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Evaluating parent and public involvement activities within a paediatric palliative care research centre: Route map to
Laura Barrett1, Julia Hackett1, Jo Taylor2
1Paediatric Palliative Care Research Group, Department of Health Science, University of York, York, UK.
Insights
Effective patient and public involvement (PPI) in paediatric palliative care research requires clear processes, balanced relationships, and mutual respect. Adequate resources and explicit agreements are crucial for successful and impactful PPI initiatives.
Area of Science:
- Healthcare Research
- Palliative Care
- Patient and Public Involvement
Background:
- Patient and Public Involvement (PPI) is integral to healthcare research.
- Paediatric palliative care research presents unique ethical and practical challenges for PPI.
- Regular evaluation of PPI activities is essential for improvement.
Purpose of the Study:
- To evaluate the PPI activities within a paediatric palliative care research centre.
- To identify successes and areas for improvement in PPI implementation.
- To inform future strategies for effective PPI in this field.
Main Methods:
- A two-stage evaluation approach was employed.
- Stage one involved reviewing PPI study logs from 15 studies.
- Stage two used qualitative methods: surveys, interviews, and a focus group with parents and researchers, followed by thematic analysis.
Main Results:
- Funding was identified as critical for enabling PPI.
- Key themes emerged: clarity of processes and purpose, the creation of safe spaces through balanced relationships, and the importance of mutual respect and value.
- The evaluation highlighted both strengths and opportunities for enhancing the Centre's PPI approach.
Conclusions:
- Meaningful PPI in paediatric palliative care necessitates sufficient time and resources.
- Explicitly agreeing on roles, processes, and expectations is vital.
- Building trusting relationships fosters authenticity and vulnerability, benefiting both research and participants. A 'route map' for impactful PPI was developed.
Background:
Patient and Public Involvement (PPI) is an important component of healthcare research. Conducting PPI within paediatric palliative care research requires specific ethical and practical considerations. Regular reviews of PPI activity are important.
Aim:
To evaluate a paediatric palliative care research centre's PPI activity to determine what went well, or less well; and how future activities can be improved.
Design:
Two stage evaluation: first a review of PPI study logs; second a qualitative exploration using a survey, structured interviews and a focus group. Data were analysed thematically.
Settings/Participants:
Parents of children with life-limiting conditions, bereaved parents and researchers, all engaged in PPI activity within a paediatric palliative care research centre.
Findings:
The review of PPI logs for 15 studies highlighted the crucial role of funding in enabling PPI throughout the research. Eight parents completed the survey, 4 parents were interviewed and 12 researchers participated in a focus group. Three themes were developed: Clarity of processes and purpose; balanced relationships created a safe space; and mutual respect and value for PPI. These themes highlight what is working well within the Centre's approach to PPI and the opportunities to improve.
Conclusions:
To undertake meaningful PPI in paediatric palliative care research, adequate time and resources are required. Roles, processes and expectations must be explicitly agreed. Establishing relationships ensures trust and enables authenticity and vulnerability. In addition to improving research, PPI has personal benefits for researchers and parents. The evaluation led to the development of a 'route map' for establishing an impactful PPI group for paediatric palliative care research.
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