PPIE Resources


Digitalisation of health and social care whilst providing solutions to some systemic problems can increase equity gaps unless Patient and Public Involvement and Engagement (PPIE) in parallel with Culture, Equity, Diversity, and Inclusion (CEDI) is considered at every step. PPIE/CEDI starts at the priority setting stage of health and social care research and development and continues for its lifetime. 

Resources to help address inequalities and digital exclusion

The British Academy has published a policy insight summary for Understanding digital poverty and inequality in the UK from the perspective of SHAPE disciplines (social sciences, humanities, and arts for people and the economy). 

  • The CORE20PLUS5 approach to reducing healthcare inequalities at national and system level. The CORE20PLUS5 focusses on the most deprived 20% of the national population (Core20) PLUS population groups identified at the local level and the 5 clinical areas requiring accelerated improvement (Maternity, Severe mental Illness, Chronic respiratory disease, early cancer diagnosis, and hypertension case-finding and optimal management and lipid optimal management.  CORE20PLUS5 e-learning modules linking to the 5 priority clinical areas are available for free on the NHS Learning Hub (a national digital learning platform) 
  • a discussion paper on a mental health and wellbeing plan to address mental health disparities, and includes extensive evidence summaries and associated resources (e.g. data, risk factors [e.g. socio-economic disadvantage, age, sex, ethnicity, learning disability and/or neurodivergence, multi- and chronic morbidity, unemployment, debt, lone living, acting as unpaid carer, contact with the criminal justice system, experience of displacement, homelessness, instable housing, violence, abuse, substance abuse, and residential care during childhood), what works for the promotion of good mental health, evidence gaps). 

Resources from digital health projects 

An article describing the RELAX study which evaluates a digital therapy to help with worry and anxious thoughts during pregnancy. This includes a section on the work with PPIE representatives to ensure that the needs of the ultimate beneficiaries of the research (pregnant women/service users) remain central to the project. RELAX (REducing Levels of AnXiety): a study protocol for a parallel two-arm randomised controlled trial evaluating a web-based early intervention for pregnant women with high levels of repetitive negative thinking to prevent escalating anxiety during pregnancy and after birth

A short video from a member of the Patient Advisory Group from the RELAX study.  

REFUEL MS Patient and Public Involvement Report - - Developing, optimising and implementing a blended digital self-management treatment for fatigue in multiple sclerosis. 

Video featuring members of REFUEL-MS Patient Advisory Group discussing their experience of being part of the group  

 

General PPIE resources 

The Patient Centred Research Outcomes Institute (PCORI) is committed to advancing patient-centered, stakeholder-engaged research and the meaningful involvement of patients, caregivers, clinicians, and other healthcare stakeholders throughout the entire research process. To encourage the spread of these practices, they have assembled a repository of engagement-related tools and resources developed and used by PCORI awardees.

The Involvement Matrix can help with involving experts by experience in research projects.The tool was developed by the Utrecht Knowledge Center for Rehabilitation Medicine (KCRU) in collaboration with a group of experts by experience to start this dialogue: It is a tool for project leaders and experts by experience to engage in regular dialogue about their ideas, needs and expectations. The Involvement Matrix allows those involved to make clear agreements about the nature of involvement of experts by experiences in a project.

GRIPP2 (short form and long form) is the first international guidance for reporting of patient and public involvement in health and social care research. This paper in the British Medical Journal describes the development of the GRIPP2 reporting checklists, which aim to improve the quality, transparency, and consistency of the international patient and public involvement (PPI) evidence base, to ensure that PPI practice is based on the best evidence.