Chudyk Anna Maria, Stoddard Roger, McCleary Nicola, Duhamel Todd A, Shimmin Carolyn, Hickes Serena, Schultz Annette S H
Department of Family Medicine, Rady Faculty of Health Sciences, University of Manitoba, CR3024 - 369 Tache Avenue, Winnipeg, MB, R2H 2A6, Canada.
Horizon Health Network, 80 Woodbridge Street, Fredericton, New Brunswick, E3B 4R3, Canada.
Res Involv Engagem. 2023 Nov 28;9(1):106. doi: 10.1186/s40900-023-00511-9.
The re-conceptualization of patients' and caregivers' roles in research from study participants to co-researchers ("patient partners") has led to growing pains within and outside the research community, such as how to effectively engage patients in research and as part of interdisciplinary teams. To support the growth of more successful research partnerships by developing a shared understanding of how patient partners conceptualize and contribute to their role, this study aimed to explore patient partners' motivations for engagement and understanding of their role.
We conducted semi-structured interviews with participants (n = 13) of an online survey of activities and impacts of patient engagement in Strategy for Patient-Oriented Research projects. Eligibility criteria included being a patient partner that indicated interest in interview participation upon survey completion, the ability to read/write in English and provide informed consent. Data were analyzed thematically using an inductive, codebook thematic analysis.
Illuminating the lived/living patient and caregiver experience was central to how most patient partners conceptualized the role in terms of its definition, purpose, value, and responsibilities. Participants also identified four additional categories of motivations for becoming a patient partner and contributions that patient partners make to research that build upon and are in addition to sharing their lived/living experiences. Lastly, participants highlighted important connotations of the term patient partner, including temporal and context-specific considerations for the term "patient" and what "partner" may imply about the nature of the research relationship.
At the onset of partnership, academic researchers and patient partners must create the space necessary to discuss and understand each other's underlying motivations for partnering and their perspectives on the purpose, value, and responsibilities of the patient partner role. These early conversations should help unearth what research partners hope to get out of and feel that they are able to contribute to engaging, and in such contribute to the development of reciprocal relationships that work towards shared and valued goals. Trial registration Not applicable.
患者及照护者在研究中的角色从研究参与者重新定义为共同研究者(“患者伙伴”),这在研究界内外都引发了成长的烦恼,比如如何有效地让患者参与研究并融入跨学科团队。为了通过共同理解患者伙伴如何构思并发挥其作用来支持更成功的研究伙伴关系的发展,本研究旨在探究患者伙伴参与的动机以及对其角色的理解。
我们对参与“以患者为导向的研究战略项目中患者参与的活动及影响”在线调查的参与者(n = 13)进行了半结构化访谈。入选标准包括作为患者伙伴,在调查完成后表示有兴趣参与访谈,具备英语读写能力并能提供知情同意书。使用归纳式编码本主题分析法对数据进行主题分析。
阐明患者及照护者的实际/当前经历对于大多数患者伙伴如何从角色的定义、目的、价值和责任方面构思该角色至关重要。参与者还确定了成为患者伙伴的另外四类动机,以及患者伙伴除分享其实际/当前经历之外对研究所做的贡献。最后,参与者强调了“患者伙伴”一词的重要内涵,包括对“患者”一词的时间和特定情境考量,以及“伙伴”对于研究关系性质可能意味着什么。
在伙伴关系开始时,学术研究人员和患者伙伴必须创造必要的空间来讨论并理解彼此合作的潜在动机,以及他们对患者伙伴角色的目的、价值和责任的看法。这些早期对话应有助于发掘研究伙伴希望从参与中获得什么,以及觉得自己能够为参与做出什么贡献,从而有助于发展相互关系,朝着共同且有价值的目标努力。试验注册不适用。