Laying the groundwork: Building relationships for public and patient involvement in pre-clinical paediatric research

Wendy Costello, Emma Dorris, Wendy Costello, Emma Dorris

Abstract

Context: Public and patient involvement is increasingly becoming an expectation of research funders and policy makers. Not all areas of health research are public-facing. Here, we outline an approach for building the skills and developing the relationships required for downstream public and patient involvement in pre-clinical adolescent rheumatology research.

Objective: To design a methodology for improving researcher-adolescent communications specifically aimed at mutual relationship building for PPI. Deliberate and effective preparation in advance of research involvement to improve the downstream success of that involvement.

Design: A research seminar and research skills workshop conducted entirely in 'plain English' for adolescents and their siblings aged 10-20. Upskilling of pre-clinical researchers for effective public involvement.

Setting and participants: Study co-design between the voluntary charity Irish Children's Arthritis Network and the academic research centre UCD Centre for Arthritis Research. Fifteen adolescents aged 10-20 years old living with arthritis, four pre-clinical researchers and one qualitative researcher investigating adolescent or paediatric arthritis.

Main variables studied: Relationship building and communications for effective downstream public involvement in pre-clinical and laboratory research.

Results: The methodology outlined here was received extremely positively. Both researchers and adolescents living with arthritis felt more comfortable communicating, more knowledgeable about juvenile arthritis and research, and more able to engage in co-operative dialogue.

Discussion: Engaging early, considering the needs of the community and developing appropriate involvement methodology can enable involvement in pre-clinical research.

Conclusions: Dedicating resources to building relationships and skills necessary for co-operative research involvement can overcome some of the barriers to public involvement in pre-clinical and laboratory-based research.

Keywords: biomedical research; communication barriers; communication methods; community participation; laboratory research; paediatrics; patient engagement; public and patient involvement; rheumatology; stakeholder participation.

Conflict of interest statement

The authors have no conflict of interests to declare.

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

References

    1. Fischhoff B. The sciences of science communication. Proc Natl Acad Sci USA. 2013;110(Supplement_3):14033‐14039.
    1. Royal Society . The Public Understanding of Science. London, UK: Royal Society; 1985.
    1. Buck D, Gamble C, Dudley L, et al. From plans to actions in patient and public involvement: qualitative study of documented plans and the accounts of researchers and patients sampled from a cohort of clinical trials. BMJ Open. 2014;4(12):e006400.
    1. Boaz A, Hanney S, Borst R, O'Shea A, Kok M. How to engage stakeholders in research: design principles to support improvement. Health Res Policy Syst. 2018;16(1):60.
    1. van der Scheer L, Garcia E, van der Laan AL, van der Burg S, Boenink M. The benefits of patient involvement for translational research. Health Care Anal. 2017;25(3):225‐241.
    1. Collins FS. Reengineering translational science: the time is right. Sci Transl Med. 2011;3(90):90cm17.
    1. Alberts B, Kirschner MW, Tilghman S, Varmus H. Rescuing US biomedical research from its systemic flaws. Proc Natl Acad Sci USA. 2014;111(16):5773.
    1. Kelly T, Marians K. Rescuing US biomedical research: some comments on Alberts, Kirschner, Tilghman, and Varmus. Proc Natl Acad Sci USA. 2014;111(26):E2632.
    1. Woolf SH. The meaning of translational research and why it matters. JAMA. 2008;299(2):211‐213.
    1. Zerhouni E. Translational research: moving discovery to practice. Clin Pharmacol Ther. 2007;81(1):126‐128.
    1. Khoury MJ, Gwinn M, Yoon PW, Dowling N, Moore CA, Bradley L. The continuum of translation research in genomic medicine: how can we accelerate the appropriate integration of human genome discoveries into health care and disease prevention? Genet Med. 2007;9(10):665.
    1. Fontanarosa PB, DeAngelis CD. Basic science and translational research in JAMA. JAMA. 2002;287(13):1728‐1728.
    1. Wilson P, Mathie E, Keenan J, et al. ReseArch with Patient and Public invOlvement: a RealisT evaluation – the RAPPORT study. Health Serv Del Res. 2015;3(38):1‐176.
    1. Dobbs TW. Patient and public involvement in basic science research—are we doing enough? BMJ. 2016.
    1. de Wit M, Berlo SE, Aanerud GJ, et al. European League Against Rheumatism recommendations for the inclusion of patient representatives in scientific projects. Ann Rheum Dis. 2011;70(5):722.
    1. UK AR . Patient and Public Involvement – A Researcher's Guide. 2017; . Accessed October 9, 2017.
    1. Price A, Schroter S, Snow R, et al. Frequency of reporting on patient and public involvement (PPI) in research studies published in a general medical journal: a descriptive study. BMJ Open. 2018;8(3):e020452.
    1. Open B. New requirements for patient and public involvement statements in BMJ Open. BMJ Open. 2018.
    1. Holleman W, Gritz ER. Biomedical burnout. Nature. 2013;500(7464):613‐614.
    1. Yarborough M, Edwards K, Espinoza P, et al. Relationships hold the key to trustworthy and productive translational science: recommendations for expanding community engagement in biomedical research. Clin Transl Sci. 2013;6(4):310‐313.
    1. Holleman WL, Cofta‐Woerpel LM, Gritz ER. Stress and morale of academic biomedical scientists. Acad Med. 2015;90(5):562‐564.
    1. Ward PR, Thompson J, Barber R, et al. Critical perspectives on ‘consumer involvement’ in health research: epistemological dissonance and the know‐do gap. J Sociol. 2009;46(1):63‐82.
    1. Maccarthy J, Guerin S, Wilson AG, Dorris ER. Facilitating public and patient involvement in basic and preclinical health research. PLoS ONE. 2019;14(5):e0216600.
    1. Hoddinott P, Pollock A, O'Cathain A, et al. How to incorporate patient and public perspectives into the design and conduct of research. F1000Research. 2018;7:752.
    1. Nestor N, Wilson AG, Dorris ER. OP0209‐PARE The patient voice in arthritis research: a collaborative approach to embedding PPI into research strategy. Ann Rheum Dis. 2018;77(Suppl 2):153‐154.
    1. Wilson AG, Sherwin J, Dorris ER. Patient and public involvement in biomedical research: training is not a substitute for relationship building. Ann Rheum Dis. 2019. 10.1136/annrheumdis-2019-215595
    1. Lipstein EA, Brinkman WB, Sage J, Lannon CM, Morgan DE. Understanding treatment decision making in juvenile idiopathic arthritis: a qualitative assessment. Pediatric Rheumatol Online J. 2013;11(1):34‐34.
    1. Lipstein EA, Dodds CM, Lovell DJ, Denson LA, Britto MT. Making decisions about chronic disease treatment: a comparison of parents and their adolescent children. Health Expect. 2016;19(3):716‐726.
    1. Gwara M, Smith S, Woods C, Sheeren E, Woods H. International Children's Advisory Network: a multifaceted approach to patient engagement in pediatric clinical research. Clin Ther. 2017;39(10):1933‐1938.
    1. Forsyth F, Saunders C, Elmer A, Badger S. ‘A group of totally awesome people who do stuff’ – a qualitative descriptive study of a children and young people's patient and public involvement endeavour. Res Involv Engagem. 2019;5(1):13.
    1. Taylor RM, Whelan JS, Gibson F, et al. Involving young people in BRIGHTLIGHT from study inception to secondary data analysis: insights from 10 years of user involvement. Res Involv Engagem. 2018;4(1):50.
    1. Gaillard S, Malik S, Preston J, et al. Involving children and young people in clinical research through the forum of a European Young Persons' Advisory Group: needs and challenges. Fundam Clin Pharmacol. 2018;32(4):357‐362.
    1. Owen R, Macnaghten P, Stilgoe J. Responsible research and innovation: from science in society to science for society, with society. Sci Pub Policy. 2012;39(6):751‐760.
    1. Egert Y, Egert T, Costello W, Prakken BJ, Smith E, Wulffraat NM. Children and young people get rheumatic disease too. Lancet. Child Adolescent Health. 2019;3(1):8‐9.
    1. Mathie E, Wythe H, Munday D, et al. Reciprocal relationships and the importance of feedback in patient and public involvement: a mixed methods study. Health Expect. 2018;21(5):899‐908.
    1. Casimir G, Loon M, Lee K. Knowledge sharing: influences of trust, commitment and cost. J Knowled Manage. 2012;16(5):740‐753.
    1. Goodman MS, Sanders Thompson VL. The science of stakeholder engagement in research: classification, implementation, and evaluation. Translat Behav Med. 2017;7(3):486‐491.
    1. Bandura A. Observational learning In: Donsbach W. (Ed.), Encyclopedia of Learning and Memory. Oxford, UK: Blackwell; Vol. 2; 2003:482‐484. 10.1002/9781405186407.wbieco004
    1. Mahtani K, Spencer EA, Brassey J, Heneghan C. Catalogue of bias: observer bias. BMJ Evidence‐Based Med. 2018;23(1):23.
    1. Van den Bussche E, Van den Noortgate W, Reynvoet B. Mechanisms of masked priming: a meta‐analysis. Psychol Bull. 2009;135(3):452.
    1. Encyclopedia of Survey Research Methods. 2019/04/11 2008.
    1. Etchings JA. Strategies in Biomedical Data Science: Driving Force for Innovation. John Wiley & Sons; 2017.
    1. Bird SJ. Responsible research: what is expected? Sci Eng Ethics. 2010;16(4):693‐696.
    1. Fridey JL, Townsend MJ, Kessler DA, Gregory KR. A Question of clarity: redesigning the American Association of Blood Banks blood donor history questionnaire—a chronology and model for donor screening. Transfus Med Rev. 2007;21(3):181‐204.
    1. Wicherts JM, Bakker M, Molenaar D. Willingness to share research data is related to the strength of the evidence and the quality of reporting of statistical results. PLoS ONE. 2011;6(11):e26828.
    1. Resnik DB. What is Ethics in Research & Why is it Important. Vol. 1(10). Research Triangle, NC: National Institute of Environmental Health Sciences; 2011.
    1. Doucet A, Mauthner N. Knowing responsibly: Linking ethics, research practice and epistemology. In: Mauthner M, Birch M, Jessop J, Miller T, eds. Ethics in Qualitative Research. London: Sage; 2002;123‐145. 10.4135/9781849209090.n7
    1. Trochim WM. Activities that Engage Students in Research Methods. Paper presented at: Thirty‐Sixth Annual National Institute On the Teaching of Psychology 2015; Florida, USA; 2015.
    1. Kramer A, Guillory JE, Hancock JT. Experimental evidence of massive‐scale emotional contagion through social networks. Proc Natl Acad Sci USA. 2014;111(24):8788‐8790.
    1. Commission FT . Children's Online Privacy Protection Act of 1998, 15 U.S.C. 6501–6505. In: Commission FT . Vol. 15 U.S.C. 6501–65051998.
    1. Livingstone S, Görzig A, Ólafsson K. EU Kids Online II: Final Report 2011. London, UK: London School of Economics & Political Science; 2011.
    1. Parkes E. Why scientists should communicate science – getting to the heart of the matter. Nature Jobs Blog. 2017. .
    1. National Academies of Science, Engineering, and Medicine . Communicating Science Effectively: A Research Agenda. Washington, DC: National Academies Press; 2017.
    1. Arnstein SR. A ladder of citizen participation. J Am Inst Plan. 1969;35(4):216‐224.
    1. Boivin BA. From craft to reflective art and science. Int J Health Policy Manage. 2019;8(2):124‐127.
    1. Crocker JC, Ricci‐Cabello I, Parker A, et al. Impact of patient and public involvement on enrolment and retention in clinical trials: systematic review and meta‐analysis. BMJ. 2018;363:k4738.
    1. Wilkins CH, Spofford M, Williams N, et al. Community representatives' involvement in Clinical and Translational Science Awardee activities. Clin Transl Sci. 2013;6(4):292‐296.
    1. Kost RG, Reider C, Stephens J, Schuff KG. Clinical and Translational Science Award Research Subject Advocacy Survey Taskforce. Research subject advocacy: program implementation and evaluation at clinical and translational science award centers. Acad Med. 2012;87(9):1228‐1236.
    1. Newman PA, Rubincam C, Slack C, et al. Towards a science of community stakeholder engagement in biomedical HIV prevention trials: an embedded four‐country case study. PLoS ONE. 2015;10(8):e0135937.
    1. Howe A, Mathie E, Munday D, et al. Learning to work together – lessons from a reflective analysis of a research project on public involvement. Res Involv Engagem. 2017;3(1):1.
    1. Patricia Wilson EM, Keenan J, McNeilly E, et al. ReseArch with Patient and Public invOlvement: a RealisT evaluation – the RAPPORT study. Health Serv Del Res. 2015;3(38):1‐176.
    1. Crocker JC, Boylan A‐M, Bostock J, Locock L. Is it worth it? Patient and public views on the impact of their involvement in health research and its assessment: a UK‐based qualitative interview study. Health Expect. 2017;20(3):519‐528.
    1. Callard F, Rose D, Wykes T. Close to the bench as well as at the bedside: involving service users in all phases of translational research. Health Expect. 2012;15(4):389‐400.
    1. Ocloo J, Matthews R. From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. BMJ Qual Saf. 2016;25(8):626‐632.
    1. Mann C, Chilcott S, Plumb K, Brooks E, Man M‐S. Reporting and appraising the context, process and impact of PPI on contributors, researchers and the trial during a randomised controlled trial – the 3D study. Res Involv Engagem. 2018;4:15‐15.
    1. Parsons S, Dack K, Starling B, Thomson W, McDonagh JE. Rheumatology obotBANNfA. Study protocol: determining what young people with rheumatic disease consider important to research (the Young People's Opinions Underpinning Rheumatology Research – YOURR project). Res Involv Engagem. 2016;2(1):22.
    1. O'Hara MC, Cunningham Á, Keighron C, et al. Formation of a type 1 diabetes young adult patient and public involvement panel to develop a health behaviour change intervention: the D1 Now study. Res Involv Engagem. 2017;3(1):21.
    1. Ní Shé É, Morton S, Lambert V, et al. Clarifying the mechanisms and resources that enable the reciprocal involvement of seldom heard groups in health and social care research: a collaborative rapid realist review process. Health Expect. 2019;22(3):298‐306.

Source: PubMed

3
订阅