Establishing Effective Patient Engagement Through a Terms of Reference to Foster Inclusivity and Empowerment in Research: Example From a Healthcare Transition Quality Indicators Project

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Health Expectations Pub Date : 2024-11-28 DOI:10.1111/hex.70113
Sarah E. P. Munce, Tomisin John, Dorothy Luong, Sarah Mooney, Lisa Stromquist, Kyle Chambers, Marilyn Crabtree, Sanober Diaz, Gina Dimitropoulos, Megan Henze, Amanda Higgins, Elaine Li, Samadhi Mora Severino, Melanie Penner, Jacklynn Pidduck, Michelle Wan, Laura Williams, Darryl Yates, Alene Toulany
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Abstract

Introduction

Patient engagement in research aims to foster meaningful partnerships, integrating patient experiences into the research process. This paper describes the development of a Terms of Reference (ToR) to support these meaningful partnerships. While engagement improves data collection and empowerment, ineffective engagement can lead to negative outcomes. A well-developed ToR promotes a structured, inclusive, and respectful process.

Methods

Using an integrated knowledge translation (iKT) approach, we established a panel of youth, caregivers, healthcare providers, and healthcare leaders/decision-makers. Through collaborative discussions, we incorporated key elements into the ToR, including values, roles, decision-making processes, and recognition of contributions.

Results

To promote effective engagement the ToR included sections to encourage open, transparent and vulnerable dialogue, evaluation, and accommodations for disabilities. The ToR draft was reviewed and refined by panel members for clarity. Regular reviews and updates will keep the ToR a living document and adaptable to the evolving engagement process.

Conclusion

The implementation of our ToR is designed to foster inclusivity, mutual respect, and accountability, avoiding tokenistic partnership, enriching the experience for patients and researchers alike, and ultimately enhancing research quality.

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通过促进研究中的包容性和赋权的职权范围建立有效的患者参与:来自医疗保健转型质量指标项目的示例
患者参与研究旨在促进有意义的伙伴关系,将患者体验融入研究过程。本文描述了为支持这些有意义的伙伴关系而制定的职权范围(ToR)。虽然参与可以改善数据收集和授权,但无效的参与可能导致负面结果。一个完善的ToR促进了一个有组织、包容和尊重的过程。方法采用综合知识翻译(iKT)方法,我们建立了一个由青年、护理人员、医疗保健提供者和医疗保健领导者/决策者组成的小组。通过协作讨论,我们将关键要素纳入ToR,包括价值观、角色、决策过程和对贡献的认可。结果:为了促进有效的参与,ToR包括了鼓励公开、透明和脆弱的对话、评估和为残疾人提供便利的部分。专家组成员对ToR草案进行了审查,并对其进行了完善。定期审查和更新将使ToR成为一份活的文件,并适应不断变化的参与过程。我们的ToR的实施旨在促进包容性、相互尊重和问责制,避免象征性的伙伴关系,丰富患者和研究人员的经验,并最终提高研究质量。
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来源期刊
Health Expectations
Health Expectations 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.20
自引率
9.40%
发文量
251
审稿时长
>12 weeks
期刊介绍: Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
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