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Table 1 Map of potential versus reported impacts of patient research engagement by PREFER case studya

From: Patients as research partners in preference studies: learnings from IMI-PREFER

Hypothesized dimensions of impact to measure

  

Actual

Impacts

Reported

   
 

COPD

Gene therapy

Hemophilia

MM

NMDb

NSCLCb

RA

RA preventive treatmentb

I. Better quality research

        

1. Research quality and research process: enhanced credibility and improved research

X

X

X

X

X

–

X

X

2. New funding and funding opportunities: patient contributed to research proposal

–

–

–

–

–

–

–

X

3. Research questions (e.g., which treatment attributes to assess), hypotheses, interventions and medical technologies become more relevant/usable for patients

X

X

X

X

X

–

X

X

4. Research design, methods and study procedures become more appropriate, sensitive and/or ethically acceptable

X

X

X

X

X

–

X

X

5. Recruitment, accrual rates, and retention improvements

X

–

X

X

X

X

–

X

6. Representativeness/diversity of research subjects (i.e., inclusion of more hard-to-reach patients)

–

–

X

–

X

–

–

–

7. Data collection procedures and data quality changes

X

X

X

X

X

–

X

X

8. Intervention and/or survey implementation by patients

–

X (piloting)

–

–

X (piloting)

–

X (piloting)

X (pretesting)

9. Data analysis and/or results interpretation by patients

–

–

X

X

–

X

X

X

10. Researchers' knowledge and capacity increases

–

–

–

–

X

–

–

–

11. Changes in researchers' attitudes about the value of the patient perspective

–

–

–

–

X

–

–

–

12. More useful evidence for clinical and health policy decisionmaking

–

–

–

–

X

–

–

–

13. More relevant evidence for entire spectrum of patients with targeted disease condition

–

–

–

–

X

–

–

–

14. Changes to health outcomes, including overall population health, morbidity and mortality

–

–

–

–

–

–

–

–

II. Other impacts

–

–

–

–

–

–

–

–

1. Patient empowerment

 (a) Patient or community research knowledge, skills and capacity

 (b) Knowledge of community needs (empathy), services available, motivation to help community (citizenship literacy)

–

–

–

–

X (a and b)

–

–

–

2. Increased translation, dissemination and uptake of results via improved dissemination to patients and the community

–

X

–

X

X

X

–

X

3. Democracy and accountability

 (a) Transparency

 (b) Legitimacy

 (c) Accountability

 (d) Public trust in public institutions

–

(a) X (lay language summary)

–

(a) X (lay language summary)

(a) X (lay language summary)

(a) X (lay language summary)

–

(a) X (lay language summary)

4. Moral obligation

 (a) Fairness

 (b) Respect and trust between researchers and engaged stakeholders

 (c) More ethically acceptable research

–

–

–

–

(a, b, c) X

–

–

–

 Total # of types of impacts reported

5

7

7

8

15

4

6

10

  1. aPotential impacts adapted from PCORI framework by Esmail et al. [19]
  2. b = PREFER core case study
  3. X = Impact reported
  4. – = No impact reported