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Balancing Trade-Offs in Patient and Public Involvement and Engagement in Rapid Evaluation: Reflections and Lessons
Pei Li Ng1, Raj Mehta2, Angus I G Ramsay1
1Research Department of Behavioural Science and Health, Institute of Epidemiology and Healthcare, University College London, London, UK.
Meaningful patient and public involvement and engagement (PPIE) in rapid evaluations is achievable with intentional planning and strong collaboration. Effective PPIE balances depth, inclusivity, and relationships for maximum impact in fast-paced research.
Area of Science:
- Health Services Research
- Patient and Public Involvement and Engagement (PPIE)
- Rapid Evaluation Methodologies
Background:
- Patient and public involvement and engagement (PPIE) is crucial for high-quality health research.
- Limited guidance exists for sustaining PPIE in rapid evaluations with tight deadlines and shifting priorities.
Purpose of the Study:
- To reflect on PPIE development within the NIHR Rapid Service Evaluation Team (RSET).
- To identify practical lessons for balancing PPIE influence, feasibility, and equity in time-pressured research.
Main Methods:
- Practice-based critical reflection using internal documentation and evaluation data from 13 rapid evaluations (2018-2026).
- Utilized the International Association for Public Participation (IAP2) Spectrum to map PPIE approaches across three developmental phases.
- Highlighted trade-offs encountered in PPIE practice.
Main Results:
- Initial PPIE was meaningful but ad hoc, limited by resources.
- Matured approaches included a PPIE panel, tailored involvement, and earlier engagement.
- Negotiated trade-offs: Depth vs. Speed, Inclusivity vs. Practicality, Consistency vs. Flexibility, Relationship-building vs. Time, Value vs. Feasibility.
Conclusions:
- Intentional planning, contextual responsiveness, and strong collaboration enable meaningful PPIE in rapid evaluations.
- Effective PPIE prioritizes relationships and influence where most valuable, rather than full co-production.
- Offers transferable lessons for PPIE in fast-paced research settings.
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