Table 2.
Category that underpins reason for involvement1 | Reason to embed involvement | Relevant phase(s) in translational pipeline | Methods and strategies for embedding involvement2 | Indicative literature |
---|---|---|---|---|
Scientific | Service users’ knowledge and experiences of use in agenda setting, problem definition and hypothesis construction | T1 | Creation of ‘small innovation networks’ devoted to the transition to involvement, and comprising biomedical researchers, service users and other stakeholders, experts in participation and representatives from research funding agencies and government organizations Collaboration with patients’ organizations Dialogue Model: democratic interaction between all stakeholders in the service of an integration of different knowledge sources | Abma and Broerse 41 Ayméet al. 32 Baart and Abma 36 Caron‐Flinterman et al. 35 Wright et al. 40 |
Service users’ knowledge and experiences of use in defining treatment targets and developing outcome measures | T1–T2 | Participatory research (e.g. service user‐led focus groups to generate outcome measures) Priority setting partnerships (that join clinician organizations and patient/carer organizations) | Buckley et al. 42 Milne et al. 43 Rose et al. 44 | |
Service users’ knowledge and experiences of use in design of medical devices/technologies | T1–T2 | Direct and active collaboration and interaction between users and producers in early stages (concept and idea generation) rather than only or mainly in late stage of product lifecycle | Dabbs et al. 19 Gagnon et al. 45 Grocott et al. 22 Shah and Robinson 20 , 21 | |
Service users’ knowledge and experiences of use in trial design and consent processes | T1–T2 | Stakeholder representation on trial steering committees Combination of quantitative and qualitative methods (e.g. through consultation, focus groups and questionnaires with service users) | Ali et al. 46 Guarino et al. 31 Koops and Lindley 47 Langston et al. 48 | |
Service users’ knowledge and experiences of use in development of health services research/implementation science/dissemination | T2–4 | Principles of successful service user involvement in health research outlined in Telford et al. 49 | Crawford et al. 30 Fudge et al. 50 Nilsen et al. 51 Simpson and House 52 | |
Scientific/pragmatic | Assistance with recruitment into trials | T1–T2 | Involvement of consumers in trial governance so that they can then provide advice to trial participants, and promote trial to prospective participants | Langston et al. 48 |
Ethical/socially just | Translational research that uses biomarkers for potential diagnostics, therapeutics and genetic testing raises ethical issues related to risk, susceptibility and stigma/discrimination | T1–T4 | Interdisciplinary collaborations between scientists, clinicians, social scientists, ethicists, legal scholars, policy makers, service users and those involved with industry/commercialization of biomarkers | Barr and Rose 53 Singh and Rose 27 |
Public/civic engagement with biomedicine | T1–T4 | Citizens’ juries Town hall meetings | Nowotny et al. 54 | |
Involvement can empower patients/service users (which can in turn improve health) | T1–T4 | Shared decision making (reduction of power differentials) | Angelmar and Berman 55 Boote et al. 56 |
1These categories are overlapping rather than discrete.
2These include methods and strategies that are evidence based, as well as those that relevant literature suggests on theoretical grounds.