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让最了解需求的人参与:一项在心理社会研究中积极争取儿童癌症幸存者及其父母参与的框架 - 研讨会报告

Asking those who know their needs best: A framework for active engagement and involvement of childhood cancer survivors and parents in the process of psychosocial research-A workshop report.

机构信息

Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.

KOKON - Psychosocial and Mental Health in Pediatrics Lab, Rohrbach-Berg, Upper Austria, Austria.

出版信息

Cancer Rep (Hoboken). 2024 May;7(5):e2071. doi: 10.1002/cnr2.2071.

Abstract

BACKGROUND

Patient and public involvement and engagement (PPIE) in healthcare research is crucial for effectively addressing patients' needs and setting appropriate research priorities. However, there is a lack of awareness and adequate methods for practicing PPIE, especially for vulnerable groups like childhood cancer survivors.

AIMS

This project aimed to develop and evaluate engagement methods to actively involve pediatric oncological patients, survivors, and their caregivers in developing relevant research questions and practical study designs.

METHODS AND RESULTS

An interdisciplinary working group recruited n = 16 childhood cancer survivors and their caregivers to work through the entire process of developing a research question and a practicable study design. A systematic literature review was conducted to gather adequate PPIE methods which were then applied and evaluated in a series of three workshop modules, each lasting 1.5 days. The applied methods were continuously evaluated, while a monitoring group oversaw the project and continuously developed and adapted additional methods. The participants rated the different methods with varying scores. Over the workshop series, the participants successfully developed a research question, devised an intervention, and designed a study to evaluate their project. They also reported increased expertise in PPIE and research knowledge compared to the baseline. The project resulted in a practical toolbox for future research, encompassing the final workshop structure, evaluated methods and materials, guiding principles, and general recommendations.

CONCLUSION

These findings demonstrate that with a diverse set of effective methods and flexible support, actively involving patients, survivors, and caregivers can uncover patients' unmet disease-related needs and generate practical solutions apt for scientific evaluation. The resulting toolbox, filled with evaluated and adaptable methods (workbook, Supplement 1 and 2), equips future scientists with the necessary resources to successfully perform PPIE in the development of health care research projects that effectively integrate patients' perspectives and address actual cancer-related needs. This integration of PPIE practices has the potential to enhance the quality and relevance of health research and care, as well as to increase patient empowerment leading to sustainable improvements in patients' quality of life.

摘要

背景

患者和公众参与医疗保健研究对于有效满足患者需求和确定适当的研究重点至关重要。然而,对于弱势群体(如儿童癌症幸存者),缺乏对患者和公众参与(PPIE)的认识和足够的实践方法。

目的

本项目旨在开发和评估参与方法,以使儿科肿瘤患者、幸存者及其照顾者积极参与制定相关研究问题和实际研究设计。

方法和结果

一个跨学科工作组招募了 n=16 名儿童癌症幸存者及其照顾者,让他们参与制定研究问题和可行研究设计的整个过程。系统地进行了文献综述,以收集足够的 PPIE 方法,然后将这些方法应用于一系列三个为期 1.5 天的工作坊模块中,并进行评估。应用的方法不断进行评估,同时一个监测小组监督项目,并不断开发和调整其他方法。参与者对不同的方法进行了不同的评分。在整个工作坊系列中,参与者成功地制定了一个研究问题,设计了一个干预措施,并设计了一项研究来评估他们的项目。与基线相比,他们还报告说在 PPIE 和研究知识方面的专业知识有所提高。该项目最终形成了一个实用的工具包,用于未来的研究,其中包括最终的工作坊结构、评估方法和材料、指导原则和一般建议。

结论

这些发现表明,通过使用一系列有效的方法和灵活的支持,积极参与患者、幸存者和照顾者可以发现患者未满足的与疾病相关的需求,并提出适合科学评估的实际解决方案。由此产生的工具包(工作簿、补充材料 1 和 2)充满了经过评估和可调整的方法,为未来的科学家提供了必要的资源,使他们能够成功地在医疗保健研究项目的开发中进行患者和公众参与,从而有效地整合患者的观点并满足实际的癌症相关需求。这种患者和公众参与实践的整合有可能提高卫生研究和卫生保健的质量和相关性,并增强患者的权能,从而可持续地提高患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/742f/11104286/50eb1c40a9e2/CNR2-7-e2071-g001.jpg

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