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在加拿大共同构建以患者为导向的研究课程。

Co-building a patient-oriented research curriculum in Canada.

作者信息

Bell Tim, Vat Lidewij Eva, McGavin Colleen, Keller Malori, Getchell Leah, Rychtera Anna, Fernandez Nicolas

机构信息

1Canadian Institutes of Health Research, Ottawa, ON Canada.

2Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.

出版信息

Res Involv Engagem. 2019 Feb 11;5:7. doi: 10.1186/s40900-019-0141-7. eCollection 2019.

Abstract

PLAIN ENGLISH SUMMARY

is a course designed and piloted in Canada to help patients, researchers, health care professionals and health system decision-makers gain an introductory understanding of patient-oriented research, the research enterprise, and how to work in a team. The course curriculum was co-developed by a diverse group of people with different lived experiences and relevant expertise. The course is meant to be delivered in a 'co-learning format' with classes comprised of all the above stakeholder groups learning together. The purpose of this study was to explore the experiences of the project leaders, developers, facilitators and patient co-facilitators who were involved in the process of co-developing, piloting and revising the curriculum.Our findings suggest that co-developing a patient-oriented research curriculum increases its quality, uptake and credibility. The co-development process not only resulted in training that benefited the target learners, but it provided valuable learning experiences about patient-oriented research for the project leaders, developers, facilitators and patient co-facilitators. These findings and the resulting recommendations may provide guidance for other learning and development groups wishing to undertake a similar project.

ABSTRACT

is a course designed and piloted in Canada to build mutually beneficial relationships for conducting patient-oriented research by ensuring that relevant stakeholders - patients, researchers, health care professionals and health system decision-makers - have a common foundational understanding of patient-oriented research, the research enterprise, and team dynamics. The curriculum was co-developed by a group of patients, researchers, patient engagement experts and curriculum development experts and involved consultations with broader groups of the relevant stakeholders mentioned above. It was designed to be delivered in a 'co-learning format' with classes comprised of all stakeholder groups learning together. The purpose of this study was to explore the experiences of individuals involved in the process of co-developing, piloting and revising . An embedded case study was conducted with individuals who were involved in the co-development, pilot and revision of . These individuals took on different roles during the curriculum development process, including project co-lead, developer, facilitator, and patient co-facilitator. The constant comparison method was used to inductively develop themes from the two focus group sessions. Discussions from the focus groups revealed the value of co-building the content, co-facilitating the course sessions, and the importance of the co-learning format. The training itself was perceived as valuable and the systematic approach to co-development was perceived as a success. Several barriers were identified, including the amount of resources, time and commitment required to complete the project. There was a notable tension between maintaining the integrity of the content and having the freedom to adapt it to local contexts. Over the course of the project, the project co-leads, developers and facilitators found that their own understanding of patient-oriented research deepened. The findings of this study suggest that co-developing a patient-oriented research curriculum increases its quality, uptake and credibility. The co-development process not only resulted in training that benefited the target learners, but also built capacity for patient-oriented research within the project co-leads, developers, facilitators and patient co-facilitators. Our findings and recommendations may provide guidance for other learning and development groups wishing to undertake a similar project.

摘要

通俗易懂的总结

这是一门在加拿大设计并试点的课程,旨在帮助患者、研究人员、医疗保健专业人员和卫生系统决策者初步了解以患者为导向的研究、研究事业以及如何进行团队合作。该课程的课程内容由一群有着不同生活经历和相关专业知识的人共同开发。该课程旨在以“共同学习模式”授课,课程由上述所有利益相关者群体共同学习组成。本研究的目的是探索参与课程共同开发、试点和修订过程的项目负责人、开发者、促进者和患者共同促进者的经历。我们的研究结果表明,共同开发以患者为导向的研究课程可提高其质量、接受度和可信度。共同开发过程不仅产生了使目标学习者受益的培训,还为项目负责人、开发者、促进者和患者共同促进者提供了有关以患者为导向的研究的宝贵学习经验。这些研究结果和由此产生的建议可能为希望开展类似项目的其他学习和发展团体提供指导。

摘要

这是一门在加拿大设计并试点的课程,旨在通过确保相关利益相关者(患者、研究人员、医疗保健专业人员和卫生系统决策者)对以患者为导向的研究、研究事业和团队动态有共同的基本理解,来建立开展以患者为导向的研究的互利关系。该课程由一群患者、研究人员、患者参与专家和课程开发专家共同开发,并与上述更广泛的相关利益相关者群体进行了磋商。它旨在以“共同学习模式”授课,课程由所有利益相关者群体共同学习组成。本研究的目的是探索参与共同开发、试点和修订过程的个人的经历。对参与该课程共同开发、试点和修订的个人进行了一项嵌入式案例研究。这些人在课程开发过程中担任不同的角色,包括项目联合负责人、开发者、促进者和患者共同促进者。采用持续比较法从两个焦点小组会议中归纳出主题。焦点小组的讨论揭示了共同构建内容、共同促进课程会议的价值以及共同学习模式的重要性。培训本身被认为是有价值的,共同开发的系统方法被认为是成功的。确定了几个障碍,包括完成项目所需的资源、时间和投入量。在保持内容完整性与灵活调整以适应当地情况之间存在明显的矛盾。在项目过程中,项目联合负责人、开发者和促进者发现他们自己对以患者为导向的研究的理解加深了。本研究的结果表明,共同开发以患者为导向的研究课程可提高其质量、接受度和可信度。共同开发过程不仅产生了使目标学习者受益的培训,还在项目联合负责人、开发者、促进者和患者共同促进者中培养了以患者为导向的研究能力。我们的研究结果和建议可能为希望开展类似项目的其他学习和发展团体提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc3b/6369555/d755c8022df9/40900_2019_141_Fig1_HTML.jpg

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