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Chudyk AM, Stoddard R, McCleary N, Duhamel TA, Shimmin C, Hickes S, Schultz ASH. Exploring patient and caregiver perceptions of the meaning of the patient partner role: a qualitative study. RESEARCH INVOLVEMENT AND ENGAGEMENT 2023; 9:106. [PMID: 38017570 PMCID: PMC10683322 DOI: 10.1186/s40900-023-00511-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 10/26/2023] [Indexed: 11/30/2023]
Abstract
BACKGROUND The re-conceptualization of patients' and caregivers' roles in research from study participants to co-researchers ("patient partners") has led to growing pains within and outside the research community, such as how to effectively engage patients in research and as part of interdisciplinary teams. To support the growth of more successful research partnerships by developing a shared understanding of how patient partners conceptualize and contribute to their role, this study aimed to explore patient partners' motivations for engagement and understanding of their role. METHODS We conducted semi-structured interviews with participants (n = 13) of an online survey of activities and impacts of patient engagement in Strategy for Patient-Oriented Research projects. Eligibility criteria included being a patient partner that indicated interest in interview participation upon survey completion, the ability to read/write in English and provide informed consent. Data were analyzed thematically using an inductive, codebook thematic analysis. RESULTS Illuminating the lived/living patient and caregiver experience was central to how most patient partners conceptualized the role in terms of its definition, purpose, value, and responsibilities. Participants also identified four additional categories of motivations for becoming a patient partner and contributions that patient partners make to research that build upon and are in addition to sharing their lived/living experiences. Lastly, participants highlighted important connotations of the term patient partner, including temporal and context-specific considerations for the term "patient" and what "partner" may imply about the nature of the research relationship. CONCLUSIONS At the onset of partnership, academic researchers and patient partners must create the space necessary to discuss and understand each other's underlying motivations for partnering and their perspectives on the purpose, value, and responsibilities of the patient partner role. These early conversations should help unearth what research partners hope to get out of and feel that they are able to contribute to engaging, and in such contribute to the development of reciprocal relationships that work towards shared and valued goals. Trial registration Not applicable.
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Affiliation(s)
- Anna Maria Chudyk
- Department of Family Medicine, Rady Faculty of Health Sciences, University of Manitoba, CR3024 - 369 Tache Avenue, Winnipeg, MB, R2H 2A6, Canada.
| | - Roger Stoddard
- Horizon Health Network, 80 Woodbridge Street, Fredericton, New Brunswick, E3B 4R3, Canada
| | - Nicola McCleary
- Ottawa Hospital Research Institute - Clinical Epidemiology Program, Room L1202, Box 711 - 501 Smyth Road, Ottawa, ON, K1H 8L6, Canada
- School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON, K1G 5Z3, Canada
| | - Todd A Duhamel
- Faculty of Kinesiology and Recreation Management, 212 Active Living Centre, Winnipeg, MB, R3T 2N2, Canada
- Institute of Cardiovascular Sciences, St. Boniface General Hospital Albrechtsen Research Centre, R4012 - 351 Tache Ave, Winnipeg, MB, R2H 2A6, Canada
| | - Carolyn Shimmin
- George and Fay Yee Centre for Healthcare Innovation, 3rd floor - 753 McDermot Avenue, Winnipeg, MB, R3E 0T6, Canada
| | - Serena Hickes
- Translating Emergency Knowledge for Kids (TREKK) Parent Advisory Group, Children's Hospital Research Institute of Manitoba, 512E - 715 McDermot Avenue, Winnipeg, MB, R3E 3P4, Canada
| | - Annette S H Schultz
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, CR3022, 369 Tache Avenue, Winnipeg, MB, R2H 2A6, Canada
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Hawkes RE, Sanders C, Soiland-Reyes C, Brunton L, Howells K, Cotterill S, Bennett C, Lowndes E, Mistry M, Wallworth H, Bower P. Reflections of patient and public involvement from a commissioned research project evaluating a nationally implemented NHS programme focused on diabetes prevention. RESEARCH INVOLVEMENT AND ENGAGEMENT 2023; 9:42. [PMID: 37316901 DOI: 10.1186/s40900-023-00447-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 05/12/2023] [Indexed: 06/16/2023]
Abstract
Patient and Public Involvement and Engagement (PPIE) in research is recognised by the National Institute for Health and Care Research as crucial for high quality research with practical benefit for patients and carers. Patient and public contributors can provide both personal knowledge and lived experiences which complement the perspectives of the academic research team. Nevertheless, effective PPIE must be tailored to the nature of the research, such as the size and scope of the research, whether it is researcher-led or independently commissioned, and whether the research aims to design an intervention or evaluate it. For example, commissioned research evaluations have potential limits on how PPIE can feed into the design of the research and the intervention. Such constraints may require re-orientation of PPIE input to other functions, such as supporting wider engagement and dissemination. In this commentary, we use the 'Guidance for Reporting Involvement of Patients and the Public' (GRIPP2) short form to share our own experiences of facilitating PPIE for a large, commissioned research project evaluating the National Health Service Diabetes Prevention Programme; a behavioural intervention for adults in England who are at high risk of developing type 2 diabetes. The programme was already widely implemented in routine practice when the research project and PPIE group were established. This commentary provides us with a unique opportunity to reflect on experiences of being part of a PPIE group in the context of a longer-term evaluation of a national programme, where the scope for involvement in the intervention design was more constrained, compared to PPIE within researcher-led intervention programmes. We reflect on PPIE in the design, analysis and dissemination of the research, including lessons learned for future PPIE work in large-scale commissioned evaluations of national programmes. Important considerations for this type of PPIE work include: ensuring the role of public contributors is clarified from the outset, the complexities of facilitating PPIE over longer project timeframes, and providing adequate support to public contributors and facilitators (including training, resources and flexible timelines) to ensure an inclusive and considerate approach. These findings can inform future PPIE plans for stakeholders involved in commissioned research.
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Affiliation(s)
- Rhiannon E Hawkes
- Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, School of Health Sciences, Manchester Centre of Health Psychology, University of Manchester, Manchester, UK.
| | - Caroline Sanders
- Division of Population Health, Health Services Research & Primary Care, Faculty of Biology, Medicine and Health, NIHR Greater Manchester Patient Safety Translational Research Centre (NIHR PSTRC), Centre for Primary Care and Health Services Research, School of Health Sciences, University of Manchester, Manchester, UK
| | - Claudia Soiland-Reyes
- Research & Innovation, Northern Care Alliance NHS Foundation Trust, Salford, UK
- North West Ambulance Service NHS Trust, Bolton, UK
| | - Lisa Brunton
- Division of Population Health, Health Services Research & Primary Care, Faculty of Biology, Medicine and Health, NIHR Applied Research Collaboration Greater Manchester (NIHR ARC GM), Centre for Primary Care and Health Services Research, School of Health Sciences, University of Manchester, Manchester, UK
| | - Kelly Howells
- Division of Population Health, Health Services Research & Primary Care, Faculty of Biology, Medicine and Health, NIHR Greater Manchester Patient Safety Translational Research Centre (NIHR PSTRC), Centre for Primary Care and Health Services Research, School of Health Sciences, University of Manchester, Manchester, UK
| | - Sarah Cotterill
- Division of Population Health, Health Services Research & Primary Care, Faculty of Biology, Medicine and Health, Centre for Biostatistics, School of Health Sciences, University of Manchester, Manchester, UK
| | - Carole Bennett
- DIPLOMA Patient and Public Involvement Group, University of Manchester, Manchester, UK
| | - Eric Lowndes
- DIPLOMA Patient and Public Involvement Group, University of Manchester, Manchester, UK
| | - Manoj Mistry
- DIPLOMA Patient and Public Involvement Group, University of Manchester, Manchester, UK
| | - Helen Wallworth
- DIPLOMA Patient and Public Involvement Group, University of Manchester, Manchester, UK
| | - Peter Bower
- Division of Population Health, Health Services Research & Primary Care, Faculty of Biology, Medicine and Health, NIHR Applied Research Collaboration Greater Manchester (NIHR ARC GM), Centre for Primary Care and Health Services Research, School of Health Sciences, University of Manchester, Manchester, UK
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Gillibrand S, Hine P, Conyers R, Gravestock J, Walsh C, McAvoy A, Sanders C. "Take a walk in someone else's shoes": the role of participatory arts for health research development and training. RESEARCH INVOLVEMENT AND ENGAGEMENT 2023; 9:40. [PMID: 37291659 DOI: 10.1186/s40900-023-00441-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 04/26/2023] [Indexed: 06/10/2023]
Abstract
Participatory arts are increasingly recognised as a valuable and accessible mechanism for giving a voice to the experiences of individuals' health and healthcare. In recent years, there has been a move towards embedding participatory arts-based models into public engagement processes. Here, we contribute to the existing literature on the use of participatory arts-based approaches and their role in health research and healthcare practise, focusing on two interlinked approaches, the creation of personas and storytelling. We draw on two recent projects which have utilised these approaches to inform subsequent healthcare research and as a professional training tool to improve patient experience in a healthcare setting. We add to emerging literature to outline the benefits of these approaches in supporting research and training in healthcare settings, with a focus towards the co-produced foundations of these approaches. We demonstrate how such approaches can be utilised to capture different forms of voices, experiences and perspectives to help inform healthcare research and training, rooted in the lived experience of individuals who are directly involved in the creative process of developing personas via storytelling. These approaches challenge the listener to "walk in someone else's shoes", using their own homes and lives as a theatrical set in which to envisage someone else's story, involving the listener in the creative process through (re)imagining the stories and experiences of the characters. Greater use of immersive, co-produced participatory art-based approaches should be used in PPIE to inform research and training in healthcare settings as a means of centring those with lived experience through co-production. Involving those with lived experience, particularly from groups who are traditionally excluded from research, via a process which is based on co-creation and co-production, reorientates the researcher-participant dynamic to fully centre those involved in the research at the heart of the tools used to guide health and healthcare research. In this way, it may also aid in trust and relationship building between institutions and communities in a way which is focused around positive, creative methods to aid health research and healthcare processes. Such approaches may help to break down barriers between academic institutions, healthcare sites and communities.
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Affiliation(s)
| | | | - Rob Conyers
- Tameside and Glossop Integrated Care NHS Foundation Trust, Ashton-under-Lyne, UK
| | - Jason Gravestock
- Tameside and Glossop Integrated Care NHS Foundation Trust, Ashton-under-Lyne, UK
| | - Cole Walsh
- Independent (Public Contributor), Greater Manchester, UK
| | - Aneela McAvoy
- Applied Research Collaboration for Greater Manchester, Manchester, UK
| | - Caroline Sanders
- University of Manchester, Manchester, UK
- Applied Research Collaboration for Greater Manchester, Manchester, UK
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Lawes-Wickwar S, Lovat E, Alao A, Hamer-Hunt J, Yurtoglu N, Jensen C, Clarke N, Roberts N, Park S. Digital undergraduate medical education and patient and carer involvement: a rapid systematic review of current practice. BMC MEDICAL EDUCATION 2023; 23:335. [PMID: 37193974 DOI: 10.1186/s12909-023-04218-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 03/31/2023] [Indexed: 05/18/2023]
Abstract
BACKGROUND Involving patients and carers in medical students' learning aims to centralise the perspective of healthcare users and supports our future medical workforce in the development of key skills. Medical schools are increasingly using digital technology for teaching and it is timely to understand how to maintain patient and carer involvement in this context. METHODS Ovid MEDLINE, Ovid EMBASE and medRxiv were searched in October 2020 and reference lists of key articles were hand searched. Eligible studies reported authentic patient or carer involvement in undergraduate medical education where technology was also used. Study quality was assessed by the Mixed Methods Appraisal Tool (MMAT). Levels of patient or carer involvement were assessed using Towle et al.'s (2010) taxonomy, from Level 1 (lowest level) to Level 6 (highest level). RESULTS Twenty studies were included in this systematic review. In 70% of studies, patients and carers featured in video or web-based case scenarios with no interaction between healthcare users and students. The remaining 30% of studies reported real-time interactions between students and patients via remote clinical encounters. Digital teaching sessions involving patients or carers were perceived to be valuable by students and educators, and increased student engagement, patient-centred attitudes, clinical knowledge, and communication skills. No studies reported the perspective of patients or carers. DISCUSSION Digital technology has not yet driven higher levels of patient and carer involvement in medical training. "Live" interactions between students and patients are becoming more common but challenges need addressing to ensure positive experiences for all involved. Future teaching should enhance the role of patients and carers in medical education and support them to overcome any potential barriers to doing so remotely.
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Affiliation(s)
- Sadie Lawes-Wickwar
- Department of Primary Care & Population Health, University College London, London, UK.
| | - Eitan Lovat
- Department of Primary Care & Population Health, University College London, London, UK
| | - Adedoyin Alao
- School of Medical Education, Newcastle University Medical School, Newcastle Upon Tyne, UK
| | | | - Nesrin Yurtoglu
- Department of Primary Care & Population Health, University College London, London, UK
| | - Cherise Jensen
- School of Medical Education, Newcastle University Medical School, Newcastle Upon Tyne, UK
| | - Nicola Clarke
- Department of Primary Care & Population Health, University College London, London, UK
| | - Nia Roberts
- Bodleian Health Care Libraries, Medical Sciences, University of Oxford, Oxford, UK
| | - Sophie Park
- Department of Primary Care & Population Health, University College London, London, UK
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McVey L, Frost T, Issa B, Davison E, Abdulkader J, Randell R, Alvarado N, Zaman H, Hardiker N, Cheong VL, Woodcock D. Working together: reflections on how to make public involvement in research work. RESEARCH INVOLVEMENT AND ENGAGEMENT 2023; 9:14. [PMID: 36966339 PMCID: PMC10039333 DOI: 10.1186/s40900-023-00427-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 03/16/2023] [Indexed: 06/14/2023]
Abstract
BACKGROUND The importance of involving members of the public in the development, implementation and dissemination of research is increasingly recognised. There have been calls to share examples of how this can be done, and this paper responds by reporting how professional and lay researchers collaborated on a research study about falls prevention among older patients in English acute hospitals. It focuses on how they worked together in ways that valued all contributions, as envisaged in the UK standards for public involvement for better health and social care research. METHODS The paper is itself an example of working together, having been written by a team of lay and professional researchers. It draws on empirical evidence from evaluations they carried out about the extent to which the study took patient and public perspectives into account, as well as reflective statements they produced as co-authors, which, in turn, contributed to the end-of-project evaluation. RESULTS Lay contributors' deep involvement in the research had a positive effect on the project and the individuals involved, but there were also difficulties. Positive impacts included lay contributors focusing the project on areas that matter most to patients and their families, improving the quality and relevance of outcomes by contributing to data analysis, and feeling they were 'honouring' their personal experience of the subject of study. Negative impacts included the potential for lay people to feel overwhelmed by the challenges involved in achieving the societal or organisational changes necessary to address research issues, which can cause them to question their rationale for public involvement. CONCLUSIONS The paper concludes with practical recommendations for working together effectively in research. These cover the need to discuss the potential emotional impacts of such work with lay candidates during recruitment and induction and to support lay people with these impacts throughout projects; finding ways to address power imbalances and practical challenges; and tips on facilitating processes within lay groups, especially relational processes like the development of mutual trust.
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Affiliation(s)
- Lynn McVey
- Faculty of Health Studies, University of Bradford, Bradford, UK
- Wolfson Centre for Applied Health Research, Bradford, UK
| | - Tina Frost
- Faculty of Health Studies, University of Bradford, Bradford, UK
- Wolfson Centre for Applied Health Research, Bradford, UK
| | - Basma Issa
- Faculty of Health Studies, University of Bradford, Bradford, UK
- Wolfson Centre for Applied Health Research, Bradford, UK
| | - Eva Davison
- Faculty of Health Studies, University of Bradford, Bradford, UK
- Wolfson Centre for Applied Health Research, Bradford, UK
| | - Jamil Abdulkader
- Faculty of Health Studies, University of Bradford, Bradford, UK
- Wolfson Centre for Applied Health Research, Bradford, UK
| | - Rebecca Randell
- Faculty of Health Studies, University of Bradford, Bradford, UK
- Wolfson Centre for Applied Health Research, Bradford, UK
| | - Natasha Alvarado
- Faculty of Health Studies, University of Bradford, Bradford, UK
- Wolfson Centre for Applied Health Research, Bradford, UK
| | - Hadar Zaman
- Faculty of Health Studies, University of Bradford, Bradford, UK
| | | | - V.-Lin Cheong
- Pharmacist Elderly and Interfaces of Care, Medicines Management and Pharmacy Services, Leeds Teaching Hospitals Trust and School of Healthcare, University of Leeds, Leeds, UK
| | - David Woodcock
- Pharmacist Elderly and Interfaces of Care, Medicines Management and Pharmacy Services, Leeds Teaching Hospitals Trust and School of Healthcare, University of Leeds, Leeds, UK
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Habr D, Wolf Gianares B, Schuler KW, Chari D. Patients at the Heart of the Scientific Dialogue: An Industry Perspective. Oncol Ther 2023; 11:15-24. [PMID: 36705813 PMCID: PMC9881512 DOI: 10.1007/s40487-023-00220-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 01/13/2023] [Indexed: 01/28/2023] Open
Abstract
Pharmaceutical companies need to regularly communicate to patients all essential information about their medicines, especially data from the research studies that were conducted to evaluate the medicine’s benefits and risks. To do that, companies will need to make sure patients have access to and awareness of relevant information. This can be achieved by ensuring medical information is freely available to the reader, and working with publishers to facilitate open access (free) publications. Companies should also help improve patients’ understanding of medical terminology, offer simplified versions of scientific content, and deliver information through various formats (print versus digital, text versus audio versus video) to address different learning styles and literacy levels. This will empower patients with knowledge and improve shared decision-making. It will also be essential for pharmaceutical companies to involve patients in various stages of medicine development, such as getting their input on how the research studies for investigating these medicines are designed and reported to ensure relevant information to patients are well-captured and clear. This should also go in parallel with providing opportunities to elevate the patient voice through patient-partnered research and authorship on topics particularly relevant to them.
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Affiliation(s)
- Dany Habr
- Pfizer Oncology, Pfizer Inc., 235 East 42nd Street, New York, NY, 10011, USA.
| | | | - Kristine W Schuler
- Pfizer Oncology, Pfizer Inc., 235 East 42nd Street, New York, NY, 10011, USA
| | - Dheepa Chari
- Pfizer Oncology, Pfizer Inc., 235 East 42nd Street, New York, NY, 10011, USA
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Patient-reported outcomes: what really matters to patients? Lancet Oncol 2022; 23:e198. [DOI: 10.1016/s1470-2045(22)00156-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 03/03/2022] [Accepted: 03/08/2022] [Indexed: 11/17/2022]
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