A Systematic Review of the Impact of Patient and Public Involvement on Service Users, Researchers and Communities
Abstract
Objective Patient and public involvement (PPI) in research has expanded nationally and internationally over the last decade, and recently there has been significant attention given to understanding its impact on research. Less attention has been given to the impact of PPI on the people involved, yet it has been shown that the success of PPI in research can be reliant on the processes of engagement between these individuals and communities. This paper therefore critically explores the impact of PPI on service users, researchers and communities involved in health and social care research.Data sources Searches were undertaken from 1995 to April 2012 in the electronic databases MEDLINE, EMBASE, PsycINFO, Cochrane library, CINAHL, HMIC and HELMIS. Searches were undertaken for grey literature using the databases InvoNet and NHS Evidence.Study selection Studies were included if they included the impact of PPI on individual service users, researchers or communities under research. Studies were excluded if they were in a foreign language (unless they were deemed critical to the systematic review) or were in children and adolescent services.Study appraisal Data were extracted using a narrative synthesis, and quality was assessed using the Critical Appraisal Skills Programme.Main results Service users reported feeling empowered and valued, gaining confidence and life skills. Researchers developed a greater understanding and insight into their research area, gaining respect and a good rapport with the community. The community involved in research became more aware and knowledgeable about their condition. However, lack of preparation and training led some service users to feel unable to contribute to the research, while other service users and communities reported feeling overburdened with the work involved. Researchers reported difficulties in incorporating PPI in meaningful ways due to lack of money and time.Conclusion This is the first international systematic review to focus on the impact of PPI on the people involved in the process. The beneficial and challenging impacts reported highlight the importance of optimising the context and processes of involvement, so creating the potential for PPI to impact positively on the research itself.
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When done well, community-academic partnerships can have enormous benefit to the community members involved, to academic researchers and to the research itself.
“When done well, community–academic partnerships can have enormous benefit – to the community members involved, to academic researchers and to the research itself (Brett et al., 2014; Jagosh et al., 2012, 2015).”
From ‘You feel part of something bigger’: Stakeholders’ experiences of a long-term community–academic participatory research partnership (2025) · cites this paper as Brett et al., 2014
When done less well, community-academic partnerships can be ineffective and burdensome, especially when involvement is tokenistic, which can even cause harm.
“When done less well, however, partnerships can be ineffective and burdensome. This is especially the case when involvement is tokenistic in nature (Staley, 2009), which can even cause harm (Brett et al., 2014).”
From ‘You feel part of something bigger’: Stakeholders’ experiences of a long-term community–academic participatory research partnership (2025) · cites this paper as Brett et al., 2014
The quality of reporting of patient and public involvement in research papers is often inconsistent and partial, with little information about context, process, and impact.
“While the patient and public involvement (PPI) evidence base has expanded over the past decade, the quality of reporting within papers is often inconsistent, limiting our understanding of how it works, in what context, for whom, and why.”
From GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research (2017) · cites this paper as [4]
Inadequate reporting of PPI creates problems for systematic reviews that attempt to synthesise PPI evidence.
“Inadequate reporting can create problems for systematic reviews that attempt to synthesise PPI evidence [2–4].”
From GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research (2017) · cites this paper as [4]
The original GRIPP checklist's development drew on systematic review evidence, without broader input from the international PPI research community.
“While the original GRIPP checklist represented an important starting point in creating high quality PPI reporting, its development drew on systematic review evidence, without broader input from the international PPI research community [2–4].”
From GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research (2017) · cites this paper as [4]
It is not possible to be prescriptive about the exact content of each GRIPP2 item because the current evidence base is not advanced enough.
“While GRIPP2-LF and GRIPP2-SF aim to guide consistent reporting, it is not possible to be prescriptive about the exact content of each item, as the current evidence base is not advanced enough to make this possible [2–4, 21].”
From GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research (2017) · cites this paper as [4]
The success of PPI in this study may relate to several factors, including patient partners' prior training, researchers' experience, and good relationships.
“The success of the PPI in this study may relate to several factors. Firstly, the patient partners had received training around research methods in previous studies and were actively involved in a patient and public involvement group attached to the University of Warwick Medical School. Furthermore, the researchers were experienced at involving patient partners in their research [22]. Finally, good”
From GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research (2017) · cites this paper as [4]
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References 74 · Cited by 839
- Authors
- Brett, J., Staniszewska, S., Mockford, C., Herron-Marx, S., Hughes, J., Tysall, C., & Suleman, R.
- Affiliations
- University of Warwick (GB)
- United Kingdom Clinical Research Collaboration (GB)
- Corresponding author
- Brett, Jo
- Venue
- The Patient - Patient-Centered Outcomes Research
- Published
- 2014-07-18
- Volume
- 7
- Issue
- 4
- Pages
- 387-395
- ISSN
- 1178-1653 (ISSN-L)
- 1178-1661
- OpenAlex
- W2094067116
- Cited by
- 839
- References
- 74
- Citations by year
- 2026: 83 · 2025: 109 · 2024: 124 · 2023: 86 · 2022: 94 · 2021: 81 · 2020: 81 · 2019: 53 · 2018: 52 · 2017: 33 · 2016: 26 · 2015: 15 · 2014: 1 · 2013: 1
- FWCI
- 4.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Patient (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Open Research Online (The Open University) (submittedVersion)
- Funders
- London School of Hygiene and Tropical Medicine
- United Kingdom Clinical Research Collaboration
- Warwick Medical School
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- patient and public involvement, health and social care research, service users, researchers, community participation, empowerment, researcher-patient relationship, research capacity building
- MeSH terms
- Community Participation, Health Services Research, Humans, Patient Participation, Research Personnel, Biomedical Research, Community-Based Participatory Research
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