Role of patient and public involvement in implementation research: a consensus study
BackgroundPatient and public involvement (PPI) is often an essential requirement for research funding. Distinctions can be drawn between clinical research, which generally focuses on patients, and implementation research, which generally focuses on health professional behaviour. There is uncertainty...
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| Veröffentlicht in: | BMJ quality & safety Jg. 27; H. 10; S. 858 - 864 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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England
BMJ Publishing Group Ltd
01.10.2018
BMJ Publishing Group LTD BMJ Publishing Group |
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| ISSN: | 2044-5415, 2044-5423, 2044-5423 |
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| Abstract | BackgroundPatient and public involvement (PPI) is often an essential requirement for research funding. Distinctions can be drawn between clinical research, which generally focuses on patients, and implementation research, which generally focuses on health professional behaviour. There is uncertainty about the role of PPI in this latter field. We explored and defined the roles of PPI in implementation research to inform relevant good practice guidance.MethodsWe used a structured consensus process using a convenience sample panel of nine experienced PPI and two researcher members. We drew on available literature to identify 21 PPI research roles. The panel rated their agreement with roles independently online in relation to both implementation and clinical research. Disagreements were discussed at a face-to-face meeting prior to a second online rating of all roles. Median scores were calculated and a final meeting held to review findings and consider recommendations.ResultsTen panellists completed the consensus process. For clinical research, there was strong support and consensus for the role of PPI throughout most of the research process. For implementation research, there were eight roles with consensus and strong support, seven roles with consensus but weaker support and six roles with no consensus. There were more disagreements relating to PPI roles in implementation research compared with clinical research. PPI was rated as contributing less to the design and management of implementation research than for clinical research.ConclusionsThe roles of PPI need to be tailored according to the nature of research to ensure authentic and appropriate involvement. We provide a framework to guide the planning, conduct and reporting of PPI in implementation research, and encourage further research to evaluate its use. |
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| AbstractList | Patient and public involvement (PPI) is often an essential requirement for research funding. Distinctions can be drawn between clinical research, which generally focuses on patients, and implementation research, which generally focuses on health professional behaviour. There is uncertainty about the role of PPI in this latter field. We explored and defined the roles of PPI in implementation research to inform relevant good practice guidance.BACKGROUNDPatient and public involvement (PPI) is often an essential requirement for research funding. Distinctions can be drawn between clinical research, which generally focuses on patients, and implementation research, which generally focuses on health professional behaviour. There is uncertainty about the role of PPI in this latter field. We explored and defined the roles of PPI in implementation research to inform relevant good practice guidance.We used a structured consensus process using a convenience sample panel of nine experienced PPI and two researcher members. We drew on available literature to identify 21 PPI research roles. The panel rated their agreement with roles independently online in relation to both implementation and clinical research. Disagreements were discussed at a face-to-face meeting prior to a second online rating of all roles. Median scores were calculated and a final meeting held to review findings and consider recommendations.METHODSWe used a structured consensus process using a convenience sample panel of nine experienced PPI and two researcher members. We drew on available literature to identify 21 PPI research roles. The panel rated their agreement with roles independently online in relation to both implementation and clinical research. Disagreements were discussed at a face-to-face meeting prior to a second online rating of all roles. Median scores were calculated and a final meeting held to review findings and consider recommendations.Ten panellists completed the consensus process. For clinical research, there was strong support and consensus for the role of PPI throughout most of the research process. For implementation research, there were eight roles with consensus and strong support, seven roles with consensus but weaker support and six roles with no consensus. There were more disagreements relating to PPI roles in implementation research compared with clinical research. PPI was rated as contributing less to the design and management of implementation research than for clinical research.RESULTSTen panellists completed the consensus process. For clinical research, there was strong support and consensus for the role of PPI throughout most of the research process. For implementation research, there were eight roles with consensus and strong support, seven roles with consensus but weaker support and six roles with no consensus. There were more disagreements relating to PPI roles in implementation research compared with clinical research. PPI was rated as contributing less to the design and management of implementation research than for clinical research.The roles of PPI need to be tailored according to the nature of research to ensure authentic and appropriate involvement. We provide a framework to guide the planning, conduct and reporting of PPI in implementation research, and encourage further research to evaluate its use.CONCLUSIONSThe roles of PPI need to be tailored according to the nature of research to ensure authentic and appropriate involvement. We provide a framework to guide the planning, conduct and reporting of PPI in implementation research, and encourage further research to evaluate its use. BackgroundPatient and public involvement (PPI) is often an essential requirement for research funding. Distinctions can be drawn between clinical research, which generally focuses on patients, and implementation research, which generally focuses on health professional behaviour. There is uncertainty about the role of PPI in this latter field. We explored and defined the roles of PPI in implementation research to inform relevant good practice guidance.MethodsWe used a structured consensus process using a convenience sample panel of nine experienced PPI and two researcher members. We drew on available literature to identify 21 PPI research roles. The panel rated their agreement with roles independently online in relation to both implementation and clinical research. Disagreements were discussed at a face-to-face meeting prior to a second online rating of all roles. Median scores were calculated and a final meeting held to review findings and consider recommendations.ResultsTen panellists completed the consensus process. For clinical research, there was strong support and consensus for the role of PPI throughout most of the research process. For implementation research, there were eight roles with consensus and strong support, seven roles with consensus but weaker support and six roles with no consensus. There were more disagreements relating to PPI roles in implementation research compared with clinical research. PPI was rated as contributing less to the design and management of implementation research than for clinical research.ConclusionsThe roles of PPI need to be tailored according to the nature of research to ensure authentic and appropriate involvement. We provide a framework to guide the planning, conduct and reporting of PPI in implementation research, and encourage further research to evaluate its use. Patient and public involvement (PPI) is often an essential requirement for research funding. Distinctions can be drawn between clinical research, which generally focuses on patients, and implementation research, which generally focuses on health professional behaviour. There is uncertainty about the role of PPI in this latter field. We explored and defined the roles of PPI in implementation research to inform relevant good practice guidance. We used a structured consensus process using a convenience sample panel of nine experienced PPI and two researcher members. We drew on available literature to identify 21 PPI research roles. The panel rated their agreement with roles independently online in relation to both implementation and clinical research. Disagreements were discussed at a face-to-face meeting prior to a second online rating of all roles. Median scores were calculated and a final meeting held to review findings and consider recommendations. Ten panellists completed the consensus process. For clinical research, there was strong support and consensus for the role of PPI throughout most of the research process. For implementation research, there were eight roles with consensus and strong support, seven roles with consensus but weaker support and six roles with no consensus. There were more disagreements relating to PPI roles in implementation research compared with clinical research. PPI was rated as contributing less to the design and management of implementation research than for clinical research. The roles of PPI need to be tailored according to the nature of research to ensure authentic and appropriate involvement. We provide a framework to guide the planning, conduct and reporting of PPI in implementation research, and encourage further research to evaluate its use. |
| Author | Ibegbuna, Gus Willis, Thomas A McEachan, Rosemary R C Yaqoob, Farhat Bland, Pauline Prestwich, Graham Gray-Burrows, Kara A Foy, Robbie Chin, Allison Wood, Laurence Samuel, Kirsty Hodgson, Susan Rathfelder, Martin |
| AuthorAffiliation | 1 School of Dentistry , University of Leeds , Leeds , UK 3 ASPIRE PPI Panel, Leeds Institute for Health Sciences , University of Leeds , Leeds , UK 4 Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, BD9 6RJ. , Bradford , UK 2 Leeds Institute of Health Sciences , University of Leeds , Leeds , UK |
| AuthorAffiliation_xml | – name: 1 School of Dentistry , University of Leeds , Leeds , UK – name: 2 Leeds Institute of Health Sciences , University of Leeds , Leeds , UK – name: 3 ASPIRE PPI Panel, Leeds Institute for Health Sciences , University of Leeds , Leeds , UK – name: 4 Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, BD9 6RJ. , Bradford , UK |
| Author_xml | – sequence: 1 givenname: Kara A surname: Gray-Burrows fullname: Gray-Burrows, Kara A organization: School of Dentistry, University of Leeds, Leeds, UK – sequence: 2 givenname: Thomas A surname: Willis fullname: Willis, Thomas A organization: Leeds Institute of Health Sciences, University of Leeds, Leeds, UK – sequence: 3 givenname: Robbie surname: Foy fullname: Foy, Robbie organization: Leeds Institute of Health Sciences, University of Leeds, Leeds, UK – sequence: 4 givenname: Martin surname: Rathfelder fullname: Rathfelder, Martin organization: ASPIRE PPI Panel, Leeds Institute for Health Sciences, University of Leeds, Leeds, UK – sequence: 5 givenname: Pauline surname: Bland fullname: Bland, Pauline organization: ASPIRE PPI Panel, Leeds Institute for Health Sciences, University of Leeds, Leeds, UK – sequence: 6 givenname: Allison surname: Chin fullname: Chin, Allison organization: ASPIRE PPI Panel, Leeds Institute for Health Sciences, University of Leeds, Leeds, UK – sequence: 7 givenname: Susan surname: Hodgson fullname: Hodgson, Susan organization: ASPIRE PPI Panel, Leeds Institute for Health Sciences, University of Leeds, Leeds, UK – sequence: 8 givenname: Gus surname: Ibegbuna fullname: Ibegbuna, Gus organization: ASPIRE PPI Panel, Leeds Institute for Health Sciences, University of Leeds, Leeds, UK – sequence: 9 givenname: Graham surname: Prestwich fullname: Prestwich, Graham organization: ASPIRE PPI Panel, Leeds Institute for Health Sciences, University of Leeds, Leeds, UK – sequence: 10 givenname: Kirsty surname: Samuel fullname: Samuel, Kirsty organization: ASPIRE PPI Panel, Leeds Institute for Health Sciences, University of Leeds, Leeds, UK – sequence: 11 givenname: Laurence surname: Wood fullname: Wood, Laurence organization: ASPIRE PPI Panel, Leeds Institute for Health Sciences, University of Leeds, Leeds, UK – sequence: 12 givenname: Farhat surname: Yaqoob fullname: Yaqoob, Farhat organization: ASPIRE PPI Panel, Leeds Institute for Health Sciences, University of Leeds, Leeds, UK – sequence: 13 givenname: Rosemary R C orcidid: 0000-0003-1302-6675 surname: McEachan fullname: McEachan, Rosemary R C organization: Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, BD9 6RJ., Bradford, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29666310$$D View this record in MEDLINE/PubMed |
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| References | Crocker, Boylan, Bostock (R15) 2017; 20 Gillard, Foster, Papoulias (R16) 2016; 11 Brett, Staniszewska, Mockford (R4) 2014; 17 Kearney, Williamson, Young (R17) 2017; 20 Tricco, Ivers, Grimshaw (R20) 2012; 379 Armstrong, Herbert, Aveling (R11) 2013; 16 Willis, Hartley, Glidewell (R12) 2016; 11 Foy, Eccles, Grimshaw (R9) 2001; 18 Domecq, Prutsky, Elraiyah (R7) 2014; 14 Shippee, Domecq Garces, Prutsky Lopez (R8) 2015; 18 Murphy, Black, Lamping (R13) 1998; 2 Grimshaw, Eccles, Lavis (R19) 2012; 7 Absolom, Holch, Woroncow (R1) 2015; 24 Ivers, Jamtvedt, Flottorp (R10) 2012; 6 Staniszewska, Brett, Simera (R21) 2017; 358 South, Hanley, Gafos (R5) 2016; 17 Rushforth, Stokes, Andrews (R14) 2015; 16 Tetroe, Graham, Foy (R18) 2008; 86 Foy, Eccles, Grimshaw 2001; 18 Tricco, Ivers, Grimshaw 2012; 379 South, Hanley, Gafos 2016; 17 Tetroe, Graham, Foy 2008; 86 Kearney, Williamson, Young 2017; 20 Absolom, Holch, Woroncow 2015; 24 Domecq, Prutsky, Elraiyah 2014; 14 Murphy, Black, Lamping 1998; 2 Brett, Staniszewska, Mockford 2014; 17 Rushforth, Stokes, Andrews 2015; 16 Staniszewska, Brett, Simera 2017; 358 Ivers, Jamtvedt, Flottorp 2012; 6 Willis, Hartley, Glidewell 2016; 11 Crocker, Boylan, Bostock 2017; 20 Armstrong, Herbert, Aveling 2013; 16 Shippee, Domecq Garces, Prutsky Lopez 2015; 18 Gillard, Foster, Papoulias 2016; 11 Grimshaw, Eccles, Lavis 2012; 7 Murphy (2025090413484824000_27.10.858.13) 1998; 2 Gillard (2025090413484824000_27.10.858.16) 2016; 11 South (2025090413484824000_27.10.858.5) 2016; 17 Crocker (2025090413484824000_27.10.858.15) 2017; 20 Ivers (2025090413484824000_27.10.858.10) 2012; 6 2025090413484824000_27.10.858.6 2025090413484824000_27.10.858.12 2025090413484824000_27.10.858.7 2025090413484824000_27.10.858.11 2025090413484824000_27.10.858.8 2025090413484824000_27.10.858.21 2025090413484824000_27.10.858.9 2025090413484824000_27.10.858.20 2025090413484824000_27.10.858.2 2025090413484824000_27.10.858.3 2025090413484824000_27.10.858.4 2025090413484824000_27.10.858.14 2025090413484824000_27.10.858.19 2025090413484824000_27.10.858.18 Absolom (2025090413484824000_27.10.858.1) 2015; 24 Kearney (2025090413484824000_27.10.858.17) 2017; 20 |
| References_xml | – volume: 18 start-page: 1151 year: 2015 ident: R8 article-title: Patient and service user engagement in research: a systematic review and synthesized framework publication-title: Health Expect doi: 10.1111/hex.12090 – volume: 11 start-page: 256 year: 2016 ident: R16 article-title: Patient and public involvement and the implementation of research into practice publication-title: The Journal of Mental Health Training, Education and Practice doi: 10.1108/JMHTEP-02-2016-0014 – volume: 17 year: 2016 ident: R5 article-title: Models and impact of patient and public involvement in studies carried out by the Medical Research Council Clinical Trials Unit at University College London: findings from ten case studies publication-title: Trials doi: 10.1186/s13063-016-1488-9 – volume: 16 start-page: 156 year: 2015 ident: R14 article-title: Developing ‘high impact’ guideline-based quality indicators for UK primary care: a multi-stage consensus process publication-title: BMC Fam Pract doi: 10.1186/s12875-015-0350-6 – volume: 16 start-page: e36 year: 2013 ident: R11 article-title: Optimizing patient involvement in quality improvement publication-title: Health Expect doi: 10.1111/hex.12039 – volume: 7 start-page: 50 year: 2012 ident: R19 article-title: Knowledge translation of research findings publication-title: Implement Sci doi: 10.1186/1748-5908-7-50 – volume: 379 start-page: 2252 year: 2012 ident: R20 article-title: Effectiveness of quality improvement strategies on the management of diabetes: a systematic review and meta-analysis publication-title: Lancet doi: 10.1016/S0140-6736(12)60480-2 – volume: 358 start-page: j3453 year: 2017 ident: R21 article-title: GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research publication-title: BMJ – volume: 14 start-page: 89 year: 2014 ident: R7 article-title: Patient engagement in research: a systematic review publication-title: BMC Health Serv Res doi: 10.1186/1472-6963-14-89 – volume: 2 start-page: 1 year: 1998 ident: R13 article-title: Consensus development methods, and their use in clinical guideline development publication-title: Health Technol Assess – volume: 20 start-page: 519 year: 2017 ident: R15 article-title: Is it worth it? 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Patient and public views on the impact of their involvement in health research and its assessment: a UK-based qualitative interview study publication-title: Health Expect doi: 10.1111/hex.12479 – volume: 18 start-page: 1151 year: 2015 article-title: Patient and service user engagement in research: a systematic review and synthesized framework publication-title: Health Expect doi: 10.1111/hex.12090 – volume: 379 start-page: 2252 year: 2012 article-title: Effectiveness of quality improvement strategies on the management of diabetes: a systematic review and meta-analysis publication-title: Lancet doi: 10.1016/S0140-6736(12)60480-2 – volume: 17 start-page: 637 year: 2014 article-title: Mapping the impact of patient and public involvement on health and social care research: a systematic review publication-title: Health Expect doi: 10.1111/j.1369-7625.2012.00795.x – volume: 11 start-page: 1 year: 2016 article-title: Action to Support Practices Implement Research Evidence (ASPIRE): protocol for a cluster-randomised evaluation of adaptable implementation packages targeting ‘high impact’ clinical practice recommendations in general practice publication-title: Implement Sci – volume: 17 year: 2016 article-title: Models and impact of patient and public involvement in studies carried out by the Medical Research Council Clinical Trials Unit at University College London: findings from ten case studies publication-title: Trials doi: 10.1186/s13063-016-1488-9 – volume: 86 start-page: 125 year: 2008 article-title: Health research funding agencies' support and promotion of knowledge translation: an international study publication-title: Milbank Q doi: 10.1111/j.1468-0009.2007.00515.x – volume: 6 start-page: CD000259 year: 2012 article-title: Audit and feedback: effects on professional practice and healthcare outcomes publication-title: Cochrane Database Syst Rev doi: 10.1002/14651858.CD000259.pub3 – volume: 16 start-page: e36 year: 2013 article-title: Optimizing patient involvement in quality improvement publication-title: Health Expect doi: 10.1111/hex.12039 – volume: 14 start-page: 89 year: 2014 article-title: Patient engagement in research: a systematic review publication-title: BMC Health Serv Res doi: 10.1186/1472-6963-14-89 – volume: 20 start-page: 1401 year: 2017 article-title: Priorities for methodological research on patient and public involvement in clinical trials: A modified Delphi process publication-title: Health Expect doi: 10.1111/hex.12583 – volume: 2 start-page: 1 year: 1998 ident: 2025090413484824000_27.10.858.13 article-title: Consensus development methods, and their use in clinical guideline development publication-title: Health Technol Assess doi: 10.3310/hta2030 – ident: 2025090413484824000_27.10.858.9 doi: 10.1093/fampra/18.4.353 – volume: 11 start-page: 256 year: 2016 ident: 2025090413484824000_27.10.858.16 article-title: Patient and public involvement and the implementation of research into practice publication-title: The Journal of 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volume: 20 start-page: 519 year: 2017 ident: 2025090413484824000_27.10.858.15 article-title: Is it worth it? 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| Snippet | BackgroundPatient and public involvement (PPI) is often an essential requirement for research funding. Distinctions can be drawn between clinical research,... Patient and public involvement (PPI) is often an essential requirement for research funding. Distinctions can be drawn between clinical research, which... |
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| SubjectTerms | Clinical medicine clinical research Clinical trials Community development Consensus consensus panel Feedback Funding health professionals Health Services Research Implementation research Implementation Science Medical personnel Medical research patient and public involvement (PPI) Patient Participation Patients Primary care Professional practice Public involvement Quality of care Research and Reporting Methodology Researchers Surveys and Questionnaires |
| Title | Role of patient and public involvement in implementation research: a consensus study |
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