Evidence map›Paper›PMID 40750914›Full record

ArticleResearch involvement and engagement2025

Implementing patient and public involvement (PPI) in eye research: reflections from developing a research study on Geographic Atrophy treatment acceptability.

Jamie Enoch, David Matthews, Arevik Ghulakhszian, Mandeep Sekhon, Tamsin Callaghan, David Crabb, Christiana Dinah, Deanna Taylor

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Article in Research involvement and engagement, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

8 authors.

Jamie EnochDepartment of Optometry and Visual Sciences, School of Health and Psychological Sciences, City St George's, University of London, London, UK.
David MatthewsPatient Advisor, London, UK.
Arevik GhulakhszianOphthalmology Department, Central Middlesex Hospital, London North West Healthcare NHS Trust, London, UK.
Mandeep SekhonPopulation Health Research Institute, City St George's, University of London, London, UK.
Tamsin CallaghanResearch and Development Team, Royal Free London NHS Foundation Trust, London, UK.
David CrabbDepartment of Optometry and Visual Sciences, School of Health and Psychological Sciences, City St George's, University of London, London, UK.
Christiana DinahOphthalmology Department, Central Middlesex Hospital, London North West Healthcare NHS Trust, London, UK.
Deanna TaylorDepartment of Optometry and Visual Sciences, School of Health and Psychological Sciences, City St George's, University of London, London, UK. Deanna.Taylor.2@citystgeorges.ac.uk.

Funding

Apellis Pharmaceuticals AMR-000001City, University of London HEIFNational Institute for Health and Care Research EIF 397
6 · The paper itself

Abstract

backgroundAwareness of the importance of patient and public involvement (PPI) in ophthalmology research is growing, ensuring studies align with patient priorities and experiences. However, there is limited literature exploring the practicalities and details of how PPI may be conducted within this field. In this case study of PPI within an ophthalmological research project, we aim to provide a transparent, in-depth illustration of how PPI was implemented and helped to shape the Acceptability of Geographic Atrophy INjections (AGAIN) study. The AGAIN study is focused on patients' perspectives regarding the acceptability of new intravitreal (eye) injection treatments for Geographic Atrophy, an advanced form of age-related macular degeneration. MAIN TEXT: This commentary explores how PPI was undertaken to shape the design of the two work packages of the AGAIN study. In work package 1, the AGAIN pilot, we worked with a group of patient advisors to design materials for a mixed-methods questionnaire. This questionnaire consisted of Likert-type scale questions, semi-structured interview questions, and an elicitation task considering different hypothetical treatment scenarios. Eight patient advisors provided their input into the design of this questionnaire, and we discuss examples of the concrete changes to the research materials based on the advisors' feedback. In work package 2, we carried out several rounds of consultation with patient advisors to develop a pre-validated quantitative questionnaire on Geographic Atrophy treatment acceptability. This involved using 'think-aloud' techniques to explore the questionnaire's validity, clarity, and comprehensibility. We discuss some of the challenges that may arise when taking on board divergent points of view, and how to maximise comprehensibility without compromising fidelity to a validated questionnaire.

conclusionsOur experience attests to the importance of listening to the insights of patients and those with lived experience in the early stages of designing research, while also ensuring that PPI remains continually integrated throughout the study lifecycle. Our PPI approach evolved in an ad-hoc fashion, and we suggest that given its beneficial impact for our study, PPI should be carefully planned for and adequately resourced in patient-centred ophthalmological research programmes.

Identifiers

PMID40750914
PMCPMC12317502

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