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衡量患者参与健康研究的影响:一项使用多种调查工具的探索性研究。

Measuring the Impact of Patient Engagement in Health Research: An Exploratory Study Using Multiple Survey Tools.

作者信息

Marshall Deborah A, Suryaprakash Nitya, Bryan Stirling, Barker Karis L, MacKean Gail, Zelinsky Sandra, McCarron Tamara L, Santana Maria J, Moayyedi Paul, Lavallee Danielle C

机构信息

Department of Community Health Sciences, University of Calgary, Calgary, Alberta T2N 4Z6, Canada.

IMAGINE SPOR Chronic Disease Network, Hamilton, Ontario L8S 4K1, Canada.

出版信息

J Can Assoc Gastroenterol. 2023 Dec 2;7(2):177-187. doi: 10.1093/jcag/gwad045. eCollection 2024 Apr.

Abstract

BACKGROUND

Studies report various ways in which patients are involved in research design and conduct. Limited studies explore the influence of patient engagement (PE) at each research stage in qualitative research from the perspectives of all stakeholders.

METHODS

We established two small research groups, a Patient Researcher-Led Group and an Academic Researcher-Led Group. We recruited patient research partners (PRP; = 5), researchers ( = 5), and clinicians ( = 4) to design and conduct qualitative research aimed at identifying candidate attributes related to patient preferences for tapering biologic treatments in inflammatory bowel disease. We administered surveys before starting, two months into, and post-project work. The surveys contained items from three PE evaluation tools. We assessed the two groups regarding the influence and impact each stakeholder had during the different research stages.

RESULTS

PRPs had a moderate or a great deal of influence on the critical research activities across the research stages. They indicated moderate/very/extremely meaningful engagement and agreed/strongly agreed impact of PE. PRPs helped operationalize the research question; design the study and approach; develop study materials; recruit participants; and collect and interpret the data.

CONCLUSION

The three tools together provide deeper insight into the influence of PE at each research stage. Lessons learnt from this study suggest that PE can impact many aspects of research including the design, process, and approach in the context of qualitative research, increasing the patient-centeredness of the study. More comprehensive validated tools are required that work with a more diverse subject pool and in other contexts.

摘要

背景

研究报告了患者参与研究设计和实施的各种方式。有限的研究从所有利益相关者的角度探讨了定性研究中每个研究阶段患者参与(PE)的影响。

方法

我们成立了两个小型研究小组,一个由患者研究员主导的小组和一个由学术研究员主导的小组。我们招募了患者研究伙伴(PRP;n = 5)、研究人员(n = 5)和临床医生(n = 4)来设计和开展定性研究,旨在确定与炎症性肠病生物治疗逐渐减量患者偏好相关的候选属性。在项目工作开始前、进行两个月后以及项目结束后,我们进行了调查。这些调查包含来自三种PE评估工具的项目。我们评估了两个小组中每个利益相关者在不同研究阶段的影响和作用。

结果

PRP在研究的各个阶段对关键研究活动有中度或很大影响。他们表示参与具有中度/非常/极其重要的意义,并认可/强烈认可PE的影响。PRP有助于将研究问题具体化;设计研究和方法;开发研究材料;招募参与者;以及收集和解释数据。

结论

这三种工具共同提供了对每个研究阶段PE影响的更深入见解。从本研究中吸取的经验教训表明,在定性研究背景下,PE可以影响研究的许多方面,包括设计、过程和方法,从而提高研究的以患者为中心程度。需要更全面的经过验证的工具,这些工具适用于更多样化的主题群体和其他背景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/777e/10999763/a45c1b7ab93e/gwad045_fig1.jpg

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