Achieving inclusive research priority-setting : What do people with lived experience and the public think is essential?

Journal article

Pratt, Bridget. (2021). Achieving inclusive research priority-setting : What do people with lived experience and the public think is essential? BMC Medical Ethics. 22(1), p. Article 117. https://doi.org/10.1186/s12910-021-00685-5
AuthorsPratt, Bridget
Abstract

Background
Engagement of people with lived experience and members of the public is an ethically and scientifically essential component of health research. Authentic engagement means they are involved as full partners in research projects. Yet engagement as partnership is uncommon in practice, especially during priority-setting for research projects. What is needed for agenda-setting to be shared by researchers and people with lived experience and/or members of the public (or organisations representing them)? At present, little ethical guidance exists on this matter, particularly that which has been informed by the perspectives of people with lived experience and members of the public. This article provides initial evidence about what they think are essential foundations and barriers to shared decision-making in health research priority-setting and health research more broadly.

Methods
An exploratory, qualitative study was conducted in 2019. 22 semi-structured interviews were performed with key informants from the UK and Australia.

Results
Three main types of foundations were thought to be essential to have in place before shared decision-making can occur in health research priority-setting: relational, environmental, and personal. Collectively, the three types of foundations addressed many (but not all) of the barriers to power sharing identified by interviewees.

Conclusions
Based on study findings, suggestions are made for what researchers, engagement practitioners, research institutions, and funders should do in their policy and practice to support meaningful engagement. Finally, key international research ethics guidelines on community engagement are considered in light of study findings.

Keywordsethics; inclusion; power; priority-setting; engagement; partnership; health research; patient and public involvement
Year2021
JournalBMC Medical Ethics
Journal citation22 (1), p. Article 117
PublisherBioMed Central
ISSN1472-6939
Digital Object Identifier (DOI)https://doi.org/10.1186/s12910-021-00685-5
PubMed ID34481506
Scopus EID2-s2.0-85114370736
PubMed Central IDPMC8418727
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-14
FunderAustralian Research Council (ARC)
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online04 Sep 2021
Publication process dates
Accepted24 Aug 2021
Deposited03 Jun 2022
ARC Funded ResearchThis output has been funded, wholly or partially, under the Australian Research Council Act 2001
Grant IDARC/DE170100414
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