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一项关于将患者和公众参与纳入基于初级保健的实施研究的定性数据收集与分析阶段的提议。

A proposal to embed patient and public involvement within qualitative data collection and analysis phases of a primary care based implementation study.

作者信息

Moult Alice, McGrath Carmel, Lippiett Kate, Coope Caroline, Chilcott Simon, Mann Cindy, Evans Nicola, Turner Andrew, Dziedzic Krysia, Portillo M C, Johnson Rachel

机构信息

Impact Accelerator Unit, Keele University, Newcastle-Under-Lyme, ST5 5BG, UK.

NIHR Health Protection Research Unit in Behavioural Science and Evaluation, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

出版信息

Res Involv Engagem. 2023 May 31;9(1):37. doi: 10.1186/s40900-023-00440-7.

Abstract

BACKGROUND

Patient and public involvement (PPI) is increasingly seen as essential to health service research. There are strong moral and ethical arguments for good quality PPI. Despite the development of guidance aimed at addressing the inconsistent reporting of PPI activities within research, little progress has been made in documenting the steps taken to undertake PPI and how it influences the direction of a study. Without this information, there are minimal opportunities to share learnings across projects and strengthen future PPI practices. The aim of this paper is to present details on the processes and activities planned to integrate PPI into the qualitative research component of a mixed-methods, multi-site study evaluating the implementation of a smart template to promote personalised primary care for patients with multiple long-term conditions.

METHODS

This proposal describes the processes and activities planned to integrate PPI into the development and piloting of qualitative data collection tools (topic guides for both practice staff and patients) and a tailored data analysis package developed for PPI members incorporating broad concepts and specific methods of qualitative data analysis.

DISCUSSION

Outputs relating to PPI activity may include clear, concise and suitably worded topic guides for qualitative interviews. Piloting of the topic guides via mock interviews will further develop researchers' skills including sensitisation to the experiences of participants being interviewed. Working with PPI members when analysing the qualitative data aims to provide reciprocal learning opportunities and may contribute to improving the overall rigour of the data analysis. The intent of publishing proposed PPI activities within this project is to inform the future delivery of high quality PPI.

摘要

背景

患者及公众参与(PPI)日益被视为卫生服务研究的关键要素。高质量的患者及公众参与有着强有力的道德和伦理依据。尽管已出台旨在解决研究中患者及公众参与活动报告不一致问题的指南,但在记录开展患者及公众参与所采取的步骤及其如何影响研究方向方面进展甚微。没有这些信息,跨项目分享经验教训并加强未来患者及公众参与实践的机会就微乎其微。本文旨在详细介绍计划将患者及公众参与纳入一项混合方法、多地点研究的定性研究部分的过程和活动,该研究旨在评估一种智能模板的实施情况,以促进为患有多种慢性病的患者提供个性化初级护理。

方法

本提案描述了计划将患者及公众参与纳入定性数据收集工具(针对实践人员和患者的主题指南)的开发和试点以及为患者及公众参与成员开发的定制数据分析包的过程和活动,该分析包纳入了定性数据分析的广泛概念和具体方法。

讨论

与患者及公众参与活动相关的产出可能包括用于定性访谈的清晰、简洁且措辞恰当的主题指南。通过模拟访谈对主题指南进行试点将进一步提升研究人员的技能,包括增强对受访参与者经历的敏感度。在分析定性数据时与患者及公众参与成员合作旨在提供相互学习的机会,并可能有助于提高数据分析的整体严谨性。在本项目中公布拟开展的患者及公众参与活动的目的是为未来高质量的患者及公众参与提供参考。

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