Evidence map›Paper›PMID 29653504›Full record

ArticleJournal of health services research & policy2018

How embedded is public involvement in mainstream health research in England a decade after policy implementation? A realist evaluation.

Patricia Wilson, Elspeth Mathie, Fiona Poland, Julia Keenan, Amanda Howe, Diane Munday, Sally Kendall, Marion Cowe, Sophie Staniszewska, Claire Goodman

Abstract read
In one paragraph

Article in Journal of health services research & policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–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

31 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. The 'Public' in Public Involvement: A Call to Centre Frontline Staff Voices in Health Workforce Research.Health expectations : an international journal of public participation in health care and health policy · 2026
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  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Patient and public involvement in preclinical and medical research: Evaluation of an established programme in a Discovery-Based Medical Research Institute.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
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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.

Patricia Wilson1 Professor of Primary and Community Care, Centre for Health Services Studies, University of Kent, UK.
Elspeth Mathie2 Research Fellow, Centre for Research in Primary and Community Care, University of Hertfordshire, UK.
Fiona Poland3 Professor of Social Research Methodology, School of Health Sciences, University of East Anglia, UK.
Julia Keenan4 Research Fellow, School of Health Sciences, University of East Anglia, UK.
Amanda Howe5 Professor of Primary Care, Norwich Medical School, University of East Anglia, UK.
Diane Munday6 Lay Member, Public Involvement in Research Group, University of Hertfordshire, UK.
Sally Kendall7 Professor of Community Nursing and Public Health, Centre for Health Services Studies, University of Kent, UK.
Marion Cowe6 Lay Member, Public Involvement in Research Group, University of Hertfordshire, UK.
Sophie Staniszewska8 Professor of Patient and Public Involvement and Experiences of Care, RCN Research Institute, University of Warwick, UK.
Claire Goodman9 Professor of Health Care Research, Centre for Research in Primary and Community Care, University of Hertfordshire, UK.

Funding

Department of Health 10/2001/36Department of Health HTA/12/192/10Department of Health HTA/13/75/01
6 · The paper itself

Abstract

Objectives To explore how embedded patient and public involvement is within mainstream health research following two decades of policy-driven work to underpin health research with patient and public involvement in England. Methods Realist evaluation using Normalization Process Theory as a programme theory to understand what enabled patient and public involvement to be embedded as normal practice. Data were collected through a national scoping and survey, and qualitative methods to track patient and public involvement processes and impact over time within 22 nationally funded research projects. Results In research studies that were able to create reciprocal working relationships and to embed patient and public involvement this was contingent on: the purpose of patient and public involvement being clear; public contributors reflecting research end-beneficiaries; researchers understanding the value of patient and public involvement; patient and public involvement opportunities being provided throughout the research and ongoing evaluation of patient and public involvement. Key contested areas included: whether to measure patient and public involvement impact; seeking public contributors to maintain a balance between being research-aware and an outsider standpoint seen as 'authentically' lay; scaling-up patient and public involvement embedded within a research infrastructure rather than risk token presence and whether patient and public involvement can have a place within basic science. Conclusions While patient and public involvement can be well-integrated within all types of research, policy makers should take account of tensions that must be navigated in balancing moral and methodological imperatives.

Indexed as

Advisory CommitteesCommunity ParticipationEnglandHealth PolicyHumansPatient ParticipationQualitative ResearchResearchState Medicinehealth researchpatient and public involvement and engagementrealist evaluation

Identifiers

PMID29653504
PMCPMC5901416

What OpenQuestion holds

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LicenceCC BY
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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.