Patient and public involvement cultures and the perceived impact in the vulnerable context of palliative care: A qualitative study

Abstract Background Cultural values are crucial to the practice and impact of patient and public involvement (PPI) in research. Objective To understand different PPI cultures among research teams and the impacts of PPI associated with each culture type. Design A participatory action research design....

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Main Authors: Inge Melchior, Anouk van derHeijden, Esther Stoffers, Frits Suntjens, Albine Moser
Format: Article
Language:English
Published: Wiley 2021-04-01
Series:Health Expectations
Subjects:
Online Access:https://doi.org/10.1111/hex.13186
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author Inge Melchior
Anouk van derHeijden
Esther Stoffers
Frits Suntjens
Albine Moser
author_facet Inge Melchior
Anouk van derHeijden
Esther Stoffers
Frits Suntjens
Albine Moser
author_sort Inge Melchior
collection DOAJ
description Abstract Background Cultural values are crucial to the practice and impact of patient and public involvement (PPI) in research. Objective To understand different PPI cultures among research teams and the impacts of PPI associated with each culture type. Design A participatory action research design. Setting and participants The setting was 10 palliative care research projects. Seventeen patients and members of the public and 31 researchers participated. Intervention A programme consisting of four components: (1) training and coaching of patients and the public to prepare them for participation in research, (2) tailored coaching of the 10 research teams over 12‐18 months, (3) a community of practice, and (4) a qualitative evaluation. Results We identified three cultures types: relationship cultures, task cultures, and control cultures. We identified four areas of impact: the project aim became more relevant to the target audience, methodological reliability increased, the research products were better able to reach the public, and the awareness increased, associated with behavioural changes, among researchers regarding PPI. Discussion A relationship culture appears to be long‐lasting due to impacting the behaviours of the researchers during future projects. Different cultural types require different types of patients and researcher participants, assigned to different tasks. Conclusions Further research remains necessary to investigate the support required by researchers to enable relationship‐ and task‐oriented PPI cultures. Patient or public contribution Patient advocates and representatives contributed to our research team throughout the entire research process, as well as within the 10 implementation projects.
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spelling doaj.art-50890e15488b4bd3a104f05ea6b3b8f02022-12-21T23:18:02ZengWileyHealth Expectations1369-65131369-76252021-04-0124245646710.1111/hex.13186Patient and public involvement cultures and the perceived impact in the vulnerable context of palliative care: A qualitative studyInge Melchior0Anouk van derHeijden1Esther Stoffers2Frits Suntjens3Albine Moser4Zorgbelang Limburg (currently Burgerkracht Limburg) Sittard the NetherlandsZorgbelang Limburg (currently Burgerkracht Limburg) Sittard the NetherlandsZorgbelang Limburg (currently Burgerkracht Limburg) Sittard the NetherlandsZorgbelang Limburg (currently Burgerkracht Limburg) Sittard the NetherlandsZuyd University of Applied Sciences Heerlen the NetherlandsAbstract Background Cultural values are crucial to the practice and impact of patient and public involvement (PPI) in research. Objective To understand different PPI cultures among research teams and the impacts of PPI associated with each culture type. Design A participatory action research design. Setting and participants The setting was 10 palliative care research projects. Seventeen patients and members of the public and 31 researchers participated. Intervention A programme consisting of four components: (1) training and coaching of patients and the public to prepare them for participation in research, (2) tailored coaching of the 10 research teams over 12‐18 months, (3) a community of practice, and (4) a qualitative evaluation. Results We identified three cultures types: relationship cultures, task cultures, and control cultures. We identified four areas of impact: the project aim became more relevant to the target audience, methodological reliability increased, the research products were better able to reach the public, and the awareness increased, associated with behavioural changes, among researchers regarding PPI. Discussion A relationship culture appears to be long‐lasting due to impacting the behaviours of the researchers during future projects. Different cultural types require different types of patients and researcher participants, assigned to different tasks. Conclusions Further research remains necessary to investigate the support required by researchers to enable relationship‐ and task‐oriented PPI cultures. Patient or public contribution Patient advocates and representatives contributed to our research team throughout the entire research process, as well as within the 10 implementation projects.https://doi.org/10.1111/hex.13186culturesimpactpalliative carepatient and public involvementpatient participationqualitative research
spellingShingle Inge Melchior
Anouk van derHeijden
Esther Stoffers
Frits Suntjens
Albine Moser
Patient and public involvement cultures and the perceived impact in the vulnerable context of palliative care: A qualitative study
Health Expectations
cultures
impact
palliative care
patient and public involvement
patient participation
qualitative research
title Patient and public involvement cultures and the perceived impact in the vulnerable context of palliative care: A qualitative study
title_full Patient and public involvement cultures and the perceived impact in the vulnerable context of palliative care: A qualitative study
title_fullStr Patient and public involvement cultures and the perceived impact in the vulnerable context of palliative care: A qualitative study
title_full_unstemmed Patient and public involvement cultures and the perceived impact in the vulnerable context of palliative care: A qualitative study
title_short Patient and public involvement cultures and the perceived impact in the vulnerable context of palliative care: A qualitative study
title_sort patient and public involvement cultures and the perceived impact in the vulnerable context of palliative care a qualitative study
topic cultures
impact
palliative care
patient and public involvement
patient participation
qualitative research
url https://doi.org/10.1111/hex.13186
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