PP-41 Prisoners’ involvement in conversations about their healthcare support needs: an integrative review

Introduction Person-centred conversations are considered central to well-being in palliative and end of life care, ensuring that care is driven by the needs of the patient rather than those of healthcare providers. Such conversations enable patients to work collaboratively with healthcare and other support staff, sharing responsibility for identifying and implementing the support they need. However, there are well-documented challenges in putting person-centred conversations into practice in a prison environment. Aims To synthesize existing research about current perspectives, practices, and experiences of involving people in prison with long-term or progressive conditions in conversations about their healthcare support needs. Methods Integrative review of peer-reviewed evidence, reports and policy documents (grey literature) on how prisoners with chronic or progressive conditions participate in conversations to identify, express, and address their healthcare needs. Relevant databases were systematically searched, and the quality of included papers appraised using the Multi-method Appraisal Tool for empirical work, JBI Critical Appraisal Tool for systematic literature reviews, and AACODS checklist for grey literature. PROSPERO registration number: PROSPERO 2025 CRD420251075600, (Registered 30 June 2025). Results Thirteen papers and five grey literature reports were included. Five themes emerged: (i) Growing recognition of prisoners’ palliative care needs, (ii) Theoretical frameworks informing the involvement of prisoners in conversations about their health care needs, (iii) Approaches to healthcare conversations in practice, (iv) Prisoner experiences of healthcare conversations, (v) Ways forward to support a person-centred approach. Conclusion There is limited research evidence on this topic. Research that does exist emphasizes the need for person-centred conversations and clear policies, enabled by a comprehensive understanding of the principles of person-centred conversations, and the development of practices and interventions that support delivery. Impact The review has potential to inform healthcare conversations and guide the development of practices and interventions that support delivery of person-centred communication in prison settings.