Bridging the Gap: A Qualitative Study Exploring the Impact of the Involvement of Researchers With Lived Experience on a Multisite Randomised Control Trial in the National Probation Service in England and Wales

IF 3.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Health Expectations Pub Date : 2025-02-04 DOI:10.1111/hex.70162
Elizabeth Simes, Stephen Butler, Elizabeth Allison, Barbara Barrett, Anthony Bateman, Angus Cameron, Mike Crawford, Alison Frater, Zoe Hoare, Mary McMurran, Paul Moran, Stephen Pilling, James Wason, Jessica Yakeley, Peter Fonagy
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Abstract

Introduction

Methodological and ethical arguments support the involvement of individuals with lived experience in research to reduce engagement barriers and ensure those directly affected by studies contribute to knowledge generation. However, there is limited evidence on the impact of including researchers with lived experience of serving a prison or community sentence in clinical trials. This qualitative study aimed to explore the value of involving researchers with lived experience of the criminal justice system as data collectors in the Mentalization for Offending Adult Males (MOAM), a multisite RCT conducted in the National Probation Service in England and Wales.

Methods

Semi-structured interviews were conducted with 30 trial participants and 17 key stakeholders, either in person or via telephone. The interviews were transcribed verbatim and analysed thematically.

Findings

Five themes emerged for trial participants and 11 for key stakeholders. For some, lived experience researchers helped overcome engagement barriers by fostering common ground with participants who were serving a prison or community sentence during recruitment. Participants reported that the involvement of lived experience researchers enhanced the study by facilitating knowledge transfer in certain instances. However, their inclusion did not eliminate all barriers and, for some participants, introduced new challenges to engagement.

Conclusion

Forensic lived experience researchers bridged the gap by fostering trust between data collectors and participants. Future studies should ensure that lived experience researchers receive adequate clinical supervision to support their role. The adopted methodology challenged assumptions about knowledge generation and stereotypes associated with being an ex-offender, benefiting both lived experience and traditional researchers.

Patient or Public Contribution

The study was developed in collaboration with User Voice (charity number: 1136047), who contributed to the study's design and conduct. The service user organisation co-designed the interview schedule and directed the protocol for participant payments, emphasising a consistent approach to avoid tokenism and ensure equal recognition of all contributions. The dissemination plan was developed in partnership with individuals with lived experience of the criminal justice system.

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弥合差距:在英格兰和威尔士国家缓刑服务中心进行的一项多地点随机对照试验中,一项探索有生活经验的研究人员参与影响的定性研究
方法论和伦理观点支持有生活经验的个人参与研究,以减少参与障碍,并确保那些直接受研究影响的人有助于知识的产生。然而,在临床试验中纳入有服刑或社区服刑经历的研究人员的影响方面,证据有限。本定性研究旨在探讨在英格兰和威尔士国家缓刑服务中心开展的一项多地点随机对照试验——成年犯罪男性心理化(MOAM)中,有刑事司法系统生活经验的研究人员作为数据收集者的价值。方法采用半结构化访谈法,对30名试验参与者和17名关键利益相关者进行面谈或电话访谈。采访内容逐字记录下来,并按主题进行分析。试验参与者有5个主题,关键利益相关者有11个主题。对于一些人来说,生活经验研究人员通过在招募期间与正在服刑或社区服刑的参与者培养共同点,帮助他们克服了参与障碍。参与者报告说,在某些情况下,生活经验研究者的参与促进了知识转移,从而加强了研究。然而,他们的加入并没有消除所有障碍,对一些参与者来说,这给参与带来了新的挑战。结论法医生活经验研究人员通过培养数据收集者和参与者之间的信任弥合了差距。未来的研究应确保有生活经验的研究人员得到充分的临床监督,以支持他们的作用。所采用的方法挑战了关于知识生成的假设和与前罪犯相关的刻板印象,使生活经验和传统研究人员都受益。该研究是与User Voice(慈善机构编号:1136047)合作开发的,User Voice对研究的设计和实施做出了贡献。服务用户组织共同设计了面试时间表,并指导了参与者付款的协议,强调了一致的方法,以避免象征性的行为,并确保所有贡献都得到平等承认。传播计划是与具有刑事司法系统实际经验的个人合作制定的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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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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