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Table 7 Qualitative analysis of Chart Board Questions 1–5 at CRRAB 2018 including themes, number of references, answers and coverage

From: The Canadian retinoblastoma research advisory board: a framework for patient engagement

Theme/Node

References (n, %)

Answers

Question 1: In 2018 CRRAB Should

 Advocacy and Education

16, 40.00%

- Clinicians should present debates about different treatment options

- Make content more engaging and less dry

- Walk in the santa clause parade

- Create posters for health care settings

- Link resources on the website

- CRRAB involved in schools?

- Develop pamphlet to hand out… at time of diagnosis or 1 year later

- Rb specific awareness campaign

- Awareness campaign

- WECH – International RB week

- To become a non for profit independent organization

- Raise public awareness of retinoblastoma through a dedicated week, nationally across Canada, include politicians

- For young survivors develop simple catchy RB (songs/videos/cartoons) education on some key topics or questions that they have

- Digital stories of survivors and families

- Update social media e.g., summary video, to explain what CRRAB accomplished

- Communication plan

 Increase Engagement

8, 20.00%

- Double (at least) the number of families connected

- Social event in September (childhood cancer awareness month)

- Become a NFP (model)**

- In 2018 CRRAB should be continuing outreach to recruit more patient and family involvement as well as researchers involvement/ recruitment**

- Identify key clinicians and researchers in each province to learn about and potentially collaborate with CRRAB**

- More broad family involvement

- Communication plan

- Engage clinicians and researchers from the sarcoma with regard to second cancers

 Innovation

8, 20.00%

- Prioritize a specific research project**

- Focus on the top 3 questions**

- Lobby support for DePICT project

- Develop pamphlet to hand out… at time of diagnosis or 1 year later**

- Long-term effects

- Focus on palliative care for retinoblastoma

- Focus on treating and reducing chronic symptoms/side effects of retinoblastoma (like dry eyes, inflammation)

- Start mobilizing research and patient community around top 10 priorities

 Collaboration

7, 17.50%

- Connect to other global RB research groups

- Become a NFP (model)**

- In 2018 CRRAB should be continuing outreach to recruit more patient and family involvement as well as researchers involvement/ recruitment**

- Identify key clinicians and researchers in each province to learn about and potentially collaborate with CRRAB**

- Palliative care – Canada and international

- Engage clinicians and researchers from the sarcoma with regard to second cancers**

- Include more researchers from graduate programs and universities

 Refine Goals

6, 15.00%

- Prioritize a specific research project**

- Focus on the top 3 questions**

- Clarify time commitment for working groups

- Define projects

- Establish/ define primary research projects

- Focus on another “3 goals” to consolidate group and experience success

 Psychosocial Support

4, 10.00%

- A social event to facilitate engagement

- Peer support groups

- Support group for recent diagnosis

- Develop pamphlet to hand out… at time of diagnosis or 1 year later**

Question 2: To have more patient and family leadership in CRRAB we should…

 Increase Access

6, 42.86%

- Have a coordinated schedule for committee meetings and maybe have webinar meetings

- Facilitate telecom/travel/regional work

- Send more opportunities via email

- Paid position to facilitate and feedback

- Schedule non-in person

- Multiple ways to input

 Partnership

5, 35.71%

- Explore co-leadership opportunities

- Offer a subcommittee for both patient and then family subcommittee

- Help patients and families understand what their role would be and why it’s important

- Paid position to facilitate and feedback

- Support

 Outreach

5, 35.71%

- Ask them

- Send more opportunities via email

- Continue to get the word out

- Ask

- Hold social events

 Innovation

4, 28.57%

- To foster new research ideas/ collaborations

- To develop eye care screening for infants, and research on possible aftercare streamlining on RB and other diseases

- Facilitate research

- Inform research and engage patients with it

Question 3: I want to be part of CRRAB working groups because…

 Benefit RB Families

5, 38.46%

- To add value to a specific cause

- To provide a tangible benefit

- To comfort others**

- We can make a difference in our children’s lives and those not yet diagnosed with RB

- I want my daughter to learn/see/know that we can conquer RB and live a meaningful full life

 Community

4, 30.77%

- To fill gaps in CRRAB

- To comfort others**

- To stay connected with other members of the RB community.

- We’re stronger together

 Include Patients

3, 23.08%

- Patient/family oriented research is an important emerging perspective.

- This gives patient focus to our work

- I want to be involved because patient involvement is the new impetus for patient need added to theory

 Leadership

2, 15.38%

- I would like part of Steering and Business development committee. I would take part as a leader.

- To keep involved in this important initiative

Question 4: I don’t want to be part of CRRAB working groups because…

 Time and Cost Restraints

7, 36.84%

- Time commitment

- Scheduling

- Overnight flights and non funded time is tough

- Life is busy

- (I actually do) but lack of time to share across commitments is what prevents more involvement

- Time

- Afraid of commitment

 Burnout

3, 15.79%

- Maybe people don’t understand what it involves or has had research participant burnout or never getting post research feedback**

- Feedback of research result “used”

- Burnout

 Lack of Understanding

3, 15.79%

- Maybe people don’t understand what it involves or has had research participant burnout or never getting post research feedback**

- Awareness

- Communication plan

 Psychosocial Issues

2, 10.53%

- Self esteem

- Provide support – painful memories/ active disease treatment

 Conflict of Interest

1, 5.23%

- Ethical issues or conflict of interest

Question 5: The purpose of CRRAB is to…

 Increase Collaboration

10, 37.04%

- RB intersect point

- Bring together patients, clinicians, researchers to initiate dialogue

- To foster new research ideas/ collaborations

- Push for research and implementation of a collaborative health care network for RB across Canada**

- Linking/ integrating efforts

- Co-investigators – patients, families**

- Ideas outside our own box

- Collaborations

- Solidify the RB group

- Concerted effort to bring patients and professionals together

 Community

6, 22.22%

- RB survivors network

- Connect other families

- Provide a social and informative environment**

- Concerted effort to bring patients and professionals together

- Create a community

- Networking opportunities

 Improve Care

5, 18.51%

- Diagnosis - > death … whole span of care

- Push for research and implementation of a collaborative health care network for RB across Canada**

- To develop eye care screening for infants, and research on possible aftercare streamlining on RB and other diseases

- Translate to include Child’s Life daily

- Help standardize practices

 Engage Patients

4, 14.81%

- To setup a Canadian research team with patient focus involvement

- Include patients/families in every stage of research and dissemination (Co-Investigators)

- Co-investigators – patients, families**

- Inform research and engage patients with it

 Awareness and Advocacy

4, 14.81%

- Raise awareness and showcase outside RB specific community

- Promote Education of RB

- Bring awareness to other medical professionals

- Provide a social and informative environment**

  1. **statement was classified under more than one theme