According to Article 12 of the United Nations Convention on the Rights of the Child, therapists are duty-bound to include children in decisions that impact them. Although occupational therapists champion client-centred, collaborative practice, there remains a paucity of studies detailing children’s rights and experiences of decision-making in pediatric occupational therapy.

This qualitative study described the decision-making experiences of children, parents and therapists in occupational therapy.

Children’s rights need to be embedded as an aspect of best practice in providing services that are child-centred in occupational therapy practices and education.