Involving People With Lived Experience in Electronic Health Record Database Studies Reflections and Learning From the CHOOSE Study

ABSTRACT Background Patient and public involvement and engagement (PPIE) is integral to health research. Reporting of PPIE methods and impact is becoming increasingly common in health research. However, reporting on PPIE in studies using large, routinely collected electronic health record data sets...

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Main Authors: Emma Cockcroft, Vidhi Bassi, Pearl L. H. Mok, Alex Adams, Anabel A. Claro, Alex M. Trafford, Matthew J. Carr, Darren M. Ashcroft, Emma Garavini, Rachel Temple, Roger T. Webb, Shruti Garg, Carolyn A. Chew‐Graham
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Health Expectations
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Online Access:https://doi.org/10.1111/hex.70131
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author Emma Cockcroft
Vidhi Bassi
Pearl L. H. Mok
Alex Adams
Anabel A. Claro
Alex M. Trafford
Matthew J. Carr
Darren M. Ashcroft
Emma Garavini
Rachel Temple
Roger T. Webb
Shruti Garg
Carolyn A. Chew‐Graham
author_facet Emma Cockcroft
Vidhi Bassi
Pearl L. H. Mok
Alex Adams
Anabel A. Claro
Alex M. Trafford
Matthew J. Carr
Darren M. Ashcroft
Emma Garavini
Rachel Temple
Roger T. Webb
Shruti Garg
Carolyn A. Chew‐Graham
author_sort Emma Cockcroft
collection DOAJ
description ABSTRACT Background Patient and public involvement and engagement (PPIE) is integral to health research. Reporting of PPIE methods and impact is becoming increasingly common in health research. However, reporting on PPIE in studies using large, routinely collected electronic health record data sets is less common. Anecdotal evidence suggests that involvement in this research context is more challenging and offers fewer opportunities for meaningful influence on the research process. Objectives This paper reports the involvement approach for a Clinical Practice Research Datalink (CPRD) study and critically reflects on the process and impact of involving young people, parents and carers in research using this UK primary care electronic health record data set. Methods The CHOOSE study investigated mental health diagnoses of children and young people (1–24 years) during the COVID‐19 pandemic using the CPRD. The study was informed by a Lived Experience Advisory Panel (LEAP) which consisted of 13 members including 8 young people (13–25 years) with lived experience of mental health difficulties and 5 parents/carers, with involvement activities facilitated by project partners, mental health research charity, The McPinR Foundation. We reflect on this process in this manuscript. Results Key benefits of involving people with lived experience in this research included making sense of and contextualising findings and ensuring that they were focused on making a difference to young people's lives. Challenges included the fixed nature of the CPRD data, which did not capture all the information people with lived experience perceived to be important. Researchers expressed limited time for PPIE activities although that was compensated by McPin colleagues who organised and facilitated online meetings, and supported the young people, parents and carers during and between meetings. Conclusions This paper describes an approach to patient and public involvement in an electronic health record database study. Working collaboratively with young people, carers and other stakeholders requires sufficient time and adequate resources. We also highlight the importance of appropriate training and support and being transparent about the limitations of PPIE involvement. Patient or Public Contribution Three members of the CHOOSE LEAP have been involved in conceptualising and writing this paper.
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spelling doaj-art-56355359754c46278444aeb8effcee2f2025-08-20T03:04:42ZengWileyHealth Expectations1369-65131369-76252024-12-01276n/an/a10.1111/hex.70131Involving People With Lived Experience in Electronic Health Record Database Studies Reflections and Learning From the CHOOSE StudyEmma Cockcroft0Vidhi Bassi1Pearl L. H. Mok2Alex Adams3Anabel A. Claro4Alex M. Trafford5Matthew J. Carr6Darren M. Ashcroft7Emma Garavini8Rachel Temple9Roger T. Webb10Shruti Garg11Carolyn A. Chew‐Graham12Department of Health and Community Sciences University of Exeter Exeter UKThe McPin Foundation London UKCentre for Pharmacoepidemiology & Drug Safety, Division of Pharmacy & Optometry, Manchester Academic Health Sciences Centre The University of Manchester Manchester UKThe McPin Foundation London UKThe McPin Foundation London UKCentre for Pharmacoepidemiology & Drug Safety, Division of Pharmacy & Optometry, Manchester Academic Health Sciences Centre The University of Manchester Manchester UKCentre for Pharmacoepidemiology & Drug Safety, Division of Pharmacy & Optometry, Manchester Academic Health Sciences Centre The University of Manchester Manchester UKCentre for Pharmacoepidemiology & Drug Safety, Division of Pharmacy & Optometry, Manchester Academic Health Sciences Centre The University of Manchester Manchester UKThe McPin Foundation London UKThe McPin Foundation London UKNIHR Greater Manchester Patient Safety Research Collaboration The University of Manchester Manchester UKDivision of Psychology & Mental Health, Manchester Academic Health Sciences Centre University of Manchester Manchester UKSchool of Medicine, Faculty of Medicine and Health Sciences Keele University Keele UKABSTRACT Background Patient and public involvement and engagement (PPIE) is integral to health research. Reporting of PPIE methods and impact is becoming increasingly common in health research. However, reporting on PPIE in studies using large, routinely collected electronic health record data sets is less common. Anecdotal evidence suggests that involvement in this research context is more challenging and offers fewer opportunities for meaningful influence on the research process. Objectives This paper reports the involvement approach for a Clinical Practice Research Datalink (CPRD) study and critically reflects on the process and impact of involving young people, parents and carers in research using this UK primary care electronic health record data set. Methods The CHOOSE study investigated mental health diagnoses of children and young people (1–24 years) during the COVID‐19 pandemic using the CPRD. The study was informed by a Lived Experience Advisory Panel (LEAP) which consisted of 13 members including 8 young people (13–25 years) with lived experience of mental health difficulties and 5 parents/carers, with involvement activities facilitated by project partners, mental health research charity, The McPinR Foundation. We reflect on this process in this manuscript. Results Key benefits of involving people with lived experience in this research included making sense of and contextualising findings and ensuring that they were focused on making a difference to young people's lives. Challenges included the fixed nature of the CPRD data, which did not capture all the information people with lived experience perceived to be important. Researchers expressed limited time for PPIE activities although that was compensated by McPin colleagues who organised and facilitated online meetings, and supported the young people, parents and carers during and between meetings. Conclusions This paper describes an approach to patient and public involvement in an electronic health record database study. Working collaboratively with young people, carers and other stakeholders requires sufficient time and adequate resources. We also highlight the importance of appropriate training and support and being transparent about the limitations of PPIE involvement. Patient or Public Contribution Three members of the CHOOSE LEAP have been involved in conceptualising and writing this paper.https://doi.org/10.1111/hex.70131electronic health recordslived experiencemental health researchpatient and public involvement and engagement (PPIE)young peopleyouth involvement
spellingShingle Emma Cockcroft
Vidhi Bassi
Pearl L. H. Mok
Alex Adams
Anabel A. Claro
Alex M. Trafford
Matthew J. Carr
Darren M. Ashcroft
Emma Garavini
Rachel Temple
Roger T. Webb
Shruti Garg
Carolyn A. Chew‐Graham
Involving People With Lived Experience in Electronic Health Record Database Studies Reflections and Learning From the CHOOSE Study
Health Expectations
electronic health records
lived experience
mental health research
patient and public involvement and engagement (PPIE)
young people
youth involvement
title Involving People With Lived Experience in Electronic Health Record Database Studies Reflections and Learning From the CHOOSE Study
title_full Involving People With Lived Experience in Electronic Health Record Database Studies Reflections and Learning From the CHOOSE Study
title_fullStr Involving People With Lived Experience in Electronic Health Record Database Studies Reflections and Learning From the CHOOSE Study
title_full_unstemmed Involving People With Lived Experience in Electronic Health Record Database Studies Reflections and Learning From the CHOOSE Study
title_short Involving People With Lived Experience in Electronic Health Record Database Studies Reflections and Learning From the CHOOSE Study
title_sort involving people with lived experience in electronic health record database studies reflections and learning from the choose study
topic electronic health records
lived experience
mental health research
patient and public involvement and engagement (PPIE)
young people
youth involvement
url https://doi.org/10.1111/hex.70131
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