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Clifford AM, Cheung PS, Malley NO, Byrne S, Whiston A, Kennelly B, Mphepo T, Eshghimanesh Z, Thabane L, Louw Q, Moss H, Gowran RJ, Neill DO, Glynn L, Woods CB, Maher C, Sheikhi A, Salsberg J, Bhriain ON. Findings from a pragmatic cluster randomised controlled feasibility trial of a music and dance programme for community dwelling older adults. Arch Gerontol Geriatr 2024; 122:105371. [PMID: 38471410 DOI: 10.1016/j.archger.2024.105371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 02/09/2024] [Accepted: 02/15/2024] [Indexed: 03/14/2024]
Abstract
INTRODUCTION Functional decline, chronic illness, reduced quality of life and increased healthcare utilisation are common in older adults. Evidence suggests music and dance can support healthy ageing in older adults. This study explored the feasibility, potential for effect and cost effectiveness of the Music and Movement for Health (MMH) programme among community-dwelling older adults using a pragmatic cluster-randomised, controlled feasibility trial design. METHODS Community-dwelling adults aged 65 years or older were recruited to seven clusters in the Mid-West region of Ireland. Clusters were block randomised to either the MMH intervention or control. Primary feasibility outcomes included recruitment, retention, adherence, fidelity, and safety. Secondary outcomes measured physical activity, physical and cognitive performance, and psychosocial well-being, along with healthcare utilisation were assessed at baseline and after 12 weeks. RESULTS The study successfully met feasibility targets, with recruitment (n = 100), retention (91 %), adherence (71 %), data completeness (92 %) and intervention fidelity (21 out of 24) all meeting predetermined criteria. Both groups exhibited an increase in self-reported physical activity and improved physical function. Participants in the intervention group scored consistently better in psychosocial measures compared to the control group at follow-up. The health economic analysis confirmed the feasibility of the methodology employed and points to the potential cost-effectiveness of the MMH relative to the control or no organised programme. DISCUSSION AND IMPLICATIONS The MMH intervention and study design were found to be feasible and acceptable with important findings to inform future evaluation of the clinical and cost-effectiveness of a definitive randomised controlled trial.
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Affiliation(s)
- Amanda M Clifford
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland; Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University, Cape Town, South Africa.
| | - Pui-Sze Cheung
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland; Irish World Academy of Music and Dance, University of Limerick, Limerick, V94DK18, Ireland
| | - Nicola O' Malley
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland
| | - Steven Byrne
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland; Department of Nursing & Midwifery, University of Limerick, Ireland
| | - Aoife Whiston
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland
| | - Brendan Kennelly
- Cairnes School of Business and Economics, University of Ireland Galway, Galway, Ireland
| | - Tumeliwa Mphepo
- Cairnes School of Business and Economics, University of Ireland Galway, Galway, Ireland
| | | | - Lehana Thabane
- Department of Health Research Methods, McMaster University, Hamilton ON, Canada; Research Institute of St Joe's Hamilton, St Joseph's Healthcare Hamilton, Hamilton ON, Canada; Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa
| | - Quinette Louw
- Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University, Cape Town, South Africa
| | - Hilary Moss
- Health Research Institute, University of Limerick, Limerick, Ireland; Irish World Academy of Music and Dance, University of Limerick, Limerick, V94DK18, Ireland
| | - Rosemary Joan Gowran
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland; Assisting Living and Learning (ALL) Institute, Maynooth University, Maynooth, Ireland
| | - Desmond O' Neill
- Centre for Ageing, Neuroscience and the Humanities, Trinity College Dublin, Dublin, Ireland
| | - Liam Glynn
- Health Research Institute, University of Limerick, Limerick, Ireland; School of Medicine, University of Limerick, Limerick, Ireland
| | - Catherine B Woods
- Health Research Institute, University of Limerick, Limerick, Ireland; Physical Activity for Health Research Cluster, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
| | - Catherine Maher
- Rehabilitation Unit, Community Hospital of the Assumption, HSE, Thurles, Tipperary, Ireland
| | - Ali Sheikhi
- Health Research Institute, University of Limerick, Limerick, Ireland
| | - Jon Salsberg
- Health Research Institute, University of Limerick, Limerick, Ireland; School of Medicine, University of Limerick, Limerick, Ireland
| | - Orfhlaith Ni Bhriain
- Health Research Institute, University of Limerick, Limerick, Ireland; Irish World Academy of Music and Dance, University of Limerick, Limerick, V94DK18, Ireland
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Engelaar M, Bos N, van Schelven F, Lorenzo I Sunyer N, Couespel N, Apolone G, Brunelli C, Caraceni A, Ferrer M, Groenvold M, Kaasa S, Ciliberto G, Lombardo C, Pietrobon R, Pravettoni G, Sirven A, Vachon H, Gilbert A, Rademakers J. Collaborating with cancer patients and informal caregivers in a European study on quality of life: protocol to embed patient and public involvement within the EUonQoL project. RESEARCH INVOLVEMENT AND ENGAGEMENT 2024; 10:59. [PMID: 38863075 PMCID: PMC11167745 DOI: 10.1186/s40900-024-00597-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Accepted: 06/06/2024] [Indexed: 06/13/2024]
Abstract
BACKGROUND Patient and public involvement (PPI) has become an essential part of health research. There is a need for genuine involvement in order to ensure that research is relevant to patients. This can then improve the quality, relevance, and impact of health research, while at the same time reducing wasted research and in doing so bringing science and society closer together. Despite the increasing attention for this involvement, it is not yet common practice to report on proposed activities. An article reporting planned PPI could provide guidance and inspiration for the wider academic community in future activities. Therefore, this current article aims to describe the way in which PPI principles are incorporated in the research project called "Quality of Life in Oncology: measuring what matters for cancer patients and survivors in Europe (EUonQoL)." This project aims to develop a new set of questionnaires to enable cancer patients to assess their quality of life, entitled the EUonQoL-Kit. METHODS The first step is to recruit cancer patients and their informal caregivers as co-researchers in order to train them to collaborate with the researchers. Based on their skills and preferences, they are then assigned to several of the project's work packages. Their individual roles, tasks, and responsibilities regarding the work packages, to which they have been assigned, are evaluated and adapted when necessary. The impact of their involvement is evaluated by both the researchers and co-researchers. DISCUSSION PPI is a complex and dynamic process. As such, the overall structure of the research may be defined while at the same time leaving room for certain aspects to be filled in later. Our research is, we believe, relevant as co-researcher involvement in such a large European project as EUonQoL is a new development.
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Affiliation(s)
- Merel Engelaar
- Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
| | - Nanne Bos
- Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands
| | - Femke van Schelven
- Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands
| | | | | | - Giovanni Apolone
- Fondazione IRCCS Istituto Nazionale Dei Tumori Di Milano, Milan, Italy
| | - Cinzia Brunelli
- Fondazione IRCCS Istituto Nazionale Dei Tumori Di Milano, Milan, Italy
| | | | - Montse Ferrer
- Hospital del Mar Research Institute, Barcelona, Spain
| | - Mogens Groenvold
- Bispebjerg/Frederiksberg Hospital and University of Copenhagen, Copenhagen, Denmark
| | | | | | | | | | | | | | - Hugo Vachon
- Quality of Life Department, European Organisation for Research and Treatment of Cancer, Brussels, Belgium
| | - Alexandra Gilbert
- Leeds Institute for Medical Research, University of Leeds, St. James's University Hospital, Leeds, UK
| | - Jany Rademakers
- Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands
- Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
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Pomey MP, Jutras-Aswad D, Paquette J, Saadi K, Taguemout M, Ikene DL, Arbour N, Zertal A, Fréjeau N, Morin D, Ouellette JS, Alami Marrouni K, Duquette P. Perceptions and engagement of patients with chronic conditions on the use of medical cannabis: a scoping review. Eur J Med Res 2024; 29:211. [PMID: 38561859 PMCID: PMC10983766 DOI: 10.1186/s40001-024-01803-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Accepted: 03/20/2024] [Indexed: 04/04/2024] Open
Abstract
CONTEXT Studies generally focus on one type of chronic condition and the effect of medical cannabis (MC) on symptoms; little is known about the perceptions and engagement of patients living with chronic conditions regarding the use of MC. OBJECTIVES This scoping review aims to explore: (1) what are the dimensions addressed in studies on MC that deal with patients' perceptions of MC? and (2) how have patients been engaged in developing these studies and their methodologies? Through these objectives, we have identified areas for improving future research. METHODS We searched five databases and applied exclusion criteria to select relevant articles. A thematic analysis approach was used to identify the main themes: (1) reasons to use, to stop using or not to use MC, (2) effects of MC on patients themselves and empowerment, (3) perspective and knowledge about MC, and (4) discussion with relatives and healthcare professionals. RESULTS Of 53 articles, the main interest when assessing the perceptions of MC is to identify the reasons to use MC (n = 39), while few articles focused on the reasons leading to stop using MC (n = 13). The majority (85%) appraise the effects of MC as perceived by patients. Less than one third assessed patients' sense of empowerment. Articles determining the beliefs surrounding and knowledge of MC (n = 41) generally addressed the concerns about or the comfort level with respect to using MC. Only six articles assessed patients' stereotypes regarding cannabis. Concerns about stigma constituted the main topic while assessing relationships with relatives. Some articles included patients in the research, but none of them had co-created the data collection tool with patients. CONCLUSIONS Our review outlined that few studies considered chronic diseases as a whole and that few patients are involved in the co-construction of data collection tools as well. There is an evidence gap concerning the results in terms of methodological quality when engaging patients in their design. Future research should evaluate why cannabis' effectiveness varies between patients, and how access affects the decision to use or not to use MC, particularly regarding the relationship between patients and healthcare providers. Future research should consider age and gender while assessing perceptions and should take into consideration the legislation status of cannabis as these factors could in fact shape perception. To reduce stigma and stereotypes about MC users, better quality and accessible information on MC should be disseminated.
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Affiliation(s)
- Marie-Pascale Pomey
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada.
- School of Public Health, Department of Health Management, Evaluation of Policy, Université de Montréal, 7101 Du Parc Avenue 3rd Floor, Montréal, QC, H3N 1X9, Canada.
- Centre of Excellence on Partnership with Patients and the Public, Montréal, QC, Canada.
| | - Didier Jutras-Aswad
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
- Department of Psychiatry and Addiction, Université de Montréal, Montréal, QC, Canada
| | - Jesseca Paquette
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
| | - Kamilla Saadi
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
- Department of Anthropology, Université de Montréal, Montréal, QC, Canada
| | - Mélissa Taguemout
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
- Faculty of Medicine, Université de Montréal, Montréal, QC, Canada
| | - Dina-Liza Ikene
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
- Faculty of Medicine, Université de Montréal, Montréal, QC, Canada
| | - Nathalie Arbour
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
- Department of Neurosciences, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada
| | - Amel Zertal
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
- Department of Neurosciences, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada
| | - Nathalie Fréjeau
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
| | - Danielle Morin
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
| | - Jean-Sylvain Ouellette
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
- Multiple Sclerosis Society of Canada, Toronto, ON, Canada
| | - Kanza Alami Marrouni
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
- Department of Neurosciences, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada
| | - Pierre Duquette
- University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada
- Department of Neurosciences, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada
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McAlpine RG, Blackburne G, Kamboj SK. Development and psychometric validation of a novel scale for measuring 'psychedelic preparedness'. Sci Rep 2024; 14:3280. [PMID: 38332334 PMCID: PMC10853197 DOI: 10.1038/s41598-024-53829-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 02/05/2024] [Indexed: 02/10/2024] Open
Abstract
Preparing participants for psychedelic experiences is crucial for ensuring these experiences are safe and, potentially beneficial. However, there is currently no validated measure to assess the extent to which participants are well-prepared for such experiences. Our study aimed to address this gap by developing, validating, and testing the Psychedelic Preparedness Scale (PPS). Using a novel iterative Delphi-focus group methodology ('DelFo'), followed by qualitative pre-test interviews, we incorporated the perspectives of expert clinicians/researchers and of psychedelic users to generate items for the scale. Psychometric validation of the PPS was carried out in two large online samples of psychedelic users (N = 516; N = 716), and the scale was also administered to a group of participants before and after a 5-7-day psilocybin retreat (N = 46). Exploratory and confirmatory factor analysis identified four factors from the 20-item PPS: Knowledge-Expectations, Intention-Preparation, Psychophysical-Readiness, and Support-Planning. The PPS demonstrated excellent reliability (ω = 0.954) and evidence supporting convergent, divergent and discriminant validity was also obtained. Significant differences between those scoring high and low (on psychedelic preparedness) before the psychedelic experience were found on measures of mental health/wellbeing outcomes assessed after the experience, suggesting that the scale has predictive utility. By prospectively measuring modifiable pre-treatment preparatory behaviours and attitudes using the PPS, it may be possible to determine whether a participant has generated the appropriate mental 'set' and is therefore likely to benefit from a psychedelic experience, or at least, less likely to be harmed.
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Affiliation(s)
- Rosalind G McAlpine
- Clinical Psychopharmacology Unit, Clinical, Educational and Health Psychology, University College London, London, UK.
| | - George Blackburne
- Clinical Psychopharmacology Unit, Clinical, Educational and Health Psychology, University College London, London, UK
- Experimental Psychology, University College London, London, UK
| | - Sunjeev K Kamboj
- Clinical Psychopharmacology Unit, Clinical, Educational and Health Psychology, University College London, London, UK
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Roquette C, Crisóstomo S, Milagre T, Ribeiro RS, Pedro AR, Valente A. Patient organisations' views, motivations and experiences on patient involvement in cancer research: a pilot study in Portugal. BMJ Open 2024; 14:e077444. [PMID: 38267237 PMCID: PMC10824046 DOI: 10.1136/bmjopen-2023-077444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 12/18/2023] [Indexed: 01/26/2024] Open
Abstract
OBJECTIVES To characterise Portuguese cancer-related patient organisations and analyse their views, motivations and experiences on patient involvement in cancer research. DESIGN A multistakeholder group, comprising patient representatives and researchers, codesigned a questionnaire after a literature review, online sessions and collaborative mind maps. In May 2021, a survey was conducted among representatives of Portuguese cancer-related patient organisations, focusing on four dimensions: experience in cancer research; perception of its outcomes; motivations and expectations on patient involvement in research; and organisation characteristics. PARTICIPANTS Twenty-seven representatives from Portuguese cancer-related patient organisations responded to the questionnaire, corresponding to a 64% response rate. RESULTS Among the surveyed organisations, 26% have participated in clinical studies. Their involvement occurred in few stages of the research process and, mostly, with low levels of engagement. They showed 'great interest' in participating in most research steps, although this is not reflected in a high perception of influence over these same steps. More than half claimed to have contributed to the increase in patient recruitment and to a better understanding of informed consent by patients involved. Ensuring that research results are more aligned with the true needs of patients is the greatest motivation. Also, our results suggest that the organisation's number of employees and its integration into a European/International network play a relevant role in patient involvement in research. CONCLUSIONS This study provides the first in-depth characterisation of Portuguese cancer-related patient organisations and their views, motivations and experiences on patient involvement in cancer research. Most importantly, this study revealed that most of these organisations show great interest in being involved in different R&D stages to ensure that research results are aligned with patients' needs. Their motivation should be turned into greater and more meaningful involvement in practice, so that the cancer community can benefit from the outcomes of truly patient-centred research.
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Affiliation(s)
- Constança Roquette
- Nova School of Business and Economics, Universidade NOVA de Lisboa, Carcavelos, Portugal
| | - Sofia Crisóstomo
- ISCTE - Instituto Universitário de Lisboa, Lisboa, Portugal
- GAT - Grupo de Ativistas em Tratamentos, Lisbon, Portugal
| | | | - Rute Simões Ribeiro
- NOVA University Lisbon NOVA National School of Public Health, Lisbon, Portugal
| | - Ana Rita Pedro
- Public Health Research Centre, Comprehensive Health Research Center (CHRC), NOVA University Lisbon NOVA National School of Public Health, Lisboa, Portugal
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Aas SN, Distefano MB, Pettersen I, Gravrok B, Nordvoll LY, Bjaastad JF, Grimsgaard S. Patient and public involvement in health research in Norway: a survey among researchers and patient organisations. RESEARCH INVOLVEMENT AND ENGAGEMENT 2023; 9:48. [PMID: 37422661 PMCID: PMC10329785 DOI: 10.1186/s40900-023-00458-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 06/20/2023] [Indexed: 07/10/2023]
Abstract
BACKGROUND Patient and public involvement (PPI) in health research may improve both the relevance and quality of the research. There is however a lack of research investigating the experiences, attitudes and barriers towards PPI in clinical research in Norway. The Norwegian Clinical Research Infrastructure Network therefore conducted a survey among researchers and PPI contributors aiming to investigate experiences with PPI and identify current challenges for successful involvement. METHODS Two survey questionnaires were developed and distributed in October and November 2021. The survey targeting 1185 researchers was distributed from the research administrative system in the Regional Health Trusts. The survey targeting PPI contributors was distributed through Norwegian patient organisations, regional and national competence centers. RESULTS The response rate was 30% among researchers and was unobtainable from PPI contributors due to the survey distribution strategy. PPI was most frequently used in the planning and conduct of the studies, and less utilized in dissemination and implementation of results. Both researchers and user representatives were generally positive to PPI, and agreed that PPI might be more useful in clinical research than in underpinning research. Researchers and PPI contributors who reported that roles and expectations were clarified in advance, were more likely to experience a common understanding of roles and responsibilities in the research project. Both groups pointed to the importance of earmarked funding for PPI activities. There was a demand for a closer collaboration between researchers and patient organisations to develop accessible tools and effective models for PPI in health research. CONCLUSIONS Surveys among clinical researchers and PPI contributors indicate overall positive attitudes towards PPI in clinical research. However, more resources, such as budget, time, and accessible tools, are needed. Clarifying roles and expectations, and creating new PPI models under resource constraints can enhance its effectiveness. PPI is underutilized in disseminating and implementing research results, presenting an opportunity for improving healthcare outcomes.
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Affiliation(s)
- Sigve Nyvik Aas
- Clinical Research Unit, St. Olavs Hospital, Trondheim, Norway.
| | - Marita Borg Distefano
- Division of Research and Innovation, Akershus University Hospital, Lørenskog, Norway
| | - Ingvild Pettersen
- Clinical Research Department, University Hospital of North Norway, Tromsø, Norway
| | - Berit Gravrok
- Clinical Research Department, University Hospital of North Norway, Tromsø, Norway
| | - Laila Yvonne Nordvoll
- Department of Research and Development, Haukeland University Hospital, Bergen, Norway
| | | | - Sameline Grimsgaard
- Clinical Research Department, University Hospital of North Norway, Tromsø, Norway
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Arumugam A, Phillips LR, Moore A, Kumaran SD, Sampath KK, Migliorini F, Maffulli N, Ranganadhababu BN, Hegazy F, Botto-van Bemden A. Patient and public involvement in research: a review of practical resources for young investigators. BMC Rheumatol 2023; 7:2. [PMID: 36895053 PMCID: PMC9996937 DOI: 10.1186/s41927-023-00327-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 02/21/2023] [Indexed: 03/11/2023] Open
Abstract
Patient and public involvement (PPI) in every aspect of research will add valuable insights from patients' experiences, help to explore barriers and facilitators to their compliance/adherence to assessment and treatment methods, bring meaningful outcomes that could meet their expectations, needs and preferences, reduce health care costs, and improve dissemination of research findings. It is essential to ensure competence of the research team by capacity building with available resources on PPI. This review summarizes practical resources for PPI in various stages of research projects-conception, co-creation, design (including qualitative or mixed methods), execution, implementation, feedback, authorship, acknowledgement and remuneration of patient research partners, and dissemination and communication of research findings with PPI. We have briefly summarized the recommendations and checklists, amongst others, for PPI in rheumatic and musculoskeletal research (e.g. the European Alliance of Associations for Rheumatology (EULAR) recommendations, the Core Outcome Measures in Effectiveness Trials (COMET) checklist and the Guidance for Reporting Involvement of Patients and the Public (GRIPP) checklist). Various tools that could be used to facilitate participation, communication and co-creation of research projects with PPI are highlighted in the review. We shed light on the opportunities and challenges for young investigators involving PPI in their research projects, and have summarized various resources that could be used to enhance PPI in various phases/aspects of research. A summary of web links to various tools and resources for PPI in various stages of research is provided in Additional file 1.
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Affiliation(s)
- Ashokan Arumugam
- Department of Physiotherapy, College of Health Sciences, University of Sharjah, P.O. Box 27272, Sharjah, United Arab Emirates. .,Neuromusculoskeletal Rehabilitation Research Group, RIMHS-Research Institute of Medical and Health Sciences, University of Sharjah, P.O. Box 27272, Sharjah, United Arab Emirates. .,Sustainable Engineering Asset Management Research Group, RISE-Research Institute of Sciences and Engineering, University of Sharjah, P.O. Box 27272, Sharjah, United Arab Emirates. .,Adjunct Faculty, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
| | | | - Ann Moore
- Professor Emerita, School of Health Sciences, University of Brighton, 49 Darley Road, Eastbourne, BN20 7UR, UK
| | - Senthil D Kumaran
- Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Kesava Kovanur Sampath
- Centre for Health and Social Practice, Waikato Institute of Technology, Hamilton, New Zealand
| | - Filippo Migliorini
- Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Hospital, 52074, Aachen, Germany
| | - Nicola Maffulli
- Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, SA, 84081, Italy.,School of Pharmacy and Bioengineering, Faculty of Medicine, Keele University, Stoke on Trent, ST4 7QB, England, UK.,Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, London, E1 4DG, England, UK
| | | | - Fatma Hegazy
- Department of Physiotherapy, College of Health Sciences, University of Sharjah, P.O. Box 27272, Sharjah, United Arab Emirates.,Neuromusculoskeletal Rehabilitation Research Group, RIMHS-Research Institute of Medical and Health Sciences, University of Sharjah, P.O. Box 27272, Sharjah, United Arab Emirates
| | - Angie Botto-van Bemden
- Global Patient Ambassador, Musculoskeletal Research International, Inc., Miami, FL, USA.,Patient Partner, Holiday, FL, USA.,EUPATI Fellow, Holiday, FL, USA.,Clinical Research Experts, LLC., Tampa, FL, USA
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Oglesby MH, Hynes SM. Developing consensus-based recommendations for the delivery of dementia services for the LGBTQIA+ community in the Republic of Ireland. HRB Open Res 2023. [DOI: 10.12688/hrbopenres.13505.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023] Open
Abstract
Background: The number of older LGBTQIA+ adults is set to rise significantly in the coming years. The rising numbers sit together with the rise in the number of people in Ireland diagnosed with dementia. In Ireland, no dementia-specific services exist for people from the LGBTQIA+ community. The aim of this research was to 1) identify the future needs that older LGBTQIA+ people and their care partners living in Ireland have in relation to dementia care service delivery; and to 2) develop consensus-based recommendations for dementia service provision in Ireland. Methods: A six-phase consensus process was used to develop the lists of needs and recommendations: 1) development; 2) national survey; 3) interviews with key stakeholders; 4) international review of best practice; 5) consensus meeting; 6) final member checking. Participants, aged over 50, were based in Ireland, identified as a member of the LGBTQIA+ community or supported someone who is/was. Results: Results are reported from the survey (n=49), individual interviews (n=8), and the consensus meeting (n=10). Participants have concerns related to identity management and suppression, creating an LGBTQIA+ affirmative ethos and workforce, and respect and safety. From the results and consensus process, a full list of ten prioritised needs and recommendations have been developed that focus specifically on dementia care in Ireland for the LGBTQIA+ community. Conclusion: The older LGBTQIA+ community has identified essential priorities for improving healthcare access and safety. These priorities now need to be urgently implemented into clinical and dementia care services.
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Bordarie J, Dieudonné M, Ledent M, Prignot N. A qualitative approach to experiential knowledge identified in focus groups aimed at co-designing a provocation test in the study of electrohypersensitivity. Ann Med 2022; 54:2363-2375. [PMID: 36135790 PMCID: PMC9518295 DOI: 10.1080/07853890.2022.2114605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Patients' experiential knowledge is increasingly recognised as valuable for biomedical research. Its contribution can reveal unexplored aspects of their illnesses and allows research priorities to be refined according to theirs. It can also be argued that patients' experiential knowledge can contribute to biomedical research, by extending it to the most organic aspects of diseases. A few examples of collaboration between medicine and patient associations are promising, even if there is no single, simple methodology to apply. This article provides feedback on a project involving the experiential knowledge of electrohypersensitive persons with a view to developing an experimental protocol to study their condition. It presents the participatory approach with focus groups that was implemented and reflects on ways to take advantage of experiential knowledge. It also demonstrates the complexity of the electrohypersensitivity syndrome and reflects on the difficult transition between the experiential knowledge and the experimental design of provocation studies.KEY MESSAGESExperiential knowledge is a valuable source of information for research and the design of investigation protocols.The participatory approach allows co-designing protocols by drawing on experiential knowledge.The controversial dimension of EHS reveals the complexity of translating experiential knowledge into an experimental protocol.
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Affiliation(s)
| | - Maël Dieudonné
- Pôle de Santé Publique, Hospices Civils de Lyon/Department of Public Health, University Hospital of Lyon; Centre Max Weber, Institut des Sciences de l'Homme, Lyon, France
| | - Maryse Ledent
- Sciensano, Risk and Health Impact Assessment, Bruxelles & Université Libre de Bruxelles, École de Santé Publique, Brussels, Belgique
| | - Nicolas Prignot
- Université Libre de Bruxelles, Groupe d'Études Constructivistes, Brussels, Belgique
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Oglesby MH, Hynes SM. Developing consensus-based recommendations for the delivery of dementia services for the LGBTQIA+ community in the Republic of Ireland. HRB Open Res 2022. [DOI: 10.12688/hrbopenres.13505.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background: The number of older LGBTQIA+ adults is set to rise significantly in the coming years. The rising numbers sit together with the rise in the number of people in Ireland diagnosed with dementia. In Ireland, no dementia-specific services exist for people from the LGBTQIA+ community. The aim of this research was to 1) identify the future needs that older LGBTQIA+ people and their care partners living in Ireland have in relation to dementia care service delivery; and to 2) develop consensus-based recommendations for dementia service provision in Ireland. Methods: A six-phase consensus process was used to develop the lists of needs and recommendations: 1) development; 2) national survey; 3) interviews with key stakeholders; 4) international review of best practice; 5) consensus meeting; 6) final member checking. Participants, aged over 50, were based in Ireland, identified as a member of the LGBTQIA+ community or supported someone who is/was. Results: Results are reported from the survey (n=49), individual interviews (n=8), and the consensus meeting (n=10). Participants have concerns related to identity management and suppression, creating an LGBTQIA+ affirmative ethos and workforce, and respect and safety. From the results and consensus process, a full list of ten prioritised needs and recommendations have been developed that focus specifically on dementia care in Ireland for the LGBTQIA+ community. Conclusion: The older LGBTQIA+ community has identified essential priorities for improving healthcare access and safety. These priorities now need to be urgently implemented into clinical and dementia care services.
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Osmanlliu E, Paquette J, Grenier AD, Lewis P, Bouthillier ME, Bédard S, Pomey MP. Fantastic perspectives and where to find them: involving patients and citizens in digital health research. RESEARCH INVOLVEMENT AND ENGAGEMENT 2022; 8:37. [PMID: 35918730 PMCID: PMC9343826 DOI: 10.1186/s40900-022-00374-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 07/19/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Digital contact tracing and exposure notification apps have quickly emerged as a potential solution to achieve timely and effective contact tracing for the SARS-CoV-2 virus. Nonetheless, their actual uptake remains limited. Citizens, including patients, are rarely consulted and included in the design and implementation process. Their contribution supports the acceptability of such apps, by providing upstream evidence on incentives and potential barriers that are most relevant to users. The DIGICIT (DIGITal CITizenship) project relied on patient and citizen partnership in research to better integrate public perspectives on these apps. In this paper, we present the co-construction process that led to the survey instrument used in the DIGICIT project and the interpretation of its results. This approach promotes public participation in research on contact tracing and exposure notification apps, as well as related digital health applications. OBJECTIVES This article has three objectives: (1) describe the methodological process to co-construct a questionnaire and interpret the survey results with patients and citizens, (2) assess their experiences regarding this methodology, and (3) propose best practices for their involvement in digital health research. METHODS The DIGICIT project was developed in four steps: (1) creation of the advisory committee composed of patients and citizens, (2) co-construction of a questionnaire, (3) interpretation of survey results, and (4) assessment of the experience of committee participants. RESULTS Of the 25 applications received for participation in the advisory committee, we selected 12 people based on pre-established diversity criteria. Participants initially generated 84 survey questions in the first co-construction meeting, and eventually selected 36 in the final version. Participants made more than 20 recommendations when interpreting survey results and suggested carrying out focus groups with marginalized populations to increase representativity. They appreciated their inclusion early in the research process, being listened to and respected, the collective intelligence, and the method used for integrating their suggestions. They suggested that the study objectives and roles be better defined, that more time in the brainstorming sessions be allowed, and that discussion outside of meetings be encouraged. CONCLUSION Having patients and citizens actively participating in this research constitutes the main methodological strength. They enriched the study from start to finish, and recommended the addition of focus groups to seek the perspective of marginalized groups that are typically under-represented from digital health research. Clear communication of the project objectives, good organization in meetings, and continuous evaluation from participants allow best practices to be achieved for patients' and citizens' involvement in digital health research. Co-construction in research generates critical study design ideas through collective intelligence. This methodology can be used in various clinical contexts and different healthcare settings.
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Affiliation(s)
- Esli Osmanlliu
- Research Institute of the McGill University Health Centre, Montreal, QC, H4A 3J1, Canada.
| | - Jesseca Paquette
- Research Centre of the University of Montreal Hospital Centre, Montreal, QC, H2X 0A9, Canada
| | - Annie-Danielle Grenier
- DIGICIT Advisory Committee, Research Centre of the University of Montreal Hospital Centre, Montreal, QC, H2X 0A9, Canada
| | - Paul Lewis
- DIGICIT Advisory Committee, Research Centre of the University of Montreal Hospital Centre, Montreal, QC, H2X 0A9, Canada
| | - Marie-Eve Bouthillier
- Office of Clinical Ethics, Faculty of Medicine, University of Montreal, Montreal, QC, H3C 3J7, Canada
| | - Sylvain Bédard
- Centre of Excellence for Partnership with Patients and the Public (CEPPP), Montreal, QC, H2X 0A9, Canada
| | - Marie-Pascale Pomey
- Department of Health Policy, Management and Evaluation, School of Public Health, University of Montreal, Montreal, QC, H3N 1X9, Canada
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Baines R, Bradwell H, Edwards K, Stevens S, Prime S, Tredinnick‐Rowe J, Sibley M, Chatterjee A. Meaningful patient and public involvement in digital health innovation, implementation and evaluation: A systematic review. Health Expect 2022; 25:1232-1245. [PMID: 35526274 PMCID: PMC9327849 DOI: 10.1111/hex.13506] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 03/14/2022] [Accepted: 04/03/2022] [Indexed: 11/28/2022] Open
Abstract
Introduction The importance of meaningfully involving patients and the public in digital health innovation is widely acknowledged, but often poorly understood. This review, therefore, sought to explore how patients and the public are involved in digital health innovation and to identify factors that support and inhibit meaningful patient and public involvement (PPI) in digital health innovation, implementation and evaluation. Methods Searches were undertaken from 2010 to July 2020 in the electronic databases MEDLINE, EMBASE, PsycINFO, CINAHL, Scopus and ACM Digital Library. Grey literature searches were also undertaken using the Patient Experience Library database and Google Scholar. Results Of the 10,540 articles identified, 433 were included. The majority of included articles were published in the United States, United Kingdom, Canada and Australia, with representation from 42 countries highlighting the international relevance of PPI in digital health. 112 topic areas where PPI had reportedly taken place were identified. Areas most often described included cancer (n = 50), mental health (n = 43), diabetes (n = 26) and long‐term conditions (n = 19). Interestingly, over 133 terms were used to describe PPI; few were explicitly defined. Patients were often most involved in the final, passive stages of an innovation journey, for example, usability testing, where the ability to proactively influence change was severely limited. Common barriers to achieving meaningful PPI included data privacy and security concerns, not involving patients early enough and lack of trust. Suggested enablers were often designed to counteract such challenges. Conclusions PPI is largely viewed as valuable and essential in digital health innovation, but rarely practised. Several barriers exist for both innovators and patients, which currently limits the quality, frequency and duration of PPI in digital health innovation, although improvements have been made in the past decade. Some reported barriers and enablers such as the importance of data privacy and security appear to be unique to PPI in digital innovation. Greater efforts should be made to support innovators and patients to become meaningfully involved in digital health innovations from the outset, given its reported benefits and impacts. Stakeholder consensus on the principles that underpin meaningful PPI in digital health innovation would be helpful in providing evidence‐based guidance on how to achieve this. Patient or Public Contribution This review has received extensive patient and public contributions with a representative from the Patient Experience Library involved throughout the review's conception, from design (including suggested revisions to the search strategy) through to article production and dissemination. Other areas of patient and public contributor involvement include contributing to the inductive thematic analysis process, refining the thematic framework and finalizing theme wording, helping to ensure relevance, value and meaning from a patient perspective. Findings from this review have also been presented to a variety of stakeholders including patients, patient advocates and clinicians through a series of focus groups and webinars. Given their extensive involvement, the representative from the Patient Experience Library is rightly included as an author of this review.
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Affiliation(s)
- Rebecca Baines
- Centre for Health Technology University of Plymouth Plymouth UK
| | - Hannah Bradwell
- Centre for Health Technology University of Plymouth Plymouth UK
| | - Katie Edwards
- Centre for Health Technology University of Plymouth Plymouth UK
| | | | - Samantha Prime
- Centre for Health Technology University of Plymouth Plymouth UK
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Oglesby MH, Hynes SM. Developing consensus-based recommendations for the delivery of dementia services for the LGBTQIA+ community in the Republic of Ireland. HRB Open Res 2022. [DOI: 10.12688/hrbopenres.13505.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: The number of older LGBTQIA+ adults is set to rise significantly in the coming years. The rising numbers sit together with the rise in the number of people in Ireland diagnosed with dementia. In Ireland, no dementia-specific services exist for people from the LGBTQIA+ community. The aim of this research was to 1) identify the future needs that older LGTBQIA+ people and their care partners living in Ireland have in relation to dementia care service delivery; and to 2) develop consensus-based recommendations for dementia service provision in Ireland. Methods: A six-phase consensus process was used to develop the lists of needs and recommendations: 1) development; 2) national survey; 3) interviews with key stakeholders; 4) international review of best practice; 5) consensus meeting; 6) final member checking. Participants, aged over 50, were based in Ireland, identified as a member of the LGBTQIA+ community or supported someone who is/was. Results: Results are reported from the survey (n=49), individual interviews (n=8), and the consensus meeting (n=10). Participants have concerns related to identity management and suppression, creating an LGBTQIA+ affirmative ethos and workforce, and respect and safety. From the results and consensus process, a full list of ten prioritised needs and recommendations have been developed that focus specifically on dementia care in Ireland for the LGBTQIA+ community. Conclusion: The older LGBTQIA+ community has identified essential priorities for improving healthcare access and safety. These priorities now need to be urgently implemented into clinical and dementia care services.
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14
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Affiliation(s)
- Zelalem T Haile
- Department of Social Medicine, Ohio University Heritage College of Osteopathic Medicine, Dublin, OH, USA
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15
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van der Steen JT, Bloomer MJ, Martins Pereira S. The importance of methodology to palliative care research: A new article type for Palliative Medicine. Palliat Med 2022; 36:4-6. [PMID: 34965752 PMCID: PMC8796148 DOI: 10.1177/02692163211069566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Jenny T van der Steen
- Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, The Netherlands
| | - Melissa J Bloomer
- School of Nursing and Midwifery, Deakin University, Geelong, VIC, Australia
- Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Geelong, VIC, Australia
| | - Sandra Martins Pereira
- CEGE: Research Center in Management and Economics, Universidade Católica Portuguesa, Porto, Portugal
- Instituto de Bioética, Universidade Católica Portuguesa, Porto, Portugal
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Bradshaw E, Whale K, Burston A, Wylde V, Gooberman-Hill R. Value, transparency, and inclusion: A values-based study of patient involvement in musculoskeletal research. PLoS One 2021; 16:e0260617. [PMID: 34852018 PMCID: PMC8635367 DOI: 10.1371/journal.pone.0260617] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 11/12/2021] [Indexed: 11/18/2022] Open
Abstract
Background Patient and public involvement work (PPI) is essential to good research practice. Existing research indicates that PPI offers benefits to research design, conduct, communication, and implementation of findings. Understanding how PPI works and its value helps to provide information about best practice and highlight areas for further development. This study used a values-based approach to reporting PPI at a Research Unit focused on musculoskeletal conditions within a UK medical school. Methods The study was conducted between October 2019 and January 2020 using Gradinger’s value system framework as a theoretical basis. The framework comprises three value systems each containing five clusters. All PPI members and researchers who had attended PPI groups were invited to participate. Participants completed a structured questionnaire based on the value system framework; PPI members also provided further information through telephone interviews. Data were deductively analysed using a framework approach with data mapped onto value systems. Results Twelve PPI members and 17 researchers took part. Views about PPI activity mapped onto all three value systems. PPI members felt empowered to provide their views, and that their opinions were valued by researchers. It was important to PPI members that they were able to ‘give back’ and to do something positive with their experiences. Researchers would have liked the groups to be more representative of the wider population, patients highlighted that groups could include more younger members. Researchers recognised the value of PPI, and the study highlighted areas where researchers members might benefit from further awareness. Conclusions Three areas for development were identified: (i) facilitating researcher engagement in training about the value and importance of PPI in research; (ii) support for researchers to reflect on the role that PPI plays in transparency of healthcare research; (iii) work to further explore and address aspects of diversity and inclusion in PPI.
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Affiliation(s)
- E. Bradshaw
- University of Bristol and University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom
| | - K. Whale
- Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom
- National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, United Kingdom
- * E-mail:
| | - A. Burston
- Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom
| | - V. Wylde
- Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom
- National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, United Kingdom
| | - R. Gooberman-Hill
- Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom
- National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, United Kingdom
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Aboaja A, Forsyth B, Bates H, Wood R. Involving service users to identify research priorities in a UK forensic mental health service. BJPsych Bull 2021; 45:321-326. [PMID: 33323154 PMCID: PMC8727379 DOI: 10.1192/bjb.2020.131] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
AIMS AND METHOD Patient and public involvement (PPI) is a priority for health research. PPI improves the relevance and quality of research. The study aimed to involve service users in identifying research priorities for the service. A two-phase adapted Delphi technique was used to generate a list of research topics from service users in secure in-patient mental health settings and on specialist mental health prison wings. Topic content analysis was undertaken. Service users were further consulted, and research themes were ranked in order of priority. RESULTS Of the eight research themes identified, the three given the highest priority by service users were, in descending order, physical health, future plans and moving on, and causes of illness and crime. CLINICAL IMPLICATIONS Service users are willing to be involved in setting research priorities for mental health services. Through non-tokenistic PPI, service users can uniquely shape the research agenda of mental health services.
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Affiliation(s)
- Anne Aboaja
- Roseberry Park Hospital, Tees, Esk and Wear Valleys NHS Foundation Trust, UK
| | - Bunny Forsyth
- Roseberry Park Hospital, Tees, Esk and Wear Valleys NHS Foundation Trust, UK
| | - Helen Bates
- Roseberry Park Hospital, Tees, Esk and Wear Valleys NHS Foundation Trust, UK
| | - Robert Wood
- Roseberry Park Hospital, Tees, Esk and Wear Valleys NHS Foundation Trust, UK
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Innes A, Smith SK, Wyatt M, Bushell S. "It's just so important that people's voices are heard": The dementia associate panel. J Aging Stud 2021; 59:100958. [PMID: 34794726 DOI: 10.1016/j.jaging.2021.100958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 08/10/2021] [Accepted: 08/13/2021] [Indexed: 11/18/2022]
Abstract
Including the views and experiences of people living with dementia in research and wider decision making is vital. The impact for the subjective wellbeing of its members of an approach known as The Dementia Associate Panel (DAP) is explored. The panel, based on a social citizenship model, aimed to provide a platform to work with and hear the voices of people living with dementia in a region of England. A mixed method approach using semi-structured interviews, self-report questionnaires, and focus groups was adopted. There were 16 participants; six people living with dementia and ten care partners. Participant motivations to join the panel were based on a desire for individuals' voices and experiences to be heard. Following participation in the panel, participants reported experiencing belonging and purpose. Collective and personal contributions to the development of local health and care policies, education provision, research studies, and to raising general public awareness about dementia was beneficial to reported participant wellbeing. The DAP model has the potential to be developed and adapted when working with people living with dementia in different settings; at national or regional levels across the globe.
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Affiliation(s)
| | | | - Megan Wyatt
- University of Salford, Salford, United Kingdom
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19
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Skovlund SE, Troelsen LH, Klim L, Jakobsen PE, Ejskjaer N. The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors. RESEARCH INVOLVEMENT AND ENGAGEMENT 2021; 7:62. [PMID: 34507618 PMCID: PMC8434700 DOI: 10.1186/s40900-021-00309-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Accepted: 08/31/2021] [Indexed: 05/17/2023]
Abstract
BACKGROUND This study sought to utilise participatory research methods to identify the perspectives of people with diabetes regarding which diabetes outcomes were most important to them. These findings were then used to support an expert working group representing multiple health sectors and healthcare disciplines and people with diabetes to establish a core set of patient-important outcome constructs for use in routine diabetes care. METHODS 26 people with diabetes and family members were recruited through purposive sampling to participate in interviews, focus groups, voting and plenary activities in order to be part of identifying outcome constructs. Content and qualitative analysis methods were used with literature reviews to inform a national multi-stakeholder consensus process for a core set of person-centred diabetes outcome constructs to be used in routine diabetes care across health care settings. RESULTS 21 people with diabetes and 5 family members representing type 1 and 2 diabetes and a range of age groups, treatment regimens and disease burden identified the following patient-reported outcome constructs as an important supplement to clinical indicators for outcome assessment in routine diabetes care: self-rated health, psychological well-being, diabetes related emotional distress and quality of life, symptom distress, treatment burden, blood sugar regulation and hypoglycemia burden, confidence in self-management and confidence in access to person-centred care and support. Consensus was reached by a national multi-stakeholder expert group to adopt measures of these constructs as a national core diabetes outcome set for use in routine value-based diabetes care. CONCLUSIONS We found that patient-reported outcome (PRO) constructs and clinical indicators are needed in core diabetes outcome sets to evaluate outcomes of diabetes care which reflect key needs and priorities of people with diabetes. The incorporation of patient-reported outcome constructs should be considered complementary to clinical indicators in multi-stakeholder value-based health care strategies. We found participatory research methods were useful in facilitating the identification of a core prioritised set of diabetes outcome constructs for routine value-based diabetes care. The use of our method for involving patients may be useful for similar efforts in other disease areas aimed at defining suitable outcomes of person-centred value-based care. Future research should focus on developing acceptable and psychometrically valid measurement instruments to evaluate these outcome constructs as part of routine diabetes care.
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Affiliation(s)
- Soren Eik Skovlund
- Department of Clinical Medicine, Aalborg University, Sønderskovvej 15, 9000, Aalborg, Denmark.
- Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark.
- Steno Diabetes Center North Denmark, Aalborg University Hospital, Aalborg, Denmark.
| | - Lise H Troelsen
- Steno Diabetes Center North Denmark, Aalborg University Hospital, Aalborg, Denmark
| | - Lotte Klim
- Danish Group for European Patients' Academy on Therapeutic Innovation (EUPATI), Copenhagen, Denmark
| | - Poul Erik Jakobsen
- Steno Diabetes Center North Denmark, Aalborg University Hospital, Aalborg, Denmark
| | - Niels Ejskjaer
- Department of Clinical Medicine, Aalborg University, Sønderskovvej 15, 9000, Aalborg, Denmark
- Department of Endocrinology, Aalborg University Hospital, Aalborg, Denmark
- Steno Diabetes Center North Denmark, Aalborg University Hospital, Aalborg, Denmark
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Yu R, Hanley B, Denegri S, Ahmed J, McNally NJ. Evaluation of a patient and public involvement training programme for researchers at a large biomedical research centre in the UK. BMJ Open 2021; 11:e047995. [PMID: 34385250 PMCID: PMC8362711 DOI: 10.1136/bmjopen-2020-047995] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES To design, deliver and evaluate a programme of training workshops for biomedical researchers aimed at building confidence and skills in actively involving patients and the public (PPI) in research. DESIGN A bespoke programme of training workshops in PPI aimed at researchers. SETTING A large National Institute for Health Research Biomedical Research Centre in London and several partner organisations. PARTICIPANTS 721 scientists, clinicians and research managers attending dedicated training in PPI at a major London NHS (National Health Service)-university partnership. INTERVENTIONS A programme of 72 training workshops, designed to build practical skills and confidence for researchers working with patients and the public in research, was delivered at a major research-active NHS:university partnership. An iterative approach was taken to the programme, with the content of the workshops continually reviewed and refreshed to respond to the needs of researchers. Surveys before, immediately following and 6 months after training investigated the impact on researchers' confidence and skills in PPI work, and the kind of PPI they subsequently carried out. RESULTS Training brought about immediate marked increases in researchers' self-reported confidence to carry out PPI activities within their research, and in their knowledge of good practice. The evaluation indicates that workshop attendees were more likely to involve patients in their research following training. Researchers tended to involve patients and the public in a range of areas, including input to study design and patient information, in particular. CONCLUSIONS When positioned within a broader organisational strategy for PPI in research, such training has an important role to play in progressing PPI in a major research partnership. Training appeared to provide the confidence needed to carry out PPI which enabled further development of confidence and skills. Involving researchers who have attended the training in the ongoing development of the programme and bringing in patients to the training programme are key next steps.
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Affiliation(s)
- Rosamund Yu
- NIHR Biomedical Research Centre at UCLH, University College London Hospitals NHS Foundation Trust, London, UK
| | - Bec Hanley
- Medical Research Council Clinical Trials Unit at University College London, London, UK
| | | | - Jaber Ahmed
- NIHR Biomedical Research Centre at UCLH, University College London Hospitals NHS Foundation Trust, London, UK
| | - Nicholas J McNally
- NIHR Biomedical Research Centre at UCLH, University College London Hospitals NHS Foundation Trust, London, UK
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Muir R, Carlini JJ, Harbeck EL, Gillespie BM, Tuffaha HW, Walker RM, McInnes EC, Latimer SL, Lin FF, Pearcy JM, Chaboyer WP. Patient involvement in surgical wound care research: A scoping review. Int Wound J 2020; 17:1462-1482. [PMID: 32537915 PMCID: PMC7948725 DOI: 10.1111/iwj.13395] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 04/21/2020] [Accepted: 04/26/2020] [Indexed: 11/27/2022] Open
Abstract
Active involvement of patients in planning, conducting, and disseminating research has been adopted by many organisations internationally, but the extent to which this occurs in surgical wound care is not evident. This scoping review aimed to identify how patients have been involved in surgical wound care research and the quality of its reporting. Full-text studies focused on preoperative and postoperative surgical wound care in the acute care setting, published in English between 2004 and 2019, were included in the review. Screening, data charting, and quality assessment were conducted by two reviewers independently, adjudicated by a third, and then reviewed by five others. Thematic analysis synthesised the findings. Of the eight included studies, seven explained the methods for patient involvement and five described aims related to patient involvement and commented on patient involvement in the discussion. None met all of the quality assessment criteria. Three themes emerged: involvement in modifying and refining research processes, connecting and balancing expert and patient views, and sharing personal insights. Recommendations to improve patient involvement in surgical wounds research include the following: using framework and tools to inform future research; training researcher and patients in their respective research roles; and ongoing monitoring of patient involvement.
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Affiliation(s)
- Rachel Muir
- School of Nursing and MidwiferyGriffith UniversityQueenslandAustralia
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative CareKing's College LondonLondonUK
| | - Joan Julie Carlini
- Department of MarketingGriffith UniversityGold CoastQueenslandAustralia
- Consumer Advisory GroupGold Coast HealthGold CoastQueenslandAustralia
| | | | - Brigid Mary Gillespie
- School of Nursing and MidwiferyGriffith UniversityQueenslandAustralia
- Gold Coast Hospital and Health ServiceGold CoastQueenslandAustralia
- Menzies Health Institute Queensland, Griffith UniversityGold CoastQueenslandAustralia
| | - Haitham Wadah Tuffaha
- Menzies Health Institute Queensland, Griffith UniversityGold CoastQueenslandAustralia
- Centre for the Business and Economics of HealthThe University of QueenslandBrisbaneQueenslandAustralia
| | - Rachel Michell Walker
- School of Nursing and MidwiferyGriffith UniversityQueenslandAustralia
- Centre for the Business and Economics of HealthThe University of QueenslandBrisbaneQueenslandAustralia
| | - Elizabeth Catherine McInnes
- Division of SurgeryPrincess Alexandra Hospital, Metro South HealthBrisbaneQueenslandAustralia
- Nursing Research InstituteSt Vincent's Health Australia, St Vincent's Hospital Melbourne & Australian Catholic UniversitySydneyAustralia
- School of Nursing, Midwifery, and ParamedicineAustralian Catholic UniversitySydneyAustralia
| | - Sharon Leanne Latimer
- School of Nursing and MidwiferyGriffith UniversityQueenslandAustralia
- Gold Coast Hospital and Health ServiceGold CoastQueenslandAustralia
- Menzies Health Institute Queensland, Griffith UniversityGold CoastQueenslandAustralia
| | - Frances Fengzhi Lin
- Menzies Health Institute Queensland, Griffith UniversityGold CoastQueenslandAustralia
- School of Nursing, Midwifery, and ParamedicineUniversity of the Sunshine CoastSunshine CoastQueenslandAustralia
| | | | - Wendy Pearl Chaboyer
- School of Nursing and MidwiferyGriffith UniversityQueenslandAustralia
- Menzies Health Institute Queensland, Griffith UniversityGold CoastQueenslandAustralia
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22
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Shields GE, Brown L, Wells A, Capobianco L, Vass C. Utilising Patient and Public Involvement in Stated Preference Research in Health: Learning from the Existing Literature and a Case Study. PATIENT-PATIENT CENTERED OUTCOMES RESEARCH 2020; 14:399-412. [PMID: 32748242 PMCID: PMC8205869 DOI: 10.1007/s40271-020-00439-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Publications reporting discrete choice experiments of healthcare interventions rarely discuss whether patient and public involvement (PPI) activities have been conducted. This paper presents examples from the existing literature and a detailed case study from the National Institute for Health Research-funded PATHWAY programme that comprehensively included PPI activities at multiple stages of preference research. Reflecting on these examples, as well as the wider PPI literature, we describe the different stages at which it is possible to effectively incorporate PPI across preference research, including the design, recruitment and dissemination of projects. Benefits of PPI activities include gaining practical insights from a wider perspective, which can positively impact experiment design as well as survey materials. Further benefits included advice around recruitment and reaching a greater audience with dissemination activities, amongst others. There are challenges associated with PPI activities; examples include time, cost and outlining expectations. Overall, although we acknowledge practical difficulties associated with PPI, this work highlights that it is possible for preference researchers to implement PPI across preference research. Further research systematically comparing methods related to PPI in preference research and their associated impact on the methods and results of studies would strengthen the literature.
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Affiliation(s)
- Gemma E Shields
- Manchester Centre for Health Economics, Division of Population Health, The University of Manchester, 4.307 Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK.
| | | | - Adrian Wells
- Faculty of Biology, Medicine and Health, School of Psychological Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.,Research & Innovation, Greater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
| | - Lora Capobianco
- Research & Innovation, Greater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
| | - Caroline Vass
- Manchester Centre for Health Economics, Division of Population Health, The University of Manchester, 4.307 Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK.,RTI Health Solutions, Manchester, UK
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23
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Tallantyre EC, Evangelou N, Bale C, Chaudhry BZ, Gray EH, LaRocca N, Pavitt S, Miller DM, Planchon SM, Ontaneda D, Manzano A. Achieving effective patient and public involvement in international clinical trials in neurology. Neurol Clin Pract 2020; 10:265-272. [PMID: 32642328 DOI: 10.1212/cpj.0000000000000739] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Accepted: 08/19/2019] [Indexed: 11/15/2022]
Abstract
There is a growing need for patient and public involvement (PPI) to inform the way that research is developed and performed. International randomized controlled trials are particularly likely to benefit from PPI, but guidance is lacking on how or when it should be incorporated. In this article, we describe the PPI process that occurred during the design and initiation of an international treatment clinical trial in MS. PPI was incorporated using a structured approach, aiming to minimize bias and achieve equivalence in study design, implementation, and interpretation. Methods included PPI representation within the study research team, and the use of focus groups, analyzed using thematic framework analysis. We report the outcomes of PPI and make recommendations on its use in other neurology clinical trials. By sharing our model for PPI, we aim to maximize effectiveness of future public involvement and to allow its effect to be better evaluated.
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Affiliation(s)
- Emma C Tallantyre
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
| | - Nikos Evangelou
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
| | - Clare Bale
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
| | - Burhan Z Chaudhry
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
| | - Emma H Gray
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
| | - Nicholas LaRocca
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
| | - Sue Pavitt
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
| | - Deborah M Miller
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
| | - Sarah M Planchon
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
| | - Daniel Ontaneda
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
| | - Ana Manzano
- Department of Psychological Medicine and Clinical Neurosciences (ECT), Cardiff University; Department of Clinical Neurology (NE, CB), University of Nottingham, United Kingdom; Tulane University (BZC), New Orleans, LA; MS Society (UK) (EHG), London; National MS Society (NL), Waltham, MA; Dental Translational and Clinical Research Unit (SP), Division of Applied Health and Clinical Translation, University of Leeds, United Kingdom; Cleveland Clinic Lerner College of Medicine (DMM), OH; Cleveland Clinic Mellen Center (DMM, SMP, DO); and Centre for Health, Technologies & Social Practice (AM), School of Sociology & Social Policy, University of Leeds, United Kingdom
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Fiaidhi J. Envisioning Insight-Driven Learning Based on Thick Data Analytics With Focus on Healthcare. IEEE ACCESS : PRACTICAL INNOVATIONS, OPEN SOLUTIONS 2020; 8:114998-115004. [PMID: 34192109 PMCID: PMC8098810 DOI: 10.1109/access.2020.2995763] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 05/16/2020] [Indexed: 05/14/2023]
Abstract
Detecting and analyzing patient insights from social media enables healthcare givers to better understand what patients want and also to identify their pain points. Healthcare institutions cannot neglect the need to monitor and analyze popular social media outlets such as Twitter and Facebook. To have a study success, a healthcare giver needs to be able to engage with their patients and adapt to their preferences effectively. However, data-driven decision-making is no longer enough, as the best-in-class organizations struggle to realize tangible benefits from their data-driven analytics investments. Relying on simplistic textual analytics that use big data technologies to learn consumer/patient insights is no longer sufficient as most of these analytics utilize sort of bag-of-words counting algorithms. The majority of projects utilizing big data analytics have failed due to the obsession with metrics at the expense of capturing the customer's perspective data, as well as the failure in turning consumer insights into actions. Most of the consumer insights can be captured with qualitative research methods that work with small, even statistically insignificant, sample sizes. Employing qualitative analytics provide some kind of actionable intelligence which acquires understanding to broad questions about the consumer needs in tandem with analytical power. Generating insight, on one hand, requires sound techniques to measure consumers' engagement more precisely and offers depth analytics to the consumer data story. On the other hand, turning relevant insights into actions requires incorporating actionable intelligence across the business by verify hypotheses based on qualitative findings by using web analytics to see if these axioms apply to a large number of customers. The first component of our visionary approach is dedicated to identifying the relationships between constituents of the healthcare pain points as echoed by the social media conversation in terms of sociographic network where the elements composing these conversations are described as nodes and their interactions as links. In this part, conversation groups of nodes that are heavily connected will be identified representing what we call conversation communities. By identifying these conversation communities several consumer hidden insights can be inferred from using techniques such as visualizing conversation graphs relevant to given pain point, conversation learning from question answering, conversations summaries, conversation timelines, conversation anomalies and other conversation pattern learning techniques. These techniques will identify and learn the patient insights without forgetting from the context of conversation communities, are tagged as "thick data analytics". Additionally machine learning methods can be used as assistive techniques to learn from the identified thick data and build models around identified thick data. With the use of transfer learning we also can fine tune these models with the arrival of new conversations. The author is currently experimenting with these seven insights driven learning methods described in this paper with massive geo-located Twitter data to infer the quality of care related to the current COVID-19 outbreak.
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Affiliation(s)
- Jinan Fiaidhi
- Department of Computer ScienceLakehead UniversityThunder BayONP7B 5E1Canada
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25
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Sand AS, Grimsgaard S, Pettersen I. Patient and public involvement in health research: A Nordic perspective. Scand J Public Health 2020; 48:119-121. [PMID: 31464574 PMCID: PMC6987477 DOI: 10.1177/1403494819863522#bibr9-1403494819863522] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2018] [Revised: 04/24/2019] [Accepted: 06/13/2019] [Indexed: 06/02/2023]
Abstract
Patient and public involvement (PPI) in health research is of increasing interest internationally, as well as being a means to enhance the quality and relevance of research. PPI was one of the main themes and parallel sessions at The Nordic Health Research and Innovation Networks in Oslo in 2017. In this short comment/debate article, we outline some of the experiences from the event. Importantly, there are many common challenges. More collaboration across the borders could ensure a broader range of experience in the field and provide better ways of developing and evaluating PPI in health research.
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Affiliation(s)
- Anne-Sofie Sand
- Clinical Research Department, University
Hospital of North Norway, Norway
- UiT The Arctic University of Norway,
Norway
| | - Sameline Grimsgaard
- Clinical Research Department, University
Hospital of North Norway, Norway
- UiT The Arctic University of Norway,
Norway
| | - Ingvild Pettersen
- Clinical Research Department, University
Hospital of North Norway, Norway
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26
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Faulkner A, Carr S, Gould D, Khisa C, Hafford-Letchfield T, Cohen R, Megele C, Holley J. 'Dignity and respect': An example of service user leadership and co-production in mental health research. Health Expect 2019; 24 Suppl 1:10-19. [PMID: 31556244 PMCID: PMC8137502 DOI: 10.1111/hex.12963] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Revised: 08/09/2019] [Accepted: 08/22/2019] [Indexed: 11/29/2022] Open
Abstract
This paper explores the methodological aspects of a user‐led study investigating mental health service user experiences of targeted violence and abuse (often called 'hate crime'). 'Keeping Control' was a 16‐month qualitative study, undertaken in the context of adult safeguarding reforms in England. By collecting data on service user concepts and experiences, the research sought to address a gap in research and practice knowledge relating to targeted violence, abuse and hostility against people with mental health problems. In this paper, we discuss the significance of the design and methodology used for this study, with a particular focus on the interviews with service users. The research was both user‐led and carried out in collaboration with practitioners and academics, a form of research co‐production. Our aim is to inform researchers, practitioners and policymakers about the value of user leadership in co‐productive research with practitioners, particularly for a highly sensitive and potentially distressing topic.
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Affiliation(s)
| | - Sarah Carr
- Department of Mental Health, Social Work and Integrative Medicine, Middlesex University London, London, UK
| | - Dorothy Gould
- Independent Service User/Survivor Researcher, London, UK
| | - Christine Khisa
- Department of Mental Health, Social Work and Integrative Medicine, Middlesex University London, London, UK
| | - Trish Hafford-Letchfield
- Department of Mental Health, Social Work and Integrative Medicine, Middlesex University London, London, UK
| | - Rachel Cohen
- Department of Mental Health, Social Work and Integrative Medicine, Middlesex University London, London, UK
| | - Claudia Megele
- Service for Quality Assurance and PSW, Wiltshire Council, London, UK
| | - Jessica Holley
- Department of Mental Health, Social Work and Integrative Medicine, Middlesex University London, London, UK
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27
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Sand AS, Grimsgaard S, Pettersen I. Patient and public involvement in health research: A Nordic perspective. Scand J Public Health 2019; 48:119-121. [PMID: 31464574 PMCID: PMC6987477 DOI: 10.1177/1403494819863522] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Patient and public involvement (PPI) in health research is of increasing interest
internationally, as well as being a means to enhance the quality and relevance of
research. PPI was one of the main themes and parallel sessions at The Nordic Health
Research and Innovation Networks in Oslo in 2017. In this short comment/debate article, we
outline some of the experiences from the event. Importantly, there are many common
challenges. More collaboration across the borders could ensure a broader range of
experience in the field and provide better ways of developing and evaluating PPI in health
research.
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Affiliation(s)
- Anne-Sofie Sand
- Clinical Research Department, University Hospital of North Norway, Norway.,UiT The Arctic University of Norway, Norway
| | - Sameline Grimsgaard
- Clinical Research Department, University Hospital of North Norway, Norway.,UiT The Arctic University of Norway, Norway
| | - Ingvild Pettersen
- Clinical Research Department, University Hospital of North Norway, Norway
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28
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Catalá-López F, Ridao M, Hurtado I, Núñez-Beltrán A, Gènova-Maleras R, Alonso-Arroyo A, Tobías A, Aleixandre-Benavent R, Catalá MA, Tabarés-Seisdedos R. Prevalence and comorbidity of autism spectrum disorder in Spain: study protocol for a systematic review and meta-analysis of observational studies. Syst Rev 2019; 8:141. [PMID: 31200773 PMCID: PMC6570970 DOI: 10.1186/s13643-019-1061-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2018] [Accepted: 06/04/2019] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Autism spectrum disorder (ASD) is a complex developmental disorder characterised by impaired social interaction and communication, and restrictive and repetitive behaviour. Previous systematic reviews have traditionally assessed the prevalence of ASD on global or regional context, with very few meta-analyses at the country level. The objective of this study will be to systematically evaluate published and unpublished observational studies that present prevalence and comorbidity of ASD among children, adolescent and adult population in Spain. METHODS/DESIGN We designed and registered a study protocol for a systematic review and meta-analysis of descriptive epidemiology data. Observational studies (cohort, cross-sectional) reporting the prevalence of ASD and conducted in a wide range of people (e.g. general population, outpatient and/or school settings) will be included. The primary outcome will be the prevalence of ASD. Secondary outcomes will be the prevalence of any physical or mental comorbidity in association with ASD. No limitations will be imposed on publication status, study conduct period, and language of dissemination. Comprehensive literature searches will be conducted in seven electronic databases (from January 1980 onwards), including PubMed/MEDLINE, EMBASE, Scopus, Web of Science, PsycINFO, IME-Spanish Medical Index and IBECS-Spanish Bibliographic Index of Health Sciences. Grey literature will be identified through searching dissertation databases, Google Scholar and conference abstracts. Two team members will independently screen all citations, full-text articles, and abstract data. Potential conflicts will be resolved through discussion. The study methodological quality (or bias) will be appraised using an appropriate tool. If feasible, we will conduct random effects meta-analysis of observational data. Prevalence estimates will be stratified according to gender, age and geographical location. Additional analyses will be conducted to explore the potential sources of heterogeneity (e.g. methodological quality, sample size, diagnostic criteria). DISCUSSION This systematic review and meta-analysis of observational data will identify, evaluate and integrate the epidemiological knowledge underlying the prevalence of ASD in Spain. The results of this study will be of interest to multiple audiences including patients, their families, caregivers, healthcare professional, scientists and policy makers. Results will be published in a peer-reviewed journal. Implications for future epidemiological research will be discussed. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42018090372.
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Affiliation(s)
- Ferrán Catalá-López
- Department of Health Planning and Economics, National School of Public Health, Institute of Health Carlos III, Madrid, Spain
- Department of Medicine, University of Valencia/INCLIVA Health Research Institute and CIBERSAM, Valencia, Spain
| | - Manuel Ridao
- Instituto Aragonés de Ciencias de la Salud (IACS), Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Zaragoza, Spain
| | - Isabel Hurtado
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO-Salud Pública), Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Valencia, Spain
| | | | - Ricard Gènova-Maleras
- Directorate General for Public Health, Madrid Regional Health Council, Madrid, Spain
| | - Adolfo Alonso-Arroyo
- Department of History of Science and Documentation, University of Valencia, Valencia, Spain
- Information and Social and Health Research Unit (UISYS), University of Valencia and Spanish National Research Council (CSIC), Valencia, Spain
| | - Aurelio Tobías
- Spanish National Research Council (CSIC), Barcelona, Spain
| | - Rafael Aleixandre-Benavent
- Information and Social and Health Research Unit (UISYS), University of Valencia and Spanish National Research Council (CSIC), Valencia, Spain
- Institute for Innovation and Knowledge Management (INGENIO)/Spanish National Research Council (CSIC) and Polytechnic University of Valencia (UPV), Valencia, Spain
| | | | - Rafael Tabarés-Seisdedos
- Department of Medicine, University of Valencia/INCLIVA Health Research Institute and CIBERSAM, Valencia, Spain
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Catalá-López F, Ridao M, Núñez-Beltrán A, Gènova-Maleras R, Alonso-Arroyo A, Aleixandre-Benavent R, Catalá MA, Tabarés-Seisdedos R. Prevalence and comorbidity of attention deficit hyperactivity disorder in Spain: study protocol for extending a systematic review with updated meta-analysis of observational studies. Syst Rev 2019; 8:49. [PMID: 30744675 PMCID: PMC6371515 DOI: 10.1186/s13643-019-0967-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Accepted: 01/28/2019] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Attention deficit hyperactivity disorder (ADHD) is a childhood-onset disorder characterized by a persistent pattern of symptoms of developmentally inappropriate and impaired inattention and/or hyperactivity/impulsivity, with difficulties often continuing into adulthood. ADHD can come with other comorbid conditions. The aim of this study will be to quantify the prevalence and comorbidity of ADHD among children, adolescent, and adult population in Spain. METHODS/DESIGN We designed and registered a study protocol for an update and expansion of a systematic review and meta-analysis of pooled prevalence data. We will include cross-sectional observational studies reporting prevalence of ADHD in Spain and conducted in the general population, outpatient, and/or school settings. The primary outcome will be the prevalence of ADHD. Secondary outcomes will be the prevalence of any physical or mental comorbidity in association with ADHD. No limitations will be imposed on publication status, study conduct period, and language of dissemination. Comprehensive literature searches will be conducted in multiple electronic databases, including PubMed/MEDLINE, EMBASE, Scopus, Web of Science, PsycINFO, IME - Spanish Medical Index, and IBECS - Spanish Bibliographic Index of Health Sciences. We will also search Google Scholar, dissertation databases, and conference abstracts. Two team members will independently screen all citations, full-text articles, and abstract data. Potential conflicts will be resolved through discussion. The methodological quality (or risk of bias) of individual studies will be appraised using an appropriate tool. If feasible, we will conduct random effects meta-analysis. Prevalence estimates will be stratified according to gender, age, and geographical location. Additional analyses will be conducted to explore the potential sources of heterogeneity (e.g., methodological quality, sample size, diagnostic criteria). DISCUSSION This systematic review and meta-analysis of observational data will provide an updated synthesis of the prevalence and comorbidity of ADHD in Spain. This study will also examine factors that may explain potential variations in prevalence data. The findings of this study will be published in a peer-reviewed journal. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42018106082 .
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Affiliation(s)
- Ferrán Catalá-López
- Department of Health Planning and Economics, National School of Public Health, Institute of Health Carlos III, Madrid, Spain
- Department of Medicine, University of Valencia/INCLIVA Health Research Institute and CIBERSAM, Valencia, Spain
- Fundación Instituto de Investigación en Servicios de Salud, Valencia, Spain
| | - Manuel Ridao
- Instituto Aragonés de Ciencias de la Salud (IACS), Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Zaragoza, Spain
| | | | - Ricard Gènova-Maleras
- Directorate General for Public Health, Madrid Regional Health Council, Madrid, Spain
| | - Adolfo Alonso-Arroyo
- Department of History of Science and Documentation, University of Valencia, Valencia, Spain
- Information and Social and Health Research Unit (UISYS), University of Valencia and Spanish National Research Council (CSIC), Valencia, Spain
| | - Rafael Aleixandre-Benavent
- Information and Social and Health Research Unit (UISYS), University of Valencia and Spanish National Research Council (CSIC), Valencia, Spain
- Institute for Innovation and Knowledge Management (INGENIO)/Spanish National Research Council (CSIC) and Polytechnic University of Valencia (UPV), Valencia, Spain
| | | | - Rafael Tabarés-Seisdedos
- Department of Medicine, University of Valencia/INCLIVA Health Research Institute and CIBERSAM, Valencia, Spain
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30
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Abstract
Public and patient involvement in research is a well-established requirement for applications to many grant-awarding bodies. Numerous models of consultation, collaboration and leadership have been developed to support all stages of research, from ideas development through to project execution and dissemination of findings. However, the interface between researchers and lay members is not always a happy one; scientific ‘fact’ may not square with lived experience; clinical researchers may regard their accumulated knowledge from working with many people with dementia and their families as ‘more valid’ than the individual experience(s) of a small number of public and patient involvement representatives; public and patient involvement members can fall victim to tokenism and manipulation. In this opinion piece, I consider the nature of representation in public and patient involvement in dementia research, and whether identifying disconfirmatory cases provides greater value than current consensus building approaches. I conclude by encouraging researchers to listen, reflect and embrace the opportunity to engage with alternative perspectives.
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31
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Pezaro S, Pearce G, Bailey E. Childbearing women's experiences of midwives' workplace distress: Patient and public involvement. ACTA ACUST UNITED AC 2018. [DOI: 10.12968/bjom.2018.26.10.659] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Sally Pezaro
- Midwife, researcher and lecturer, School of Nursing, Midwifery and Health, Coventry University
| | - Gemma Pearce
- Senior research assistant, Centre for Advances in Behavioural Science, Coventry University
| | - Elizabeth Bailey
- Research Fellow, Faculty Research Centre for Innovative Research Across the Life Course
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32
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Miller FA, Patton SJ, Dobrow M, Marshall DA, Berta W. Public involvement and health research system governance: a qualitative study. Health Res Policy Syst 2018; 16:87. [PMID: 30165889 PMCID: PMC6117957 DOI: 10.1186/s12961-018-0361-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2017] [Accepted: 08/10/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Interest in public involvement in health research projects has led to increased attention on the coordination of public involvement through research organisations, networks and whole systems. We draw on previous work using the 'health research system' framework to explore organisational actors and stewardship functions relevant to governance for public involvement. METHODS To inform efforts in Ontario, Canada, to mobilise public involvement across the provincial health research enterprise, we conducted an exploratory, qualitative descriptive study of efforts in two jurisdictions (England, United Kingdom, and Alberta, Canada) where there were active policy efforts to support public involvement, alongside jurisdiction-wide efforts to mobilise health research. Focusing on the efforts of public sector organisations with responsibility for funding health research, enabling public involvement, and using research results, we conducted in-depth, semi-structured interviews with 26 expert informants and used a qualitative thematic approach to explore how the involvement of publics in health research has been embedded and supported. RESULTS We identified three sets of common issues in efforts to advance public involvement. First, the initial aim to embed public involvement leveraged efforts to build self-conscious research 'systems', and mobilised policy guidance, direction, investment and infrastructure. Second, efforts to sustain public involvement aimed to deepen involvement activity and tackle diversity limitations, while managing the challenges of influencing research priorities and forging common purpose on the evaluation of public involvement. Finally, public involvement was itself an influential force, with the potential to reinforce - or complicate - the ties that link actors within research systems, and to support - or constrain - the research system's capacity to serve and strengthen health systems. CONCLUSIONS Despite differences in the two jurisdictions analysed and in the organisation of public involvement within them, the supporters and stewards of public involvement sought to leverage research systems to advance public involvement, anticipated similar opportunities for improvement in involvement processes and identified similar challenges for future involvement activities. This suggests the value of a health research system framework in governance for public involvement, and the importance of public involvement for the success of health research systems and the health systems they aim to serve.
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Affiliation(s)
- Fiona Alice Miller
- Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, 4th Floor, Toronto, ON, M5T 3M6, Canada.
| | - Sarah J Patton
- Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, 4th Floor, Toronto, ON, M5T 3M6, Canada
| | - Mark Dobrow
- Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, 4th Floor, Toronto, ON, M5T 3M6, Canada
| | - Deborah A Marshall
- Department of Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, 3rd Floor, Calgary, AB, T2N 4Z6, Canada
| | - Whitney Berta
- Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College Street, 4th Floor, Toronto, ON, M5T 3M6, Canada
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Tuck S, Little EA, Aspray TJ. Implications of guidelines for osteoporosis and its treatment. Age Ageing 2018; 47:334-339. [PMID: 29315354 DOI: 10.1093/ageing/afx197] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Indexed: 11/12/2022] Open
Abstract
The development of clinical guidelines is now a more uniform process, with formalised methods to ensure that recommendations are based on current best available evidence from randomised controlled trials and systematic reviews. Over the past 20 years we have seen a growth in guidelines including those relating to osteoporosis, with recommendations varying between and within countries. Some guidelines are concerned with case finding and primary or secondary prevention, such as those produced by the National Institute for Health and Care Excellence (NICE CG146, TA-160, -161, -464), while others focus on specific conditions or risk factors associated with osteoporosis, such as the menopause, coeliac disease and eating disorder. Clinicians can be confused as to which to follow in any particular clinical scenario. International guidelines, such as those from North America (NOF, CAROC, AACE) and Scotland (SIGN 142), differ from those of England, Wales and Northern Ireland, with recent recommendations from NICE (TA464) shifting the focus of treatment from those at greatest fracture risk to an apparent blanket approach, based on cost-effectiveness, rather than clinical effectiveness.Osteoporosis treatment should be targeted at those who can benefit most, outweighing the potential for harm. If the low health economic threshold of NICE TA464 were adopted as a clinical threshold, the most important group-older people at greatest risk of fracture, would not be prioritised. We risk overwhelming clinical services, while causing harm to some at low fracture risk from adverse effects of treatment, yet failing to treat the older population at highest fracture risk.
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Affiliation(s)
- Stephen Tuck
- Institute for Cellular Medicine Newcastle University, Newcastle upon Tyne NE2 4HH, UK
- Rheumatology Department, James Cook Hospital, Middlesbrough TS4 3BW, UK
| | - Elizabeth A Little
- The Bone Clinic Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK
- Gosforth Memorial Medical Centre, Newcastle upon Tyne NE3 1TX, UK
| | - Terry J Aspray
- Institute for Cellular Medicine Newcastle University, Newcastle upon Tyne NE2 4HH, UK
- The Bone Clinic Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK
- NIHR Newcastle Biomedical Research Centre, Campus for Ageing and Vitality, Newcastle upon Tyne NE4 5PL, UK
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Staniszewska S, Brett J, Simera I, Seers K, Mockford C, Goodlad S, Altman DG, Moher D, Barber R, Denegri S, Entwistle A, Littlejohns P, Morris C, Suleman R, Thomas V, Tysall C. GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research. BMJ 2017; 358:j3453. [PMID: 28768629 PMCID: PMC5539518 DOI: 10.1136/bmj.j3453] [Citation(s) in RCA: 760] [Impact Index Per Article: 108.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Background While the patient and public involvement (PPI) evidence base has expanded over the past decade, the quality of reporting within papers is often inconsistent, limiting our understanding of how it works, in what context, for whom, and why.Objective To develop international consensus on the key items to report to enhance the quality, transparency, and consistency of the PPI evidence base. To collaboratively involve patients as research partners at all stages in the development of GRIPP2.Methods The EQUATOR method for developing reporting guidelines was used. The original GRIPP (Guidance for Reporting Involvement of Patients and the Public) checklist was revised, based on updated systematic review evidence. A three round Delphi survey was used to develop consensus on items to be included in the guideline. A subsequent face-to-face meeting produced agreement on items not reaching consensus during the Delphi process.Results 143 participants agreed to participate in round one, with an 86% (123/143) response for round two and a 78% (112/143) response for round three. The Delphi survey identified the need for long form (LF) and short form (SF) versions. GRIPP2-LF includes 34 items on aims, definitions, concepts and theory, methods, stages and nature of involvement, context, capture or measurement of impact, outcomes, economic assessment, and reflections and is suitable for studies where the main focus is PPI. GRIPP2-SF includes five items on aims, methods, results, outcomes, and critical perspective and is suitable for studies where PPI is a secondary focus.Conclusions GRIPP2-LF and GRIPP2-SF represent the first international evidence based, consensus informed guidance for reporting patient and public involvement in research. Both versions of GRIPP2 aim to improve the quality, transparency, and consistency of the international PPI evidence base, to ensure PPI practice is based on the best evidence. In order to encourage its wide dissemination this article is freely accessible on The BMJ and Research Involvement and Engagement journal websites.
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Affiliation(s)
- S Staniszewska
- Warwick Research in Nursing, Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK
| | - J Brett
- Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK
| | - I Simera
- Centre for Tropical Medicine and Global Health and UK EQUATOR Centre, University of Oxford, UK
| | - K Seers
- Warwick Research in Nursing, Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK
| | | | | | - D G Altman
- Centre for Statistics in Medicine, University of Oxford, UK
| | - D Moher
- Centre for Journalology, Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada
| | - R Barber
- School of Health and Related Research, Section of Public Health, University of Sheffield, Sheffield, UK
| | - S Denegri
- National Institute for Health Research, UCL School of Life and Medical Sciences, London, UK
| | | | | | - C Morris
- University of Exeter Medical School, Exeter, UK
| | - R Suleman
- Warwick Medical School, Coventry, UK
| | - V Thomas
- Public Involvement Programme, National Institute for Health and Care Excellence, London, UK
| | - C Tysall
- Warwick Medical School, Coventry, UK
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