Defining Patient Engagement in Research: Results of a Systematic Review and Analysis: Report of the ISPOR Patient-Centered Special Interest Group
Lack of clarity on the definition of “patient engagement” has been highlighted as a barrier to fully implementing patient engagement in research. This study identified themes within existing definitions related to patient engagement and proposes a consensus definition of “patient engagement in resea...
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| Published in: | Value in health Vol. 23; no. 6; pp. 677 - 688 |
|---|---|
| Main Authors: | , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Lawrenceville
Elsevier Inc
01.06.2020
Elsevier Science Ltd |
| Subjects: | |
| ISSN: | 1098-3015, 1524-4733, 1524-4733 |
| Online Access: | Get full text |
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| Abstract | Lack of clarity on the definition of “patient engagement” has been highlighted as a barrier to fully implementing patient engagement in research. This study identified themes within existing definitions related to patient engagement and proposes a consensus definition of “patient engagement in research.”
A systematic review was conducted to identify definitions of patient engagement and related terms in published literature (2006-2018). Definitions were extracted and qualitatively analyzed to identify themes and characteristics. A multistakeholder approach, including academia, industry, and patient representation, was taken at all stages. A proposed definition is offered based on a synthesis of the findings.
Of 1821 abstracts identified and screened for eligibility, 317 were selected for full-text review. Of these, 169 articles met inclusion criteria, from which 244 distinct definitions were extracted for analysis. The most frequently defined terms were: “patient-centered” (30.5%), “patient engagement” (15.5%), and “patient participation” (13.4%). The majority of definitions were specific to the healthcare delivery setting (70.5%); 11.9% were specific to research. Among the definitions of “patient engagement,” the most common themes were “active process,” “patient involvement,” and “patient as participant.” In the research setting, the top themes were “patient as partner,” “patient involvement,” and “active process”; these did not appear in the top 3 themes of nonresearch definitions.
Distinct themes are associated with the term “patient engagement” and with engagement in the “research” setting. Based on an analysis of existing literature and review by patient, industry, and academic stakeholders, we propose a scalable consensus definition of “patient engagement in research.”
•The topic of patient engagement has become increasingly recognized in recent years as an important contribution to improved outcomes in the health research continuum. Until this point, the approach taken to defining and assessing engagement has not been systematic, with considerable differences among the definitions that do exist. Even fewer of those attempts at a definition have incorporated patient input.•Through a robust systematic review and qualitative-analysis process, a definition of patient engagement in research was generated that incorporates the most vital elements derived from our analysis. The aim of the definition is to meet the needs of, and support implementation by, a multistakeholder audience.•This proposed definition can act as a core statement of principles around which research decision making can be aligned. This includes the importance of inclusion, respect, and equality in the interactions between patients and researchers. Results of this work provide a concept against which the implementation of patient engagement in research can be evaluated and a starting point for further guidelines on “best practices” for patient engagement in the research process.A companion article from the study team's patient researchers discussing their experience working on this project and the definition's implications for patients will be in the July/August 2020 issue of ISPOR Value and Outcomes Spotlight. |
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| AbstractList | Lack of clarity on the definition of “patient engagement” has been highlighted as a barrier to fully implementing patient engagement in research. This study identified themes within existing definitions related to patient engagement and proposes a consensus definition of “patient engagement in research.”
A systematic review was conducted to identify definitions of patient engagement and related terms in published literature (2006-2018). Definitions were extracted and qualitatively analyzed to identify themes and characteristics. A multistakeholder approach, including academia, industry, and patient representation, was taken at all stages. A proposed definition is offered based on a synthesis of the findings.
Of 1821 abstracts identified and screened for eligibility, 317 were selected for full-text review. Of these, 169 articles met inclusion criteria, from which 244 distinct definitions were extracted for analysis. The most frequently defined terms were: “patient-centered” (30.5%), “patient engagement” (15.5%), and “patient participation” (13.4%). The majority of definitions were specific to the healthcare delivery setting (70.5%); 11.9% were specific to research. Among the definitions of “patient engagement,” the most common themes were “active process,” “patient involvement,” and “patient as participant.” In the research setting, the top themes were “patient as partner,” “patient involvement,” and “active process”; these did not appear in the top 3 themes of nonresearch definitions.
Distinct themes are associated with the term “patient engagement” and with engagement in the “research” setting. Based on an analysis of existing literature and review by patient, industry, and academic stakeholders, we propose a scalable consensus definition of “patient engagement in research.”
•The topic of patient engagement has become increasingly recognized in recent years as an important contribution to improved outcomes in the health research continuum. Until this point, the approach taken to defining and assessing engagement has not been systematic, with considerable differences among the definitions that do exist. Even fewer of those attempts at a definition have incorporated patient input.•Through a robust systematic review and qualitative-analysis process, a definition of patient engagement in research was generated that incorporates the most vital elements derived from our analysis. The aim of the definition is to meet the needs of, and support implementation by, a multistakeholder audience.•This proposed definition can act as a core statement of principles around which research decision making can be aligned. This includes the importance of inclusion, respect, and equality in the interactions between patients and researchers. Results of this work provide a concept against which the implementation of patient engagement in research can be evaluated and a starting point for further guidelines on “best practices” for patient engagement in the research process.A companion article from the study team's patient researchers discussing their experience working on this project and the definition's implications for patients will be in the July/August 2020 issue of ISPOR Value and Outcomes Spotlight. AbstractObjectivesLack of clarity on the definition of “patient engagement” has been highlighted as a barrier to fully implementing patient engagement in research. This study identified themes within existing definitions related to patient engagement and proposes a consensus definition of “patient engagement in research.” MethodsA systematic review was conducted to identify definitions of patient engagement and related terms in published literature (2006-2018). Definitions were extracted and qualitatively analyzed to identify themes and characteristics. A multistakeholder approach, including academia, industry, and patient representation, was taken at all stages. A proposed definition is offered based on a synthesis of the findings. ResultsOf 1821 abstracts identified and screened for eligibility, 317 were selected for full-text review. Of these, 169 articles met inclusion criteria, from which 244 distinct definitions were extracted for analysis. The most frequently defined terms were: “patient-centered” (30.5%), “patient engagement” (15.5%), and “patient participation” (13.4%). The majority of definitions were specific to the healthcare delivery setting (70.5%); 11.9% were specific to research. Among the definitions of “patient engagement,” the most common themes were “active process,” “patient involvement,” and “patient as participant.” In the research setting, the top themes were “patient as partner,” “patient involvement,” and “active process”; these did not appear in the top 3 themes of nonresearch definitions. ConclusionDistinct themes are associated with the term “patient engagement” and with engagement in the “research” setting. Based on an analysis of existing literature and review by patient, industry, and academic stakeholders, we propose a scalable consensus definition of “patient engagement in research.” Objectives Lack of clarity on the definition of "patient engagement" has been highlighted as a barrier to fully implementing patient engagement in research. This study identified themes within existing definitions related to patient engagement and proposes a consensus definition of "patient engagement in research." Methods A systematic review was conducted to identify definitions of patient engagement and related terms in published literature (2006-2018). Definitions were extracted and qualitatively analyzed to identify themes and characteristics. A multistakeholder approach, including academia, industry, and patient representation, was taken at all stages. A proposed definition is offered based on a synthesis of the findings. Results Of 1821 abstracts identified and screened for eligibility, 317 were selected for full-text review. Of these, 169 articles met inclusion criteria, from which 244 distinct definitions were extracted for analysis. The most frequently defined terms were: "patient-centered" (30.5%), "patient engagement" (15.5%), and "patient participation" (13.4%). The majority of definitions were specific to the healthcare delivery setting (70.5%); 11.9% were specific to research. Among the definitions of "patient engagement," the most common themes were "active process," "patient involvement," and "patient as participant." In the research setting, the top themes were "patient as partner," "patient involvement," and "active process"; these did not appear in the top 3 themes of nonresearch definitions. Conclusion Distinct themes are associated with the term "patient engagement" and with engagement in the "research" setting. Based on an analysis of existing literature and review by patient, industry, and academic stakeholders, we propose a scalable consensus definition of "patient engagement in research." Lack of clarity on the definition of "patient engagement" has been highlighted as a barrier to fully implementing patient engagement in research. This study identified themes within existing definitions related to patient engagement and proposes a consensus definition of "patient engagement in research."OBJECTIVESLack of clarity on the definition of "patient engagement" has been highlighted as a barrier to fully implementing patient engagement in research. This study identified themes within existing definitions related to patient engagement and proposes a consensus definition of "patient engagement in research."A systematic review was conducted to identify definitions of patient engagement and related terms in published literature (2006-2018). Definitions were extracted and qualitatively analyzed to identify themes and characteristics. A multistakeholder approach, including academia, industry, and patient representation, was taken at all stages. A proposed definition is offered based on a synthesis of the findings.METHODSA systematic review was conducted to identify definitions of patient engagement and related terms in published literature (2006-2018). Definitions were extracted and qualitatively analyzed to identify themes and characteristics. A multistakeholder approach, including academia, industry, and patient representation, was taken at all stages. A proposed definition is offered based on a synthesis of the findings.Of 1821 abstracts identified and screened for eligibility, 317 were selected for full-text review. Of these, 169 articles met inclusion criteria, from which 244 distinct definitions were extracted for analysis. The most frequently defined terms were: "patient-centered" (30.5%), "patient engagement" (15.5%), and "patient participation" (13.4%). The majority of definitions were specific to the healthcare delivery setting (70.5%); 11.9% were specific to research. Among the definitions of "patient engagement," the most common themes were "active process," "patient involvement," and "patient as participant." In the research setting, the top themes were "patient as partner," "patient involvement," and "active process"; these did not appear in the top 3 themes of nonresearch definitions.RESULTSOf 1821 abstracts identified and screened for eligibility, 317 were selected for full-text review. Of these, 169 articles met inclusion criteria, from which 244 distinct definitions were extracted for analysis. The most frequently defined terms were: "patient-centered" (30.5%), "patient engagement" (15.5%), and "patient participation" (13.4%). The majority of definitions were specific to the healthcare delivery setting (70.5%); 11.9% were specific to research. Among the definitions of "patient engagement," the most common themes were "active process," "patient involvement," and "patient as participant." In the research setting, the top themes were "patient as partner," "patient involvement," and "active process"; these did not appear in the top 3 themes of nonresearch definitions.Distinct themes are associated with the term "patient engagement" and with engagement in the "research" setting. Based on an analysis of existing literature and review by patient, industry, and academic stakeholders, we propose a scalable consensus definition of "patient engagement in research."CONCLUSIONDistinct themes are associated with the term "patient engagement" and with engagement in the "research" setting. Based on an analysis of existing literature and review by patient, industry, and academic stakeholders, we propose a scalable consensus definition of "patient engagement in research." |
| Author | Perfetto, Eleanor M. Harrington, Rachel L. Wheeler, Russell Cooblall, Clarissa Camp, Rob Oehrlein, Elisabeth M. Scott, Amie M. Hanna, Maya L. Nguyen, Francis Patrick, Donald L. von Gizycki, Rainald Hareendran, Asha Tesoro, Theresa |
| Author_xml | – sequence: 1 givenname: Rachel L. surname: Harrington fullname: Harrington, Rachel L. email: harrington@ncqa.org organization: National Committee for Quality Assurance, Washington, DC, USA – sequence: 2 givenname: Maya L. surname: Hanna fullname: Hanna, Maya L. organization: Boehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT USA – sequence: 3 givenname: Elisabeth M. surname: Oehrlein fullname: Oehrlein, Elisabeth M. organization: National Health Council, Washington, DC, USA – sequence: 4 givenname: Rob surname: Camp fullname: Camp, Rob organization: Community Advisory Board Programme, EURORDIS, Barcelona, Spain – sequence: 5 givenname: Russell surname: Wheeler fullname: Wheeler, Russell organization: Leber’s Hereditary Optic Neuropathy, Merusac, France – sequence: 6 givenname: Clarissa surname: Cooblall fullname: Cooblall, Clarissa organization: Scientific & Health Policy Initiatives, ISPOR, Lawrenceville, NJ, USA – sequence: 7 givenname: Theresa surname: Tesoro fullname: Tesoro, Theresa organization: Scientific & Health Policy Initiatives, ISPOR, Lawrenceville, NJ, USA – sequence: 8 givenname: Amie M. surname: Scott fullname: Scott, Amie M. organization: Consulting, New York, NY, USA – sequence: 9 givenname: Rainald surname: von Gizycki fullname: von Gizycki, Rainald organization: PRO RETINA Deutschland e.V., Aachen, Germany – sequence: 10 givenname: Francis surname: Nguyen fullname: Nguyen, Francis organization: Bayer Healthcare Pharmaceuticals, Jersey City, NJ, USA – sequence: 11 givenname: Asha surname: Hareendran fullname: Hareendran, Asha organization: Evidera, London, England, UK – sequence: 12 givenname: Donald L. surname: Patrick fullname: Patrick, Donald L. organization: University of Washington, Seattle, Washington, USA – sequence: 13 givenname: Eleanor M. surname: Perfetto fullname: Perfetto, Eleanor M. organization: National Health Council, Washington, DC, USA |
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| Copyright | 2020 ISPOR–The Professional Society for Health Economics and Outcomes Research ISPOR–The Professional Society for Health Economics and Outcomes Research Copyright Elsevier Science Ltd. Jun 2020 Copyright © 2020 ISPOR–The Professional Society for Health Economics and Outcomes Research. Published by Elsevier Inc. All rights reserved. |
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| DOI | 10.1016/j.jval.2020.01.019 |
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| SubjectTerms | Clinical outcomes definition Definitions Health care Health care delivery Health economics Health services Internal Medicine Literary criticism Literature reviews Meta-analysis outcomes research patient centered patient centric patient engagement Patient participation patient research Patient safety Patient-centered care Patients Systematic review |
| Title | Defining Patient Engagement in Research: Results of a Systematic Review and Analysis: Report of the ISPOR Patient-Centered Special Interest Group |
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