health Education Research, Vol. 14, No. 3, 387-398,
June 1999
© 1999 Oxford University Press
A critical appraisal of the draw and write technique
Research Unit in Health and Behavioural Change, Medical School, University of Edinburgh, Teviot Place, Edinburgh EH8 9AG, and
1 Department of General Practice and Primary Care, University of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen AB25 2AY, UK
The draw and write technique is increasingly popular in health education research with children. It is generally employed in the setting of the school classroom and is promoted as a `bottom-up' approach which enhances participation by children. In this paper we critically appraise the use of this method. Against the background of a consideration of carrying out qualitative health promotion research with children we examine the origins and use of children's drawings in a number of disciplines and practice environments. We argue that, although the draw and write technique has made an important contribution to health education research, it fails to reflect the processes involved in the construction and collection of such data. A range of methodological, analytical and ethical issues are raised. We conclude that health education research with children must involve taking children seriously as social actors and query the assumption that drawing enables children to communicate their thought any more than does conversational language. We suggest that the development of research should be premised upon an appreciation of the social context and the world of the child.
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