Evidence map›Paper›PMID 28784138›Full record

ArticleBMC health services research2017

Moving towards a more inclusive patient and public involvement in health research paradigm: the incorporation of a trauma-informed intersectional analysis.

Carolyn Shimmin, Kristy D M Wittmeier, Josée G Lavoie, Evan D Wicklund, Kathryn M Sibley

Abstract read
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 10 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

101 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Youth engagement in mental health research: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2023
    Pooled it
  8. Frameworks for supporting patient and public involvement in research: Systematic review and co-design pilot.Health expectations : an international journal of public participation in health care and health policy · 2019
    Pooled it
  9. A systematic review of qualitative studies of adults' experiences of being assessed for psychological therapies.Health expectations : an international journal of public participation in health care and health policy · 2019
    Pooled it
  10. The importance of service-users' perspectives: A systematic review of qualitative evidence reveals overlooked critical features of weight management programmes.Health expectations : an international journal of public participation in health care and health policy · 2018
    Pooled it
  11. Article
  12. Article
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  15. Article
  16. How Lived Experience Advisory Groups Contribute to the Design and Conduct of Mental Health Research.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  17. Critically Exploring Self-Harm Through Lived Experience Perspectives: A Survivor-Controlled Integrative Review Employing Participatory Methodology.Health expectations : an international journal of public participation in health care and health policy · 2026
    Review
  18. Article
  19. Towards Meaningful Consumer and Community Involvement in Health Research: A Qualitative Study of Consumer and Researcher Experiences.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  20. Training Adolescents and Young Adults to be Partners in Research: Co-Creating the Young Patients' Autoimmune Research and Empowerment Alliance.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article

41 more citing papers are in PubMed but not listed here.

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

5 authors.

Carolyn ShimminCentre for Healthcare Innovation, 753 McDermot Ave, Winnipeg, MB, R3E 0T6, Canada.
Kristy D M WittmeierDepartment of Pediatrics, University of Manitoba, 375-753 McDermot Ave, Winnipeg, MB, R3E 0T6, Canada.
Josée G LavoieUniversity of Manitoba, Faculty of Community Health Sciences, 379-753 McDermot Ave, Winnipeg, MB, R3E 0T6, Canada.
Evan D WicklundDepartment of Disability Studies, University of Winnipeg, 515 Portage Avenue, Winnipeg, MB, R3B 2E9, Canada.
Kathryn M SibleyCentre for Healthcare Innovation, 753 McDermot Ave, Winnipeg, MB, R3E 0T6, Canada. Kathryn.Sibley@umanitoba.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe concept of patient engagement in health research has received growing international recognition over recent years. Yet despite some critical advancements, we argue that the concept remains problematic as it negates the very real complexities and context of people's lives. Though patient engagement conceptually begins to disrupt the identity of "researcher," and complicate our assumptions and understandings around expertise and knowledge, it continues to essentialize the identity of "patient" as a homogenous group, denying the reality that individuals' economic, political, cultural, subjective and experiential lives intersect in intricate and multifarious ways. DISCUSSION: Patient engagement approaches that do not consider the simultaneous interactions between different social categories (e.g. race, ethnicity, Indigeneity, gender, class, sexuality, geography, age, ability, immigration status, religion) that make up social identity, as well as the impact of systems and processes of oppression and domination (e.g. racism, colonialism, classism, sexism, ableism, homophobia) exclude the involvement of individuals who often carry the greatest burden of illness - the very voices traditionally less heard in health research. We contend that in order to be a more inclusive and meaningful approach that does not simply reiterate existing health inequities, it is important to reconceptualize patient engagement through a health equity and social justice lens by incorporating a trauma-informed intersectional analysis. This article provides key concepts to the incorporation of a trauma-informed intersectional analysis and important questions to consider when developing a patient engagement strategy in health research training, practice and evaluation. In redefining the identity of both "patient" and "researcher," spaces and opportunities to resist and renegotiate power within the intersubjective relations can be recognized and addressed, in turn helping to build trust, transparency and resiliency - integral to the advancement of the science of patient engagement in health research.

Indexed as

Community ParticipationFeminismHealth Services ResearchWounds and InjuriesCapacity BuildingEmigration and ImmigrationEthnicityFemaleHealth EquityHumansKnowledgeMalePatient Education as TopicPatient ParticipationRacial GroupsRacism

Identifiers

PMID28784138
PMCPMC5547533

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.