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Table 3 Patient engagement roles

From: Adopting recommendations for implementing patient involvement in cancer research: a funder’s approach

Role

Description

Impact, effort, pros, cons

Project coordinator

Patient organization leads and coordinates the whole project

Impact: very high

Effort level: very high

 + Most influential role, e.g., patient-led research project

Highest workload, skills, experience and commitment required

Example: European Patients’ Forum in EUPATI, https://www.imi.europa.eu/projects-results/project-factsheets/eupati

Steering committee member

Patient organization / advocate is member of the governing committee of the project—and is funded for the work delivered

Impact: very high

Effort level: very high

 + Patients are part of all relevant strategic decisions

High workload, skills, experience and commitment required

Not always funded for the work delivered

Example: ART CC, HIV cohort collaborations, http://www.bristol.ac.uk/art-cc/

Work package leader

Patient organization / patient advocate coordinates a specific work package in the project

Impact: high

Effort level: high

 + Patients with responsibility to coordinate and deliver defined elements of the project e.g., a work package on patient engagement, needs assessment, external communication

 + Patients organizations (sometimes) funded for the work delivered

High workload, skills, experience and commitment required

Example: LeukaNET in the IMI HARMONY Big Data project, https://www.harmony-alliance.eu/patient-cluster, or Myeloma Patients Europe in SISAQOL-IMI, https://event.eortc.org/sisaqol/

Research project member

Patient organization/patient expert is a full member of the research project

Impact: medium

Effort, skills, experience level: medium

 + Full participant of the overall project team

 + Patient organizations (sometimes) funded for the work delivered

Limited influence on decisions, usually only through project meetings of work packages and annual assembly

Example: Association Française du Gougerot Sjögren – AFGS in H2020 NECESSITY, https://www.necessity-h2020.eu/patient-involvement/

Patient engagement hub

Patient organization/patient expert is a full research project member, coordinating contribution from other patient organizations outside of the project team, e.g., indication specific

Impact: high

Effort, skills, experience level: high

 + Full participant of the overall project team

 + Patient organizations funded for the work delivered

 + /– Does the administration and coordination workload for the wider patient community

Example: LeukaNET in the IMI HARMONY Big Data project, https://www.harmony-alliance.eu/patient-cluster, or Myeloma Patients Europe in SISAQOL-IMI, https://event.eortc.org/sisaqol/

Associated project partner

Patient organization has a partnership agreement with the research project

Impact: low

Effort, skills, experience level: medium

 + Patients may prefer as it may take less time

 + Easier to combine with other activities

– Patient organization usually not funded for the contributions and work

– Usually not much influence on decisions of the project

– Usually no compensation for time, so little time investment possible

Example: Patient Advisory Group of four patient organizations in IMI PREFER, coordinated by ECPC, https://www.imi-prefer.eu/stakeholders/patients/

Advisor / advisory board member

Membership of ethics committee, scientific advisory board, project advisory board, data safety monitoring board

Impact: low

Effort, skills, experience level: low

 + Patients’ expertise provided into specific committees, but no participation in active work

– Usually no compensation for time, so little time investment possible

– Advice only – usually little influence on decisions and no accountability whether advice is actually used and implemented by project

Example: Patient Advisory Group of four patient organizations in IMI PREFER, coordinated by ECPC, https://www.imi-prefer.eu/stakeholders/patients/