How to engage stakeholders in research: design principles to support improvement

Annette Boaz, Stephen Hanney, Robert Borst, Alison O'Shea, Maarten Kok, Annette Boaz, Stephen Hanney, Robert Borst, Alison O'Shea, Maarten Kok

Abstract

Background: Closing the gap between research production and research use is a key challenge for the health research system. Stakeholder engagement is being increasingly promoted across the board by health research funding organisations, and indeed by many researchers themselves, as an important pathway to achieving impact. This opinion piece draws on a study of stakeholder engagement in research and a systematic literature search conducted as part of the study.

Main body: This paper provides a short conceptualisation of stakeholder engagement, followed by 'design principles' that we put forward based on a combination of existing literature and new empirical insights from our recently completed longitudinal study of stakeholder engagement. The design principles for stakeholder engagement are organised into three groups, namely organisational, values and practices. The organisational principles are to clarify the objectives of stakeholder engagement; embed stakeholder engagement in a framework or model of research use; identify the necessary resources for stakeholder engagement; put in place plans for organisational learning and rewarding of effective stakeholder engagement; and to recognise that some stakeholders have the potential to play a key role. The principles relating to values are to foster shared commitment to the values and objectives of stakeholder engagement in the project team; share understanding that stakeholder engagement is often about more than individuals; encourage individual stakeholders and their organisations to value engagement; recognise potential tension between productivity and inclusion; and to generate a shared commitment to sustained and continuous stakeholder engagement. Finally, in terms of practices, the principles suggest that it is important to plan stakeholder engagement activity as part of the research programme of work; build flexibility within the research process to accommodate engagement and the outcomes of engagement; consider how input from stakeholders can be gathered systematically to meet objectives; consider how input from stakeholders can be collated, analysed and used; and to recognise that identification and involvement of stakeholders is an iterative and ongoing process.

Conclusion: It is anticipated that the principles will be useful in planning stakeholder engagement activity within research programmes and in monitoring and evaluating stakeholder engagement. A next step will be to address the remaining gap in the stakeholder engagement literature concerned with how we assess the impact of stakeholder engagement on research use.

Conflict of interest statement

Ethics approval and consent to participate

Ethical approval for the study entitled ‘Stakeholder Engagement in EQUIPT for Impact (SEE-IMPACT)’ was gained from the Research Ethics Committee, the Faculty of Health, Social Care and Education, St George’s University of London and Kingston University, on 18th March 2014.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. Kok M, Gyapong J, Wolffers I, Ofori-Adjei D, Ruitenberg J. Which health research gets used and why? An empirical analysis of 30 cases. Health Res Policy Syst. 2016;14:36. doi: 10.1186/s12961-016-0107-2.
    1. Jolibert C, Wesselink A. Research impacts and impact on research in biodiversity conservation: The influence of stakeholder engagement. Environ Sci Policy. 2012;20:100–111. doi: 10.1016/j.envsci.2012.06.012.
    1. Phillipson J, Lowe P, Proctor A, Ruto E. Stakeholder engagement and knowledge exchange in environmental research. J Environ Manag. 2012;95:56–65. doi: 10.1016/j.jenvman.2011.10.005.
    1. Paina L, Ekirapa-Kiracho E, Ghaffar A, Bennett S. Engaging stakeholders in implementation research: tools, approaches, and lessons learned from application. Health Res Policy Syst. 2017;15(Suppl 2):104.
    1. Mallery C, Ganachari D, Fernandez J, Smeeding L, Robinson S, Moon M, Lavallee D, Siegel J. Innovative Methods in Stakeholder Engagement: An Environmental Scan. Prepared by the American Institutes for Research under contract No. HHSA 290 2010 0005 C. AHRQ Publication NO. 12-EHC097-EF. Rockville: Agency for Healthcare Research and Quality; 2012.
    1. Deverka PA, Lavallee DC, Desai PJ, Esmail LC, Ramsey SD, Veenstra DL, et al. Stakeholder participation in comparative effectiveness research: defining a framework for effective engagement. J Comp Eff Res. 2012;1(2):181–94.
    1. Concannon TW, Meissner P, Grunbaum JA, McElwee N, Guise JM, Santa J, Conway PH, Daudelin D, Morrato EH, Leslie LK. A new taxonomy for stakeholder engagement in patient centered outcomes research. J Gen Intern Med. 2012;27:985–991. doi: 10.1007/s11606-012-2037-1.
    1. Greenhalgh T, Jackson C, Shaw S, Janaiman T. Achieving research impact through cocreation in community-based health services: literature review and case study. Milbank Q. 2016;94(2):392–429. doi: 10.1111/1468-0009.12197.
    1. Boaz A, McKevitt C, Biri D. Rethinking the relationship between science and society: has there been a shift in attitudes to patient and public involvement and public engagement in science in the United Kingdom? Health Expect. 2016;19(3):592–601. doi: 10.1111/hex.12295.
    1. Staniszewska S, Brett J, Simera I, Seers K, Mockford C, Goodlad S, et al. GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research. BMJ. 2017;358:j3453. doi: 10.1136/bmj.j3453.
    1. Lomas J. Using ‘linkage and exchange’ to move research into policy at a Canadian foundation. Health Aff. 2000;19(3):236–240. doi: 10.1377/hlthaff.19.3.236.
    1. Kogan M, Henkel M. Government and Research: The Rothschild Experiment in a Government Department. London: Heinemann Educational Books; 1983. (2nd edition. Dortrecht: Springer; 2006).
    1. Concannon TW, Fuster M, Saunders T, Patel K, Wong JB, Leslie LK, Lau J. A systematic review of stakeholder engagement in comparative effectiveness and patient-centered outcomes research. J Gen Intern Med. 2014;29:1692–1701. doi: 10.1007/s11606-014-2878-x.
    1. Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE. Knowledge translation of research findings. Implement Sci. 2012;7:50. doi: 10.1186/1748-5908-7-50.
    1. Bowen S, Graham ID. Integrated knowledge translation. In: Straus SE, Tetroe J, Graham ID, editors. Knowledge Translation in Health Care: Moving from Evidence to Practice. Chichester: John Wiley & Sons Ltd; 2013.
    1. McCutcheon C, Graham ID, Kothari A. Defining integrated knowledge translation and moving forward: a response to recent commentaries. Int J Health Policy Manage. 2017;6(5):299–300. doi: 10.15171/ijhpm.2017.15.
    1. Gagliardi AR, Berta W, Kothari A, Boyko J, Urquhart R. Integrated knowledge translation (IKT) in health care: a scoping review. Implement Sci. 2016;11:38. doi: 10.1186/s13012-016-0399-1.
    1. Hinchcliff R, Greenfield D, Braithwaite J. Is it worth engaging in multi-stakeholder health services research collaborations? Reflections on key benefits, challenges and enabling mechanisms. Int J Qual Health Care. 2014;26:124–128. doi: 10.1093/intqhc/mzu009.
    1. Harvey G, Fitzgerald L, Fielden S, McBride A, Waterman H, Bamford D, Kislov R, Boaden R. The NIHR collaboration for leadership in applied health research and care (CLAHRC) for greater Manchester: combining empirical, theoretical and experiential evidence to design and evaluate a large-scale implementation strategy. Implement Sci. 2011;6(1):96. doi: 10.1186/1748-5908-6-96.
    1. Higher Education Funding Council for England (HEFCE) 2014 REF: Assessment Framework and Guidance on Submissions. Panel A Criteria. London: HEFCE; 2012.
    1. Innvær S, Vist G, Trommald M, Oxman A. Health policy-makers’ perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002;7:239–244. doi: 10.1258/135581902320432778.
    1. Hanney SR, Gonzalez-Block MA, Buxton MJ, Kogan M. The utilisation of health research in policy-making: concepts, examples and methods of assessment. Health Res Policy Syst. 2003;1:2. doi: 10.1186/1478-4505-1-2.
    1. Lavis J, Davies H, Oxman A, Denis JL, Golden-Biddle K, Ferlie E. Towards systematic reviews that inform health care management and policymaking. J Health Serv Res Policy. 2005;10 Suppl 1:35–48. doi: 10.1258/1355819054308549.
    1. Boaz A, Fitzpatrick S, Shaw B. Assessing the impact of research on policy: a literature review. Sci Public Policy. 2009;36:255–270. doi: 10.3152/030234209X436545.
    1. Banzi R, Moja L, Pistotti V, Facchini A, Liberati A. Conceptual frameworks and empirical approaches used to assess the impact of health research: an overview of reviews. Health Res Policy Syst. 2011;9:26. doi: 10.1186/1478-4505-9-26.
    1. Oliver K, Innvar S, Lorenc T, Woodman J, Thomas J. A systematic review of barriers to and facilitators of the use of evidence by policymakers. BMC Health Serv Res. 2014;14:2. doi: 10.1186/1472-6963-14-2.
    1. Hanney S, Greenhalgh T, Blatch-Jones A, Glover M, Raftery J. The impact on healthcare, policy and practice from 36 multi-project research programmes: findings from two reviews. Health Res Policy Syst. 2017;15:26. doi: 10.1186/s12961-017-0191-y.
    1. Nyström ME, Karltun J, Keller C, Andersson Gäre B. Collaborative and partnership research for improvement of health and social services: researcher’s experiences from 20 projects. Health Res Policy Syst. 2018;16:46. doi: 10.1186/s12961-018-0322-0.
    1. Pollock A, Campbell P, Struthers C, Synnot A, Nunn J, Hill S, Goodare H, Watts C, Morley R. Stakeholder involvement in systematic reviews: a protocol for a systematic review of methods, outcomes and effects. Res Involv Engage. 2017;3:9. doi: 10.1186/s40900-017-0060-4.
    1. Forsythe LP, Ellis LE, Edmundson L, Sabharwal R, Rein A, Konopka K, Frank L. Patient and stakeholder engagement in the PCORI pilot projects: description and lessons learned. J Gen Intern Med. 2016;31:13–21. .
    1. Center for Medical Technology Policy. Stakeholder Engagement. . Accessed 31 Aug 2017.
    1. Vokó Z, Cheung KL, Józwiak-Hagymásy J, Wolfenstetter S, Jones T, Muñoz C, Evers S, Hiligsmann M, de Vries H, Pokhrel S. On behalf of the EQUIPT study. Similarities and differences between stakeholders’ opinions on using health technology assessment (HTA) information across five European countries: results from the EQUIPT survey group. Health Res Policy Syst. 2016;14:38. doi: 10.1186/s12961-016-0110-7.
    1. Evers SMAA, Hiligsmann M, Vokó Z, Pokhrel S, Jones T, et al. Understanding the stakeholders’ intention to use economic decision-support tools: a cross-sectional study with the tobacco return on investment tool. Health Policy. 2016;120(1):46–54. doi: 10.1016/j.healthpol.2015.11.004.
    1. Pokhrel S, Evers S, Leidl R, Trapero-Bertran M, Kalo Z, De Vries H, et al. EQUIPT: protocol of a comparative effectiveness research study evaluating cross-context transferability of economic evidence on tobacco control. BMJ Open. 2014;4(11) 10.1136/bmjopen-2014-%20006945.
    1. Esmail L, Moore E, Rein A. Evaluating patient and stakeholder engagement in research: moving from theory to practice. J Comp Eff Res. 2015;4(2):133–145. doi: 10.2217/cer.14.79.
    1. Holmes B, Scarrow G, Schellenberger M. Translating evidence into practice: the role of health researcher funders. Implement Sci. 2012;7:39. doi: 10.1186/1748-5908-7-39.
    1. Kramer D, Wells R, Bigelow P, Carlan N, Cole D, Hepburn CG. Dancing the two-step: collaborating with intermediary organizations as research partners to help implement workplace health and safety interventions. Work. 2010;36(3):321–332.
    1. Brugha R, Varvasovszky Z. Stakeholder analysis: a review. Health Policy Plan. 2000;15:239–246. doi: 10.1093/heapol/15.3.239.
    1. Hering J, Hoffmann S, Meierhofer R, Schmid M, Peter A. Assessing the societal benefits of applied research and expert Consulting in Water Science and Technology. Gaia. 2012;21(2):95–101. doi: 10.14512/gaia.21.2.6.
    1. Ovretveit J, Hempel S, Magnabosco JL, Mittman BS, Rubenstein LV, Ganz DA. Guidance for research-practice partnerships (R-PPs) and collaborative research. J Health Organ Manage. 2014;28(1):115–126. doi: 10.1108/JHOM-08-2013-0164.
    1. Huberman M. Research utilization: the state of the art. Knowl Policy. 1994;7(4):13–33. doi: 10.1007/BF02696290.

Source: PubMed

Подписаться