Evidence map›Paper›PMID 25056972›Full record

ArticleBMJ open2014

Patient and public involvement in the early stages of clinical trial development: a systematic cohort investigation.

Carrol Gamble, Louise Dudley, Alison Allam, Philip Bell, Heather Goodare, Bec Hanley, Jennifer Preston, Alison Walker, Paula Williamson, Bridget Young

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07094269 (Protocol for a Superiority Randomized Controlled Trial of a Group-Based Fatigue Management Program Versus Standard Information to Improve Self-Efficacy in Energy Conservation in Parkinson's Disease), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07094269 narecruitingnot on this mapstarted 2025, after this paper: background citation

Protocol for a Superiority Randomized Controlled Trial of a Group-Based Fatigue Management Program Versus Standard Information to Improve Self-Efficacy in Energy Conservation in Parkinson's Disease

TypeinterventionalSponsorUniversita degli Studi di GenovaRan2025 to 2026Enrolled80ConditionsPARKINSON DISEASE (Disorder)ArmsOccupational Therapy Intervention, Fact-sheets
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Patient and public involvement and engagement (PPIE) in Otolaryngology research: a systematic review of randomised controlled trials.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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  12. Public and Patient Involvement and Engagement in Clinical Trials: A Multi-Perspective Mixed-Methods Evaluation of the ROWTATE Programme.Health expectations : an international journal of public participation in health care and health policy · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Carrol GambleDepartment of Biostatistics, University of Liverpool, Liverpool, UK.
Louise DudleyDepartment of Biostatistics, University of Liverpool, Liverpool, UK.
Alison AllamPatient and Public Advisory Group member, York, UK.
Philip BellPatient and Public Advisory Group member, Amlwch, UK.
Heather GoodarePatient and Public Advisory Group member, Edinburgh, UK.
Bec HanleyPatient and Public Advisory Group member, Hurstpierpoint, Hassocks, England.
Jennifer PrestonMedicines for Children Research Network Coordinating Centre, University of Liverpool, Liverpool, UK.
Alison WalkerPatient and Public Advisory Group member, Edinburgh, UK.
Paula WilliamsonDepartment of Biostatistics, University of Liverpool, Liverpool, UK.
Bridget YoungDepartment of Psychological Sciences, University of Liverpool, Liverpool, UK.

Funding

Department of Health 10/2001/29Medical Research Council G0800792Medical Research Council MR/K025635/1
6 · The paper itself

Abstract

backgroundRandomised controlled trials (RCTs) are considered particularly likely to benefit from patient and public involvement (PPI). Decisions made by professional researchers at the outset may go on to have a significant impact on the potential for PPI contributions.

objectiveTo increase knowledge of PPI within the early development of RCTs by systematically describing the reported level, nature and acceptability of proposed PPI to the funders.

methodsDocumentation from the outline application process for all RCTs that received funding from the Health Technology Assessment (HTA) Programme 2006-2010 was requested. For each application, data were extracted on trial characteristics, references to PPI in the development of the outline application and funding Board feedback, and plans for PPI in the full application and after the trial was funded.

results110 applications were eligible with outline applications available for 90 (82%). The cohort covered a wide range of interventions and conditions. 54% (49/90) provided some information about PPI. 26 (28.9%) indicated PPI within the development of the outline application itself; 32 (35.6%) planned involvement in the full application and 43 (48%) once the trial was funded. Recruitment at diagnosis and surgical interventions were less likely to describe PPI. Blinded trials and trials in which participants may receive placebo only, more frequently described PPI activity. The HTA commissioning Board feedback rarely referred to PPI.

conclusionsIncorporation of PPI within the development of the outline application or specification of plans for future involvement was low. Funder requests for applicants to provide information on PPI and justification for its absence should be welcomed but further research is needed to identify the impact of this on its contributions to research. Comments on PPI by reviewers should be directional rather than state that an increase is required. Challenges facing applicants in initiating PPI prior to funding need to be addressed.

Indexed as

AdultChildCohort StudiesCommunity ParticipationFemaleHumansMalePatient ParticipationRandomized Controlled Trials as TopicConsumer participationHEALTH SERVICES ADMINISTRATION & MANAGEMENTSTATISTICS & RESEARCH METHODS

Identifiers

PMID25056972
PMCPMC4120322

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.