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de Wit M, Aouad K, Elhai M, Benavent D, Bertheussen H, Blackburn S, Böhm P, Duarte C, Falahee M, Karlfeldt S, Kiltz U, Mateus EF, Richards DP, Rodríguez-Carrio J, Sagen J, Shumnalieva R, Stones SR, Tas SW, Tillett W, Vieira A, Wilhelmer TC, Zabalan C, Primdahl J, Studenic P, Gossec L. EULAR recommendations for the involvement of patient research partners in rheumatology research: 2023 update. Ann Rheum Dis 2024:ard-2024-225566. [PMID: 38876509 DOI: 10.1136/ard-2024-225566] [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: 01/22/2024] [Accepted: 05/22/2024] [Indexed: 06/16/2024]
Abstract
BACKGROUND Since the publication of the 2011 European Alliance of Associations for Rheumatology (EULAR) recommendations for patient research partner (PRP) involvement in rheumatology research, the role of PRPs has evolved considerably. Therefore, an update of the 2011 recommendations was deemed necessary. METHODS In accordance with the EULAR Standardised Operational Procedures, a task force comprising 13 researchers, 2 health professionals and 10 PRPs was convened. The process included an online task force meeting, a systematic literature review and an in-person second task force meeting to formulate overarching principles (OAPs) and recommendations. The level of agreement of task force members was assessed anonymously (0-10 scale). RESULTS The task force developed five new OAPs, updated seven existing recommendations and formulated three new recommendations. The OAPs address the definition of a PRP, the contribution of PRPs, the role of informal caregivers, the added value of PRPs and the importance of trust and communication in collaborative research efforts. The recommendations address the research type and phases of PRP involvement, the recommended number of PRPs per project, the support necessary for PRPs, training of PRPs and acknowledgement of PRP contributions. New recommendations concern the benefits of support and guidance for researchers, the need for regular evaluation of the patient-researcher collaboration and the role of a designated coordinator to facilitate collaboration. Agreements within the task force were high and ranged between 9.16 and 9.96. CONCLUSION The updated EULAR recommendations for PRP involvement are more substantially based on evidence. Together with added OAPs, they should serve as a guide for researchers and PRPs and will ultimately strengthen the involvement of PRPs in rheumatology research.
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Affiliation(s)
- Maarten de Wit
- Patient Research Partner, EULAR, Amsterdam, The Netherlands
| | - Krystel Aouad
- Saint George Hospital University Medical Center, Beirut, Lebanon
| | - Muriel Elhai
- University Hospital Zürich, University of Zürich, Zürich, Switzerland
| | - Diego Benavent
- Rheumatology, Hospital Universitari de Bellvitge, Madrid, Spain
| | | | - Steven Blackburn
- Institute of Applied Health Research, Univeristy of Birmingham, Birmingham, UK
| | - Peter Böhm
- Patient Research Partner, EULAR, Berlin, Germany
| | - Catia Duarte
- Rheumatology, Centro Hospitalar e Universitario de Coimbra, Coimbra, Portugal
| | - Marie Falahee
- Institute of Inflammation and Ageing, University of Birmingham Rheumatology Research Group, Birmingham, UK
| | - Susanne Karlfeldt
- Academic Specialist Center, Karolinska Institutet, Stockholm, Sweden
| | - Uta Kiltz
- Ruhr University Bochum, Bochum, Germany
- Rheumazentrum Ruhrgebiet, Herne, Germany
| | - Elsa F Mateus
- Patient Research Partner, EULAR, Lisbon, Portugal
- Portuguese League Against Rheumatic Diseases (LPCDR), Lisbon, Portugal
| | - Dawn P Richards
- Canadian Arthritis Patient Alliance, Toronto, Ontario, Canada
| | - Javier Rodríguez-Carrio
- Area of Immunology, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), University of Oviedo, Oviedo, Spain
| | - Joachim Sagen
- Norwegian National Advisory Unit on Rehabilitation in Rheumatology, Oslo, Norway
- Norwegian Rheumatism Association, Oslo, Norway
| | - Russka Shumnalieva
- Department of Rheumatology, Clinic of Rheumatology, University Hospital "St Ivan Rilski", Medical University-Sofia, Sofia, Bulgaria
| | - Simon R Stones
- Patient Research Partner, EULAR, Manchester, UK
- Envision Pharma Group, Wilmslow, UK
| | - Sander W Tas
- Department of Rheumatology and Clinical Immunology, Amsterdam Rheumatology and Immunology Center, Amsterdam University Medical Centres, Amsterdam, The Netherlands
| | - William Tillett
- Royal National Hospital for Rheumatic Disease, Bath, UK
- Life Sciences, Centre for Therapeutic Innovation, University of Bath, Bath, UK
| | - Ana Vieira
- Portuguese League Against Rheumatic Diseases (LPCDR), Lisbon, Portugal
- Patient Research Partner, EULAR, Lissabon, Portugal
| | - Tanita-Christina Wilhelmer
- EULAR Young PARE, Zürich, Switzerland
- Österreichische Rheumaliga, Maria Alm, Austria
- EULAR PRP, Vienna, Austria
| | - Condruta Zabalan
- Romanian League Against Rheumatism, Bucharest, Romania
- EULAR PRP, Bucharest, Romania
| | - Jette Primdahl
- Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Sønderborg, Denmark
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
| | - Paul Studenic
- Internal Medicine 3, Division of Rheumatology, Medical University Vienna, Vienna, Austria
- Department of Medicine (Solna), Karolinska Institutet, Division of Rheumatology, Stockholm, Sweden
| | - Laure Gossec
- INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, INSERM, Sorbonne Universite, Paris, France
- APHP, Rheumatology Department, Hopital Universitaire Pitie Salpetriere, Paris, France
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Karlsson AW, Kragh-Sørensen A, Børgesen K, Behrens KE, Andersen T, Kidholm ML, Rothmann MJ, Ketelaar M, Janssens A. Roles, outcomes, and enablers within research partnerships: A rapid review of the literature on patient and public involvement and engagement in health research. RESEARCH INVOLVEMENT AND ENGAGEMENT 2023; 9:43. [PMID: 37322525 PMCID: PMC10268359 DOI: 10.1186/s40900-023-00448-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 05/16/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND Recent studies mention a need to investigate partnership roles and dynamics within patient and public involvement and engagement (PPIE) in health research, and how impact and outcomes are achieved. Many labels exist to describe involvement processes, but it is unknown whether the label has implications on partnerships and outcomes. This rapid review investigates how roles between patients, relatives and researchers in a broad variety of PPIE activities in health research are described in peer reviewed papers and explores what enables these partnerships. METHODS Rapid review of articles published between 2012 and February 2022 describing, evaluating, or reflecting on experiences of PPIE in health research. All research disciplines and research areas were eligible. Four databases (Medline, Embase, PsychInfo and CINAHL) were searched between November 2021 and February 2022. We followed PRISMA guidelines and extracted descriptive factors: year, origin, research area and discipline, study focus, framework used and co-authorship. On a selection of articles, we performed a narrative analysis of partnership roles using Smits et al.'s. Involvement Matrix. Lastly, we performed a meta synthesis of reported enablers and outcomes of the partnerships. Patients and Relatives (PRs) have been involved in the whole rapid review process and are co-authors of this article. RESULTS Seventy articles from various research disciplines and areas were included. Forty articles were selected for a narrative analysis of the role description of PRs and researchers, and a meta synthesis of enablers and outcomes. Most articles described researchers as decision-makers throughout the research cycle. PRs most often were partners when they were included as co-authors; they were mostly partners in the design, analysis, write-up, and dissemination stages. Enablers of partnerships included: PR training, personality of PRs and communication skills, trust, remuneration and time. CONCLUSIONS Researchers' decision-making roles gives them control of where and when to include PRs in their projects. Co-authorship is a way of acknowledging patients' contributions which may lead to legitimation of their knowledge and the partnership. Authors describe common enablers, which can help future partnership formation.
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Affiliation(s)
- Anne Wettergren Karlsson
- Department of Public Health, User Perspectives and Community-Based Interventions, University of Southern Denmark, Odense, Denmark
| | - Anne Kragh-Sørensen
- Department of Public Health, User Perspectives and Community-Based Interventions, University of Southern Denmark, Odense, Denmark
| | - Kirsten Børgesen
- Department of Public Health, User Perspectives and Community-Based Interventions, University of Southern Denmark, Odense, Denmark
| | - Karsten Erik Behrens
- Department of Public Health, User Perspectives and Community-Based Interventions, University of Southern Denmark, Odense, Denmark
| | - Torben Andersen
- Department of Public Health, User Perspectives and Community-Based Interventions, University of Southern Denmark, Odense, Denmark
| | - Maiken Langhoff Kidholm
- Department of Public Health, User Perspectives and Community-Based Interventions, University of Southern Denmark, Odense, Denmark
| | - Mette Juel Rothmann
- Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark
- Center for Innovative Medical Innovation, Odense University Hospital, Odense, Denmark
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Marjolijn Ketelaar
- Center of Excellence for Rehabilitation Medicine, Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands
- Center of Excellence for Rehabilitation Medicine, De Hoogstraat Rehabilitation, Utrecht, The Netherlands
| | - Astrid Janssens
- Bioethics and Health Humanities, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, University Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
- Centre for Research with Patients and Relatives, Odense University Hospital, Odense, Denmark.
- University of Exeter Medical School, Exeter, UK.
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Cooper L, Ahmed S, Bibeau C, Buckley N, Crowe L, Decoste J, Keely E, McCutcheon T, Singer AG, Visca R, Liddy C. Impact of patient partner co-design on survey development in primary care research: Case study. CANADIAN FAMILY PHYSICIAN MEDECIN DE FAMILLE CANADIEN 2022; 68:235-236. [PMID: 35292463 PMCID: PMC9833185 DOI: 10.46747/cfp.6803235] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
- Lynn Cooper
- Patient Advisor in the C.T. Lamont Primary Health Care Research Centre at the Bruyère Research Institute in Ottawa, Ont, Education and Research Advisor for the Canadian Injured Workers Alliance, and a member of the Steering Committee for the Chronic Pain Network
| | - Sara Ahmed
- Professor in the School of Physical and Occupational Therapy in the Faculty of Medicine and Health Sciences at McGill University in Montreal, Que, and Clinical Investigator in the Division of Clinical Epidemiology and Centre for Outcomes Research and Evaluation at the McGill University Health Centre
| | - Christine Bibeau
- Patient Advisor in the C.T. Lamont Primary Health Care Research Centre at the Bruyère Research Institute
| | - Norman Buckley
- Associate Professor in the Department of Anesthesia in the Faculty of Health Sciences at McMaster University in Hamilton, Ont, and Clinical Investigator at the Michael G. DeGroote Institute for Pain Research and Care
| | - Lois Crowe
- Program Manager of Strategic Planning and Implementation in the Office of Social Accountability in the Faculty of Medicine at the University of Ottawa
| | - Jocelyn Decoste
- Patient Advisor in the C.T. Lamont Primary Health Care Research Centre at the Bruyère Research Institute, a practising lawyer in workplace health and safety, and a member of the Board of Directors for the Association québécoise de la douleur chronique
| | - Erin Keely
- Endocrinologist at The Ottawa Hospital, Professor in the Department of Medicine at the University of Ottawa, and Co-Executive Director of the Ontario eConsult Centre of Excellence
| | - Tess McCutcheon
- Research Associate in the C.T. Lamont Primary Health Care Research Centre at the Bruyère Research Institute
| | - Alexander G Singer
- Associate Professor and Director of Research and Quality Improvement in the Department of Family Medicine at the University of Manitoba in Winnipeg
| | - Regina Visca
- Administrative Director of the McGill RUISSS Centre of Expertise in Chronic Pain and a doctoral candidate in the Department of Family Medicine at McGill University
| | - Clare Liddy
- Chair and Full Professor in the Department of Family Medicine at the University of Ottawa, Clinician Investigator in the C.T. Lamont Primary Health Care Research Centre at the Bruyère Research Institute, and Co-Executive Director of the Ontario eConsult Centre of Excellence
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Aguayo GA, Goetzinger C, Scibilia R, Fischer A, Seuring T, Tran VT, Ravaud P, Bereczky T, Huiart L, Fagherazzi G. Methods to Generate Innovative Research Ideas and Improve Patient and Public Involvement in Modern Epidemiological Research: Review, Patient Viewpoint, and Guidelines for Implementation of a Digital Cohort Study. J Med Internet Res 2021; 23:e25743. [PMID: 34941554 PMCID: PMC8738987 DOI: 10.2196/25743] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 01/16/2021] [Accepted: 10/08/2021] [Indexed: 01/20/2023] Open
Abstract
Background Patient and public involvement (PPI) in research aims to increase the quality and relevance of research by incorporating the perspective of those ultimately affected by the research. Despite these potential benefits, PPI is rarely included in epidemiology protocols. Objective The aim of this study is to provide an overview of methods used for PPI and offer practical recommendations for its efficient implementation in epidemiological research. Methods We conducted a review on PPI methods. We mirrored it with a patient advocate’s viewpoint about PPI. We then identified key steps to optimize PPI in epidemiological research based on our review and the viewpoint of the patient advocate, taking into account the identification of barriers to, and facilitators of, PPI. From these, we provided practical recommendations to launch a patient-centered cohort study. We used the implementation of a new digital cohort study as an exemplary use case. Results We analyzed data from 97 studies, of which 58 (60%) were performed in the United Kingdom. The most common methods were workshops (47/97, 48%); surveys (33/97, 34%); meetings, events, or conferences (28/97, 29%); focus groups (25/97, 26%); interviews (23/97, 24%); consensus techniques (8/97, 8%); James Lind Alliance consensus technique (7/97, 7%); social media analysis (6/97, 6%); and experience-based co-design (3/97, 3%). The viewpoint of a patient advocate showed a strong interest in participating in research. The most usual PPI modalities were research ideas (60/97, 62%), co-design (42/97, 43%), defining priorities (31/97, 32%), and participation in data analysis (25/97, 26%). We identified 9 general recommendations and 32 key PPI-related steps that can serve as guidelines to increase the relevance of epidemiological studies. Conclusions PPI is a project within a project that contributes to improving knowledge and increasing the relevance of research. PPI methods are mainly used for idea generation. On the basis of our review and case study, we recommend that PPI be included at an early stage and throughout the research cycle and that methods be combined for generation of new ideas. For e-cohorts, the use of digital tools is essential to scale up PPI. We encourage investigators to rely on our practical recommendations to extend PPI in future epidemiological studies.
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Affiliation(s)
- Gloria A Aguayo
- Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Catherine Goetzinger
- Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Renza Scibilia
- Diabetes Australia, Melbourne, Australia.,Diabetogenic, Melbourne, Australia
| | - Aurélie Fischer
- Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Till Seuring
- Luxembourg Institute of Socio-Economic Research, Esch/Alzette, Luxembourg
| | - Viet-Thi Tran
- Centre of Research in Epidemiology and Statistic Sorbonne Paris Cité, National Institute of Health and Medical Research (INSERM), French National Institute for Agricultural Research (INRA), Université de Paris, Paris, France.,Centre d'Epidémiologie Clinique, Hôpital Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Philippe Ravaud
- Centre of Research in Epidemiology and Statistic Sorbonne Paris Cité, National Institute of Health and Medical Research (INSERM), French National Institute for Agricultural Research (INRA), Université de Paris, Paris, France.,Centre d'Epidémiologie Clinique, Hôpital Hôtel-Dieu, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Tamás Bereczky
- European Patients' Academy on Therapeutic Innovation, Brussels, Belgium
| | - Laetitia Huiart
- Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Guy Fagherazzi
- Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
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5
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Saigle V, Miller J, Dumez V, Patrick K. Intégrer la voix des patients au JAMC. CMAJ 2021; 193:E1198-E1199. [PMID: 34344781 PMCID: PMC8354653 DOI: 10.1503/cmaj.211092-f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Affiliation(s)
- Victoria Saigle
- Institut de recherche de l'Hôpital d'Ottawa (Saigle), Ottawa, Ont.; Programme PaCER [Patient and Community Engagement Research - Mobilisation des patients et de la communauté dans le cadre de la recherche] (Miller), Faculté de médecine, Université de Calgary, Calgary, Alb.; Directeur des partenariats communautaires (Dumez), Faculté de médecine, Université de Montréal; Centre d'excellence sur le partenariat avec les patients et le public (Dumez), Faculté de médecine, Université de Montréal, Centre de recherche du CHUM, Montréal, Qc; Unité de soutien SRAP du Québec, Longueuil, Qc; Réseau Québécois COVID - Pandémie (Dumez); responsable, Mobilisation des patients, JAMC, rédactrice en chef par intérim, JAMC (Patrick)
| | - Jean Miller
- Institut de recherche de l'Hôpital d'Ottawa (Saigle), Ottawa, Ont.; Programme PaCER [Patient and Community Engagement Research - Mobilisation des patients et de la communauté dans le cadre de la recherche] (Miller), Faculté de médecine, Université de Calgary, Calgary, Alb.; Directeur des partenariats communautaires (Dumez), Faculté de médecine, Université de Montréal; Centre d'excellence sur le partenariat avec les patients et le public (Dumez), Faculté de médecine, Université de Montréal, Centre de recherche du CHUM, Montréal, Qc; Unité de soutien SRAP du Québec, Longueuil, Qc; Réseau Québécois COVID - Pandémie (Dumez); responsable, Mobilisation des patients, JAMC, rédactrice en chef par intérim, JAMC (Patrick)
| | - Vincent Dumez
- Institut de recherche de l'Hôpital d'Ottawa (Saigle), Ottawa, Ont.; Programme PaCER [Patient and Community Engagement Research - Mobilisation des patients et de la communauté dans le cadre de la recherche] (Miller), Faculté de médecine, Université de Calgary, Calgary, Alb.; Directeur des partenariats communautaires (Dumez), Faculté de médecine, Université de Montréal; Centre d'excellence sur le partenariat avec les patients et le public (Dumez), Faculté de médecine, Université de Montréal, Centre de recherche du CHUM, Montréal, Qc; Unité de soutien SRAP du Québec, Longueuil, Qc; Réseau Québécois COVID - Pandémie (Dumez); responsable, Mobilisation des patients, JAMC, rédactrice en chef par intérim, JAMC (Patrick)
| | - Kirsten Patrick
- Institut de recherche de l'Hôpital d'Ottawa (Saigle), Ottawa, Ont.; Programme PaCER [Patient and Community Engagement Research - Mobilisation des patients et de la communauté dans le cadre de la recherche] (Miller), Faculté de médecine, Université de Calgary, Calgary, Alb.; Directeur des partenariats communautaires (Dumez), Faculté de médecine, Université de Montréal; Centre d'excellence sur le partenariat avec les patients et le public (Dumez), Faculté de médecine, Université de Montréal, Centre de recherche du CHUM, Montréal, Qc; Unité de soutien SRAP du Québec, Longueuil, Qc; Réseau Québécois COVID - Pandémie (Dumez); responsable, Mobilisation des patients, JAMC, rédactrice en chef par intérim, JAMC (Patrick)
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McCarron TL, Clement F, Rasiah J, Moran C, Moffat K, Gonzalez A, Wasylak T, Santana M. Patients as partners in health research: A scoping review. Health Expect 2021; 24:1378-1390. [PMID: 34153165 PMCID: PMC8369093 DOI: 10.1111/hex.13272] [Citation(s) in RCA: 47] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 04/10/2021] [Accepted: 04/15/2021] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND The role of patient involvement in health research has evolved over the past decade. Despite efforts to engage patients as partners, the role is not well understood. We undertook this review to understand the engagement practices of patients who assume roles as partners in health research. METHODS Using a recognized methodological approach, two academic databases (MEDLINE and EMBASE) and grey literature sources were searched. Findings were organized into one of the three higher levels of engagement, described by the Patient and Researcher Engagement framework developed by Manafo. We examined and quantified the supportive strategies used during involvement, used thematic analysis as described by Braun and Clarke and themed the purpose of engagement, and categorized the reported outcomes according to the CIHR Engagement Framework. RESULTS Out of 6621 records, 119 sources were included in the review. Thematic analysis of the purpose of engagement revealed five themes: documenting and advancing PPI, relevance of research, co-building, capacity building and impact on research. Improved research design was the most common reported outcome and the most common role for patient partners was as members of the research team, and the most commonly used strategy to support involvement was by meetings. CONCLUSION The evidence collected during this review advanced our understanding of the engagement of patients as research partners. As patient involvement becomes more mainstream, this knowledge will aid researchers and policy-makers in the development of approaches and tools to support engagement. PATIENT/USER INVOLVEMENT Patients led and conducted the grey literature search, including the synthesis and interpretation of the findings.
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Affiliation(s)
- Tamara L. McCarron
- The Department Community Health SciencesCalgaryABCanada
- O’Brien Institute for Public HealthCalgaryABCanada
| | - Fiona Clement
- The Department Community Health SciencesCalgaryABCanada
- O’Brien Institute for Public HealthCalgaryABCanada
| | - Jananee Rasiah
- Faculty of Nursing3‐141 Edmonton Clinic Health Academy (ECHA)University of AlbertaEdmontonABCanada
| | - Chelsea Moran
- The Department PsychologyUniversity of CalgaryCalgaryABCanada
| | - Karen Moffat
- The Department Community Health SciencesCalgaryABCanada
- O’Brien Institute for Public HealthCalgaryABCanada
- Patient PartnerCalgaryABCanada
| | - Andrea Gonzalez
- The Department Community Health SciencesCalgaryABCanada
- O’Brien Institute for Public HealthCalgaryABCanada
| | - Tracy Wasylak
- Alberta Health ServicesCalgaryABCanada
- Faculty of NursingUniversity of CalgaryCalgaryABCanada
| | - Maria Santana
- The Department Community Health SciencesCalgaryABCanada
- O’Brien Institute for Public HealthCalgaryABCanada
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7
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Affiliation(s)
- Victoria Saigle
- Ottawa Hospital Research Institute (Saigle), Ottawa, Ont.; Patient and Community Engagement Research (PaCER) Program (Miller), Faculty of Medicine, University of Calgary, Calgary, Alta.; Directeur des Partenariats Communautaires (Dumez), Faculté de médecine, Université de Montréal; Centre d'excellence sur le partenariat avec les patients et le public (Dumez), Faculté de médecine, Université de Montréal, Centre de recherche du CHUM, Montréal, Que.; Unité de soutien SRAP du Québec, Longueil, Que.; Réseau Québécois COVID - Pandemie (Dumez); Lead, Patient involvement, CMAJ (Saigle); Interim Editor-in-Chief, CMAJ (Patrick)
| | - Jean Miller
- Ottawa Hospital Research Institute (Saigle), Ottawa, Ont.; Patient and Community Engagement Research (PaCER) Program (Miller), Faculty of Medicine, University of Calgary, Calgary, Alta.; Directeur des Partenariats Communautaires (Dumez), Faculté de médecine, Université de Montréal; Centre d'excellence sur le partenariat avec les patients et le public (Dumez), Faculté de médecine, Université de Montréal, Centre de recherche du CHUM, Montréal, Que.; Unité de soutien SRAP du Québec, Longueil, Que.; Réseau Québécois COVID - Pandemie (Dumez); Lead, Patient involvement, CMAJ (Saigle); Interim Editor-in-Chief, CMAJ (Patrick)
| | - Vincent Dumez
- Ottawa Hospital Research Institute (Saigle), Ottawa, Ont.; Patient and Community Engagement Research (PaCER) Program (Miller), Faculty of Medicine, University of Calgary, Calgary, Alta.; Directeur des Partenariats Communautaires (Dumez), Faculté de médecine, Université de Montréal; Centre d'excellence sur le partenariat avec les patients et le public (Dumez), Faculté de médecine, Université de Montréal, Centre de recherche du CHUM, Montréal, Que.; Unité de soutien SRAP du Québec, Longueil, Que.; Réseau Québécois COVID - Pandemie (Dumez); Lead, Patient involvement, CMAJ (Saigle); Interim Editor-in-Chief, CMAJ (Patrick)
| | - Kirsten Patrick
- Ottawa Hospital Research Institute (Saigle), Ottawa, Ont.; Patient and Community Engagement Research (PaCER) Program (Miller), Faculty of Medicine, University of Calgary, Calgary, Alta.; Directeur des Partenariats Communautaires (Dumez), Faculté de médecine, Université de Montréal; Centre d'excellence sur le partenariat avec les patients et le public (Dumez), Faculté de médecine, Université de Montréal, Centre de recherche du CHUM, Montréal, Que.; Unité de soutien SRAP du Québec, Longueil, Que.; Réseau Québécois COVID - Pandemie (Dumez); Lead, Patient involvement, CMAJ (Saigle); Interim Editor-in-Chief, CMAJ (Patrick)
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8
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Yadav UN, Lloyd J, Baral KP, Bhatta N, Mehta S, Harris MF. Using a co-design process to develop an integrated model of care for delivering self-management intervention to multi-morbid COPD people in rural Nepal. Health Res Policy Syst 2021; 19:17. [PMID: 33568139 PMCID: PMC7874656 DOI: 10.1186/s12961-020-00664-z] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Accepted: 11/19/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND People with chronic obstructive pulmonary disease (COPD) in Nepal are not receiving adequate support to self-manage their chronic conditions, and primary health care can play a key role in the effective management of these. In this study, we aimed to develop a model of care, using a co-design approach, for delivering evidence-based biomedical and psycho-social care to support self-management for people with multi-morbid COPD in rural Nepal. METHODS A co-design approach, guided by the five stages of the design thinking model, was used for this study. Layering on "empathize" and "define" phases, we ideated a model of care that was further refined in a "prototype" stage, which included a series of consultative meetings and a 1-day co-design workshop with stakeholders. This co-design process involved a wide range of stakeholders from Nepal, including people with COPD and their families, community representatives, local government representatives, primary care practitioners, community health workers, policymakers, state-level government representatives and academics. RESULTS Through our co-design approach, a model of integrated care for delivering evidence-based biomedical and psycho-social care to support self-management for people with multi-morbid COPD was designed. The integrated model of care included: screening of the community members aged > 40 years or exhibiting symptoms for COPD and management of symptomatic patients within primary health care, establishing referral pathways for severe cases to and from secondary/tertiary-level health care and establishing a community-based support system. It involved specific roles for community health workers, patients and their caregivers and community representatives. It was built on existing services and programmes linking primary health care centres and tertiary-level health facilities. CONCLUSION The co-design approach is different from the currently dominant approach of rolling out models of care, which were designed elsewhere with minimal community engagement. In our study, the co-design approach was found to be effective in engaging various stakeholders and in developing a model of care for rural Nepal. This grassroots approach is more likely to be acceptable, effective and sustainable in rural Nepal. Further research is required to test the effectiveness of an integrated model of care in delivering self-management support for people with multi-morbid COPD in rural Nepal.
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Affiliation(s)
- Uday Narayan Yadav
- Centre for Primary Health Care and Equity, UNSW, Sydney, Australia.
- School of Population Health, UNSW, Sydney, Australia.
- Centre for Research, Policy and Implementation, Biratnagar, Nepal.
| | - Jane Lloyd
- Centre for Primary Health Care and Equity, UNSW, Sydney, Australia
| | - Kedar Prasad Baral
- School of Public Health, Patan Academy of Health Sciences, Kathmandu, Nepal
| | - Narendra Bhatta
- Department of Pulmonary, Critical Care and Sleep Medicine, B.P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal
| | - Suresh Mehta
- Ministry of Health and Population, Kathmandu, Nepal
| | - Mark Fort Harris
- Centre for Primary Health Care and Equity, UNSW, Sydney, Australia
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9
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Prior SJ, Mather C, Ford K, Bywaters D, Campbell S. Person-centred data collection methods to embed the authentic voice of people who experience health challenges. BMJ Open Qual 2020; 9:bmjoq-2020-000912. [PMID: 32699082 PMCID: PMC7375396 DOI: 10.1136/bmjoq-2020-000912] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 06/23/2020] [Accepted: 07/03/2020] [Indexed: 11/21/2022] Open
Affiliation(s)
- Sarah Jane Prior
- Tasmanian School of Medicine, University of Tasmania, Cradle Coast Campus, Tasmania, Australia
| | - Carey Mather
- School of Nursing, University of Tasmania, Newnham Campus, Tasmania, Australia
| | - Karen Ford
- School of Nursing, University of Tasmania, Hobart, Tasmania, Australia
| | - Danielle Bywaters
- School of Nursing, University of Tasmania, Newnham Campus, Tasmania, Australia
| | - Steven Campbell
- School of Nursing, University of Tasmania, Newnham Campus, Tasmania, Australia
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