Exploration of whether socioeconomic factors affect the results of priority setting partnerships: updating the top 10 research priorities for the management of Parkinson’s in an international setting

Objectives Explore whether socioeconomic differences of patients affect the prioritisation of pre-existing research questions and explore the agreement between healthcare professionals (HCP) and patients in priority setting partnerships (PSPs).Design and setting Prospective, three centre survey acro...

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Main Authors: Michael Lawton, Inga Liepelt-Scarfone, Rejko Krüger, Michele T Hu, Christine Lo, Charlotte Woodward, Francesca Bowring, Jessica Welch, Patricia Sulzer, Anne-Marie Hanff
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e049530.full
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author Michael Lawton
Inga Liepelt-Scarfone
Rejko Krüger
Michele T Hu
Christine Lo
Charlotte Woodward
Francesca Bowring
Jessica Welch
Patricia Sulzer
Anne-Marie Hanff
author_facet Michael Lawton
Inga Liepelt-Scarfone
Rejko Krüger
Michele T Hu
Christine Lo
Charlotte Woodward
Francesca Bowring
Jessica Welch
Patricia Sulzer
Anne-Marie Hanff
author_sort Michael Lawton
collection DOAJ
description Objectives Explore whether socioeconomic differences of patients affect the prioritisation of pre-existing research questions and explore the agreement between healthcare professionals (HCP) and patients in priority setting partnerships (PSPs).Design and setting Prospective, three centre survey across UK (400 participants), Tuebingen (176 participants) and Luxembourg (303 participants). People with Parkinson’s (PwP), research participants, relatives and HCP associated with three Parkinson’s cohort studies were invited to participate, along with linked centres (clinical care settings, research groups, charities). Responders were encouraged to pass on the survey to friends/families/carers.Methods The survey involved rating the importance of research questions on a Likert scale, allowing for the generation of one new question participants felt was particularly important. Collection of demographic information allowed for comparisons of priorities across a range of socioeconomic variables; the top 10 research priorities for each group were then compared. Questions added by participants were subject to a thematic analysis.Results 879 participants completed the survey (58% PwP, 22% family/friends, 13% HCP, 4% carers). Finding the best form of physiotherapy for PwP was the number one priority across the majority of analyses. HCP were the only subgroup not to place physiotherapy in the top 10. Factors most likely to affect prioritisation in PwP included educational level, presence of carer support and disease duration. There was little difference between other socioeconomic categories.Conclusions Socioeconomic factors modestly influenced some research priority ratings but did not significantly affect the top priority in most comparisons. Future studies must ensure patients from a range of socioeconomic backgrounds are recruited, ensuring results generalisable to the public while also identifying any key disparities in prioritisation. PSP should also take care that HCP do not skew results during prioritisation of questions, as in this study the most important priority to patients was not identified by professionals.
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spelling doaj-art-12c311c829134c09bb37d22325e864752025-01-24T19:05:08ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-049530Exploration of whether socioeconomic factors affect the results of priority setting partnerships: updating the top 10 research priorities for the management of Parkinson’s in an international settingMichael Lawton0Inga Liepelt-Scarfone1Rejko Krüger2Michele T Hu3Christine Lo4Charlotte Woodward5Francesca Bowring6Jessica Welch7Patricia Sulzer8Anne-Marie Hanff9Biostatistics, University of Bristol, Bristol, UKEberhard Karls University Tubingen Hertie Institute for Clinical Brain Research, Tubingen, GermanyTransversal Translational Medicine, Luxembourg Institute of Health, Strassen, Luxembourg1 Nuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, UKDepartment of Clinical Neurosciences, University of Oxford Nuffield, Oxford, UKOxford University Hospitals NHS Foundation Trust, Oxford, UKDepartment of Clinical Neurosciences, University of Oxford Nuffield, Oxford, UKDepartment of Clinical Neurosciences, University of Oxford Nuffield, Oxford, UKEberhard Karls University Tubingen Hertie Institute for Clinical Brain Research, Tubingen, GermanyTransversal Translational Medicine, Luxembourg Institute of Health, Strassen, LuxembourgObjectives Explore whether socioeconomic differences of patients affect the prioritisation of pre-existing research questions and explore the agreement between healthcare professionals (HCP) and patients in priority setting partnerships (PSPs).Design and setting Prospective, three centre survey across UK (400 participants), Tuebingen (176 participants) and Luxembourg (303 participants). People with Parkinson’s (PwP), research participants, relatives and HCP associated with three Parkinson’s cohort studies were invited to participate, along with linked centres (clinical care settings, research groups, charities). Responders were encouraged to pass on the survey to friends/families/carers.Methods The survey involved rating the importance of research questions on a Likert scale, allowing for the generation of one new question participants felt was particularly important. Collection of demographic information allowed for comparisons of priorities across a range of socioeconomic variables; the top 10 research priorities for each group were then compared. Questions added by participants were subject to a thematic analysis.Results 879 participants completed the survey (58% PwP, 22% family/friends, 13% HCP, 4% carers). Finding the best form of physiotherapy for PwP was the number one priority across the majority of analyses. HCP were the only subgroup not to place physiotherapy in the top 10. Factors most likely to affect prioritisation in PwP included educational level, presence of carer support and disease duration. There was little difference between other socioeconomic categories.Conclusions Socioeconomic factors modestly influenced some research priority ratings but did not significantly affect the top priority in most comparisons. Future studies must ensure patients from a range of socioeconomic backgrounds are recruited, ensuring results generalisable to the public while also identifying any key disparities in prioritisation. PSP should also take care that HCP do not skew results during prioritisation of questions, as in this study the most important priority to patients was not identified by professionals.https://bmjopen.bmj.com/content/12/6/e049530.full
spellingShingle Michael Lawton
Inga Liepelt-Scarfone
Rejko Krüger
Michele T Hu
Christine Lo
Charlotte Woodward
Francesca Bowring
Jessica Welch
Patricia Sulzer
Anne-Marie Hanff
Exploration of whether socioeconomic factors affect the results of priority setting partnerships: updating the top 10 research priorities for the management of Parkinson’s in an international setting
BMJ Open
title Exploration of whether socioeconomic factors affect the results of priority setting partnerships: updating the top 10 research priorities for the management of Parkinson’s in an international setting
title_full Exploration of whether socioeconomic factors affect the results of priority setting partnerships: updating the top 10 research priorities for the management of Parkinson’s in an international setting
title_fullStr Exploration of whether socioeconomic factors affect the results of priority setting partnerships: updating the top 10 research priorities for the management of Parkinson’s in an international setting
title_full_unstemmed Exploration of whether socioeconomic factors affect the results of priority setting partnerships: updating the top 10 research priorities for the management of Parkinson’s in an international setting
title_short Exploration of whether socioeconomic factors affect the results of priority setting partnerships: updating the top 10 research priorities for the management of Parkinson’s in an international setting
title_sort exploration of whether socioeconomic factors affect the results of priority setting partnerships updating the top 10 research priorities for the management of parkinson s in an international setting
url https://bmjopen.bmj.com/content/12/6/e049530.full
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