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患者参与对加拿大国家移植研究项目的研究人员意味着什么?

What does patient engagement mean for Canadian National Transplant Research Program Researchers?

作者信息

Allard Julie, Ballesteros Fabián, Anthony Samantha J, Dumez Vincent, Hartell David, Knoll Greg, Wright Linda, Fortin Marie-Chantal

机构信息

1Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), 900 Saint-Denis St., Room 12-454, Montréal, QC, H2X 0A9 Canada.

Canadian National Transplant Research Program, Edmonton, Canada.

出版信息

Res Involv Engagem. 2018 Apr 9;4:13. doi: 10.1186/s40900-018-0096-0. eCollection 2018.

Abstract

PLAIN ENGLISH SUMMARY

In recent years, the importance of involving patients in research has been increasingly recognized because it increases the relevance and quality of research, facilitates recruitment, enhances public trust and allows for more effective dissemination of results. The Canadian National Transplant Research Program (CNTRP) is an interdisciplinary research team looking at a variety of issues related to organ and tissue donation and transplantation. The aim of this study was to gather the perspectives of CNTRP researchers on engaging patients in research.We conducted interviews with 10 researchers who attended a national workshop on priority-setting in organ donation and transplant research. The researchers viewed patient engagement in research as necessary and important. They also considered that patients could be engaged at every step of the research process. Participants in this study identified scientific language, time, money, power imbalance, patient selection and risk of tokenism as potential barriers to patient engagement in research. Training, adequate resources and support from the institution were identified as facilitators of patient engagement.This study showed a positive attitude among researchers in the field of organ donation and transplantation. Further studies are needed to study the implementation and impact of patient engagement in research within the CNTRP.

ABSTRACT

Involving patients in research has been acknowledged as a way to enhance the quality, relevance and transparency of medical research. No previous studies have looked at researchers' perspectives on patient engagement (PE) in organ donation and transplant research in Canada. The aim of this study was to gather the perspectives of Canadian National Transplant Research Program (CNTRP) researchers on PE in research. We conducted semi-structured interviews with ten researchers who attended a national workshop on priority-setting in organ donation and transplant research. The interviews were digitally recorded and transcribed verbatim, and the transcripts were subjected to qualitative thematic and content analyses. The researchers viewed PE in research as necessary and important. PE was a method to incorporate the voice of the patient. They also considered that patients could be engaged at every step of the research process. The following were identified as the main barriers to PE in research: (i) scientific jargon; (ii) resources (time and money); (iii) tokenism; (iv) power imbalance; and (v) patient selection. Facilitating factors included (i) training for patients and researchers, (ii) adequate resources and (iii) institutional support. This study revealed a favourable attitude and willingness among CNTRP researchers to engage and partner with patients in research. Further studies are needed to assess the implementation of PE strategy within the CNTRP and its impact.

摘要

通俗易懂的总结

近年来,让患者参与研究的重要性日益得到认可,因为这能提高研究的相关性和质量,促进招募,增强公众信任,并使研究结果的传播更有效。加拿大国家移植研究项目(CNTRP)是一个跨学科研究团队,研究与器官和组织捐赠及移植相关的各种问题。本研究的目的是收集CNTRP研究人员对让患者参与研究的看法。我们对10名参加器官捐赠和移植研究优先事项设定全国研讨会的研究人员进行了访谈。研究人员认为患者参与研究是必要且重要的。他们还认为患者可以在研究过程的每一步都参与进来。本研究的参与者指出科学语言、时间、资金、权力不平衡、患者选择和形式主义风险是患者参与研究的潜在障碍。培训、充足的资源和机构的支持被确定为患者参与的促进因素。这项研究表明器官捐赠和移植领域的研究人员持积极态度。需要进一步研究来探讨CNTRP中患者参与研究的实施情况及其影响。

摘要

让患者参与研究已被公认为提高医学研究质量、相关性和透明度的一种方式。此前没有研究探讨过加拿大器官捐赠和移植研究领域研究人员对患者参与(PE)的看法。本研究的目的是收集加拿大国家移植研究项目(CNTRP)研究人员对研究中PE的看法。我们对10名参加器官捐赠和移植研究优先事项设定全国研讨会的研究人员进行了半结构化访谈。访谈进行了数字录音并逐字转录,转录本进行了定性主题和内容分析。研究人员认为研究中的PE是必要且重要的。PE是纳入患者声音的一种方法。他们还认为患者可以在研究过程的每一步都参与进来。以下被确定为研究中PE的主要障碍:(i)科学术语;(ii)资源(时间和资金);(iii)形式主义;(iv)权力不平衡;(v)患者选择。促进因素包括(i)对患者和研究人员的培训,(ii)充足的资源,(iii)机构支持。这项研究揭示了CNTRP研究人员在研究中与患者合作的积极态度和意愿。需要进一步研究来评估CNTRP中PE策略的实施情况及其影响。

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