Evidence map›Paper›PMID 41231528›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2025

Deliberating at a Distance: Evaluating the Feasibility of a Fully Virtual CHAT Exercise Among Low-Income Communities.

Lydia Perry, Gloria Carmona, Marion Danis, Charo Ledón, Maria Alvarez, Zachary Rowe, Susan Dorr Goold

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Deliberating at a Distance: Evaluating the Feasibility of a Fully Virtual CHAT Exercise Among Low-Income Communities.Health expectations : an international journal of public participation in health care and health policy · 2025
    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

7 authors.

Lydia PerryUniversity of Michigan Medical School, Center for Bioethics and Social Sciences in Medicine, Ann Arbor, Michigan, United States.ORCID https://orcid.org/0009-0007-6353-7402
Gloria CarmonaDepartment of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, Michigan, United States.
Marion Danis
Charo LedónBuenos Vecinos, Ann Arbor, Michigan, United States.
Maria AlvarezClinical Mental Health Counselor at Total Balance LLC, Perrysburg, Ohio, United States.
Zachary RoweFriends of Parkside, Detroit, Michigan, United States.
Susan Dorr GooldProfessor of Internal Medicine and Health Management and Policy, University of Michigan, Ann Arbor, Michigan, United States.

Funding

Priorities of Communities after CovidZIACL010547 · CLC · CLINICAL CENTER · PI DANIS, MARION · 2021 to 2023
$0k
Intramural NIH HHS ZIA CL010547This study was supported by a grant from the NIH Clinical Center (grant 1ZIACL010547) and the University of Michigan Medical School Office of Research-Pandemic Research Recovery (PRR) program.
6 · The paper itself

Abstract

introductionAlongside software developers, our community-academic partnership adapted an exercise designed for participatory priority setting to engage low-income community members in online deliberations about health and welfare spending priorities. This study evaluated the feasibility and quality of a fully virtual deliberative exercise using an adapted Choosing All Together (CHAT) tool among low-income community members.

methodsTwenty-one groups including 128 low-income individuals diverse in age, household size, race/ethnicity and urbanicity used an online version of the CHAT exercise. Sessions included both English- and Spanish-speaking participants. Pre- and post-CHAT surveys assessed participant experiences and views of online public deliberations.

resultsMean item and scale scores (on a 0-4 Likert scale, where 0 = strongly disagree and 4 = strongly agree) demonstrated that online use of the CHAT exercise was rated as enjoyable (3.4) and easy to do (3.2). Participants rated the information and choices provided as sufficient (3.4), with most participants agreeing that the choices offered in the deliberation were realistic (3.4) and believable (3.4). Participants generally thought they had enough information (2.4). The view of deliberation scale was scored (3.5), showing deliberative quality was rated highly. Participants agreed they gained an understanding of the arguments that opposed their own (3.2), that they had lots of chances to share their views (3.7) and that their views were considered (3.5). Some (2.8) stated that a few people dominated the discussion. DISCUSSION: Virtual modes of engagement could enable greater group heterogeneity, the participation of less mobile and more remote persons. Online deliberations added increased comfort and convenience for participants. Many participants stated that they expect and prefer online research participation, demonstrating that Covid may have shifted the paradigm. Participants indicated some technology problems, but these did not hinder participation as demonstrated by favourable mean item scores.

conclusionParticipants found the online CHAT deliberation easy and enjoyable and felt that the choices and information provided to them were sufficient. Despite technological problems, virtual modes of deliberation appear to be well-received by participants, adding comfort and convenience. PATIENT OR PUBLIC CONTRIBUTION: DECIDERS, a steering committee of community partners, co-created the virtual CHAT game and guided its design. Participants shared their stories and provided feedback on the virtual experience, informing both the evaluation and interpretation of the findings.

Indexed as

Community ParticipationPovertyAdultCOVID-19Feasibility StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairescommunity‐based participatory researchCovid‐19decision‐makingdeliberationgovernment assistancehealth equityvirtual

Identifiers

PMID41231528
PMCPMC12614174

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.