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患者参与研究的新兴指南。

Emerging Guidelines for Patient Engagement in Research.

作者信息

Kirwan John R, de Wit Maarten, Frank Lori, Haywood Kirstie L, Salek Sam, Brace-McDonnell Samantha, Lyddiatt Anne, Barbic Skye P, Alonso Jordi, Guillemin Francis, Bartlett Susan J

机构信息

University of Bristol Academic Rheumatology Unit, Bristol Royal Infirmary, Bristol, UK.

Department of Medical Humanities, VU University, Amsterdam, The Netherlands.

出版信息

Value Health. 2017 Mar;20(3):481-486. doi: 10.1016/j.jval.2016.10.003. Epub 2016 Nov 17.

Abstract

There is growing recognition that involving patients in the development of new patient-reported outcome measures helps ensure that the outcomes that matter most to people living with health conditions are captured. Here, we describe and discuss different experiences of integrating patients as full patient research partners (PRPs) in outcomes research from multiple perspectives (e.g., researcher, patient, and funder), drawing from three real-world examples. These diverse experiences highlight the strengths, challenges, and impact of partnering with patients to conceptualize, design, and conduct research and disseminate findings. On the basis of our experiences, we suggest basic guidelines for outcomes researchers on establishing research partnerships with patients, including: 1) establishing supportive organizational/institutional policies; 2) cultivating supportive attitudes of researchers and PRPs with recognition that partnerships evolve over time, are grounded in strong communication, and have shared goals; 3) adhering to principles of respect, trust, reciprocity, and co-learning; 4) addressing training needs of all team members to ensure communications and that PRPs are conversant in and familiar with the language and process of research; 5) identifying the resources and advanced planning required for successful patient engagement; and 6) recognizing the value of partnerships across all stages of research. The three experiences presented explore different approaches to partnering; demonstrate how this can fundamentally change the way research work is conceptualized, conducted, and disseminated; and can serve as exemplars for other forms of patient-centered outcomes research. Further work is needed to identify the skills, qualities, and approaches that best support effective patient-researcher partnerships.

摘要

越来越多的人认识到,让患者参与新的患者报告结局测量指标的开发,有助于确保捕捉到对健康状况患者最重要的结局。在此,我们从多个角度(如研究者、患者和资助者)描述并讨论将患者作为完整的患者研究伙伴(PRP)纳入结局研究的不同经验,这些经验来自三个实际案例。这些不同的经验凸显了与患者合作进行概念化、设计和开展研究以及传播研究结果的优势、挑战和影响。基于我们的经验,我们为结局研究人员提出了与患者建立研究伙伴关系的基本指导方针,包括:1)建立支持性的组织/机构政策;2)培养研究者和PRP的支持性态度,认识到伙伴关系会随着时间发展,以强大的沟通为基础且有共同目标;3)坚持尊重、信任、互惠和共同学习的原则;4)满足所有团队成员的培训需求,以确保沟通顺畅,且PRP精通并熟悉研究语言和流程;5)确定成功让患者参与所需的资源和提前规划;6)认识到伙伴关系在研究各阶段的价值。所呈现的这三个经验探索了不同的合作方式;展示了这如何能从根本上改变研究工作的概念化、开展和传播方式;并可作为其他形式的以患者为中心的结局研究的范例。还需要进一步的工作来确定最能支持有效的患者 - 研究者伙伴关系的技能、品质和方法。

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