1
|
Masood Y, Alvarez Nishio A, Starling B, Dawson S, Salsberg J, Blackburn S, van Vliet E, Pittens CA. Series: Public engagement with research. Part 2: GPs and primary care researchers working inclusively with minoritised communities in health research to help address inequalities. Eur J Gen Pract 2024; 30:2322996. [PMID: 38477291 PMCID: PMC10939099 DOI: 10.1080/13814788.2024.2322996] [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: 07/04/2023] [Accepted: 02/20/2024] [Indexed: 03/14/2024] Open
Abstract
Public engagement in health research is vital for addressing health disparities and promoting inclusivity among minoritised communities who often face barriers to accessing healthcare. Minoritised communities are groups, which have been made minorities by a dominant culture, race, ethnic group and/or social class and may experience health inequalities as a result. By incorporating diverse perspectives and lived experiences of minoritised communities, this approach aims to achieve contextually relevant research outcomes that reduce health inequalities and improve overall well-being. However, underrepresentation and lack of inclusivity challenges persist, necessitating the establishment of inclusive partnerships and grassroots participatory methodologies. To foster inclusive public engagement, it is important to overcome structural and cultural barriers, address socioeconomic challenges, and build trust with minoritised communities. This can be achieved by promoting a cultural shift that values inclusivity, providing comprehensive training to researchers, and collecting rigorous data on engagement demographics for transparency and accountability. Involving minoritised communities in decision-making through participatory research approaches enhances trust and yields successful outcomes. Additionally, allocating sufficient resources, collaborating in co-production, and prioritising the diverse needs and perspectives of stakeholders contribute to fostering inclusive public engagement in research. Overall, inclusive engagement practices particularly in primary care research have the potential to reduce health inequalities and cater to the unique requirements of minoritised communities, thereby creating more impactful outcomes and promoting equitable healthcare access.
Collapse
Affiliation(s)
- Yumna Masood
- Centre for Evidence Based Medicine | Nuffield Department of Primary Care Health Sciences |, University of Oxford Radcliffe Primary Care Building, University of Oxford, Oxford, UK
| | | | - Bella Starling
- Manchester University NHS Foundation Trust, Manchester, UK
| | - Shoba Dawson
- Centre for Academic Primary Care, University of Bristol, Bristol, UK
| | - Jon Salsberg
- University of Limerick, Family Medicine Limerick, Limerick, Ireland
| | - Steven Blackburn
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - Esther van Vliet
- Academic Collaborative Centers, Knowledge Transfer Office, Tilburg University, Tilburg, The Netherlands
| | | |
Collapse
|
2
|
Ter Bogt MJJ, Te Riele YZ, Kooijman PGC, Heszler AN, van der Meer S, van Roon R, Molleman GRM, van den Muijsenbergh M, Fransen GAJ, Bevelander KE. Citizens' perspectives on healthy weight approaches in low SEP neighborhoods: a qualitative study from a systems perspective. BMC Public Health 2024; 24:2137. [PMID: 39112968 PMCID: PMC11304654 DOI: 10.1186/s12889-024-19595-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 07/26/2024] [Indexed: 08/11/2024] Open
Abstract
BACKGROUND The physical and the social environment are important predictors of healthy weight, especially in low socioeconomic position (SEP) neighborhoods. Many Dutch municipalities have implemented a healthy weight approach (HWA). Yet, there is room for improvement. This system science study examined what influences the utilization of HWA facilities and activities, and what aspects can help to achieve a desired systems change (also called leverage point themes (LPTs)) in the HWA system as perceived by citizens living in low SEP neighborhoods. METHOD All research phases were performed with four citizens co-researchers. Forty-seven citizens living in low SEP neighborhoods were semi-structurally interviewed about the neighborhood HWA facilities and municipal HWA activities. A rapid coding qualitative analysis approach was applied per topic. The topics were citizens' healthy living description, personal circumstances, and satisfaction with foot and cycle paths, sports facilities, playgrounds, green spaces, museums and theaters, community centers, churches, healthcare, school, food supplies, contact with neighborhood, unfamiliar and/or unused activities, familiar and used activities, unavailable but desired (lacking) activities, and reaching citizens. RESULTS The utilization of HWA facilities and activities was influenced by the overarching themes of social cohesion, familiarity, reaching citizens, maintenance, safety, physical accessibility, financial accessibility, social accessibility, fit with personal context, and fit with the neighborhood's specific needs. Different overarching themes stood out across different facilities and activities. LPTs indicated the overarching themes needed in combination with one another for a specific activity or facility to increase utilization. For example, the LPT regarding foot and cycle paths was "accessible, safe, and maintained foot and cycle paths". The LPTs regarding familiar and used activities were "customized activities; information provision (e.g., about possibilities to join without paying); social contact, meeting others, and everyone feels included". CONCLUSION Conducting inclusive qualitative research from a systems perspective among citizens living in low SEP neighborhoods has contributed valuable insights into their needs. This enables practical implementation of HWAs by providing a deeper understanding of the LPTs within the HWA system. LPTs can help HWA stakeholders to further develop current HWAs toward systems approaches. Future research could study the leverage points that may contribute to LPT implementation.
Collapse
Affiliation(s)
- Maud J J Ter Bogt
- AMPHI Academic Collaborative Centre, Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands.
- Municipal Health Service Gelderland-Zuid, Nijmegen, TV, 6524, The Netherlands.
- Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands.
| | - Yentl Z Te Riele
- Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands
| | - Piet G C Kooijman
- Municipal Health Service Gelderland-Zuid, Nijmegen, TV, 6524, The Netherlands
| | - Anita N Heszler
- Municipal Health Service Gelderland-Zuid, Nijmegen, TV, 6524, The Netherlands
| | - Saskia van der Meer
- Municipal Health Service Gelderland-Zuid, Nijmegen, TV, 6524, The Netherlands
| | - Rob van Roon
- Municipal Health Service Gelderland-Zuid, Nijmegen, TV, 6524, The Netherlands
| | - Gerard R M Molleman
- AMPHI Academic Collaborative Centre, Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands
- Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands
| | - Maria van den Muijsenbergh
- Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands
- Pharos, The Dutch Centre of Expertise on Health Disparities, Utrecht, LH, 3507, The Netherlands
| | - Gerdine A J Fransen
- AMPHI Academic Collaborative Centre, Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands
- Municipal Health Service Gelderland-Zuid, Nijmegen, TV, 6524, The Netherlands
- Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands
| | - Kirsten E Bevelander
- AMPHI Academic Collaborative Centre, Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands
- Primary and Community Care, Radboud University Medical Centre, Nijmegen, EZ, 6525, The Netherlands
| |
Collapse
|
3
|
Ingram C, Buggy C, MacNamara I, Perrotta C. "Just a knife wound this week, nothing too painful": An ethnographic exploration of how primary care patients experiencing homelessness view their own health and healthcare. PLoS One 2024; 19:e0299761. [PMID: 38980832 PMCID: PMC11232971 DOI: 10.1371/journal.pone.0299761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Accepted: 06/24/2024] [Indexed: 07/11/2024] Open
Abstract
Community health needs assessments (CHNA) involving qualitative techniques help tailor health services to the specific needs of the population groups for whom they are designed. In light of increasing health disparities amongst people experiencing homelessness (PEH)-and to ensure the integration of their voices into a larger CHNA-this study used an ethnographic approach grounded in a social constructivist research paradigm to explore the perspectives of PEH attending a primary care and addiction service in Ireland on their priority health and healthcare needs. Participant observations and informal interviews were conducted with clients experiencing homelessness attending the service for three hours every Monday morning between October 2022 and April 2023. Field note data from active participant observation and informal conversations were collected, anonymised, and analysed using inductive thematic analysis in accordance with the Declaration of Helsinki and the researchers' institutional Research Ethics Committee. Three main themes emerged from the analysis: self-identified priorities, satisfaction with health services, and migrant health. Clients' priority concerns relate to their mental health and personal safety, strengthening ties with children and families, finding a sense of purpose, and feeling better physically. These challenges differ from those of the general population in terms of their severity observed both prior to and during experiences of homelessness, coupled with disproportionately high levels of loss, fear, pain, fatigue, social stigma and other barriers to accessing satisfactory housing. In terms of services, clients are satisfied with their ability to access primary care and harm reduction in a social environment where positive exchanges with friends and providers take place. Conversely, barriers to accessing mental health and addiction services persist including the internalised belief that one is beyond help, lack of access to information on available services and their entry requirements, and lingering stigma within a health system that treats addiction as separate to health. Moving forward, health practitioners may consider holding more regular and open conversations with clients experiencing homelessness about the care they are receiving, its rationale, and whether or not changes are desired that can be safely made. The health needs of migrants and asylum seekers entering homelessness in Ireland are urgent and should be prioritised in future research.
Collapse
Affiliation(s)
- Carolyn Ingram
- Public Health, School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Dublin, Ireland
| | - Conor Buggy
- Public Health, School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Dublin, Ireland
| | - Isobel MacNamara
- Public Health, School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Dublin, Ireland
- School of Medicine, University College Dublin, Dublin, Ireland
| | - Carla Perrotta
- Public Health, School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Dublin, Ireland
| |
Collapse
|
4
|
Chiwanga F, Woodford J, Masika G, Richards DA, Savi V, von Essen L. Examining the involvement of guardians of children with acute lymphoblastic leukemia in Tanzania as public contributors to inform the design and conduct of the GuardiansCan project: A mixed-methods study protocol. Cancer Med 2024; 13:e70034. [PMID: 39041493 PMCID: PMC11264114 DOI: 10.1002/cam4.70034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2024] [Revised: 07/02/2024] [Accepted: 07/09/2024] [Indexed: 07/24/2024] Open
Abstract
BACKGROUND Public contribution in research can lead to the design and conduct of more feasible and relevant research. However, our understanding of the acceptability and feasibility of public contribution and the evidence base regarding its impact in low- and middle-income countries (LMICs) is limited. METHODS In this study protocol, we describe a mixed-method examination of public contribution activities in the GuardiansCan project. The GuardiansCan project aims to respond to Tanzanian guardians' poor adherence to children's follow-up care after treatment for acute lymphoblastic leukemia (ALL) with the help of Mobile Health technology. We aim to: (1) involve guardians of children treated for ALL as Guardians Advisory Board (GAB) members in the managing and undertaking, analysis and interpretation, and dissemination phases of the GuardiansCan project; and (2) examine the acceptability, feasibility, and perceived impact of GAB members' contribution to the GuardiansCan project from the perspective of the GAB members and public contribution coordinators. We will recruit six to eight guardians of children treated for ALL to the GAB. We will hold workshops where GAB members contribute to all project phases. Using impact logs, we will record GAB workshop activities and the perceived impact of these activities. We will interview GAB members and public contribution coordinators 6 months after establishing the GAB, and at the end of each study within the project, to examine the acceptability, feasibility, and perceived impact of public contribution activities. DISCUSSION We expect GAB contribution to increase project quality and relevance, and inform how to best embed public contribution in research in LMICs.
Collapse
Affiliation(s)
- Faraja Chiwanga
- Muhimbili National Hospital, Research and Consultancy UnitDar es SalaamUnited Republic of Tanzania
- Department of Women's and Children's Health, Healthcare Sciences and e‐HealthUppsala UniversityUppsalaSweden
| | - Joanne Woodford
- Department of Women's and Children's Health, Healthcare Sciences and e‐HealthUppsala UniversityUppsalaSweden
| | - Golden Masika
- Department of Clinical NursingUniversity of DodomaDodomaUnited Republic of Tanzania
| | - David A. Richards
- Department of Women's and Children's Health, Healthcare Sciences and e‐HealthUppsala UniversityUppsalaSweden
- Department of Health and Caring SciencesWestern Norway University of Applied SciencesBergenNorway
| | - Victor Savi
- Department of Women's and Children's Health, Healthcare Sciences and e‐HealthUppsala UniversityUppsalaSweden
| | - Louise von Essen
- Department of Women's and Children's Health, Healthcare Sciences and e‐HealthUppsala UniversityUppsalaSweden
| |
Collapse
|
5
|
Thijssen M, Dauwerse L, Lemmers F, der Sanden MNV, Daniels R, Graff M, Kuijer-Siebelink W. 'Practice what you preach'. Perspectives on the involvement of people with dementia and carers in community-based dementia friendly initiatives, a qualitative study. Front Psychiatry 2024; 15:1387536. [PMID: 38818024 PMCID: PMC11137317 DOI: 10.3389/fpsyt.2024.1387536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Accepted: 04/29/2024] [Indexed: 06/01/2024] Open
Abstract
Introduction People with dementia and their carers experience social stigma and often refrain from social participation. Significant improvement might be achieved by creating Dementia Friendly communities (DFCs) for which dementia friendly initiatives (DFIs) are needed. DFIs are developed by a variation of stakeholders. However, people with dementia and their carers are often unrepresented herein. This study aims to get insight into the perspectives of stakeholders (e.g., health- and social care professionals, volunteers, people with dementia and their carers) about the involvement of people with dementia and their carers during the development and sustainment of DFIs. Methods Descriptive qualitative study, using a co-research design with a carer as co-researcher. Nineteen semi-structured interviews with stakeholders, including people with dementia and their carers, were performed. Inductive content analysis took place using Atlas Ti. Results Four themes were found: 1) the involvement of people with dementia and their carers is important for both people with dementia and their carers and other stakeholders; 2) personal character traits, life histories, and associated emotions evoke the need for involvement; 3) involvement requires an open, responsive stance and building relationships; and 4) the estimation of one's own and others' capacities influences perspectives on involvement. As such, practice what you preach means actively adopting an open, responsive approach and acknowledging the unique abilities and backgrounds of people with dementia and their carers. It emphasizes the importance of actually living by the values you advocate for. Conclusion Central to perspectives on involving people with dementia and their carers is the emphasis on working relationally, differing from service-led and pre-structured patient and public involvement (PPI). Working relationally calls for organizational shifts aligned with a rights-based perspective to avoid tokenism, and promotion of user-led organizations with genuine partnerships. Creative methods, problem-solving, and communication skills are essential for the development and sustainment of inclusive, supportive, person-centered DFIs. Future studies should explore the long-term impact of the involvement and working relationally on the well-being of people with dementia and their carers.
Collapse
Affiliation(s)
- Marjolein Thijssen
- Radboudumc Research Institute, Scientific Center for Quality of Health (IQ health), Radboud University Medical Center, Nijmegen, Netherlands
- Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, Netherlands
- Department Occupational Therapy, School of Allied Health, HAN University of Applied Sciences, Nijmegen, Netherlands
| | - Linda Dauwerse
- Department of Primary and Community Care, Medical Centre, Radboud University Medical Center, Nijmegen, Netherlands
| | | | - Maria Nijhuis-van der Sanden
- Radboudumc Research Institute, Scientific Center for Quality of Health (IQ health), Radboud University Medical Center, Nijmegen, Netherlands
| | - Ramon Daniels
- Research Centre Assistive Technology in Care, Zuyd University of Applied Sciences, Heerlen, Netherlands
| | - Maud Graff
- Radboudumc Research Institute, Scientific Center for Quality of Health (IQ health), Radboud University Medical Center, Nijmegen, Netherlands
- Radboud Alzheimer Center, Radboud University Medical Center, Nijmegen, Netherlands
| | - Wietske Kuijer-Siebelink
- School of Education, HAN University of Applied Sciences, Nijmegen, Netherlands
- Radboudumc Health Academy, Research on Learning and Education, Radboud University Medical Center, Nijmegen, Netherlands
| |
Collapse
|
6
|
Hughes A, Guha C, Sluiter A, Himmelfarb J, Jauré A. Patient-Centered Research and Innovation in Nephrology. ADVANCES IN KIDNEY DISEASE AND HEALTH 2024; 31:52-67. [PMID: 38403395 DOI: 10.1053/j.akdh.2023.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 12/07/2023] [Accepted: 12/11/2023] [Indexed: 02/27/2024]
Abstract
Patient involvement in research can improve the relevance of research, consequently enhancing the recruitment, retention, and uptake of interventions and policies impacting patient outcomes. Despite this, patients are not often involved in the design and conduct of research. The research agenda and innovations are frequently determined by the interest of health and industry professionals rather than proactively aligning with the priorities of patients. It is now being encouraged and recommended to engage patients in research priority setting to ensure interventions and trials report outcomes valuable to patients, moving away from a history of overlooking the outcomes that reflect the feel and function of patients. Involving patients ensures constant innovative research in nephrology, as this broader depth of evidence fortifies reliability and validity through knowledge gained from lived experience. Findings from such research can enhance clinical practice and strengthen decision-making and policy to support better outcomes. We aim to outline principles and strategies for patient involvement in research, including setting research priorities, identifying and designing interventions, selecting outcomes, and disseminating and translating research. Principles and strategies including engagement, education and training, empowerment, and connection and community provide guidance in patient involvement. There are increasing efforts to involve patients across all stages of research including setting research priorities. Efforts are rising to involve patients across all stages of research including priority setting, identifying and designing interventions, selecting outcomes, and dissemination and translation. Patient involvement throughout the research cycle drives innovative investigations ensuring funding, efforts, and resources are directed toward priorities of patients, contributing to catalyst advancements in care and outcomes.
Collapse
Affiliation(s)
- Anastasia Hughes
- Sydney School of Public Health, The University of Sydney, Sydney, Australia; Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia.
| | - Chandana Guha
- Sydney School of Public Health, The University of Sydney, Sydney, Australia; Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia
| | - Amanda Sluiter
- Sydney School of Public Health, The University of Sydney, Sydney, Australia; Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia
| | - Jonathan Himmelfarb
- Division of Nephrology, Department of Medicine, University of Washington, Seattle, Washington; Kidney Research Institute, Seattle, WA
| | - Allison Jauré
- Sydney School of Public Health, The University of Sydney, Sydney, Australia; Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia
| |
Collapse
|
7
|
Smith J, Ellins J, Sherlaw-Johnson C, Vindrola-Padros C, Appleby J, Morris S, Sussex J, Fulop NJ. Rapid evaluation of service innovations in health and social care: key considerations. HEALTH AND SOCIAL CARE DELIVERY RESEARCH 2023; 11:1-47. [PMID: 37796483 DOI: 10.3310/btnu5673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/06/2023]
Abstract
Funding This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (RSET: 16/138/17; BRACE: 16/138/31).
Collapse
Affiliation(s)
- Judith Smith
- Health Services Management Centre, School of Social Policy, University of Birmingham, Edgbaston, Birmingham, UK
| | - Jo Ellins
- Health Services Management Centre, School of Social Policy, University of Birmingham, Edgbaston, Birmingham, UK
| | | | | | | | - Stephen Morris
- Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
| | - Jon Sussex
- RAND Europe, Westbrook Centre, Cambridge, UK
| | - Naomi J Fulop
- Department of Applied Health Research, University College London, London, UK
| |
Collapse
|
8
|
Termansen T, Bloch P, Tørslev MK, Vardinghus-Nielsen H. Spaces of participation: Exploring the characteristics of conducive environments for citizen participation in a community-based health promotion initiative in a disadvantaged neighborhood. Health Place 2023; 80:102996. [PMID: 36857895 DOI: 10.1016/j.healthplace.2023.102996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 02/08/2023] [Accepted: 02/15/2023] [Indexed: 03/02/2023]
Abstract
Research has shown that community participation in health programmes is vital to ensure positive health outcomes and sustainable solutions. This is often challenged by difficulties to engage socially disadvantaged population groups. Through ethnographic fieldwork in a community initiative in a disadvantaged neighbourhood in Copenhagen, Denmark, we explored which factors contributed to a conducive environment for participation. Data material consists of observation notes taken during fieldwork in a community hub from January 2020 until August 2021 and 19 semi-structured interviews with professional stakeholders and participants. We applied the analytical concept of space to elucidate how the organizational, social, and physical environments played important roles in ensuring possibilities for participation. We termed these environments Spaces of Participation. Our results highlight the importance of ensuring spaces that are flexible, informal, and responsive when engaging those who are hard to reach.
Collapse
Affiliation(s)
- Tina Termansen
- Steno Diabetes Center Copenhagen, Department of Health Promotion Research, Borgmester Ib Juuls Vej 83, 2730, Herlev, Denmark; Aalborg University, Department of Health Sciences and Technology, Frederik Bayers Vej 7D, 9220, Aalborg, Denmark.
| | - Paul Bloch
- Steno Diabetes Center Copenhagen, Department of Health Promotion Research, Borgmester Ib Juuls Vej 83, 2730, Herlev, Denmark.
| | - Mette Kirstine Tørslev
- Steno Diabetes Center Copenhagen, Department of Health Promotion Research, Borgmester Ib Juuls Vej 83, 2730, Herlev, Denmark.
| | - Henrik Vardinghus-Nielsen
- Aalborg University, Department of Health Sciences and Technology, Frederik Bayers Vej 7D, 9220, Aalborg, Denmark.
| |
Collapse
|
9
|
Evans BA, Carson‐Stevens A, Cooper A, Davies F, Edwards M, Harrington B, Hepburn J, Hughes T, Price D, Siriwardena NA, Snooks H, Edwards A. Implementing public involvement throughout the research process-Experience and learning from the GPs in EDs study. Health Expect 2022; 25:2471-2484. [PMID: 35894169 PMCID: PMC9615054 DOI: 10.1111/hex.13566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 04/26/2022] [Accepted: 06/16/2022] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Public involvement in health services research is encouraged. Descriptions of public involvement across the whole research cycle of a major study are uncommon and its effects on research conduct are poorly understood. AIM This study aimed to describe how we implemented public involvement, reflect on process and effects in a large-scale multi-site research study and present learning for future involvement practice. METHOD We recorded public involvement roles and activities throughout the study and compared these to our original public involvement plan included in our project proposal. We held a group interview with study co-applicants to explore their experiences, transcribed the recorded discussion and conducted thematic analysis. We synthesized the findings to develop recommendations for future practice. RESULTS Public contributors' activities went beyond strategic study planning and management to include active involvement in data collection, analysis and dissemination. They attended management, scrutiny, planning and task meetings. They also facilitated public involvement through annual planning and review sessions, conducted a Public Involvement audit and coordinated public and patient input to stakeholder discussions at key study stages. Group interview respondents said that involvement exceeded their expectations. They identified effects such as changes to patient recruitment, terminology clarification and extra dissemination activities. They identified factors enabling effective involvement including team and leader commitment, named support contact, building relationships and demonstrating equality and public contributors being confident to challenge and flexible to meet researchers' timescales and work patterns. There were challenges matching resources to roles and questions about the risk of over-professionalizing public contributors. CONCLUSION We extended our planned approach to public involvement and identified benefits to the research process that were both specific and general. We identified good practice to support effective public involvement in health services research that study teams should consider in planning and undertaking research. PUBLIC CONTRIBUTION This paper was co-conceived, co-planned and co-authored by public contributors to contribute research evidence, based on their experiences of active involvement in the design, implementation and dissemination of a major health services research study.
Collapse
Affiliation(s)
- Bridie Angela Evans
- Swansea University Medical SchoolSwansea UniversitySwanseaUK
- Swansea University Medical School, PRIME Centre WalesSwansea UniversitySwanseaUK
| | - Andrew Carson‐Stevens
- Swansea University Medical School, PRIME Centre WalesSwansea UniversitySwanseaUK
- Division of Population Medicine, School of Medicine, PRIME Centre WalesCardiff UniversityCardiffUK
| | - Alison Cooper
- Swansea University Medical School, PRIME Centre WalesSwansea UniversitySwanseaUK
- Division of Population Medicine, School of Medicine, PRIME Centre WalesCardiff UniversityCardiffUK
| | - Freya Davies
- Swansea University Medical School, PRIME Centre WalesSwansea UniversitySwanseaUK
- Division of Population Medicine, School of Medicine, PRIME Centre WalesCardiff UniversityCardiffUK
| | - Michelle Edwards
- Swansea University Medical School, PRIME Centre WalesSwansea UniversitySwanseaUK
- Division of Population Medicine, School of Medicine, PRIME Centre WalesCardiff UniversityCardiffUK
| | - Barbara Harrington
- Public Contributor, c/o Swansea University Medical SchoolSwansea UniversitySwanseaUK
| | - Julie Hepburn
- Public Contributor, c/o Swansea University Medical SchoolSwansea UniversitySwanseaUK
| | | | - Delyth Price
- Swansea University Medical School, PRIME Centre WalesSwansea UniversitySwanseaUK
- Division of Population Medicine, School of Medicine, PRIME Centre WalesCardiff UniversityCardiffUK
| | | | - Helen Snooks
- Swansea University Medical SchoolSwansea UniversitySwanseaUK
- Swansea University Medical School, PRIME Centre WalesSwansea UniversitySwanseaUK
| | - Adrian Edwards
- Division of Population Medicine, School of Medicine, PRIME Centre WalesCardiff UniversityCardiffUK
| |
Collapse
|
10
|
The Participation of Older People in the Development of Group Housing in The Netherlands: A Study on the Involvement of Residents from Organisational and End-User Perspectives. BUILDINGS 2022. [DOI: 10.3390/buildings12030367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The establishment of new housing initiatives for older people begins with the participation of (future) residents. This study explored how participation is experienced by both facilitators and (future) residents and what lessons are learned regarding the facilitation of meaningful participation. Participation was studied through semi-structured interviews and focus group sessions from the perspective of 34 (future) residents and facilitators involved in participation processes in a diverse set of four housing projects from the Netherlands. The results focused on three phases: the initiation phase, the concepting and development phase, and the transition towards an established form of group housing. From the outset of such processes, it was important to involve all relevant stakeholders and to create a shared vision about the participation process. Discussions in small groups, the use of references, creative elements, and the creation of the right atmosphere were experienced as valuable during the concepting and design phase. In the third phase, the role of the organisation and residents needed to be discussed again. Participation should be a continuous process, during which trust, communication and having an open attitude are key. This study showed how innovative approaches can contribute to the creation of an environment in which older people can impact the actual design of housing, and make it more inclusive.
Collapse
|
11
|
What Patients Prioritize for Research to Improve Their Lives and How Their Priorities Get Dismissed again. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19041927. [PMID: 35206113 PMCID: PMC8871903 DOI: 10.3390/ijerph19041927] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 01/24/2022] [Accepted: 02/02/2022] [Indexed: 12/28/2022]
Abstract
Health researchers increasingly work with patients in a participatory fashion. Active patient involvement throughout the research process can provide epistemic justice to patients who have often only had an informant role in traditional health research. This study aims to conduct participatory research on patient experiences to create a solid research agenda with patients and discuss it with relevant stakeholders. We followed a participatory research design in 18 sub-studies, including interviews and group sessions (n = 404 patients), and dialogue sessions (n = 367 professionals and directors in healthcare and social work, municipality civil servants, and funding agencies) on patient experiences with psychiatric care, community care, daycare, public health, and social work. Findings from the eight-year study show that four priorities stood out: attention for misuse of power and abuse; meaningful participation; non-human assistance, and peer support. Moreover, that: (1) patients, based on their experiences, prioritize different topics than experts; (2) most topics are trans-diagnostic and point to the value of a cross-disability approach; and (3) the priorities of patients are all too easily dismissed and require ethics work to prevent epistemic injustice. Long-term investment in a transdisciplinary community of practice offers a solid basis for addressing patient-centered topics and may impact the quality of life of people living with chronic illness, disability, or vulnerability.
Collapse
|