4.6 Article

Research Questions that Matter to Us: priorities of young people with chronic illnesses and their caregivers

Journal

PEDIATRIC RESEARCH
Volume 89, Issue 7, Pages 1659-1663

Publisher

SPRINGERNATURE
DOI: 10.1038/s41390-020-01207-6

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Funding

  1. Patient-Centered Outcomes Research Institute(R) (PCORI(R)) Award [5134413]

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The study aimed to identify research priorities for young people living with chronic illness and their caregivers. Findings showed that individuals with different chronic conditions were able to reach consensus on common research priorities, with age and role influencing these priorities. The Research Prioritization by Affected Communities (RPAC) method provided nuanced insights and highlighted under-studied topics for future research investments.
Aim The rising number of children carrying chronic disease with them into adulthood presents the research community with an obligation to address their unique needs. Authentic involvement of individuals and communities directly affected by the condition being studied ensures that research answers the questions of those most affected. Our aim was to identify the highest priority research questions of young people living with chronic illness and their caregivers. Materials and Methods We conducted a qualitative study using the Research Prioritization by Affected Communities (RPAC) method. Participants were recruited from two hospitals and two community organizations to participate in focus groups. Results Twenty three participants developed and prioritized 300 potentially researchable questions. Thematic analysis of the priority research topics revealed three health dimensions of chronic illness (physical health, social-emotional health and navigating the health care system) and two cross-cutting dimensions (living with a chronic illness and future with a chronic illness). Conclusion Young people experiencing different chronic conditions were able to achieve consensus on the same set of condition-agnostic research priorities, age and role influenced research priorities. We report these research priorities to inform and influence local and national research agendas and funding priorities. Impact Patients and caregivers affected by different chronic illnesses were able to achieve consensus on condition-agnostic research priorities. Age and role influenced research priorities. Questions posed by young people experiencing different chronic conditions fell under three themes (physical, social-emotional and health care system) and two cross-cutting dimensions (living with a chronic illness and future with a chronic illness). Use of the Research Prioritization by Affected Communities (RPAC) method, which begins with the patient's lived experiences, provided nuanced insights into the complexity of living with a chronic illness and surfaced under-studied research topics to guide future research investment.

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