背景:詹姆斯·林德联盟(JLA)优先设置合作伙伴关系(PSP)通过结构化,与患者或服务用户共享决策过程,护理人员和健康或护理专业人员确定对他们最重要的问题。迄今为止,在不同的健康和护理领域,超过150个PSP公布了研究重点。一些PSP具有相似的优先级,可以结合起来,通过合作研究促进和解决,以增加价值和减少研究浪费。
目的:本研究的目的是确定JLAPSP优先事项在不同健康和护理领域的共同主题。
方法:我们的分析包括英国JLAPSP在2016年至2020年期间制定的“十大”研究重点。优先事项由健康研究分类系统(HRCS)健康类别和研究活动演绎编码。然后,我们与患者进行了在线研讨会,服务用户和护理人员,以生成此框架尚未捕获的新代码。在每个代码中,多利益相关者归纳主题分析用于确定总体主题,定义为涵盖涵盖两个或更多健康类别的三个或更多PSP的优先级。我们使用codesign方法来生成一个交互式工具,供最终用户浏览总体主题。
结果:我们的分析包括了来自51个PSP的五百十五个研究重点。优先事项共包括21个HRCS健康类别中的20个,最常见的是“一般健康相关性”(22%),“心理健康”(18%)和“肌肉骨骼”(14%)。我们确定了89个总体主题和次主题,我们将其组织成一个包含七个顶级主题的层次结构:生活质量,看护者和家庭,原因和预防,筛查和诊断,治疗和管理,服务和系统以及社会影响和影响。
结论:在多个健康和护理领域的研究重点中,有许多共同的总体主题。为了促进新的研究和研究资金,我们开发了一种互动工具来帮助研究人员,资助者和患者或服务用户来探索这些优先主题。这是免费的在线下载。
■患者或服务使用者和照顾者参与了整个研究,包括决定目标,设计研究,分析优先事项以确定主题,解释和报告调查结果。
BACKGROUND: James Lind Alliance (JLA) Priority Setting Partnerships (PSPs) produce \'Top 10\' lists of health and care research priorities through a structured, shared decision-making process with patients or service users, carers and health or care professionals who identify questions that are most important to them. To date, over 150 PSPs in different areas of health and care have published research priorities. Some PSPs share similar priorities, which could be combined, promoted and addressed through collaborative research to increase value and reduce research waste.
OBJECTIVE: The aim of this study was to identify overarching themes common to JLA PSP priorities across different areas of health and care.
METHODS: Our analysis included \'Top 10\' research priorities produced by UK-based JLA PSPs between 2016 and 2020. The priorities were coded deductively by the Health Research Classification System (HRCS) health category and research activity. We then carried out online workshops with patients, service users and carers to generate new codes not already captured by this framework. Within each code, multistakeholder inductive thematic analysis was used to identify overarching themes, defined as encompassing priorities from three or more PSPs covering two or more health categories. We used codesign methods to produce an interactive tool for end users to navigate the overarching themes.
RESULTS: Five hundred and fifteen research priorities from 51 PSPs were included in our analysis. The priorities together encompassed 20 of 21 HRCS health categories, the most common being \'generic health relevance\' (22%), \'mental health\' (18%) and \'musculoskeletal\' (14%). We identified 89 overarching themes and subthemes, which we organised into a hierarchy with seven top-level themes: quality of life, caregivers and families, causes and prevention, screening and diagnosis, treatment and management, services and systems and social influences and impacts.
CONCLUSIONS: There are many overarching themes common to research priorities across multiple areas of health and care. To facilitate new research and research funding, we have developed an interactive tool to help researchers, funders and patients or service users to explore these priority topics. This is freely available to download online.
UNASSIGNED: Patients or service users and carers were involved throughout the study, including deciding the aims, designing the study, analysing priorities to identify themes, interpreting and reporting the findings.