Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Ethics, Education, Policy, and Society, Research Immersion Program at Vanderbilt University Medical Center, Nashville, Tennessee, USA.
BMJ Open. 2023 Nov 27;13(11):e068100. doi: 10.1136/bmjopen-2022-068100.
During the last two decades, researchers and funders increasingly recognised the value of engaging patients and communities in research. Despite progress, community engagement remains challenging. There are few examples of successful participant engagement in governance of large-scale research programmes. Here we describe efforts to engage participants as partners in new governance roles in the Research Program, a precision medicine research initiative which intends to enrol at least one million participants. Using intentional, participant-centric engagement strategies, the Engagement Core recruited and integrated a diverse group of participants into governance roles including Steering and Executive Committees. Evaluation measures included a survey to assess Consortium Members' readiness for participant engagement.
Over a 3-year period, all items on the survey increased (higher readiness). Of the 291 respondents to the 2021 survey, respondents most frequently agreed that participant perspectives are essential (100%), participants understand enough to contribute meaningfully (94%) and participants should be involved in setting goals (96%). Respondents least frequently agreed that participants should have an equal voice in Working Groups (75%), Steering Committee (69%) and Executive Committee (63%).
In conclusion, participants can be effectively integrated into large-scale research governance, which is associated with increased researcher readiness for engagement.
在过去的二十年中,研究人员和资助者越来越认识到让患者和社区参与研究的价值。尽管取得了进展,但社区参与仍然具有挑战性。成功让参与者参与大型研究计划治理的例子很少。在这里,我们描述了在 Research Program 中努力让参与者作为合作伙伴承担新的治理角色的情况,该计划是一项精准医学研究计划,旨在招募至少 100 万名参与者。通过有意的、以参与者为中心的参与策略,参与核心招募并整合了一群多样化的参与者,担任包括指导委员会和执行委员会在内的治理角色。评估措施包括一项调查,以评估联盟成员对参与式管理的准备情况。
在 3 年的时间里,调查中的所有项目都有所增加(准备程度更高)。在 2021 年调查的 291 名受访者中,受访者最常表示同意参与者的观点至关重要(100%)、参与者理解得足以做出有意义的贡献(94%)以及参与者应该参与设定目标(96%)。受访者最不常同意的是,参与者在工作组(75%)、指导委员会(69%)和执行委员会(63%)中应该拥有平等的发言权。
总之,参与者可以有效地融入大型研究治理,这与研究人员对参与的准备程度的提高有关。