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为研究人员和患者代表组成的小组提供培训和同伴辅导,以支持持续的双向学习。

Training and peer-group coaching for pairs of researchers and patient representatives to support continuous two-way learning.

作者信息

Schoemaker Casper G, Schalkers Inge, de Jong Brigit A, Wissink Wilma, le Loux Sacha, Buijsen Ronald A M, Russcher Klaas, van der Steeg Frank A M, Blom Janine, Vroonland Eva

机构信息

INVOLV, P.O. Box 13040, 3507 LA, Utrecht, The Netherlands.

Wilhelmina Children's Hospital University Medical Center Utrecht, Utrecht, The Netherlands.

出版信息

Res Involv Engagem. 2024 Oct 25;10(1):110. doi: 10.1186/s40900-024-00646-3.

DOI:10.1186/s40900-024-00646-3
PMID:39456103
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11512495/
Abstract

BACKGROUND

Patient involvement is most common during the first phases of a research project. Despite good intentions, maintaining meaningful collaborations throughout the research process doesn't seem easy. Several training programmes for researchers and patients have been developed to stimulate continuous involvement. These are mostly one-time training sessions at the start of a project, for researchers and patients separately. We aimed to co-create a prolonged side-by-side programme for pairs of patient representatives and researchers, to stimulate mutual learning from the start and throughout the research projects.

METHODS

We developed a group training and peer-to-peer support programme lasting 2-3 years for 4-5 pairs of researchers and patient representatives working together on a research project. The programme took 30 h, spread over 6-8 meetings. The main goal was mutual and bi-directional learning and maintaining the collaboration throughout the research projects. From the start, the pairs were instructed to discuss communication, roles, expectations and responsibilities to prevent misunderstandings. The character of the meetings was intended to evolve from training and peer support into peer-group coaching and support for the whole group. The programme was not a fixed method, it was adjusted to the context and the needs of the participants.

RESULTS

Thus far, the programme has been applied in 5 groups, with varying health topics and types of research. Patients' prior knowledge of research methods and researchers' experience with patient involvement varied within the groups. As a result of the side-by-side training power imbalances within pairs were reduced. All participants gained knowledge and experience in patient involvement. In subsequent group coaching sessions, they discussed issues and dilemmas on an equal footing. Most pairs found their way of working together, adapted to the wishes and capabilities of both partners. Differences between pairs were found to improve the discussions.

CONCLUSIONS

We co-created a prolonged side-by-side programme for pairs of patient representatives and researchers, to stimulate mutual learning from the start and throughout the research projects. The programme proved feasible for groups with different research types and health conditions. It fulfils an unmet need for researchers, patients and funders.

摘要

背景

患者参与在研究项目的最初阶段最为常见。尽管初衷良好,但在整个研究过程中保持有意义的合作似乎并非易事。已经开发了一些针对研究人员和患者的培训项目,以促进持续参与。这些大多是在项目开始时为研究人员和患者分别举办的一次性培训课程。我们旨在为患者代表和研究人员共同创建一个为期较长的并行项目,以从一开始并在整个研究项目中促进相互学习。

方法

我们为4至5对共同开展研究项目的研究人员和患者代表制定了一个为期2至3年的小组培训和同伴支持项目。该项目耗时30小时,分6至8次会议进行。主要目标是相互的双向学习,并在整个研究项目中维持合作。从一开始,就指导这些配对人员讨论沟通、角色、期望和责任,以防止误解。会议的性质旨在从培训和同伴支持演变为对整个小组的同伴指导和支持。该项目不是一种固定的方法,而是根据具体情况和参与者的需求进行调整。

结果

到目前为止,该项目已应用于5个小组,涉及不同的健康主题和研究类型。各小组内患者对研究方法的先验知识以及研究人员在患者参与方面的经验各不相同。通过并行培训,配对人员之间的权力不平衡得到了减少。所有参与者都获得了患者参与方面的知识和经验。在随后的小组指导会议上,他们在平等的基础上讨论问题和困境。大多数配对人员找到了共同的工作方式,适应了双方的意愿和能力。发现配对人员之间的差异有助于改进讨论。

结论

我们为患者代表和研究人员共同创建了一个为期较长的并行项目,以从一开始并在整个研究项目中促进相互学习。该项目被证明对具有不同研究类型和健康状况的小组是可行的。它满足了研究人员、患者和资助者未得到满足的需求。

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本文引用的文献

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Researchers' experiences with patient engagement in health research: a scoping review and thematic synthesis.研究人员在健康研究中患者参与方面的经验:一项范围综述与主题综合分析
Res Involv Engagem. 2023 Apr 10;9(1):22. doi: 10.1186/s40900-023-00431-8.
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Matching researchers' needs and patients' contributions: practical tips for meaningful patient engagement from the field of rheumatology.匹配研究人员的需求和患者的贡献:风湿病学领域有意义的患者参与的实用技巧。
Ann Rheum Dis. 2023 Mar;82(3):312-315. doi: 10.1136/ard-2022-223561. Epub 2023 Jan 5.
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The experience of patient partners in research: a qualitative systematic review and thematic synthesis.患者伙伴参与研究的经历:一项定性系统评价与主题综合分析
Res Involv Engagem. 2022 Oct 3;8(1):55. doi: 10.1186/s40900-022-00388-0.
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Development and evaluation of a virtual patient-centered outcomes research training program for the cystic fibrosis community.针对囊性纤维化群体的虚拟以患者为中心的结局研究培训项目的开发与评估。
Res Involv Engagem. 2021 Dec 4;7(1):86. doi: 10.1186/s40900-021-00328-4.
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A rapid realist review of patient engagement in patient-oriented research and health care system impacts: part one.以患者为导向的研究中患者参与及医疗保健系统影响的快速实证综述:第一部分。
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Development of the patient-oriented research curriculum in child health (PORCCH).儿童健康患者导向研究课程(PORCCH)的开发。
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The impact of public involvement in health research: what are we measuring? Why are we measuring it? Should we stop measuring it?公众参与健康研究的影响:我们在衡量什么?为何要衡量?是否应停止衡量?
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Researchers, patients, and other stakeholders' perspectives on challenges to and strategies for engagement.研究人员、患者及其他利益相关者对参与面临的挑战及策略的看法。
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