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The Your Rheum story: involvement of young people in rheumatology research. BMC Rheumatol 2022; 6:43. [PMID: 35787300 PMCID: PMC9253258 DOI: 10.1186/s41927-022-00273-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Accepted: 04/29/2022] [Indexed: 11/15/2022] Open
Abstract
Until recently, young people too often fell into the gaps between services due to restrictive age criteria. Furthermore, their voice was too infrequently heard or was represented by proxies in the form of their caregivers or by adults recalling their youth. The lack of young person involvement in adolescent health research including the arena of paediatric and adolescent chronic disease has been highlighted in current literature. However, the involvement of young people at all stages of health research, from priority setting through to dissemination, is widely advocated. Furthermore, such involvement is considered to be important ethically and, most important of all, has been called for by young people themselves. Young people have clear views about research and these views potentially enhance our understanding of how young people form opinions about research. These opinions in turn informs researchers how to best engage young people (including recruitment and retention) in research. Such involvement of young people ensures that research questions, project methodologies and/or interventions are truly resonant with their lives. This paper describes the development of a national youth advisory group in UK rheumatology, an important addition to the evolving evidence base to support the involvement of young people in rheumatology research. The paper is written with two young people who are members of this group, providing them with an opportunity to learn more about a key component of research—writing papers for publication.
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Shoop-Worrall SJW, Cresswell K, Bolger I, Dillon B, Hyrich KL, Geifman N. Nothing about us without us: involving patient collaborators for machine learning applications in rheumatology. Ann Rheum Dis 2021; 80:1505-1510. [PMID: 34226185 PMCID: PMC8600606 DOI: 10.1136/annrheumdis-2021-220454] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Accepted: 06/22/2021] [Indexed: 11/21/2022]
Abstract
Novel machine learning methods open the door to advances in rheumatology through application to complex, high-dimensional data, otherwise difficult to analyse. Results from such efforts could provide better classification of disease, decision support for therapy selection, and automated interpretation of clinical images. Nevertheless, such data-driven approaches could potentially model noise, or miss true clinical phenomena. One proposed solution to ensure clinically meaningful machine learning models is to involve primary stakeholders in their development and interpretation. Including patient and health care professionals' input and priorities, in combination with statistical fit measures, allows for any resulting models to be well fit, meaningful, and fit for practice in the wider rheumatological community. Here we describe outputs from workshops that involved healthcare professionals, and young people from the Your Rheum Young Person's Advisory Group, in the development of complex machine learning models. These were developed to better describe trajectory of early juvenile idiopathic arthritis disease, as part of the CLUSTER consortium. We further provide key instructions for reproducibility of this process.Involving people living with, and managing, a disease investigated using machine learning techniques, is feasible, impactful and empowering for all those involved.
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Affiliation(s)
- Stephanie J W Shoop-Worrall
- Centre for Health Informatics, The University of Manchester, Manchester, UK
- Centre for Epidemiology Versus Arthritis, The University of Manchester, Manchester, UK
| | - Katherine Cresswell
- NIHR Manchester BRC, Manchester Academic Health Science Centre, Manchester University NHS Foundation Trust, Manchester, UK
- Vocal, Manchester University NHS Foundation Trust, Manchester, UK
| | - Imogen Bolger
- Your Rheum, Young Person's Research Advisory Group, Manchester, UK
| | - Beth Dillon
- Your Rheum, Young Person's Research Advisory Group, Manchester, UK
| | - Kimme L Hyrich
- Centre for Epidemiology Versus Arthritis, The University of Manchester, Manchester, UK
- NIHR Manchester BRC, Manchester Academic Health Science Centre, Manchester University NHS Foundation Trust, Manchester, UK
| | - Nophar Geifman
- Centre for Health Informatics, The University of Manchester, Manchester, UK
- Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, UK
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Abstract
PURPOSE OF REVIEW Effective transitional care for adolescents and young adults (AYA) with rheumatic musculoskeletal disease (RMD) is fundamental to rheumatology care provision. Here we review the recent evidence from the literature on transition in rheumatology and debate why universal implementation has yet to be recognised. RECENT FINDINGS Evidence of need for transitional care continues to be reported. The triphasic nature of transitional care remains poorly recognised, and the third phase following transfer to adult rheumatology is particularly under-researched in spite of the recognition of the age-related trajectories of transition skill development during young adulthood. Several rheumatology-specific transitional care interventions have now been evaluated but the search for valid measures including outcome continues. Finally, the need to study transition at a health system level is increasingly recognised. Future research in this area should consider the developmental trajectories of AYA as well as the social-ecological model of transition readiness, which focuses on the interactions between AYA, caregivers and providers (and the systems they are part of) as these are the likely targets of any intervention to improve health transitions.
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Affiliation(s)
- Janet E McDonagh
- Versus Arthritis Centre for Epidemiology, Centre for MSK Research, University of Manchester and NIHR Biomedical Research Centre, Manchester University Hospital NHS Trust, Manchester, UK.
| | - Albert Farre
- School of Nursing and Health Sciences, University of Dundee, Dundee, UK
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Preston J, Stones SR, Davies H, Preston J, Phillips B. How to involve children and young people in what is, after all, their research. Arch Dis Child 2019; 104:494-500. [PMID: 31000534 DOI: 10.1136/archdischild-2018-315118] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Revised: 11/29/2018] [Accepted: 12/15/2018] [Indexed: 01/01/2023]
Abstract
Third in a series of four articles addressing ethical approaches and issues in undertaking clinical research with children and young people.
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Affiliation(s)
- Jenny Preston
- NIHR Alder Hey Clinical Research Facility, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
| | | | | | | | - Bob Phillips
- Department of Paediatric Oncology, Leeds Children's Hospital, Leeds, UK.,Centre for Reviews and Dissemination, University of York, York, UK
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Holmes L, Cresswell K, Williams S, Parsons S, Keane A, Wilson C, Islam S, Joseph O, Miah J, Robinson E, Starling B. Innovating public engagement and patient involvement through strategic collaboration and practice. RESEARCH INVOLVEMENT AND ENGAGEMENT 2019; 5:30. [PMID: 31646001 PMCID: PMC6802177 DOI: 10.1186/s40900-019-0160-4] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2019] [Accepted: 08/12/2019] [Indexed: 05/21/2023]
Abstract
BACKGROUND Patient and public involvement and engagement is an important and expected component of health-related research activity in the UK. Specifically within the health research sphere, public engagement (usually defined as raising awareness of research) and patient involvement (usually defined as actively involving people in research) have traditionally been seen as separate but have much to gain from working together towards a common goal of better health outcomes for all. METHODS This paper describes a unique approach taken by the Public Programmes Team: a small interdisciplinary team of public engagement specialists, with backgrounds in science, community development, public engagement and involvement, policy, ethics, communications, industry, museums and creative practice, embedded within translational research infrastructure and delivery in Manchester in the North West of England. We propose a new model of professional practice - a 'cycle' of engagement and involvement - innovating across the complementary fields of public engagement and patient involvement, and working inclusively and in partnership with people in health research. Further, our approach capitalises on strategic collaboration offering economies of scale and a joined up way of working. Our ambition is to boldly experiment, learn and reflect, responsibly and based on evidence and partnerships, using methods of engagement that address issues of social justice. RESULTS Here, we report on preliminary case studies exemplifying the impact of our approach, and data relating to achievements and learning between April 2017 and March 2018. Informed by our findings, we propose that our approach has the potential to be replicated elsewhere. CONCLUSIONS Our practice and the beginning of its evaluation lead us to believe that our way of working and model of professional practice - the 'cycle' of engagement and involvement - is effective in: addressing our vision of making health research relevant and inclusive for everyone; and embedding and joining up public involvement in a busy and fertile translational health research ecosystem.
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Affiliation(s)
- Leah Holmes
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
| | - Katharine Cresswell
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
| | - Susannah Williams
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
| | - Suzanne Parsons
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
| | - Annie Keane
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
| | - Cassie Wilson
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
| | - Safina Islam
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
| | - Olivia Joseph
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
| | - Jahanara Miah
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
| | - Emily Robinson
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
| | - Bella Starling
- Public Programmes Team, Manchester University NHS Foundation Trust, The Nowgen Centre, 29 Grafton Street, Manchester, M13 9WU England
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