Evidence map›Paper›PMID 31884708›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

Participation and consultation engagement strategies have complementary roles: A case study of patient and public involvement in clinical practice guideline development.

Melissa J Armstrong, Gary S Gronseth, Anna R Gagliardi, C Daniel Mullins

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Putting People at the Centre of Guidelines.Clinical and public health guidelines · 2026
    Article
  7. Review
  8. Methods for Involving People With Dementia in Health Policy and Guideline Development: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  9. Article
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  11. Health professional involvement in the formulation of research questions: findings from the Italian guideline on palliative care in adults with glioma.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  12. Article
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  14. Multiple stakeholders' perspectives on patient and public involvement in community mental health services research: A qualitative analysis.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
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  16. Article
  17. Conceptualizing patient participation in psychiatry: A survey describing the voice of patients in outpatient care.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  18. Clinical practice guidelines for the nutritional risk screening and assessment of cancer patients: a systematic quality appraisal using the AGREE II instrument.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Review
  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

4 authors at 4 institutions in 2 countries.

Melissa J ArmstrongDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL, USA.ORCID 0000-0002-2163-1907
Gary S GronsethDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, USA.
Anna R GagliardiToronto General Research Institute, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-5721-809X
C Daniel MullinsPharmaceutical Health Research Department, University of Maryland School of Pharmacy, Baltimore, MD, USA.ORCID 0000-0003-4322-2490
University Health Network · CAUniversity of Florida · USUniversity of Kansas Medical Center · USUniversity of Maryland, Baltimore · US

Funding

Enhancing Clinical Guideline Development via Patient and Stakeholder EngagementK08HS024159 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI ARMSTRONG, MELISSA JO · 2015 to 2019
$693k
AHRQ HHS K08 HS024159
6 · The paper itself

Abstract

backgroundPatient and public involvement (PPI) is recommended when developing high-quality clinical practice guidelines, but the effects of different PPI strategies are largely unstudied.

objectiveTo assess the impact of participation and consultation strategies on guideline question development.

designInstrumental case study design. SETTING AND

participantsThis study used a clinical practice guideline in development by the American Academy of Neurology. A patient, two caregivers and a dementia advocate participated in the guideline development group alongside clinicians. The guideline protocol was posted for public consultation for 30 days. INTERVENTIONS STUDIED: Participation (patient representatives on the guideline development group) and consultation (public comment, survey) PPI strategies.

main outcome measuresPublic comment responses and guideline development group meeting transcripts were analysed descriptively. Transcript quotes were compared to the conceptual model of PPI in guideline development. The effects of participation and consultation strategies within the guideline case were compared.

resultsParticipation strategies shaped discussions, set a patient-centred scope, highlighted personal aspects of disease, affected how professionals viewed PPI, identified issues overlooked by medical professionals, and contributed to selecting patient-relevant guideline populations and outcomes. Professionals responded to public comment more than patient representatives. Patient survey participants confirmed the priorities voiced by patient representatives on the guideline development group. Final guideline questions included populations and outcomes promoted by patient representatives despite negative feedback from professional public commenters. DISCUSSION AND

conclusionsParticipation and consultation PPI strategies have different advantages. Congruence between strategies increases the strength of the patient voice. Guideline developers should prioritize using both strategies for successful PPI.

Indexed as

CaregiversPatient ParticipationHumansReferral and ConsultationResearch DesignSurveys and Questionnairesamyloid PET imagingclinical practice guidelinesdementiaguideline adherenceguidelines as topicpatient and public involvementpatient-centred carepatient participation

Identifiers

PMID31884708
PMCPMC7104634
OpenAlexW2997978224

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.