Evidence map›Paper›PMID 36731931›Full record

ReviewBMJ open2023

Co-developing patient and family engagement indicators for health system improvement with healthcare system stakeholders: a consensus study.

Maria-Jose Santana, Sadia Ahmed, Paul Fairie, Sandra Zelinsky, Gloria Wilkinson, Tamara Lynne McCarron, Mikie Mork, Jatin Patel, Tracy Wasylak

Open access · goldAbstract readReviewConsensus Statement
In one paragraph

Review in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Promoting Patient Safety Through Patient Engagement at the Organisational Level: A Delphi-Based Needs Assessment Among Patient and Family Advisory Councils.Health expectations : an international journal of public participation in health care and health policy · 2025
    Trial
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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

9 authors at 2 institutions in 1 country.

Maria-Jose SantanaDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada mjsantan@ucalgary.ca.ORCID 0000-0002-0202-5952
Sadia AhmedAlberta Strategy for Patient-Oriented Research (SPOR) SUPPORT Unit, Canadian Institutes of Health Research, Calgary, Alberta, Canada.ORCID 0000-0002-8040-7198
Paul FairieDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Sandra ZelinskyDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Gloria WilkinsonStrategic Clinical Networks, Alberta Health Services, Calgary, Alberta, Canada.
Tamara Lynne McCarronDepartment of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0001-7242-1910
Mikie MorkStrategic Clinical Networks, Alberta Health Services, Calgary, Alberta, Canada.
Jatin PatelStrategic Clinical Networks, Alberta Health Services, Calgary, Alberta, Canada.
Tracy WasylakAlberta Strategy for Patient-Oriented Research (SPOR) SUPPORT Unit, Canadian Institutes of Health Research, Calgary, Alberta, Canada.
University of Calgary · CAAlberta Health Services · CA

Funding

CIHR
6 · The paper itself

Abstract

objectiveTo develop a set of patient and family engagement indicators (PFE-Is) for measuring engagement in health system improvement for a Canadian provincial health delivery system through an evidence-based consensus approach.

designThis mixed-method, multiphase project included: (1) identification of existing measures of patient and family engagement through a review of the literature and consultations with a diverse provincial council of patients, caregivers, community members and researchers. The Public and Patient Engagement Evaluation Tool (PPEET) was selected; (2) consultations on relevance, acceptability and importance with patient and family advisors, and staff members of Alberta Health Services' Strategic Clinical Networks. This phase included surveys and one-on-one semi-structured interviews aimed to further explore the use of PPEET in this context. Findings from the survey and interviews informed the development of PFE-Is; (3) a Delphi consensus process using a modified RAND/UCLA Appropriateness Method to identify and refine a core set of PFE-Is.

participantsThe consensus panel consisted of patients, family members, community representatives, clinicians, researchers and healthcare leadership.

resultsFrom an initial list of 33 evidence-based PFE-Is identified, the consensus process yielded 18 final indicators. These PFE-Is were grouped into seven themes: communication, comfort to contribute, support needed for engagement, impact and influence of engagement initiative, diversity of perspectives, respectful engagement, and working together indicators.

conclusionsThis group of final patient, family and health system leaders informed indicators can be used to measure and evaluate meaningful engagement in health research and system transformation. The use of these metrics can help to improve the quality of patient and family engagement to drive health research and system transformation.

Indexed as

Patient ParticipationAlbertaHumansCOVID-19QUALITATIVE RESEARCHSTATISTICS & RESEARCH METHODS

Identifiers

PMID36731931
PMCPMC9896218
OpenAlexW4318986009

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.