Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health, Toronto, Canada.
Department of Psychiatry, University of Toronto, Toronto, Canada.
Early Interv Psychiatry. 2022 Jun;16(6):670-677. doi: 10.1111/eip.13232. Epub 2021 Nov 1.
There are growing calls to engage service users in research about issues relevant to them. Youth and family members can make meaningful contributions to research projects, improving quality and relevance. However, more information is needed on the contributions that youth and family members can make to various study designs.
This paper describes the contributions that youth and family members have made to a multi-site pragmatic randomized-controlled trial, YouthCan IMPACT, and the way project-based engagement learnings accelerated change at the institutional level and beyond.
Youth and family members were full members of the project team, including the project's core governance and working groups. They contributed to project leadership, as funding co-applicants and as equal members of the governance team. They were also engaged in study design. Youth defined the primary outcome measure and contributed to decisions on all secondary measures. The service pathway was co-designed with youth and family members; for example, they guided the inclusion of peer support and a family member intervention as core service components. Study implementation contributions included ensuring a youth- and family-friendly research process and training research staff on working with youth and family members. Knowledge translation activities have included youth and family members as co-presenters and manuscript co-authors. The learnings from this trial have been leveraged to expand youth and family engagement at the institution and beyond.
Youth and family members make substantial contributions to complex research projects, including randomized-controlled trials, thereby improving project design, study implementation, associated interventions, and knowledge translation.
越来越多的人呼吁让服务使用者参与与他们切身相关的研究。青年和家庭成员可以为研究项目做出有意义的贡献,从而提高研究的质量和相关性。然而,我们需要更多关于青年和家庭成员可以为各种研究设计做出何种贡献的信息。
本文描述了青年和家庭成员在一项多地点实用随机对照试验——YouthCan IMPACT 中所做出的贡献,以及基于项目的参与式学习如何加速机构层面及更广泛层面的变革。
青年和家庭成员是项目团队的正式成员,包括项目的核心治理和工作组。他们在项目领导方面做出了贡献,是联合资金申请人,也是治理团队的平等成员。他们还参与了研究设计。青年确定了主要的结果测量指标,并对所有次要测量指标的决策做出了贡献。服务途径与青年和家庭成员共同设计;例如,他们指导将同伴支持和家庭成员干预作为核心服务组成部分纳入。研究实施方面的贡献包括确保研究过程对青年和家庭友好,并培训研究人员与青年和家庭成员合作。知识转化活动包括青年和家庭成员作为联合演讲者和手稿合著者。该试验的经验教训已被用于扩大机构内外的青年和家庭参与度。
青年和家庭成员为复杂的研究项目做出了实质性的贡献,包括随机对照试验,从而改进了项目设计、研究实施、相关干预措施和知识转化。