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Experiences of involving patients and the public: tales from the DIPEx project 2000- 2008 Sue Ziebland University Department Primary Health Care, Oxford
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The DIPEx / Health Talk Online project Involvement from the participants’ perspectives Involvement from the research group’s perspective
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From DIPEx to Health Talk Online (briefly) Qualitative, narrative interview studies on experiences of health and illness Original site www.dipex.org launched 2001; www.healthtalkonline.org launched 2008www.dipex.org www.healthtalkonline.org Nearly 50 conditions covered so far; over 2,000 interviews & 10,000 video audio and written clips; 1,250 Talking About summaries of issues raised by participants in interviews Commitment to involving public and patients as more than research participants
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Participants’ experiences of involvement as respondents and members of Youth Panel
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A participant’s perspective (article in Open Minds) Being a participant in the HealthTalkOnline minority ethnic experiences project was a unique and empowering experience. From the very beginning, the researcher and I were on an equal footing, a somewhat rare experience for a service user (or carer, for that matter). The researcher had all the attributes of a good mental health professional: she was genuinely interested in what I had to say; indicated that what I said had worth, and did not profess to know better than me about my own experiences. Having mental distress is such a personal, subjective experience: it is unique to everyone - but people’s personal stories around mental distress are rarely heard. What makes HealthTalkOnline.org an unusual and refreshing source of information is that you see and hear the person and not a set of symptoms with a human being attached; you see and hear the expert of the experience giving valuable information on how to manage mental health problems, and – believe it or not – how to heal and recover. These accounts show that there is more to recovery and coping than just taking medication.
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Our experiences of involvement Raising funds: as co-applicants and instigators Guiding research appointments panel advisory panels steering group reviewing TA summaries and clips
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Publications: eg Locock L, Crawford J, Crawford J. The Parents’ Journey: continuing a pregnancy after a diagnosis of Patau’s syndrome. BMJ, 2005; 331; 1186-9 Dissemination: newsletter articles, conference presentations, ambassadors, media launches Youth panel: Strategic planning for new projects training in video making work on re-design
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Conclusion Instigating, planning and disseminating vs conducting the research Comfort and skills – projects differ Rewarding in ways we might not have anticipated (though disappointments in funding) Qualitative research seeks participants’ perspectives – but still considerable benefits for us & participants
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