Researchers' perspectives on public involvement in health research in Singapore : the argument for a community-based approach

Background: Singapore is becoming a world‐class research hub, promoting the advancement of patient care through translational clinical research. Despite growing evidence internationally of the positive impact of public involvement (PPI), in Singapore PPI remains unusual beyond patient participation...

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Main Authors: Puerta, Lidia Luna, Bartlam, Bernadette, Smith, Helen Elizabeth
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2020
Subjects:
Online Access:https://hdl.handle.net/10356/142216
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author Puerta, Lidia Luna
Bartlam, Bernadette
Smith, Helen Elizabeth
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Puerta, Lidia Luna
Bartlam, Bernadette
Smith, Helen Elizabeth
author_sort Puerta, Lidia Luna
collection NTU
description Background: Singapore is becoming a world‐class research hub, promoting the advancement of patient care through translational clinical research. Despite growing evidence internationally of the positive impact of public involvement (PPI), in Singapore PPI remains unusual beyond patient participation as subjects in studies. Objective: To explore health researchers' understandings of the principles, role and scope of PPI, and to identify barriers and opportunities for implementation in Singapore. Design: Semi‐structured qualitative interviews between April and July 2018. Data were analysed using thematic framework analysis. Results: Whilst most participants (n = 20) expressed a lack of experience of PPI, the interview process provided an opportunity for reflection through which it emerged as a beneficial strategy. Interviewees highlighted both utilitarian and ethical reasons for implementing PPI, particularly around increasing the relevance and efficiency of research. In addition to those challenges to PPI documented in the existing literature, participants highlighted others specific to the Singaporean context that make PPI at an individual level unlikely to be successful, including the socio‐political environment and prevailing social and professional hierarchies. They also identified asset‐based strategies to overcome these, in particular, a more community‐oriented approach. Conclusion: The cultural reluctance of individuals to question perceived authority figures such as researchers may be overcome by adopting an approach to PPI that is closer to family and local community values, and which facilitates patients and the public collectively engaging in research. Further work is needed to explore the views of patients and the public in Singapore, and the implications for other Asian communities.
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spelling ntu-10356/1422162020-11-01T05:28:30Z Researchers' perspectives on public involvement in health research in Singapore : the argument for a community-based approach Puerta, Lidia Luna Bartlam, Bernadette Smith, Helen Elizabeth Lee Kong Chian School of Medicine (LKCMedicine) Family Medicine and Primary Care Science::Medicine Asia Attitudes Background: Singapore is becoming a world‐class research hub, promoting the advancement of patient care through translational clinical research. Despite growing evidence internationally of the positive impact of public involvement (PPI), in Singapore PPI remains unusual beyond patient participation as subjects in studies. Objective: To explore health researchers' understandings of the principles, role and scope of PPI, and to identify barriers and opportunities for implementation in Singapore. Design: Semi‐structured qualitative interviews between April and July 2018. Data were analysed using thematic framework analysis. Results: Whilst most participants (n = 20) expressed a lack of experience of PPI, the interview process provided an opportunity for reflection through which it emerged as a beneficial strategy. Interviewees highlighted both utilitarian and ethical reasons for implementing PPI, particularly around increasing the relevance and efficiency of research. In addition to those challenges to PPI documented in the existing literature, participants highlighted others specific to the Singaporean context that make PPI at an individual level unlikely to be successful, including the socio‐political environment and prevailing social and professional hierarchies. They also identified asset‐based strategies to overcome these, in particular, a more community‐oriented approach. Conclusion: The cultural reluctance of individuals to question perceived authority figures such as researchers may be overcome by adopting an approach to PPI that is closer to family and local community values, and which facilitates patients and the public collectively engaging in research. Further work is needed to explore the views of patients and the public in Singapore, and the implications for other Asian communities. Published version 2020-06-17T07:18:53Z 2020-06-17T07:18:53Z 2019 Journal Article Puerta, L. L., Bartlam, B., & Smith, H. E. (2019). Researchers' perspectives on public involvement in health research in Singapore : the argument for a community‐based approach. Health Expectations, 22(4), 666-675. doi:10.1111/hex.12915 1369-7625 https://hdl.handle.net/10356/142216 10.1111/hex.12915 31322811 2-s2.0-85072059060 4 22 666 675 en Health Expectations © 2019 The Authors (published by John Wiley & Sons Ltd). This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. application/pdf
spellingShingle Science::Medicine
Asia
Attitudes
Puerta, Lidia Luna
Bartlam, Bernadette
Smith, Helen Elizabeth
Researchers' perspectives on public involvement in health research in Singapore : the argument for a community-based approach
title Researchers' perspectives on public involvement in health research in Singapore : the argument for a community-based approach
title_full Researchers' perspectives on public involvement in health research in Singapore : the argument for a community-based approach
title_fullStr Researchers' perspectives on public involvement in health research in Singapore : the argument for a community-based approach
title_full_unstemmed Researchers' perspectives on public involvement in health research in Singapore : the argument for a community-based approach
title_short Researchers' perspectives on public involvement in health research in Singapore : the argument for a community-based approach
title_sort researchers perspectives on public involvement in health research in singapore the argument for a community based approach
topic Science::Medicine
Asia
Attitudes
url https://hdl.handle.net/10356/142216
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