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规划和促进痴呆症研究中患者和公众的有意义参与。

Planning and enabling meaningful patient and public involvement in dementia research.

机构信息

Division of Psychiatry, University College London.

Alzheimer's Society Research Network, London, UK.

出版信息

Curr Opin Psychiatry. 2019 Nov;32(6):557-562. doi: 10.1097/YCO.0000000000000548.

Abstract

PURPOSE OF REVIEW

To summarize the latest evidence on patient and public involvement (PPI) in dementia research. To identify methodologies used to deliver and evaluate co-production, potential barriers to involvement, and effective strategies to enable meaningful involvement of PPI representatives in dementia research.

RECENT FINDINGS

PPI expertise in dementia research has been utilized to increase the acceptability of new interventions to end users and to interpret research findings from a PPI perspective. Practical adaptations to materials and meetings, and building relationships and trust were important facilitators for engagement. PPI has included caregivers, people living with dementia (PLWD) or both, with few studies involving the public or professionals. Engaging PLWD and hard-to-reach groups in PPI is challenging, with most current PPI representatives recruited from dementia organisations. Few studies have assessed the impact of PPI on study outcomes.

SUMMARY

In this relatively new field, methods that allow meaningful engagement are being iteratively developed. Greater community and patient engagement will be a prerequisite for increasing diversity of PPI, to ensure voices of a broader range of stakeholders are heard. Documenting and publicizing the impact of this work and engaging existing PPI representatives to support PPI recruitment could help with this.

摘要

目的综述

总结关于痴呆症研究中患者和公众参与(PPI)的最新证据。确定用于提供和评估共同生产的方法、参与的潜在障碍以及使 PPI 代表能够在痴呆症研究中进行有意义的参与的有效策略。

最新发现

在痴呆症研究中,已经利用 PPI 专业知识来提高新干预措施对最终用户的可接受性,并从 PPI 的角度解释研究结果。对材料和会议进行实际调整,建立关系和信任,是参与的重要促进因素。PPI 包括照顾者、痴呆症患者(PLWD)或两者都有,很少有研究涉及公众或专业人士。让 PLWD 和难以接触的群体参与 PPI 具有挑战性,大多数现有 PPI 代表是从痴呆症组织招募的。很少有研究评估 PPI 对研究结果的影响。

总结

在这个相对较新的领域,允许进行有意义的参与的方法正在被反复开发。更大的社区和患者参与将是增加 PPI 多样性的前提,以确保更广泛的利益相关者的声音能够被听到。记录和宣传这项工作的影响,并让现有的 PPI 代表支持 PPI 的招募,这可能对此有所帮助。

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