Snowball Ellen, Fernandez Loughlin Rosette, Eagleson Heather, Barnett Karen Myers, McLellan Emily, O'Connor Denis, Kelly Catherine, Thelker Christine, McGilton Katherine S, Bethell Jennifer
KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, ON, M5G 2A2, Canada.
Engagement of People with Lived Experience of Dementia Advisory Group and Cross-Cutting Program, Canadian Consortium on Neurodegeneration in Aging, Montreal, Canada.
Res Involv Engagem. 2022 Jun 25;8(1):28. doi: 10.1186/s40900-022-00359-5.
The objective of this paper is to describe the activities, challenges and mitigation strategies, lessons learned and reflections on the importance of engagement from the first year of the Canadian Consortium on Neurodegeneration in Aging (CCNA) Engagement of People with Lived Experience of Dementia (EPLED) Advisory Group and cross-cutting program. EPLED was created to support persons with dementia and care partners to be actively involved in the CCNA research process.
The Advisory Group was formed to work with CCNA researchers and programs to develop new ways to further collaborate and advance the methods of patient engagement in research on dementia. A role profile and recruitment poster were developed and, after interviews, 17 people were invited to join the Advisory Group. We planned three online EPLED meetings to take place between July-August of 2020, with one in-person meeting to be held in Canada. Due to COVID-19, we moved all of these meetings online. In the first year, EPLED and the Advisory Group met seven times formally, four times informally, developed a website, engaged with CCNA research projects, participated in CCNA "Central" activities and formulated an evaluation plan. For researchers and people with lived experience of dementia, motivations for patient engagement included challenging stigma, making meaning from their experience (such as building relationships and having their voices heard) and contributing to research. Common challenges to engagement were related to navigating the impact of COVID-19, such as difficulty in getting to know each other and technical issues with video-conference software. We learned that developing trusting relationships, providing education, offering support, being flexible and acknowledging tensions between research, practice and lived experience, were vital to the success of the Advisory Group.
The first year of the EPLED Advisory Group demonstrated the potential contributions of people with lived experience of dementia as partners in research. Building these collaborations with individuals and communities-people living with dementia, care partners, researchers and research institutions-has the potential for positive impact across these groups and, ultimately, improve the lives of people living with dementia and their care partners.
本文旨在描述加拿大衰老神经退行性变协会(CCNA)痴呆症患者生活经历参与咨询小组(EPLED)和跨领域项目第一年的活动、挑战及缓解策略、经验教训以及对参与重要性的思考。EPLED的设立是为了支持痴呆症患者及其护理伙伴积极参与CCNA的研究过程。
咨询小组的成立是为了与CCNA的研究人员和项目合作,探索进一步协作的新方式,并推进痴呆症研究中患者参与的方法。制定了角色简介和招募海报,经过面试后,邀请了17人加入咨询小组。我们计划在2020年7月至8月间举行三次EPLED线上会议,并在加拿大举行一次线下会议。由于新冠疫情,我们将所有会议都改为线上进行。在第一年,EPLED和咨询小组正式会面七次,非正式会面四次,创建了一个网站,参与了CCNA的研究项目,参加了CCNA的“核心”活动,并制定了一项评估计划。对于研究人员和有痴呆症生活经历的人来说,患者参与的动机包括挑战污名化、从自身经历中找到意义(如建立人际关系并让自己的声音被听到)以及为研究做出贡献。参与过程中的常见挑战与应对新冠疫情的影响有关,比如难以相互了解以及视频会议软件出现技术问题。我们了解到,建立信任关系、提供教育、给予支持、保持灵活性以及认识到研究、实践和生活经历之间的矛盾,对咨询小组的成功至关重要。
EPLED咨询小组的第一年展示了有痴呆症生活经历的人作为研究伙伴的潜在贡献。与个人和社区——痴呆症患者、护理伙伴、研究人员和研究机构——建立这些合作关系有可能对这些群体产生积极影响,并最终改善痴呆症患者及其护理伙伴的生活。