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American Medical Extended Reality Association Expert Consensus: Best Practices for Patient and Public Involvement in
Tom Norris1,2,3, Ella Tetrault4, Muskaan Mehra4
1American Chronic Pain Association (ACPA), Los Angeles, CA, USA.
Journal of Medical Extended Reality
|August 6, 2026
Summary
Patient and public involvement (PPI) is vital for medical extended reality (MedXR) research. This framework guides meaningful patient engagement throughout the MedXR research lifecycle, ensuring patient-centered and impactful interventions.
Area of Science:
- Medical Extended Reality (MedXR)
- Patient and Public Involvement (PPI)
- Health Research Methodology
Background:
- Patient and public involvement (PPI) is essential for developing relevant and impactful medical extended reality (MedXR) interventions.
- Existing research frameworks often lack specific guidance for integrating patient voices in MedXR development.
- Ensuring patient-centeredness in MedXR requires robust strategies for collaboration and feedback.
Purpose of the Study:
- To provide a practical framework for integrating patient and public involvement (PPI) throughout the medical extended reality (MedXR) research lifecycle.
- To offer strategies for meaningful engagement of patient partners, emphasizing inclusivity, reciprocity, and transparency.
- To address unique challenges in patient engagement within MedXR research and propose solutions.
Main Methods:
- Expert consensus development by the American Medical Extended Reality Association.
- Drawing on principles from leading health research organizations (PCORI, CDMRP, NIH).
- Incorporation of case studies illustrating successful PPI in MedXR research.
Main Results:
- A comprehensive framework for integrating patient voices from study design to post-study feedback.
- Best practices for recruiting, compensating, and ensuring diversity among patient partners.
- Strategies for MedXR-specific challenges, including iterative feedback and safety monitoring.
Conclusions:
- Meaningful PPI enhances the accessibility, relevance, and equity of MedXR interventions.
- The framework supports researchers, developers, and clinicians in creating scientifically rigorous and patient-aligned MedXR solutions.
- Adherence to the framework promotes MedXR research that prioritizes patient and public needs.