Evidence map›Paper›PMID 29653537›Full record

ReviewBMC health services research2018

Achieving successful community engagement: a rapid realist review.

E De Weger, N Van Vooren, K G Luijkx, C A Baan, H W Drewes

Open access · goldAbstract readReview
In one paragraph

Review in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 2 pooled it
20.5field-weighted citation impact, top 1% of its field
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

103 citing papers in PubMed, 2 syntheses or guidelines pooled it, 223 citations in OpenAlex.

  1. Pooled it
  2. Measurement and evaluation of community engagement in complex, chronic medical conditions: HIV and obesity as exemplar conditions.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  18. The Use of Community Engagement in Implementation: Successes and Challenges From the Implementation and Adaptation of Bundled HIV Interventions for Black Women.Health expectations : an international journal of public participation in health care and health policy · 2025
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43 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 at 2 institutions in 1 country.

E De WegerDepartment of Quality of Care and Health Economics, Centre for Nutrition, Prevent and Health Services, National Institute for Health and the Environment (RIVM), P.O. Box 1, 3720 BA, Bilthoven, The Netherlands. esther.de.weger@rivm.nl.
N Van VoorenDepartment of Quality of Care and Health Economics, Centre for Nutrition, Prevent and Health Services, National Institute for Health and the Environment (RIVM), P.O. Box 1, 3720 BA, Bilthoven, The Netherlands.
K G LuijkxTilburg University, Tranzo, Tilburg School of Social and Behavioural Sciences, PO Box 90153, 5000 LE, Tilburg, The Netherlands.
C A BaanDepartment of Quality of Care and Health Economics, Centre for Nutrition, Prevent and Health Services, National Institute for Health and the Environment (RIVM), P.O. Box 1, 3720 BA, Bilthoven, The Netherlands.
H W DrewesDepartment of Quality of Care and Health Economics, Centre for Nutrition, Prevent and Health Services, National Institute for Health and the Environment (RIVM), P.O. Box 1, 3720 BA, Bilthoven, The Netherlands.
National Institute for Public Health and the Environment · NLTilburg University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity engagement is increasingly seen as crucial to achieving high quality, efficient and collaborative care. However, organisations are still searching for the best and most effective ways to engage citizens in the shaping of health and care services. This review highlights the barriers and enablers for engaging communities in the planning, designing, governing, and/or delivering of health and care services on the macro or meso level. It provides policymakers and professionals with evidence-based guiding principles to implement their own effective community engagement (CE) strategies.

methodsA Rapid Realist Review was conducted to investigate how interventions interact with contexts and mechanisms to influence the effectiveness of CE. A local reference panel, consisting of health and care professionals and experts, assisted in the development of the research questions and search strategy. The panel's input helped to refine the review's findings. A systematic search of the peer-reviewed literature was conducted.

resultsEight action-oriented guiding principles were identified: Ensure staff provide supportive and facilitative leadership to citizens based on transparency; foster a safe and trusting environment enabling citizens to provide input; ensure citizens' early involvement; share decision-making and governance control with citizens; acknowledge and address citizens' experiences of power imbalances between citizens and professionals; invest in citizens who feel they lack the skills and confidence to engage; create quick and tangible wins; take into account both citizens' and organisations' motivations.

conclusionsAn especially important thread throughout the CE literature is the influence of power imbalances and organisations' willingness, or not, to address such imbalances. The literature suggests that 'meaningful participation' of citizens can only be achieved if organisational processes are adapted to ensure that they are inclusive, accessible and supportive of citizens.

Indexed as

Community ParticipationDelivery of Health CareMotivationDecision MakingHumansQuality of Health CareCitizen engagementCommunity engagementCommunity participationHealthcareRapid realist reviewRealist evaluation

Identifiers

PMID29653537
PMCPMC5899371
OpenAlexW2800745748

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.