Skip to main content

Table 1 Principles, adjustments and ideas (derived from Arnsteins ladder of participation) that are useful for designing a tool supporting PPI in research projects

From: Designing a tool to support patient and public involvement in research projects: the Involvement Matrix

Principles

Suggested adjustments

Related ideas and solutions

Ladder for involvement

About structure:

less focus on hierarchy

Horizontal structure

Separate levels

About terminology:

roles instead of levels

Specific roles for patients’ involvement in research and not merely researchers’ involvement

Quantitative division

About reduction:

only roles that imply working together (no decorative roles)

Five roles of involvement:

listener, co-thinker, advisor, partner, and decision-maker

Qualitative division

About description:

clear and distinctive explanation for each of the separate roles

In easy language

- the listener: “is given information”

- the co-thinker: “is asked to give opinion”

- the advisor: “gives (un)solicited advice”

- the partner: “works as an equal partner”

- the decision-maker: “takes initiatives and/or makes decisions”