Patient and public engagement in research and health system decision making: A systematic review of evaluation tools
Open accessAbstract
Background: Patient and public engagement is growing, but evaluative efforts remain limited. Reviews looking at evaluation tools for patient engagement in individual decision making do exist, but no similar articles in research and health systems have been published. Objective: Systematically review and appraise evaluation tools for patient and public engagement in research and health system decision making. Methods: We searched literature published between January 1980 and February 2016. Electronic databases (Ovid MEDLINE, Embase, Cochrane Database of Systematic Reviews, CINAHL and PsycINFO) were consulted, as well as grey literature obtained through Google, subject‐matter experts, social media and engagement organization websites. Two independent reviewers appraised the evaluation tools based on 4 assessment criteria: scientific rigour, patient and public perspective, comprehensiveness and usability. Results: In total, 10 663 unique references were identified, 27 were included. Most of these tools were developed in the last decade and were designed to support improvement of engagement activities. Only 11% of tools were explicitly based on a literature review, and just 7% were tested for reliability. Patients and members of the public were involved in designing 56% of the tools, mainly in the piloting stage, and 18.5% of tools were designed to report evaluation results to patients and the public. Conclusion: A growing number of evaluation tools are available to support patient and public engagement in research and health system decision making. However, the scientific rigour with which such evaluation tools are developed could be improved, as well as the level of patient and public engagement in their design and reporting.
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Review findings of empirical studies in PPI show that short-term, individual-level outcomes were more represented in the literature.
“This is consistent with review findings of empirical studies in PPI whereby short‐term, individual‐level outcomes were more represented in the literature. 43 , 91 , 92”
From A systematic review of theories, models and frameworks used for youth engagement in health research (2024) · cites this paper as [92]
The Results (Assessment of the tools; page unavailable) say that tools evaluating PPI outcomes most commonly focused on perceived, self-reported impacts, which supports a related emphasis. But this is a review of evaluation tools, not a finding about outcomes represented in empirical studies, and the passage does not establish that short-term, individual-level outcomes predominated. (LLM, conf=0.78)
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The patient engagement evaluation tool was valid for clinical practice guideline development
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- Authors
- Boivin, A., L'Espérance, A., Gauvin, F., Dumez, V., Macaulay, A. C., Lehoux, P., & Abelson, J.
- Affiliations
- Centre d’excellence sur le partenariat avec les patients et le public (CA)
- Center of Excellence on Partnership with Patients and the Public (CEPPP) Montreal QC Canada
- McGill University (CA)
- Université de Montréal (CA)
- McMaster University (CA)
- Corresponding author
- Boivin, Antoine
- Venue
- Health Expectations
- Publisher
- Wiley
- Published
- 2018-07-30
- Volume
- 21
- Issue
- 6
- Pages
- 1075-1084
- ISSN
- 1369-6513 (ISSN-L)
- 1369-7625
- PMC
- PMC6250878
- OpenAlex
- W2887442678
- Cited by
- 285
- References
- 34
- Citations by year
- 2026: 23 · 2025: 28 · 2024: 63 · 2023: 51 · 2022: 39 · 2021: 37 · 2020: 24 · 2019: 16 · 2018: 4
- FWCI
- 3.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Health Expectations (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Canada Research Chairs
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Keywords
- patient and public engagement, assessment instruments, research engagement, health system decision-making, patient involvement, citizen participation, scientific rigor, tool development, usability
- MeSH terms
- Decision Making, Delivery of Health Care, Health Priorities, Health Services Research, Humans, Patient Participation, Surveys and Questionnaires, Program Evaluation, Quality Improvement
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