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: Harrington, Rachel L., Hanna, Maya L., Oehrlein, Elisabeth M., Camp, Rob, Wheeler, Russell, Cooblall, Clarissa, Tesoro, Theresa, Scott, Amie M., von Gizycki, Rainald, Nguyen, Francis, Hareendran, Asha, Patrick, Donald L., Perfetto, Eleanor M.
Format: Journal Article
Language:English
Published: Lawrenceville Elsevier Inc 01.06.2020
Elsevier Science Ltd
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ISSN:1098-3015, 1524-4733, 1524-4733
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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.
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
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  givenname: Maya L.
  surname: Hanna
  fullname: Hanna, Maya L.
  organization: Boehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT USA
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  givenname: Elisabeth M.
  surname: Oehrlein
  fullname: Oehrlein, Elisabeth M.
  organization: National Health Council, Washington, DC, USA
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  surname: Camp
  fullname: Camp, Rob
  organization: Community Advisory Board Programme, EURORDIS, Barcelona, Spain
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  givenname: Russell
  surname: Wheeler
  fullname: Wheeler, Russell
  organization: Leber’s Hereditary Optic Neuropathy, Merusac, France
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  fullname: Cooblall, Clarissa
  organization: Scientific & Health Policy Initiatives, ISPOR, Lawrenceville, NJ, USA
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  surname: Tesoro
  fullname: Tesoro, Theresa
  organization: Scientific & Health Policy Initiatives, ISPOR, Lawrenceville, NJ, USA
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  surname: von Gizycki
  fullname: von Gizycki, Rainald
  organization: PRO RETINA Deutschland e.V., Aachen, Germany
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  surname: Nguyen
  fullname: Nguyen, Francis
  organization: Bayer Healthcare Pharmaceuticals, Jersey City, NJ, USA
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  fullname: Hareendran, Asha
  organization: Evidera, London, England, UK
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  organization: University of Washington, Seattle, Washington, USA
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  givenname: Eleanor M.
  surname: Perfetto
  fullname: Perfetto, Eleanor M.
  organization: National Health Council, Washington, DC, USA
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Snippet Lack of clarity on the definition of “patient engagement” has been highlighted as a barrier to fully implementing patient engagement in research. This study...
AbstractObjectivesLack of clarity on the definition of “patient engagement” has been highlighted as a barrier to fully implementing patient engagement in...
Objectives Lack of clarity on the definition of "patient engagement" has been highlighted as a barrier to fully implementing 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...
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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
URI https://www.clinicalkey.com/#!/content/1-s2.0-S1098301520301418
https://www.clinicalkey.es/playcontent/1-s2.0-S1098301520301418
https://dx.doi.org/10.1016/j.jval.2020.01.019
https://www.proquest.com/docview/2433292716
https://www.proquest.com/docview/2414008885
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