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研究患者参与如何影响研究:一项混合方法研究。

Studying How Patient Engagement Influences Research: A Mixed Methods Study.

机构信息

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive NW, Health Research Innovation Centre (HRIC) Building, Room 3C58, Calgary, AB, T2N 4Z6, Canada.

IMAGINE SPOR Chronic Disease Network, Hamilton, ON, Canada.

出版信息

Patient. 2024 Jul;17(4):379-395. doi: 10.1007/s40271-024-00685-8. Epub 2024 Mar 15.

Abstract

BACKGROUND

There is evidence supporting the value of patient engagement (PE) in research to patients and researchers. However, there is little research evidence on the influence of PE throughout the entire research process as well as the outcomes of research engagement. The purpose of our study is to add to this evidence.

METHODS

We used a convergent mixed method design to guide the integration of our survey data and observation data to assess the influence of PE in two groups, comprising patient research partners (PRPs), clinicians, and researchers. A PRP led one group (PLG) and an academic researcher led the other (RLG). Both groups were given the same research question and tasked to design and conduct an inflammatory bowel disease (IBD)-related patient preference study. We administered validated evaluation tools at three points and observed PE in the two groups conducting the IBD study.

RESULTS

PRPs in both groups took on many operational roles and influenced all stages of the IBD-related qualitative study: launch, design, implementation, and knowledge translation. PRPs provided more clarity on the study design, target population, inclusion-exclusion criteria, data collection approach, and the results. PRPs helped operationalize the project question, develop study material and data collection instruments, collect data, and present the data in a relevant and understandable manner to the patient community. The synergy of collaborative partnership resulted in two projects that were patient-centered, meaningful, understandable, legitimate, rigorous, adaptable, feasible, ethical and transparent, timely, and sustainable.

CONCLUSION

Collaborative and meaningful engagement of patients and researchers can influence all stages of qualitative research including design and approach, and outputs.

摘要

背景

有证据表明患者参与(PE)对患者和研究人员具有价值。然而,几乎没有研究证据表明 PE 在整个研究过程中的影响,以及研究参与的结果。我们研究的目的是为此提供更多证据。

方法

我们使用收敛混合方法设计来指导我们的调查数据和观察数据的整合,以评估两组患者研究伙伴(PRP)、临床医生和研究人员中 PE 的影响。一个 PRP 领导一个小组(PLG),一个学术研究人员领导另一个小组(RLG)。两组都被赋予了相同的研究问题,并负责设计和开展一项与炎症性肠病(IBD)相关的患者偏好研究。我们在三个时间点使用经过验证的评估工具进行评估,并观察两组在开展 IBD 研究时的 PE。

结果

两组中的 PRP 承担了许多操作角色,并影响了与 IBD 相关的定性研究的所有阶段:启动、设计、实施和知识转化。PRP 提供了关于研究设计、目标人群、纳入排除标准、数据收集方法和结果的更多明确信息。PRP 帮助将项目问题具体化、制定研究材料和数据收集工具、收集数据,并以与患者群体相关和可理解的方式呈现数据。合作关系的协同作用导致了两个以患者为中心、有意义、可理解、合理、严谨、适应性强、可行、符合伦理和透明、及时且可持续的项目。

结论

患者和研究人员的协作和有意义的参与可以影响定性研究的所有阶段,包括设计和方法以及结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fadd/11189989/f6d8187afa81/40271_2024_685_Fig1_HTML.jpg

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