Hints and Tips for Research for Patient Benefit Application Dr Sue - - PowerPoint PPT Presentation

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Hints and Tips for Research for Patient Benefit Application Dr Sue - - PowerPoint PPT Presentation

Hints and Tips for Research for Patient Benefit Application Dr Sue Hinder Lay member Research for Patient Benefit Programme Presented at the NIHR RDS NW Preparing an application for the Research for Patient Benefit Programme Workshop


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Hints and Tips for Research for Patient Benefit Application

Dr Sue Hinder Lay member Research for Patient Benefit Programme

Presented at the NIHR RDS NW Preparing an application for the Research for Patient Benefit Programme Workshop – 06/11/2009

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First…..

 GET A STATI STI CI AN !

(For an RCT or pilot RCT)

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Building a ‘dream team’

 Service users and carers  NHS organisations who will implement  Clinicians – including frontline staff  Academics – social scientist, research

methodologist.

 Statistician  Health economist

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Actually, start here….

Applicat i t ions t h t hat t em erge from int e t eract i t ion w it h pat at ient s an and public ar are explicit ly w el elcom ed ed in the Guidance. Working with a service user group on problems arising out of their day to day engagement with NHS services can often help to keep the focus on the applied nature of the project and on the trajectory into patient benefit. (RfPB Guidance notes)

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Patient and Public ‘Intelligence’ at all stages

 Going through your project like

‘Blackpool’ in a stick of rock

 Experts in their conditions and their

communities

 Tacit knowledge  Relevance  Analysis and interpretation of findings  Spreading the knowledge

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Understanding of PPI

 Involvement in the DESIGN  NOT getting service users and carer’s

views in a study

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Why PPI?

 Assurance that research is relevant  Democratic accountability  Making research value for money  Information from experts in the

condition

 Service user and carer ‘perspective’  Needed for IRAS ethics application

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PPI and the Research Question

 Relevance – important v critical issues  Easier implementation- importance of

user, carer and staff views

 Small changes can have big effects –

Complexity Theory & the coffee break

 The question you ask determines the

answer

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Reminder….

 GET A STATI STI CI AN !

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Clarity

 Make sure your proposal is clearly written  You are writing for people outside your

profession

 Committee members have up to 20 proposals

to review plus the 3-7 peer reviews for each proposal

 Lack of clarity usually means not thought

through

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Scrutiny stage

 In scope for RfPB ?  Patient Benefit in approx 5 years  Probably not diagnostics  Not ‘blue skies’  More suitable for another programme. HTA ?  Pilots with a view to the main study OK  Methods – fit for peer review?  Is it being done elsewhere?

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Peer reviewers

 Lay reviewer with experience of

condition

 Lay reviewer with general view  Researcher in the same field  Researcher in similar field  Widely differing views

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Committee

 Clinical academics  Social scientists  2/3 lay members  Pre-reading  Lead Assessors – reminder summaries  Discussion -different opinions, even

statisticians can disagree !

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Common problems

 Forgot the statistician !  Lack of a ‘dream team’  Not referencing/discussing important

research

 Too complex – too many assumptions  Research methods  Project management – is it realistic?

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Costings

 £249,999 – suspicious !  Looks like the project may have been

developed to fit the budget

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Literature Reviews

 Acceptable as part of the proposal  Updating of literature review  What if the research question or

research design changes as a result of the literature review?

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How to do Patient and Public Involvement

http://www.rds- nw.nihr.ac.uk/PI/how_to_guide.php

 Takes time and money

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Develop a user group

 Multiple views  Developing knowledge of research

methods

 Developing working relationships  Enthusiasts  Involvement Portfolio

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And…

 Self-help groups  Individual service users from practice

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Which users and carers?

 Very important not to ‘tick the box’  People with direct experience of the

condition

 Carers with direct experience of the

condition

 Make no assumptions  Leaders of community groups – do they

really know?

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Patient and Public Involvement section

 Describe who has been involved and how  Has the proposal developed from issues

raised by service users or problems in practice

 Describe how they will be involved

throughout the project

 Aim for 3 service users on steering group or

advisory group

 Payment offered

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Patient and Public Involvement section

 Lay members would like this moved to

the front of the form to ‘nudge’ researchers towards considering PPI at the beginning.

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Focus -start with the end in mind….

Will the results of this research make life easier for the service user or carer?

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Questions

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Group work

 The Diabetes Patient’s Forum have called for

training for their partners or carers. They believe this will help to improve their self- management and lead to less hospital visits and ambulance call outs. They also believe it will improve their quality of life by helping them feel more secure in the knowledge that their partner or carer can cope if they are unwell.

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Group work

 30 mins discussion  Develop the research proposal  Brief notes in the RfPB template  Feedback  Discussion

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Thank you….

Dr Sue Hinder RaFT Research and Consulting Lower Hall Downham Clitheroe Lancashire 01200 440912 susan.hinder@virgin,net