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Tell me and I forget, teach me and I
remember, involve me and I learn
School of Health and Life Sciences, Glasgow Caledonian University Seminar
Patient and public involvement (PPI) in research: A moral imperative
Hello!
I am Simon Stones
Award-winning patient leader.
Advocate for others.
Expert by experience.
Freelance consultant.
Charity representative.
Qualitative researcher.
@SimonRStones
Research is the best,
and most underused
treatment in our
country
“
1996
Diagnosed with
juvenile idiopathic
arthritis aged 3
2008
Diagnosed with
Crohn’s disease
aged 14
2012
Diagnosed with
fibromyalgia
aged 18
2012-2016
BSc (Hons) Biomedical Sciences
2016-2019
PhD Applied Health
TAKING IT BACK A STEP
What is patient and public
involvement in research?
“
When patients, carers and members of
the public are active partners in
research, rather than the ‘subjects’ or
participants of research.
It is about doing research with or by
patients, carers and the public, not
doing research to patients, carers and
the public.
Think research at
every opportunity
• Where people are actively involved in research
projects and in research organisations.
Involvement
• Where information and knowledge
about research is provided and
disseminated to people, for example,
a science fair or open day.
Engagement
• When people take part in
a research study
(formally referred to as
‘subjects’).
Participation
Participation, engagement and involvement
in research must be individualised
◇ Patients are on a journey.
◇ Families are also on a journey.
◇ Thoughts, emotions and experiences change along that journey.
Coming to
terms with
condition(s)
Denial
Anger and
frustration
AcceptanceAdapting
Living
life to
the full
Research empowers me,
and others, to take control,
To learn about our conditions
To differentiate between
evidence-informed and anecdotal guidance
To develop skills and techniques
To find support from peers
To grow in confidence
Why is PPI important, and
not just a ‘nice thing’ to do?
The quality and relevance of research can be improved
Information can be made more appropriate
and accessible
Methods can be tailored so that they are
acceptable and sensitive to participants’ needs
Participation can be increased
Identification of relevant research
questions
Patients and carers can be empowered
Patients
and their
families
There needs to be
closer collaboration
Patient
organisations and
charities
Health and
education
professionals,
researchers,
industry and
government
Ensuring
scientific and
technical
excellence
Improved understanding of proposals through technical insight
Ensuring relevance
Accountability
Understanding of the real issues
facing patients and carers
◇Fibromyalgia Action UK, based in Paisley, is the
national patient organisation for people with
fibromyalgia;
◇Around 160 local support groups across the
England, Northern Ireland, Scotland and Wales;
◇Seek support from the charity to advise on
your study, and to facilitate recruitment;
◇Over 11,100 followers on Twitter;
◇Over 12,900 followers on Facebook;
◇Over 36,000 followers on HealthUnlocked.
Organisations are working with
patients, day in, day out
In the UK, between 1.2 and 2.8 million people are believed to have fibromyalgia, based
on estimated that between 2% and 4.5% of the population have the condition.
www.fmauk.org
Shared learning group on
involvement
This group aims to encourage shared learning about patient and/or carer involvement
between national medical research sector organisations in the UK
When should we involve
people in research?
Developing ideas
and prioritising
research questions
Designing
research,
applying for
funding and
ethics
Conducting,
analysing and
disseminating
research
Providing and receiving training and development opportunities
How can we involve
people in research?
One-to-one
discussions
Focus groups and
discussion groups
Co-researchers /
research partners
Social media
Advisory and
reference groups
Through existing
groups
How can we involve
people in research?
◇University / NHS-based Research User Groups
◇Clinical Network Patient Focus and Public Involvement Groups
e.g. NHS Greater Glasgow and Clyde
◇Research Consortium Stakeholder Groups e.g. IMI
◇NIHR GenerationR and Patient Research Ambassadors
◇European Young People’s Advisory Group Network (eYPAGnet)
◇International Children’s Advisory Network (iCAN)
◇INVOLVE and People in Research (UK)
◇Patient organisations and charities
Application
deadline
Triage/Outline
review
Peer review
Applicant
rebuttal
Panel review
The review and evaluation of
grant applications
Patient Insight
Research Insight
“
Never use a long word
when a short one will
do… and don’t use
jargon for the sake of it!
Some examples…
• Elucidate = find out
• Analgesics = painkillers
• Novel therapeutics = new treatments
• Molecules XYZ, ABC and EFG = a number of molecules
• Mechanical loading = the way weight is placed on a joint
• SNPs = naturally occurring genetic differences
• Cultured in vitro = grown in the laboratory
Patient research
ambassadors:
Families working locally,
nationally, and
internationally to
promote research.
There are more than 1
million children in the UK
who have a long-term, or
even lifelong illness, and
need medicines for the
foreseeable future.
Life, health and wellbeing
extends beyond the hospital
www.raiise.co.uk
Founder and CEO: Sophie Ainsworth
Association of Colleges’ Young Student of the Year 2017
The TRECA study: Trials engagement
in children and adolescents
The NIHR-funded TRECA
study has developed
multimedia information (MMI)
resources with text,
animations, videos and
diagrams to inform children,
adolescents and parents about
clinical trials.
The SIRJIA study: Steroid induction
regimens in juvenile idiopathic arthritis
SIRJIA will determine whether a
future study comparing different
steroid treatments is possible to do
with young people living with juvenile
idiopathic arthritis (JIA).
Young people and families were
involved in identifying the primary
outcome measure for the study, as
well as the inclusion/exclusion criteria,
and methods of data collection.
Patients won’t be
part of the
conversation in the
future…
they’ll be leading it.
“
Credits: SlidesCarnival
“
A task for you Tweeters…
Describe one thing that you’re going to do
differently after today’s seminar with
regards to involving patients and the public
in research.
Tag @SimonRStones and @GCUSHLS
Thanks!
Feel free to get in touch…
simon@simonstones.com
www.simonstones.com
07761 058920
@SimonRStones

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Tell me and I forget, teach me and I remember, involve me and I learn

  • 1. Tell me and I forget, teach me and I remember, involve me and I learn School of Health and Life Sciences, Glasgow Caledonian University Seminar Patient and public involvement (PPI) in research: A moral imperative
  • 2. Hello! I am Simon Stones Award-winning patient leader. Advocate for others. Expert by experience. Freelance consultant. Charity representative. Qualitative researcher. @SimonRStones
  • 3. Research is the best, and most underused treatment in our country “
  • 4. 1996 Diagnosed with juvenile idiopathic arthritis aged 3 2008 Diagnosed with Crohn’s disease aged 14 2012 Diagnosed with fibromyalgia aged 18 2012-2016 BSc (Hons) Biomedical Sciences 2016-2019 PhD Applied Health
  • 5. TAKING IT BACK A STEP What is patient and public involvement in research?
  • 6. “ When patients, carers and members of the public are active partners in research, rather than the ‘subjects’ or participants of research. It is about doing research with or by patients, carers and the public, not doing research to patients, carers and the public.
  • 7. Think research at every opportunity • Where people are actively involved in research projects and in research organisations. Involvement • Where information and knowledge about research is provided and disseminated to people, for example, a science fair or open day. Engagement • When people take part in a research study (formally referred to as ‘subjects’). Participation
  • 8. Participation, engagement and involvement in research must be individualised ◇ Patients are on a journey. ◇ Families are also on a journey. ◇ Thoughts, emotions and experiences change along that journey. Coming to terms with condition(s) Denial Anger and frustration AcceptanceAdapting Living life to the full
  • 9. Research empowers me, and others, to take control, To learn about our conditions To differentiate between evidence-informed and anecdotal guidance To develop skills and techniques To find support from peers To grow in confidence
  • 10. Why is PPI important, and not just a ‘nice thing’ to do? The quality and relevance of research can be improved Information can be made more appropriate and accessible Methods can be tailored so that they are acceptable and sensitive to participants’ needs Participation can be increased Identification of relevant research questions Patients and carers can be empowered
  • 11. Patients and their families There needs to be closer collaboration Patient organisations and charities Health and education professionals, researchers, industry and government Ensuring scientific and technical excellence Improved understanding of proposals through technical insight Ensuring relevance Accountability Understanding of the real issues facing patients and carers
  • 12. ◇Fibromyalgia Action UK, based in Paisley, is the national patient organisation for people with fibromyalgia; ◇Around 160 local support groups across the England, Northern Ireland, Scotland and Wales; ◇Seek support from the charity to advise on your study, and to facilitate recruitment; ◇Over 11,100 followers on Twitter; ◇Over 12,900 followers on Facebook; ◇Over 36,000 followers on HealthUnlocked. Organisations are working with patients, day in, day out In the UK, between 1.2 and 2.8 million people are believed to have fibromyalgia, based on estimated that between 2% and 4.5% of the population have the condition. www.fmauk.org
  • 13. Shared learning group on involvement This group aims to encourage shared learning about patient and/or carer involvement between national medical research sector organisations in the UK
  • 14. When should we involve people in research? Developing ideas and prioritising research questions Designing research, applying for funding and ethics Conducting, analysing and disseminating research Providing and receiving training and development opportunities
  • 15. How can we involve people in research? One-to-one discussions Focus groups and discussion groups Co-researchers / research partners Social media Advisory and reference groups Through existing groups
  • 16. How can we involve people in research? ◇University / NHS-based Research User Groups ◇Clinical Network Patient Focus and Public Involvement Groups e.g. NHS Greater Glasgow and Clyde ◇Research Consortium Stakeholder Groups e.g. IMI ◇NIHR GenerationR and Patient Research Ambassadors ◇European Young People’s Advisory Group Network (eYPAGnet) ◇International Children’s Advisory Network (iCAN) ◇INVOLVE and People in Research (UK) ◇Patient organisations and charities
  • 17. Application deadline Triage/Outline review Peer review Applicant rebuttal Panel review The review and evaluation of grant applications Patient Insight Research Insight
  • 18. “ Never use a long word when a short one will do… and don’t use jargon for the sake of it!
  • 19. Some examples… • Elucidate = find out • Analgesics = painkillers • Novel therapeutics = new treatments • Molecules XYZ, ABC and EFG = a number of molecules • Mechanical loading = the way weight is placed on a joint • SNPs = naturally occurring genetic differences • Cultured in vitro = grown in the laboratory
  • 20. Patient research ambassadors: Families working locally, nationally, and internationally to promote research.
  • 21. There are more than 1 million children in the UK who have a long-term, or even lifelong illness, and need medicines for the foreseeable future. Life, health and wellbeing extends beyond the hospital www.raiise.co.uk Founder and CEO: Sophie Ainsworth Association of Colleges’ Young Student of the Year 2017
  • 22. The TRECA study: Trials engagement in children and adolescents The NIHR-funded TRECA study has developed multimedia information (MMI) resources with text, animations, videos and diagrams to inform children, adolescents and parents about clinical trials.
  • 23. The SIRJIA study: Steroid induction regimens in juvenile idiopathic arthritis SIRJIA will determine whether a future study comparing different steroid treatments is possible to do with young people living with juvenile idiopathic arthritis (JIA). Young people and families were involved in identifying the primary outcome measure for the study, as well as the inclusion/exclusion criteria, and methods of data collection.
  • 24. Patients won’t be part of the conversation in the future… they’ll be leading it. “ Credits: SlidesCarnival
  • 25. “ A task for you Tweeters… Describe one thing that you’re going to do differently after today’s seminar with regards to involving patients and the public in research. Tag @SimonRStones and @GCUSHLS
  • 26. Thanks! Feel free to get in touch… simon@simonstones.com www.simonstones.com 07761 058920 @SimonRStones