Evidence map›Paper›PMID 30744684›Full record

ArticleTrials2019

Patient and public involvement (PPI) in UK surgical trials: a survey and focus groups with stakeholders to identify practices, views, and experiences.

Joanna C Crocker, Keira Pratt-Boyden, Jenny Hislop, Sian Rees, Louise Locock, Sophie Olszowski, Alan Chant, Shaun Treweek, Jonathan A Cook, Kerry Woolfall and 3 more

Abstract read
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 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

22 citing papers in PubMed, 1 synthesis or guideline 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
    Pooled it
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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

13 authors.

Joanna C CrockerHealth Experiences Research Group, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. joanna.crocker@phc.ox.ac.uk.ORCID http://orcid.org/0000-0002-8223-0349
Keira Pratt-BoydenSchool of Anthropology and Conservation, University of Kent, Canterbury, UK.
Jenny HislopHealth Experiences Research Group, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Sian ReesOxford Academic Health Science Network, Oxford, UK.
Louise LocockFormerly Health Experiences Research Group, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Sophie OlszowskiFormerly NIHR Oxford Biomedical Research Centre and Unit, Oxford, UK.
Alan ChantPatient Partner, Berkshire, UK.
Shaun TreweekHealth Services Research Unit, University of Aberdeen, Aberdeen, UK.
Jonathan A CookMRC ConDuCT-II (Collaboration and innovation for Difficult and Complex randomised controlled Trials In Invasive procedures) Hub for Trials Methodology Research, Bristol Medical School, Bristol, UK.
Kerry WoolfallInstitute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
Nicola FarrarPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Jennifer BostockLay partner, Kent, UK.
Richard BulbuliaMRC CTSU (Clinical Trial Service Unit) Hub for Trials Methodology Research, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Funding

Chief Scientist Office HSRU1Chief Scientist Office HSRU2Medical Research Council MR/L004933/1Medical Research Council MR/L004933/2Medical Research Council (MRC) Network of Hubs for Trials Methodology Research MR/L004933/1-N66National Institute for Health Research (NIHR) Oxford Biomedical Research Centre (BRC) NIHR-BRC-1215-20008
6 · The paper itself

Abstract

BACKGROUND AND

aimsHistorically, patient and public involvement (PPI) in the design and conduct of surgical trials has been absent or minimal, but it is now routinely recommended and even required by some research funders. We aimed to identify and describe current PPI practice in surgical trials in the United Kingdom, and to explore the views and experiences of surgical trial staff and patient or public contributors in relation to these practices. This was part of a larger study to inform development of a robust PPI intervention aimed at improving recruitment and retention in surgical trials.

methodsOur study had two stages: 1) an online survey to identify current PPI practice in active UK-led, adult surgical trials; and 2) focus groups and interviews with key stakeholders (surgical trial investigators, administrators, and patient or public contributors) to explore their views and experiences of PPI.

resultsOf 129 eligible surgical trial teams identified, 71 (55%) took part in the survey. In addition, 54 stakeholders subsequently took part in focus groups or interviews. Sixty-five (92%) survey respondents reported some kind of PPI, most commonly at the design and dissemination stages and in oversight or advisory roles. The single most common PPI activity was developing participant information sheets (72%). Participants reported mixed practice and views on a variety of issues including the involvement of patients versus lay members of the public, recruitment methods, use of role descriptions and payment for the time of PPI contributors. They suggested some solutions, including the use of written role descriptions and databases of potential PPI contributors to aid recruitment.

conclusionsUK surgical trials involve patients and members of the public in a variety of different ways, most commonly at the beginning and end of the trial lifecycle and in oversight or advisory roles. These are not without challenges and there remain uncertainties about who best to involve, why, and how. Future research should aim to address these issues.

Indexed as

Health Knowledge, Attitudes, PracticePublic OpinionResearch DesignSurgical Procedures, OperativeAttitude of Health PersonnelClinical Trials as TopicFocus GroupsHumansPatient SelectionResearch PersonnelResearch SubjectsSample SizeStakeholder ParticipationSurveys and QuestionnairesTreatment OutcomeUnited KingdomClinical trialFocus groupPatient and public involvement (PPI)SurgerySurvey

Identifiers

PMID30744684
PMCPMC6371592

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.