Involving research participants in a pan-European research initiative: the EPAD participant panel experience

Springer Science and Business Media LLC - Tập 6 - Trang 1-11 - 2020
S. Gregory1, E. M. Bunnik2, A. B. Callado3, I. Carrie4, C. De Boer5, J. Duffus6, K. Fauria3, S. Forster7, D. Gove8, I. Knezevic3, A. Laquidain6, D. Pennetier4, S. Saunders1, S. Sparks1, J. Rice6, C. W. Ritchie1, R. Milne9,10
1Edinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
2Department of Medical Ethics and Philosophy of Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands
3BarcelonaBeta Brain Research Center, Pasqual Maragall Fundation, Barcelona, Spain
4Centre de Recherche Clinique du Gérontopôle, Toulouse University Hospital, Toulouse, France
5VUmc Alzheimercentrum, Amsterdam, The Netherlands
6Participant panel member, Barcelona, Spain
7Department of Psychiatry, University of Oxford, Oxford, UK
8Alzheimer Europe, Luxembourg, Luxembourg
9Institute of Public Health, University of Cambridge, Cambridge, UK
10Society and Ethics Research, Wellcome Genome Campus, Hinxton, UK

Tóm tắt

Including participants in patient and public involvement activities is increasingly acknowledged as a key pillar of successful research activity. Such activities can influence recruitment and retention, as well as researcher experience and contribute to decision making in research studies. However, there are few established methodologies of how to set up and manage participant involvement activities. Further, there is little discussion of how to do so when dealing with collaborative projects that run across countries and operate in multiple linguistic and regulatory contexts. In this paper we describe the set-up, running and experiences of the EPAD participant panel. The EPAD study was a pan-European cohort study with the aim to understand risks for developing Alzheimer’s disease and build a readiness cohort for Phase 2 clinical trials. Due to the longitudinal nature of this study, combined with the enrolment of healthy volunteers and those with mild cognitive impairments, the EPAD team highlighted participant involvement as crucial to the success of this project. The EPAD project employed a nested model, with local panels meeting in England, France, Scotland, Spain and The Netherlands, and feeding into a central study panel. The local panels were governed by terms of reference which were adaptable to local needs. The impact of the panels has been widespread, and varies from feedback on documentation, to supporting with design of media materials and representation of the project at national and international meetings. The EPAD panels have contributed to the success of the project and the model established is easily transferable to other disease areas investigating healthy or at-risk populations.

Tài liệu tham khảo

Pickett J, Murray M. Editorial: Patient and public involvement in dementia research: Setting new standards. Dementia. 2018;17(8):939–43. Greenhalgh T, Hinton L, Finaly T, Macfarlane A, Fahy N, Clyde B, et al. Frameworks for supporting patient and public involvement in research: systematic reveiw and co-design pilot. Health Expect. 2019;22(4):785–801. HRA. What is public involvement in research? [Available from: https://www.hra.nhs.uk/planning-and-improving-research/best-practice/public-involvement/. INVOLVE. UK Standards for Public Involvement: Better public involvement for better health and social care research 2019 November 2019. Miah J, Dawes P, Edwards S, Leroi I, Starling B, Parsons S. Patient and public involvement in dementia research in the European Union: a scoping review. BMC Geriatr. 2019;19. Gove D, Diaz-Ponce A, Georges J, Moniz-Cook E, Mountain G, Chattat R, et al. Alzheimer Europe's position on involving people with dementia in research through PPI (patient and public involvement). Aging & Mental Health. 2017;22:6. Rabeharisoa V. The struggle against neuromuscular diseases in France and the emergence of the “partnership model” of patient organisation. Soc Sci Med. 2003;57(11):2127–36. Spindler P, Lima BS. Editorial: The European Patients Academy on Therapeutic Innovation (EUPATI) Guidelines on Patient Involvement in Research and Development. Front Med. 2018;5:310. Boada M, Santos-Santos MA, Rodríguez-Gómez O, Alegret M, Cañabate P, Lafuente A, et al. Patient engagement: the Fundació ACE framework for improving recruitment and retention in Alzheimer’s disease research. J Alzheimers Dis. 2018;62(3):1079–90. Bethell J, Commisso E, Rostad HM, Puts M, Babineau J, Grinbergs-Saull A, et al. Patient engagement in research related to dementia: a scoping review. Dementia. 2018;17(8):944–75. Domecq JP, Prutsky G, Elraiyah T, Wang Z, Nabhan W, Shipee N, et al. Patient engagement in research: a systematic review. BMC Health Services. 2014;14:89. Crocker JC, Ricci-Cabello I, Parker A, Hirst JA, Chant A, Petit-Zeman S, et al. Impact of patient and public involvement on enrolment and retention in clinical trials: systematic review and meta-analysis. BMJ. 2018;363:k4738. Blackburn S, McLachlan S, Jowett S, Kinghorn P, Gill P, Higginbottom A, et al. The extent, quality and impact of patient and public involvement in primary care research: a mixed methods study. Research Involvement and Engagement. 2018;4:16. Vogsen M, Geneser S, Rasmussen ML, Hørder M, Hildebrandt MG. Learning from patient involvement in a clinical study analyzing PET/CT in women with advanced breast cancer. Research Involvement and Engagement. 2020;6. Staley K, Abbey-Vital I, Nolan C. The impact of involvement on researchers: a learning experience. Research Involvement Engagement. 2017;3:20. Morgan N, Grinbergs-Saull A, Murray M. We can make our research meaningful. In: The impact of the Alzheimer’s Society Research Network; 2018. INVOLVE. Exploring the impact of public involvement on the quality of research: examples. Eastleigh: INVOLVE; 2013. Boylan A-M, Locock L, Thomson R, Staniszewska S. "about sixty per cent I want to do it": health researchers' attitudes to, and experiences of, patient and public involvement (PPI)- a qualitative interview study. Health Expect. 2019;22:721–30. Kaye J, Curren L, Anderson N, Edwards K, Fullerton SM, Kanellopoulou N, et al. From patients to partners: participant-centric initiatives in biomedical research. Nat Rev Genet. 2012;13(5):371–6. Kaye J, Terry SF, Juengst E, Coy S, Harris JR, Chalmers D, et al. Including all voices in international data-sharing governance. Human Genomics. 2018;12:1. Dillon EC, Tuzzio K, Madrid S, Olden H, Greenlee RT. Measuring the impact of patient-engaged research: how a methods workshop identified critical outcomes of research engagement. J Patient Centered Res Rev. 2017;4(4):237–46. Dresser R. Silent partners: human subjects and research ethics. Oxford: Oxford University Press; 2016. Murtagh MJ, Blell MT, Butters OW, Cowley L, Dove ES, Goodman A, et al. Better governance, better access: practising responsible data sharing in the METADAC governance infrastructure. Human Genomics. 2018;12:1. Golding J. Children of the nineties. A longitudinal study of pregnancy and childhood based on the population of Avon (ALSPAC). West of England Medical Journal. 1990;105(3):80–2. Genomics England. [Available from: http://www.genomicsengland.co.uk. Sankar PL, Parker LS. The precision medicine Initiative’s all of us research program: an agenda for research on its ethical, legal, and social issues. Genetics in Medicine. 2017;19:743–50. Ritchie CW, Molinuevo JL, Truyen L, Satlin A, Van der Geyten S, Lovestone S. Development of interventions for the secondary prevention of Alzheimer’s dementia: the European prevention of Alzheimer’s dementia (EPAD) project. Lancet Psychiatry. 2015;3(2):179–86. Ritchie CW, Muniz-Terrera G, Kivipelto M, Solomon A, Tom B, Molinuevo JL. The European Prevention of Alzhiemer's Dementia (EPAD) longitudinal cohort study: baseline data release v500.0. J Prevention of Alzheimer's Disease. 2019. Milne R, Bunnick E, Diaz A, Richard E, Badger S, Gove D, et al. Perspectives on communicating biomarker-based assessments of Alzheimer’s disease to cognitively healthy individuals. J Alzheimers Dis. 2018;62:487–98. Gregory S, Wells K, Forsyth K, Latto C, Szyra H, Saunders S, et al. Research participants as collaborators: background, experience and policies from the PREVENT dementia and EPAD programmes. Dementia. 2018;17(8):1045–54. Ritchie CW, Ritchie K. The PREVENT study: a prospective cohort study to identify mid-life biomarkers of late-onset Alzheimer’s disease. BMJ Open. 2012;2:e001893. Koychev I, Lawson J, Chessell T, Mackay C, Gunn R, Sahakian B, et al. Deep and Frequent Phenotyping study protocol: an observational study in prodromal Alzheimer’s disease. BMJ Open. 2019;9:e024498. Alzheimer’s Society. Having a lumbar puncture [Available from: https://www.alzheimers.org.uk/research/take-part-research/lumbar-puncture. Wilson P, Mathie E, Keenan J, McNeilly E, Goodman C, Howe A, et al. Research with patient and public InvOlement: a RealisT evaluation- the RAPPORT study Southampton (UK): health services and delivery research; 2015. Ocloo J, Matthews R. From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. BMJ Qual Safety. 2016;25:626–32. Bagley HJ, Short H, Harman NL, Hickey HR, Gamble CL, Woolfall K, et al. A patient and public involvement (PPI) toolkit for meaningful and flexible involvmenet in clinical trials- a work in progress. Research Involvement and Engagement. 2016;2(1):15. Poland F, Charlesworth G, Leung P, Birt L. Embedding patient and public involvement: managing tacit and explicit expectations. Health Expect. 2019;22:1231–9. Coulman KD, Nicholson A, Shaw A, Daykin A, Selman LE, Macefield R, et al. Understanding and optimising patient and public involvement in trial oversight: an ethnographic study of eight clinical trials. Trials. 2020;21. INVOLVE. Developing training and support for public involvement in research. Eastleigh: INVOLVE; 2012. Alzheimer Europe. Overcoming ethical challenges affecting the involvement of people with dementia in research: recognising diversity and promoting inclusive research. Luxembourg: Alzheimer Europe; 2019. Conklin A, Morris Z, Nolte E. What is the evidence base for public involvement in health-care policy? Results of a systematic scoping review. Health Expect. 2015;18(2):153–65.