public involvement in core outcome set development: qualitative - - PowerPoint PPT Presentation

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public involvement in core outcome set development: qualitative - - PowerPoint PPT Presentation

Distinctive challenges of patient and public involvement in core outcome set development: qualitative study Lucy Brading PhD Student @Br @Brading ading_L _Luc ucy Backg Bac kground ound Participation Involvement where patients take


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Distinctive challenges of patient and public involvement in core outcome set development: qualitative study

Lucy Brading PhD Student

@Br @Brading ading_L _Luc ucy

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Bac Backg kground

  • und

Participation where patients take part in a COS study, and give data on their

  • pinions regarding

what outcomes are important Involvement where patients are involved in designing and

  • verseeing a COS

study

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Aim Aim

  • Explore the experiences of PPI partners

and researchers involved in COS development

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Methods Methods

Qualitative interviews:

  • Semi-structured interviews
  • 14 PPI partners
  • 12 COS studies

Analysis:

  • Transcribed interviews
  • Thematic analysis
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Methods Methods

Ethnography

  • 4 COS studies

Observations: 48 hours Interviews: 9 PPI partners 7 Researchers

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Findings Findings

“No, we won’t [participate in the Delphi]. […] it’s because we’ve helped to formulate them, I think it will be wrong for us to take part really.”

P9 Qualitative Interview Study

“…I thought, is it like having a prejudice? [But I] answered all the questions and then there was no problem at all.”

P14 Qualitative Interview Study

  • 1. Blu
  • 1. Blurring of

ring of par participa ticipation and in tion and involv

  • lvement

ement

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I think maybe completely understanding the decision that you’re making […] so you can make, a much more informed choice about whether you want to be a participant or, involved […].

P12 Qualitative Interview Study

It is a shame I can’t use her for everything, because now she is a participant. […] it wasn’t necessarily her informed decision, maybe I should have explained it clearly, you can take part if you want, but that will mean, your role will be limited later on. […] maybe I didn’t make sure she was aware of the consequences.

Case Study Two

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  • Challenge of understand COS
  • 2. Training or finding the ‘right’ person
  • ‘Right’ PPI partner

Previous PPI experience

  • No formal training
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  • Feedback on study documentation
  • 3. Na
  • 3. Natur

ture e of

  • f in

involv

  • lvement

ement

  • Impactful
  • Valued
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Consensus meeting Delphi survey Systematic review Qualitative interviews Focus groups

  • 3. Na
  • 3. Natur

ture e of

  • f in

involv

  • lvement

ement

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Consensus meeting Delphi survey Systematic review Qualitative interviews Focus groups

  • 3. Na
  • 3. Natur

ture e of

  • f in

involv

  • lvement

ement

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Conc Conclusion lusion

  • 1. Blurring
  • 2. ‘Right’ PPI partner over training
  • 3. Involvement:
  • Feedback
  • Delphi
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Thank you to the co-authors, Azmina Verjee – Patient research partner, Heather Bagley – COMET PPI Coordinator and to my supervisors, Professor Paula Williamson, Dr Kerry Woolfall and Professor Bridget Young

And to the University of Liverpool for funding this PhD