Di Lorito Claudio, Griffiths Sarah, Poole Marie, Kaviraj Chandrika, Robertson Martin, Cutler Neil, Wilcock Jane
Research Department of Primary Care and Population Health, Centre for Ageing Population Studies, University College London, London, UK.
Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Health Expect. 2024 Feb;27(1):e13992. doi: 10.1111/hex.13992.
Despite the advancements in Patient and Public Involvement and Engagement (PPIE), the voices of traditionally underserved groups are still poorly reflected in dementia research. This study aimed to report on a PPIE partnership between academics and members of the public from underserved communities to co-design Forward with Dementia-Social Care, a resource and information website supporting people receiving a dementia diagnosis.
The PPIE partnership was set up in four stages: 1-identifying communities that have been under-represented from PPIE in dementia research; 2-recruiting PPIE partners from these communities; 3-supporting PPIE partners to become confident to undertake their research roles and 4-undertaking research co-design activities in an equitable fashion.
To address under-representation from PPIE in dementia research we recruited seven PPIE partners from Black, Asian and other minority ethnic groups; lesbian, gay, bisexual, transgender, queer+ communities; remote/rural area; religious minorities and partners living with rare forms of dementia. The partners met regularly throughout the project to oversee new sections for the study website, refine existing content and promote the website within their communities.
Strategies can be used to successfully recruit and involve PPIE partners from underserved communities in co-design activities. These include networking with community leaders, developing terms of reference, setting out 'rules of engagement', and investing adequate resources and time for accessible and equitable involvement. These efforts facilitate the co-design of research outputs that reflect the diversity and complexity of UK contemporary society.
This study received support from seven members of the public with lived experience of dementia from communities that have been traditionally underserved in dementia research. These seven members of the public undertook the role of partners in the study. They all equally contributed to the study design, recruitment of participants, development and revision of topic guides for the interviews and development of the website. Three of these partners were also co-authors of this paper. On top of the activities shared with the other partners, they contributed to write independently of the academic team the section in this paper titled 'Partners' experiences, benefits and challenges of the partnership'. Further, they provided input in other sections of the paper on a par with the other (academic) co-authors.
尽管患者及公众参与和融入(PPIE)取得了进展,但传统上服务不足群体的声音在痴呆症研究中仍未得到充分体现。本研究旨在报告学者与来自服务不足社区的公众成员之间的PPIE伙伴关系,共同设计“与痴呆症社会护理同行”,这是一个为接受痴呆症诊断的人提供支持的资源和信息网站。
PPIE伙伴关系分四个阶段建立:1. 确定在痴呆症研究中PPIE代表性不足的社区;2. 从这些社区招募PPIE伙伴;3. 支持PPIE伙伴自信地承担其研究角色;4. 以公平的方式开展研究共同设计活动。
为解决痴呆症研究中PPIE代表性不足的问题,我们从黑人、亚洲和其他少数族裔群体;女同性恋、男同性恋、双性恋、跨性别、酷儿+群体;偏远/农村地区;宗教少数群体以及患有罕见形式痴呆症的患者伙伴中招募了七名PPIE伙伴。伙伴们在整个项目中定期会面,监督研究网站的新板块,完善现有内容,并在其社区内推广该网站。
可以采用一些策略成功招募来自服务不足社区的PPIE伙伴并让他们参与共同设计活动。这些策略包括与社区领袖建立联系、制定职权范围、制定“参与规则”,以及投入足够的资源和时间以实现可及且公平的参与。这些努力有助于共同设计出反映英国当代社会多样性和复杂性的研究成果。
本研究得到了七名有痴呆症生活经历的公众的支持,他们来自痴呆症研究中传统上服务不足的社区。这七名公众在研究中担任伙伴角色。他们都平等地参与了研究设计、参与者招募、访谈主题指南的制定和修订以及网站的开发。其中三名伙伴也是本文的共同作者。除了与其他伙伴共同参与的活动外,他们独立撰写了本文中题为“伙伴的合作经历、益处和挑战”的部分。此外,他们在论文的其他部分与其他(学术)共同作者一样提供了意见。