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健康研究中的合作:一项混合方法的患者参与度评估

Working together in health research: a mixed-methods patient engagement evaluation.

作者信息

Babatunde Stella, Ahmed Sadia, Santana Maria Jose, Nielssen Ingrid, Zelinsky Sandra, Ambasta Anshula

机构信息

Alberta Strategy for Patient-Oriented Research (AbSPORU) Patient Engagement Team, Calgary, Canada.

Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

出版信息

Res Involv Engagem. 2023 Aug 1;9(1):62. doi: 10.1186/s40900-023-00475-w.

Abstract

BACKGROUND

In patient-oriented research (POR), patients contribute their valuable knowledge and lived-experiences to work together as active research partners at all stages of the health research cycle. However, research looking to understand how patient research partners (PRPs) and researchers work together in meaningful and collaborative ways remains limited. This study aims to evaluate patient engagement with the RePORT Patient Advisory Council (PAC) and to identify barriers and facilitators to meaningful patient engagement encountered within research partnerships involving patient research partners and researchers.

METHODS

The RePORT PAC members included nine PRPs and nine researchers (clinician-researchers, research staff, patient engagement experts) from both Alberta and British Columbia. All members were contacted and invited to complete an anonymous online survey (Public and Patient Engagement Evaluation (PPEET) tool) at two different project times points. The PAC was invited for a semi-structured interview to gain in-depth understanding of their experiences working together. Interviews were audio-recorded, transcribed, and the data was thematically analyzed with the support of a qualitative analysis software, NVivo.

RESULTS

A total of nine PRPs (100%) and three researchers (33%) participated in the baseline survey in February 2022 while six PRPs (67%) responded and three researchers (33%) completed the follow up survey in May 2022. For the semi-structured interviews, nine PRPs (100%) and six researchers (67%) participated. According to the survey results, PAC members agreed that the supports (e. g. training, compensation) needed to contribute to the project were available throughout the project. The survey responses also showed that most members of the PAC felt their opinions and views were heard. Responses to the survey regarding diversity within the PAC were mixed. There were many suggestions for improving diversity and collaboration provided by PAC members during the semi-structured interviews. PAC members mentioned that PAC PRPs informed the co-development of research materials such as recruitment posters and interview guides for the RePORT study.

CONCLUSIONS

Through fostering a collaborative environment, we can engage a diverse group of people to work together meaningfully in health research. We have identified what works well, and areas for improvement within our research partnership involving PRPs and researchers as well as recommendations for POR projects more broadly, going forward.

摘要

背景

在以患者为导向的研究(POR)中,患者贡献其宝贵的知识和生活经验,在健康研究周期的各个阶段作为积极的研究伙伴共同开展工作。然而,旨在了解患者研究伙伴(PRP)与研究人员如何以有意义且协作的方式合作的研究仍然有限。本研究旨在评估患者对研究项目患者咨询委员会(PAC)的参与情况,并确定在涉及患者研究伙伴和研究人员的研究合作关系中,实现有意义的患者参与所遇到的障碍和促进因素。

方法

研究项目患者咨询委员会成员包括来自艾伯塔省和不列颠哥伦比亚省的9名患者研究伙伴以及9名研究人员(临床研究人员、研究工作人员、患者参与专家)。在两个不同的项目时间点,联系并邀请所有成员完成一项匿名在线调查(公众与患者参与评估(PPEET)工具)。邀请咨询委员会进行一次半结构化访谈,以深入了解他们的合作经历。访谈进行了录音、转录,并在定性分析软件NVivo的支持下对数据进行了主题分析。

结果

共有9名患者研究伙伴(100%)和3名研究人员(33%)参与了2022年2月的基线调查,而6名患者研究伙伴(67%)做出了回应,3名研究人员(33%)完成了2022年5月的随访调查。对于半结构化访谈,9名患者研究伙伴(100%)和6名研究人员(67%)参与其中。根据调查结果,咨询委员会成员一致认为,在整个项目过程中都能获得参与项目所需的支持(如培训、报酬)。调查回复还显示,咨询委员会的大多数成员感觉自己的意见和观点得到了倾听。关于咨询委员会内部多样性的调查回复不一。在半结构化访谈中,咨询委员会成员提出了许多改善多样性与合作的建议。咨询委员会的患者研究伙伴提到,他们为研究材料(如研究项目的招募海报和访谈指南)的共同开发提供了信息。

结论

通过营造协作环境,我们能够让不同群体的人在健康研究中进行有意义的合作。我们已经确定了在我们涉及患者研究伙伴和研究人员的研究合作关系中哪些方面运作良好、哪些方面有待改进,以及更广泛地为以患者为导向的研究项目提出了建议,以供未来参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b369/10394768/f1b91edfae70/40900_2023_475_Fig1_HTML.jpg

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