Evidence map›Paper›PMID 25059330›Full record

ReviewHealth expectations : an international journal of public participation in health care and health policy2016

A critical analysis of the implementation of service user involvement in primary care research and health service development using normalization process theory.

Edel Tierney, Rachel McEvoy, Mary O'Reilly-de Brún, Tomas de Brún, Ekaterina Okonkwo, Michelle Rooney, Chris Dowrick, Anne Rogers, Anne MacFarlane

Abstract readReview
In one paragraph

Review in Health expectations : an international journal of public participation in health care and health policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Black and minority ethnic group involvement in health and social care research: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2018
    Pooled it
  3. Article
  4. Review
  5. The Importance of Lived Experience: A Scoping Review on the Value of Patient and Public Involvement in Health Research.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  6. Article
  7. 'ALL ABOUT MY IDEAL MENTAL HEALTH SERVICE': Users, family members and experts by experience discussing a co-designed service.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  8. Collaborative evaluation of a pilot involvement opportunity: Cochrane Common Mental Disorders Voice of Experience College.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Research Buddy partnership in a MD-PhD program: lessons learned.Research involvement and engagement · 2023
    Article
  13. Article
  14. Patients' satisfaction on primary healthcare services in China and its associated factors during COVID-19 pandemic: A cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023
    Article
  15. The EGPRN Research Strategy for general practice in Europe.The European journal of general practice · 2022
    Review
  16. Article
  17. Review
  18. It takes three to tango: An ethnography of triadic involvement of residents, families and nurses in long-term dementia care.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  19. Article
  20. Article
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

9 authors.

Edel TierneyGraduate Entry Medical School, University of Limerick, Limerick, Ireland.
Rachel McEvoyDiscipline of General Practice, National University of Ireland, Galway, Ireland.
Mary O'Reilly-de BrúnDiscipline of General Practice, National University of Ireland, Galway, Ireland.
Tomas de BrúnDiscipline of General Practice, National University of Ireland, Galway, Ireland.
Ekaterina OkonkwoGalway Migrant Service, Galway, Ireland.
Michelle RooneyMayo Intercultural Action, Ballina, Ireland.
Chris DowrickUniversity of Liverpool, Primary Medical Care, Liverpool, UK.
Anne RogersNIHR Collaboration for Leadership in Applied Health Research and Care, Wessex, UK.
Anne MacFarlanePrimary Health Care Research, Graduate Entry Medical School, University of Limerick, Limerick, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere have been recent important advances in conceptualizing and operationalizing involvement in health research and health-care service development. However, problems persist in the field that impact on the scope for meaningful involvement to become a routine - normalized - way of working in primary care. In this review, we focus on current practice to critically interrogate factors known to be relevant for normalization - definition, enrolment, enactment and appraisal.

methodOurs was a multidisciplinary, interagency team, with community representation. We searched EBSCO host for papers from 2007 to 2011 and engaged in an iterative, reflexive approach to sampling, appraising and analysing the literature following the principles of a critical interpretive synthesis approach and using Normalization Process Theory.

findingsTwenty-six papers were chosen from 289 papers, as a purposeful sample of work that is reported as service user involvement in the field. Few papers provided a clear working definition of service user involvement. The dominant identified rationale for enrolling service users in primary care projects was linked with policy imperatives for co-governance and emancipatory ideals. The majority of methodologies employed were standard health services research methods that do not qualify as research with service users. This indicates a lack of congruence between the stated aims and methods. Most studies only reported positive outcomes, raising questions about the balance or completeness of the published appraisals.

conclusionTo improve normalization of meaningful involvement in primary care, it is necessary to encourage explicit reporting of definitions, methodological innovation to enhance co-governance and dissemination of research processes and findings.

Indexed as

Community-Institutional RelationsHealth Services ResearchPatient ParticipationPrimary Health CareCooperative BehaviorDelivery of Health CareHealth ServicesHumansInterprofessional RelationsTerminology as Topiccritical interpretive synthesisnormalization process theorypatient participationprimary health careservice user involvement

Identifiers

PMID25059330
PMCPMC5055238

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.