Cited by 1,643Mental Health and Patient InvolvementHealth Policy Implementation ScienceMeta-analysis and systematic reviews

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index; 2 of the 23 sources its claims cite were checked for support.

GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research

Open access

Abstract

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. To develop international consensus on the key items to report to enhance the quality, transparency, and consistency of the PPI evidence base. To collaboratively involve patients as research partners at all stages in the development of GRIPP2. The EQUATOR method for developing reporting guidelines was used. The original GRIPP (Guidance for Reporting Involvement of Patients and the Public) checklist was revised, based on updated systematic review evidence. A three round Delphi survey was used to develop consensus on items to be included in the guideline. A subsequent face-to-face meeting produced agreement on items not reaching consensus during the Delphi process. One hundred forty-three participants agreed to participate in round one, with an 86% (123/143) response for round two and a 78% (112/143) response for round three. The Delphi survey identified the need for long form (LF) and short form (SF) versions. GRIPP2-LF includes 34 items on aims, definitions, concepts and theory, methods, stages and nature of involvement, context, capture or measurement of impact, outcomes, economic assessment, and reflections and is suitable for studies where the main focus is PPI. GRIPP2-SF includes five items on aims, methods, results, outcomes, and critical perspective and is suitable for studies where PPI is a secondary focus. GRIPP2-LF and GRIPP2-SF represent the first international evidence based, consensus informed guidance for reporting patient and public involvement in research. Both versions of GRIPP2 aim to improve the quality, transparency, and consistency of the international PPI evidence base, to ensure PPI practice is based on the best evidence. In order to encourage its wide dissemination this article is freely accessible on The BMJ and Research Involvement and Engagement journal websites.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

GRIPP2-LF and GRIPP2-SF are consensus-based reporting checklists for patient and public involvement (PPI) in research, developed using EQUATOR methods, a three-round Delphi survey, and a consensus meeting. GRIPP2-LF has 34 items for studies where PPI is the primary focus; GRIPP2-SF has five items for studies where PPI is a secondary focus.

Key findings

  • The Delphi survey included 143 participants in round one, with an 86% (123/143) response in round two and 78% (112/143) in round three. The five core GRIPP2-SF items each gained a median score of 9 in round two and again in round three.
  • GRIPP2-LF includes 34 items covering aims, definitions, concepts and theory, methods, stages and nature of involvement, context, capture or measurement of impact, outcomes, economic assessment, and reflections.
  • GRIPP2-SF includes five items: aims, methods, results, outcomes, and critical perspective.
  • The final consensus meeting involved 25 key experts, including patient partners and carers (n = 8), researchers (n = 9), clinicians (n = 6), and healthcare journal editors (n = 2), and finalised consensus on seven items on the threshold of consensus.

Methods

  • The study used the EQUATOR method for developing reporting guidelines: updated systematic review evidence, a three-round Delphi survey with international PPI stakeholders, and a face-to-face consensus meeting.
  • Delphi participants rated items on a 1–10 scale; median ≥8 in rounds one and two indicated positive consensus, median ≤5 excluded items, and items scoring 6 or 7 in one round and ≥8 in the other were voted on again in round three, with positive consensus if median ≥8 in two rounds.
  • Three patient partners were recruited to the research team and were involved in refining research questions, developing the search strategy, interpreting results, selecting original GRIPP items, piloting the Delphi survey, recruiting participants, collating comments, adapting items, and writing up the study.

Limitations

  • The paper states that usability testing has not yet been possible to understand how GRIPP2 works in practice with different study designs, and that the final consensus meeting did not include international experts because of a restricted budget, which might have limited the discussion from an international perspective.
  • The paper states that GRIPP2 is conceptualised within the culture and language of research, that a patient or service-user version is needed but not yet developed, and that it is not possible to be prescriptive about the exact content of each item because the current evidence base is not advanced enough.
  • The paper also states that the EQUATOR consensus methods limited possible patient partner input into identifying or developing methods to gain consensus, that feedback time between Delphi rounds was short, and that scheduling meetings between researchers and patient partners was difficult; further refinements are expected as the PPI evidence base evolves.

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Integrity signals

Registry

Crossref · 10.1186/s40900-017-0062-2

Cites

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Citations

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Research works printed but not linked: 1

  1. Staley K. Exploring impact: public involvement in NHS, public health and social care research. Eastleigh: INVOLVE; 2009. http://www.invo.org.uk/posttypepublication/exploring-impact-public-involvement-in-nhs-public-health-and-social-care-research/ .

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Metadata

Authors
Staniszewska, S., Brett, J., Simera, I., Seers, K., Mockford, C., Goodlad, S., Altman, D. G., Moher, D., Barber, R., Denegri, S., Entwistle, A., Littlejohns, P., Morris, C., Suleman, R., Thomas, V., & Tysall, C.
Affiliations
  • University of Warwick (GB)
  • Oxford Brookes University (GB)
  • University of Oxford (GB)
  • Coventry University (GB)
  • Ottawa Hospital Research Institute (CA)
  • University of Sheffield (GB)
  • National Institute for Health and Care Research (GB)
  • King's College London (GB)
  • University of Exeter (GB)
  • National Institute for Health and Care Excellence (GB)
Corresponding author
Staniszewska, S.
Venue
Research Involvement and Engagement
Published
2017-08-02
Volume
3
Issue
1
Pages
13-13
ISSN
2056-7529 (ISSN-L)
OpenAlex
W2739751169
Cited by
1,643
References
20
Citations by year
2026: 98 · 2025: 192 · 2024: 327 · 2023: 265 · 2022: 238 · 2021: 211 · 2020: 145 · 2019: 95 · 2018: 61 · 2017: 8
FWCI
136.40
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Research Involvement and Engagement (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by-nc)
  • Figshare (submittedVersion)
  • Open Research Exeter (University of Exeter) (submittedVersion, cc-by)
  • Radar (Oxford Brookes University) (submittedVersion, cc-by)
Funders
  • King's College Hospital NHS Foundation Trust
  • Cancer Research UK (16895)
  • National Institute for Health and Care Research
  • University of Warwick
  • King's College London
  • Warwick Medical School
Topics
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
Keywords
patient and public involvement, reporting guidelines, GRIPP2, reporting checklist, research collaboration, patient involvement in research, Delphi consensus, EQUATOR Network, research transparency

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