Department of Internal Medicine 3, Division of Rheumatology, Medical University of Vienna, Vienna, Austria
Department of Medicine (Solna), Division of Rheumatology, Karolinska Institute, Stockholm, Sweden.
RMD Open. 2022 Aug;8(2). doi: 10.1136/rmdopen-2022-002472.
The contribution of patient research partners (PRPs) is well established in EULAR recommendation development. However, in observational and registry studies, PRP involvement is not well-defined and remains limited.
Based on a round table discussion during the EULAR Registries and Observational Drug Studies (RODS) meeting in 2019, a mixed methods study was undertaken, including a survey to RODS participants and EULAR PRPs and focus groups with volunteers from the survey. An inductive thematic analysis approach was applied to qualitative data and descriptive statistics to survey data.
We retrieved 45 survey responses and ran 3 focus groups with a total of 17 participants. The notion of PRP involvement in research was positively perceived by PRPs and the wider academic rheumatology community. There is universal agreement that PRP involvement in registry research is low and inclusion in different parts of the research cycle is limited. Potential benefits of PRP involvement include: input on the research objectives based on patients' needs, advice and support regarding recruitment and retention strategies, obtaining patient views on analysis and interpretation, and assistance in disseminating results. Researchers and PRPs highlighted that education, inclusion of PRPs with diverse backgrounds and a welcoming environment as important facilitators for PRP involvement. On the other hand, preconceptions of researchers and insufficient budget allocation have been identified as barriers.
There is an unmet need to involve PRPs in registries and observational studies and to better define their required input during all research stages. This study provides suggestions for successful PRP integration.
患者研究伙伴(PRP)的贡献在 EULAR 推荐制定中得到了充分证实。然而,在观察性和登记研究中,PRP 的参与情况定义不明确,且仍然有限。
基于 2019 年 EULAR 登记和观察性药物研究(RODS)会议期间的圆桌讨论,开展了一项混合方法研究,包括对 RODS 参与者和 EULAR PRP 的调查以及对调查志愿者的焦点小组。采用归纳主题分析方法对定性数据和调查数据进行描述性统计分析。
我们共收到 45 份调查回复,并进行了 3 次焦点小组讨论,共有 17 名参与者。PRP 和更广泛的学术风湿病学界普遍认为,PRP 参与研究的概念是积极的。普遍认为,PRP 参与登记研究的程度较低,且参与研究周期的不同部分受到限制。PRP 参与的潜在好处包括:根据患者需求提出研究目标的建议,提供有关招募和保留策略的建议和支持,获取患者对分析和解释的意见,以及协助传播研究结果。研究人员和 PRP 强调,教育、纳入具有不同背景的 PRP 以及营造欢迎环境是促进 PRP 参与的重要因素。另一方面,研究人员的成见和预算分配不足被认为是障碍。
在登记和观察性研究中需要更多地让 PRP 参与,并更好地定义他们在所有研究阶段所需的投入。本研究为成功整合 PRP 提供了建议。