Combining qualitative research with PPI: reflections on using the person-based approach for developing behavioural interventions.
Combining qualitative research with PPI: reflections on using the person-based approach for developing behavioural interventions.
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DOI：
10.1186/s40900-019-0169-8
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发表时间：
2019-01-01
影响因子：
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通讯作者：
Yardley, Lucy
中科院分区：
文献类型：
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作者：
Muller, Ingrid;Santer, Miriam;Yardley, Lucy
背景技术背景：定性研究和患者和公众参与（PPI）对制定复杂的健康干预措施的价值和重要性得到了广泛认可。然而，这两者之间往往是混乱的，研究人员依赖于这些方法之一，而不是使用这两个along one another.METHODS：以人为本的方法（PBA）发展健康相关的行为改变干预适应和整合的方法，以用户为中心的设计和定性研究。PBA涉及干预措施的多个阶段的定性研究，以确保它们是可接受的，可行的，有意义的，并最佳地吸引使用它们的人。定性研究是与来自目标人群的研究参与者一起进行的，他们以前没有或继续参与更广泛的研究过程，并从新的角度看待干预措施。这使我们能够深入了解广泛的目标用户的观点和经验，以及他们参与行为改变的背景。研究中的PPI是与公众一起或由公众进行的，是研究过程的关键部分。PPI贡献者参与了研究设计和解释的所有阶段。PPI提供输入到干预措施的研究团队的成员，以及其他利益相关者，如卫生专业人员和行为改变experts.RESULTS：我们主张使用定性研究与PPI在所有阶段的干预规划，开发和评估。我们用最近开发复杂健康干预措施的项目的例子来说明这一点，突出PPI和PBA在不同方向上的例子，以及我们如何处理这一点，PPI如何帮助优化基于PBA反馈的干预措施，以及我们如何在社区环境中参与PPI。结论：PPI提供了一个有价值的替代传统的研究人员领导的方法，这可能是不匹配的目标用户的需求。将PPI与PBA相结合，可以通过纳入比单独通过PPI或定性方法可能实现的更多样化的反馈，帮助创建最佳的参与干预措施。
BACKGROUND: The value and importance of qualitative research and Patient and Public Involvement (PPI) for developing complex health interventions is widely recognised. However, there is often confusion between the two, with researchers relying on just one of these approaches, rather than using the two alongside one another.METHODS: The Person-Based Approach (PBA) to developing health-related behaviour change interventions adapts and integrates methods from user-centred design and qualitative research. The PBA involves qualitative research at multiple stages of interventions to ensure they are acceptable, feasible, meaningful, and optimally engaging to the people who will use them. The qualitative research is carried out with research participants from a target population, who have no prior or continuing involvement in the wider research process and see the intervention from a fresh perspective. This enables in-depth understanding of the views and experiences of a wide range of target users and the contexts within which they engage with behavioural change.PPI in research is carried out with or by members of the public and is a key part of the research process. PPI contributors are involved at all stages of research design and interpretation. PPI provides input into interventions as members of the research team alongside other stakeholders, such as health professionals and behaviour change experts.RESULTS: We advocate using qualitative research alongside PPI at all stages of intervention planning, development, and evaluation. We illustrate this with examples from recent projects developing complex health interventions, highlighting examples where PPI and PBA have pulled in different directions and how we have approached this, how PPI have helped optimise interventions based on PBA feedback, and how we have engaged PPI in community settings.CONCLUSIONS: PPI provides a valuable alternative to the traditional researcher-led approaches, which can be poorly matched to the needs of target users. Combining PPI with the PBA can help to create optimally engaging interventions by incorporating a greater diversity of feedback than would have been possible to achieve through PPI or qualitative approaches alone.