'You've come to children that are in care and given us the opportunity to get our voices heard': The journey of looked after children and researchers in developing a Patient and Public Involvement group

Hayley Alderson, Rebecca Brown, Debbie Smart, Raghu Lingam, Gail Dovey-Pearce, Hayley Alderson, Rebecca Brown, Debbie Smart, Raghu Lingam, Gail Dovey-Pearce

Abstract

Background: Looked after children and care leavers (denoted as LAC) are often described as a 'hard to reach' group of young people, and their voices are rarely sought to inform academic research.

Methods: This paper reports on experiences and reflections of a group of children and young people and academic researchers who developed a Patient and Public Involvement (PPI) group that was set up in the context of an ongoing health service intervention trial with LAC.

Setting and participants: Eighteen qualitative semi-structured interviews were conducted with seven LAC, the participation officer within a North East Children in Care Council and the four researchers involved in developing and facilitating the PPI group. PPI sessions (n = 9) each approximately 1 hour in length were conducted over an 18-month period.

Analysis: The qualitative interviews were transcribed verbatim. Thematic analysis was used to analyse the data, and direct quotes are used within the paper.

Main outcomes: The LAC used the PPI group to produce a 5-minute video to highlight why they think young people should be involved in research. Overall findings suggested that it was feasible to develop a research-related PPI group with LAC. Findings from the research were used to co-develop 'top tips' of working with vulnerable young people such as looked after children.

Conclusion: This paper has shown that PPI with LAC can be done if a co-production approach to research is taken. It also suggests that assumptions regarding the capabilities of young people as researchers need to be re-evaluated.

Keywords: Patient and Public Involvement; looked after children; qualitative research.

Conflict of interest statement

The authors declare that they have no conflict of interests.

© 2019 The Authors Health Expectations published by John Wiley & Sons Ltd.

References

    1. Department of Education . Children Looked After in England (Including Adoption), Year Ending 31 March 2017. London: Department of Education; 2017.
    1. O'Higgins A, Sebba J, Gardner F. What are the factors associated with educational achievement for children in kinship or foster care: a systematic review. Child Youth Serv Rev. 2017;79:198‐220.
    1. Evans R, Brown R, Rees G, Smith P. Systematic review of educational interventions for looked‐after children and young people: recommendations for intervention development and evaluation. Br Edu Res J. 2017;43(1):68‐94.
    1. Meltzer H. The Mental Health of Young People Looked After by Local Authorities in England. London: H.M.S.O; 2003.
    1. Lukes N, Sinclaire I, Woolgar, M, Sebba J. What Works in Preventing and Treating Poor Mental Health in Looked After Young People. Oxford, UK: NSPCC; 2014.
    1. Department for Education . Outcomes for Chilldren Looked After by Local Authorities in England, 31 March 2017. London, UK: 2017
    1. Simkiss DE, Spencer NJ, Stallard N, Thorogood M. Health service use in families where children enter public care: a nested case control study using the General Practice Research Database. BMC Health Serv Res. 2012;12:65.
    1. Simkiss DE, Stallard MT. A systematic literature review of the risk factors associated with children entering public care. Child Care Health Dev. 2013;39(5):628‐642.
    1. Simkiss D. Looked after children and young people. In Annual Report of the Chief Medical Officer 2012, Our Children Deserve Better: Prevention Pays, Davis DS, ed. 2012.
    1. INVOLVE . Involving Children and Young People in Research: Top Tips and Essential Key Issues for Researchers. Eastleigh, UK: NIHR; 2016.
    1. National Institute of Health Research . Guide for Researchers Working With Patient and Public Involvement (PPI) Contributors. Oxford, UK: NIHR and Univerity of Oxford; 2017.
    1. INVOLVE . Guidance on Co‐producing a Research Project. Southampton: INVOLVE; 2018.
    1. Bird D, Culley L, Lakhanpaul M. Why collaborate with children in health research: an analysis of the risks and benefits of collaboration with children. Arch Dis Child Educ Pract Ed. 2013;98:42‐48.
    1. Stoker G. Public Value management: a new narrative for networked Governance? Am Rev Public Adm. 2006;36:41‐57.
    1. Stewart R, Liabo K. Involvement in research without compromising research quality. J Health Serv Res Policy. 2012;17(4):248‐251.
    1. O'Donnell M, Entwistle V. Consumer involvement in research projects: the activities of funders. Health Policy. 2004;69:229‐238.
    1. Office of the United Nations . Convention on the Rights of the Child. Office of the United Nations High Commissioner for Human Rights. Geneva: United Nations; 1989.
    1. Popay J, Collins M, eds. with the PiiAF Study Group. The Public Involvement Impact Assessment Framework Guidance. Liverpool, UK: Universities of Lancaster; 2014.
    1. Healthtalk . A Researcher's Guide to Patient and Public Engagement: A Guide Based on the Experiences of Health and Medical Researchers, Patients and Members of the Public. Oxford, UK: and University of Oxford; 2016.
    1. Beresford P. Beyond the Usual Suspects: Towards Inclusive User Involvement. London: Shaping Our Lives; 2013.
    1. Bonevski B, Randell M, Paul C, et al. Reaching the hard‐to‐reach: a systematic review of strategies for improving health and medical research with socially disadvantaged groups. BMC Med Res Methodol. 2014;14(42):1-10.
    1. INVOLVE . Briefing Notes for Researchers: Public Involvement in NHS, Public Health and Social Care Research. NIHR, ed. Hampshire; 2012.
    1. NHS England . In England N, eds. The NHS Youth Forum's Top Tips to Involve Young People in Patient Participation Groups (PPG's). . Accessed December 12, 2018.
    1. NIHR . Gereration R. Young people improving research. 2019. . Accessed April 1, 2019.
    1. Richards S, Clarke J, Boggis A. Ethical Research with Children: Untold Narratives and Taboos. Basingstoke: Palgrave Macmillan; 2015.
    1. Mawn L, Welsh P, Stain HJ, Windebank P. Youth Speak: increasing engagement of young people in mental health research. J Ment Health. 2015;24(5):271‐275.
    1. Brady LM, Templeton L, Toner P, et al. Involving young people in drug and alcohol research. Drugs Alcohol Today. 2018;18(1):22‐38.
    1. Dominelli L. Social work research: contested knowledge for practice In: Adams R, Dominelli L, Payne M, eds. Social Work Futures. Basingstoke: Palgrave Macmillan; 2005.
    1. Carey M. Should i stay or should i go? Practical, ethical and political challenges to ‘service user' participation within social work research. Qual Soc Work. 2010;10(2):224‐243.
    1. INVOLVE . Reward and Recognition for Children and Young People Involved in Research‐Things to Consider. London, UK: NIHR: 2016.
    1. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77‐101.
    1. Donovan J, Sanders C. Key issues in the analysis of qualitative data in health services research In: Bowling A, Ebrahim S, eds. Handbook of Health Research Methods: Investigation, Measurement and Analysis. Maidenhead: Open University Press; 2005:515‐532.
    1. Fleming J. Young People's involvment in research: still a long way to go? Qual Soc Work. 2010;10(2):207‐223.
    1. Liabo K. Care leavers' involvement in research: an ethnographic case study on impact. Qual Soc Work. 2016;17(1):133‐151.
    1. Staniszewska S, Brett J, Simera I, et al. GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research. Res Involv Engagem. 2017;3(13):13-20.
    1. Beresford P. Service users' knowledge and social work theory: conflict or collaboration? Br J Soc Work. 2000;3(2):489‐503.
    1. Barlow . Using educational drama to improve outcomes for looked after children. Scottish J Res Child Care. 2011;11(1):24-35.
    1. Slayton S, D'Archer J, Kaplan F. Outcome studies on the efficacy of art therapy: a review of findings. Art Therapy. 2010;27(3):108‐118.
    1. Dunn V, et al. Facing shadows: working with young people to coproduce a short film about depression. Res Involv Engagem. 2018;4(1):46-52.
    1. Dovey‐Pearce G, Walker S, Fairgrieve S, Parker M, Rapley T. The burden of proof: the process of involving young people in research. Health Expect. 2019;1‐10. 10.1111/hex.12870
    1. Oliver S, et al. Public Involvment in research: making sense of the diversity. J Health Serv Res Policy. 2015;20(1):45‐51.
    1. Smith R, Monaghan M, Broad B. Involving young people as co‐reserchers: facing up to the methodological issues. Qual Soc Work. 2002;1(2):191‐207.
    1. Brett J, Staniszewska S, Mockford C, et al. Mapping the impact of patient and public involvement on health and social care research: a systematic review. Health Expect. 2014;17(5):637‐650.
    1. Oldfield C, Fowler C. Mapping Children and Young People's Participation in England. Nottingham: Department for Education and Skills; 2004.
    1. Kirby P. A Guide to Actively Involving Young People in Research: for Researchers, Research Commissioners and Managers. Hampshire, UK: INVOLVE; 2004.
    1. PEAR . Young People in Research: How to Involve Us. Guidance for Researchers from the PEAR Young People's Public Health Group. Bureau NC, ed. National Childrens Bureau; 2010. . Accessed December 17, 2018.
    1. Hanley B, Bradburn J, Barnes M, et al. Involving the Public in Research and Development in the NHS, Public Health and Social Care: Briefing Notes for Researchers. Hampshire, UK: INVOLVE; 2004.
    1. Bradbury‐Jones C, Taylor J. Engaging with children as co‐researchers: challenges, counter‐challenges and solutions. Int J Soc Res Methodol. 2015;18(2):161‐173.
    1. Skelton T. Research with children and young people: exploring the tensions between ethics, competence and participation. Child Geogr. 2008;6:21‐36.
    1. Gallagher M. ‘Power is not an evil': rethinking power in participatory methods. Child Geogr. 2008;6(2):137‐150.
    1. Clavering EK, McLaughlin J. Children's participation in health research: from objects to agents. Child Care Health Dev. 2010;36(5):603‐611.
    1. Collins S. Ethics of care and statutory social work in the UK: critical perspectives and strengths. Practice. 2018;30:3‐18.
    1. Gaskell C. If the social worker had called at least it would show they cared. Young care leavers perspectives on the importance of care. Child Soc. 2010;24(2):136‐147.
    1. Holland S, Floris C, Crowley A, Renolds E. How Was Your Day? Learning from Experience: Informing Preventative Policies and Practice by Analysing Critical Moments in Care Leavers Life Histories. Cardiff: Cardiff University; 2010.
    1. Nierse C, Schipper K, van Zadelhoff E, van de Griendt J, Abma TA. Collaboration and co‐ownership in research: dynamics and dialogues between patient research partners and professional researchers in a research team. Health Expect. 2012;15:242‐254.
    1. Hewlett S, de Wit M, Richards P, et al. Patients and professionals as research partners: challenges, practicalities and benefits. Arthritis Rheum. 2006;55(4):676‐680.
    1. Clark M, Glasby J, Lester H. Cases for change: user involvement in mental health services and research. Res Policy Plan. 2004;22(2):31‐38.
    1. McLaughlin H. Involving young service users as co‐researchers: possibilities, benefits and costs. Br J Soc Work. 2006;36:1395‐1410.
    1. Holland S, Renold E, Ross NJ, Hillman A. Power, agency and participatory agendas: a critical exploration of Young People's engagement in participative qualitative research. Childhood. 2010;17(3):360‐375.

Source: PubMed

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