Smith Henry B, Porteous Carol, Bunce Catey, Bonstein Karen, Hickey Janis, Dayan Colin M, Adams Gill, Rose Geoff E, Ezra Daniel G
1 Moorfields Eye Hospital , London, United Kingdom .
Thyroid. 2014 Sep;24(9):1400-6. doi: 10.1089/thy.2014.0200. Epub 2014 Jul 21.
To ensure appropriate patient-focused outcomes, the National Institute for Health Research (NIHR) in the United Kingdom has made consultation with patients, caregivers, and the public a prerequisite to providing research funding. One method of encouraging engagement with research is through patient and public involvement (PPI) events. We describe the planning and implementation of a PPI day for thyroid eye disease (TED) and evaluate our own event using feedback from delegates.
The Moorfields NIHR Biomedical Research Centre, in partnership with TED charities, arranged the first national PPI day for TED in the United Kingdom. The event included didactic lectures; pre-event and postevent questionnaires; an exhibition with stalls, posters, and an interactive voting wall to determine research priorities; focus group sessions to explore patient experiences and perceptions of research; and one-on-one interviews recording individual patient stories.
Of 100 attendees, 70 completed questionnaires. When asked whether the day had provided what they wanted, 48 of 52 (92%) said yes; 3 of 52 (6%) said no. Overall 6 of 52 (12%) rated the event as good; 28 of 52 (54%), very good; and 18 of 52 (34%), excellent. Thirty-six patients registered to participate in further research, identifying "finding the cause for TED," "improving psychological support," and "achieving a better cosmetic outcome" as key priorities. A poor understanding of TED among medical professionals was a common complaint.
The event received positive feedback and achieved its key objective of engaging patients, researchers, and clinicians in a two-way discussion about research priorities and improved study design. An invaluable insight was gained into patients' needs for a better quality of life, and we have demonstrated that important data can be captured from such events, providing an evidential basis consistent with the NIHR principles of patient-centered research.
为确保以患者为中心的恰当研究成果,英国国家卫生研究院(NIHR)将与患者、护理人员及公众进行磋商作为提供研究资金的前提条件。鼓励参与研究的一种方法是通过患者及公众参与(PPI)活动。我们描述了一次甲状腺眼病(TED)患者及公众参与日的规划与实施情况,并利用参会代表的反馈对我们自己组织的活动进行评估。
穆尔菲尔兹NIHR生物医学研究中心与TED慈善机构合作,在英国举办了首次全国性TED患者及公众参与日活动。该活动包括授课讲座、活动前后的问卷调查、设有摊位、海报及互动投票墙以确定研究重点的展览、探讨患者对研究的体验和看法的焦点小组会议,以及记录患者个人故事的一对一访谈。
100名与会者中,70人完成了问卷调查。当被问及当天是否满足了他们的期望时,52人中有48人(92%)回答是;52人中有3人(6%)回答否。总体而言,52人中有6人(12%)将该活动评为良好;52人中有28人(54%)评为非常好;52人中有18人(34%)评为优秀。36名患者登记参与进一步研究,将“找出TED的病因”“改善心理支持”和“获得更好的美容效果”确定为关键优先事项。医疗专业人员对TED了解不足是一个常见的抱怨。
该活动获得了积极反馈,实现了其关键目标,即让患者、研究人员和临床医生就研究重点和改进研究设计进行双向讨论。对患者提高生活质量的需求有了宝贵的深入了解,并且我们证明了可以从此类活动中获取重要数据,为符合NIHR以患者为中心的研究原则提供证据基础。