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Res Involv Engagem. 2020 Apr 17;6:13. doi: 10.1186/s40900-020-00189-3. eCollection 2020.

"PROUD to have been involved": an evaluation of participant and community involvement in the PROUD HIV prevention trial.

Research involvement and engagement

Mitzy Gafos, Annabelle South, Bec Hanley, Elizabeth Brodnicki, Matthew Hodson, Sheena McCormack, T Charles Witzel, Justin Harbottle, Claire Vale

Affiliations

  1. 1Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, WC1H 9SN UK.
  2. 2MRC Clinical Trials Unit at UCL, 90 High Holborn, London, WC1V 6LJ UK.
  3. NAM / aidsmap, Unit 19, St Mark's Studios, 14 Chillingworth Road, London, N7 8QJ UK.
  4. 4Sigma Research, Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, UK.
  5. SH:24 CIC, 35a Westminster Bridge Road, London, SE1 7JB UK.

PMID: 32322408 PMCID: PMC7164163 DOI: 10.1186/s40900-020-00189-3

Abstract

BACKGROUND: The PROUD trial, a HIV prevention trial in men who have sex with men and trans women, set out to involve community representatives and trial participants in several ways. PROUD also aimed to evaluate participant involvement, to learn lessons and make recommendations for future clinical trials.

METHODS: Two structured surveys, one of participant and community representatives involved in the PROUD study, and the other of researchers from the PROUD team, were carried out in 2017. The results from the surveys were reviewed quantitatively and qualitatively, and themes emerging from the data identified and synthesised.

RESULTS: Survey invitations were sent to 88 involved participants, 11 community representatives and 10 researchers. The overall response rate was 55% (60/109). Overall, participants were younger than community representatives, and the majority were from Greater London. As expected, participants were predominantly involved in participant involvement meetings and community representatives in management committees.Participants and community representatives cited different motivations for getting involved in PROUD. Overall, participants were positive about their involvement; only two participants rated their experience unfavourably. Community representatives were also broadly positive. Most participants and all community representatives felt their involvement made a difference to the trial, themselves and / or the organisations they represented. However, some participant answers reflected the impact of participation in the trial rather than involvement in PPI activities.Researchers felt that PPI had positive impact across the entire trial cycle. Half felt they would have liked there to have been more PPI activity in PROUD. Researchers noted some challenges and recommendations for the future, including need for adequate funding, more engagement in PPI by all researchers, the need for PPI expertise to facilitate involvement activities and training and mentoring in PPI.

CONCLUSIONS: Involving clinical trial participants and wider community representatives as active partners in PPI is feasible and valuable in trials. Researchers are encouraged to consider and appropriately resource participant involvement and prospectively evaluate all PPI within their trials.

© The Author(s) 2020.

Keywords: PPI; Participant involvement; Pre-exposure prophylaxis; “Patient and public involvement”

Conflict of interest statement

Competing interestsThe authors declare that they have no competing interests.

References

  1. Trials. 2016 Mar 24;17:163 - PubMed
  2. PLoS One. 2015 Jun 08;10(6):e0128817 - PubMed
  3. BMJ. 2001 Mar 3;322(7285):519-23 - PubMed
  4. Int J STD AIDS. 2012 Jan;23(1):1-4 - PubMed
  5. Syst Rev. 2012 May 07;1:23 - PubMed
  6. PLoS One. 2017 Apr 20;12(4):e0175596 - PubMed
  7. Trials. 2016 Jul 29;17:376 - PubMed
  8. Lancet. 2016 Jan 2;387(10013):53-60 - PubMed
  9. PLoS Med. 2005 Sep;2(9):e234 - PubMed
  10. Health Expect. 2014 Oct;17(5):637-50 - PubMed
  11. Health Policy. 2002 Aug;61(2):213-36 - PubMed
  12. Res Involv Engagem. 2016 Apr 27;2:15 - PubMed
  13. Trials. 2018 Feb 7;19(1):95 - PubMed
  14. J Int AIDS Soc. 2018 Oct;21 Suppl 7:e25174 - PubMed

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