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一个确保患者合作伙伴在整个研究项目评估过程中拥有平等且具建设性声音的框架。

A Framework to Ensure Patient Partners Have Equal and Contributing Voices Throughout the Research Program Evaluation Process.

作者信息

Hillier David R, Tang Mila, Clark William, MacDonald Cynthia, Connolly Carol, Large Chantel, King Malcolm, Singer Joel, Levin Adeera, Manns Braden, Konvalinka Ana, Scholey James, Rosenblum Norman D

机构信息

Can-SOLVE CKD Network, Vancouver, BC, Canada.

The University of British Columbia, Vancouver, Canada.

出版信息

Can J Kidney Health Dis. 2020 Nov 26;7:2054358120970093. doi: 10.1177/2054358120970093. eCollection 2020.

Abstract

PURPOSE OF PROGRAM

Traditionally, peer review was a closed process conducted only by individuals working in the research field. To establish a more integrated and patient-centered approach, one of Canada's largest kidney research networks (Can-SOLVE CKD) has created a Research Operations Committee (ROC) that includes patients as key members. The ROC represents one way for achieving meaningful patient-oriented research (POR).

SOURCE OF INFORMATION

Can-SOLVE CKD, a network created as part of the Canadian Institutes of Health Research (CIHR) Strategy for Patient-Oriented Research (SPOR).

METHODS

The ROC consists of patients, physicians, scientists, Indigenous partners, experts in research methodology, and a member of Can-SOLVE CKD's operational team. On an annual basis, Can-SOLVE CKD's research teams provide the ROC with a review package, which incorporates information from patient engagement check-in calls and surveys, the project's knowledge translation plan and products, and a progress report written by the project team. The ROC evaluates the review package and provides feedback and recommendations accordingly.

KEY FINDINGS

The transparent nature of the process, regular feedback and review, along with an overt accountability and scoring system, has been embraced by both patients and researchers. As a result of the ROC process, the number of patient leads for each project has grown over a 3-year period and more researchers have received POR and cultural sensitivity training.

LIMITATIONS

While anecdotal evidence suggests this approach is beneficial for achieving POR, formal mechanisms of evaluation are currently lacking.

IMPLICATIONS

This ROC framework ensures patients are active contributors throughout the research process and could be adopted by other organizations to achieve a more patient-centered approach to research.

摘要

项目目的

传统上,同行评审是一个仅由研究领域的专业人员进行的封闭过程。为了建立一种更具综合性且以患者为中心的方法,加拿大最大的肾脏研究网络之一(加拿大慢性肾病解决方案网络,Can-SOLVE CKD)设立了一个研究运营委员会(ROC),该委员会将患者纳入关键成员。研究运营委员会是实现有意义的以患者为导向研究(POR)的一种方式。

信息来源

加拿大慢性肾病解决方案网络,作为加拿大卫生研究院(CIHR)以患者为导向研究战略(SPOR)的一部分而创建的网络。

方法

研究运营委员会由患者、医生、科学家、原住民合作伙伴、研究方法专家以及加拿大慢性肾病解决方案网络运营团队的一名成员组成。每年,加拿大慢性肾病解决方案网络的研究团队会向研究运营委员会提供一份评审资料包,其中包含患者参与跟进电话和调查的信息、项目的研究方法和成果,以及项目团队撰写的进展报告。研究运营委员会评估评审资料包并据此提供反馈和建议。

主要发现

该过程的透明性、定期反馈和评审,以及公开的问责制和评分系统,受到了患者和研究人员的认可。由于研究运营委员会的流程,每个项目中患者主导的数量在三年时间里有所增加,并且更多研究人员接受了以患者为导向研究和文化敏感性培训。

局限性

虽然轶事证据表明这种方法有助于实现以患者为导向的研究,但目前缺乏正式的评估机制。

启示

这个研究运营委员会框架确保患者在整个研究过程中都是积极的贡献者,其他组织可以采用该框架来实现更以患者为中心的研究方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70c5/7705288/a41989e3e5d9/10.1177_2054358120970093-fig1.jpg

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