Nunn Jack S, Gwynne Kylie, Gray Sarah, Lacaze Paul
School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia.
Director of Science for All (Education Charity registered in Australia), Melbourne, Australia.
Res Involv Engagem. 2021 Mar 15;7(1):14. doi: 10.1186/s40900-021-00256-3.
There is evidence that involving potential participants and the public in co-designing research can improve the quality of the study design, recruitment and acceptability of the research, but appropriate methodologies for doing this are not always clear. In this study we co-designed a way of involving people affected by a rare genomic disease in shaping future genomic research about the condition. The aim was to report the process, experiences and outcomes of involving people in genomic research in a standardised way, in order to inform future methods of involvement in research co-production.
Participants were recruited from an online community hosted by an Australian-based rare disease charity and were over the age 18 years. Once people gave consent, we shared learning resources with participants and invited them to complete an online survey before joining a two-week facilitated online discussion, followed by a second online survey. We used the novel tool 'Standardised Data on Initiatives - Alpha Version 0.1' (STARDIT) to map preferences, plan involvement and report any outcomes from the process, with quantitative data analysed descriptively and qualitative data thematically analysed.
Of the 26 people who gave consent and completed the initial survey, 15 participated in the online discussion and 12 completed the follow-up survey. STARDIT was used to report six outcomes from the process, including 60% of participants' responses showing a change towards 'widening' their view of who should be involved in research to include more people. Outcomes also included an improved understanding of research and how to be involved. Participants enjoyed online discussions, found learning resources useful and asked to stay involved in the research process. The partner organisation reported that a similar online discussion will be used in future research prioritisation processes.
Involving people in co-designing the process improved the study design, ensuring it met the needs of participants. Whilst the study includes participants from only one disease group, using STARDIT allowed us to map people's preferences and report the methods and outcomes from involving people, providing a way for learning from this case study to inform future research studies beyond the discipline of public health genomics.
有证据表明,让潜在参与者和公众共同设计研究可以提高研究设计的质量、研究的招募情况及可接受性,但进行此项工作的适当方法并不总是很明确。在本研究中,我们共同设计了一种方法,让受一种罕见基因组疾病影响的人群参与塑造有关该疾病的未来基因组研究。目的是以标准化方式报告让人们参与基因组研究的过程、经验和结果,以便为未来参与研究共同生产的方法提供参考。
参与者从澳大利亚一家罕见病慈善机构主办的在线社区招募,年龄在18岁以上。人们同意后,我们与参与者分享学习资源,并邀请他们在参加为期两周的在线引导讨论之前完成一项在线调查,之后再进行第二次在线调查。我们使用了新颖的工具“倡议标准化数据 - 0.1版阿尔法”(STARDIT)来梳理偏好、规划参与情况并报告该过程的任何结果,定量数据进行描述性分析,定性数据进行主题分析。
在26名同意并完成初始调查的人中,15人参与了在线讨论,12人完成了后续调查。STARDIT用于报告该过程的六个结果,包括60%的参与者回复显示出朝着“拓宽”其对谁应参与研究的看法转变,以纳入更多人群。结果还包括对研究以及如何参与的理解有所提高。参与者喜欢在线讨论,认为学习资源有用,并要求继续参与研究过程。合作组织报告称,未来的研究优先级确定过程中将采用类似的在线讨论。
让人们参与共同设计过程改进了研究设计,确保其满足参与者的需求。虽然该研究仅包括来自一个疾病组的参与者,但使用STARDIT使我们能够梳理人们的偏好,并报告让人们参与的方法和结果,提供了一种从该案例研究中学习的方式,以为公共卫生基因组学学科之外的未来研究提供参考。