The Acceptability, Safety and Impact of a Play Co‐Developed With Public Contributors as a Format for Disseminating Research on a Sensitive Subject

ABSTRACT Introduction Patient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however, traditional approaches often fail to engage non‐academic audiences. Creative methods such as co‐developed plays can be effective ways of making...

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Published inHealth expectations : an international journal of public participation in health care and health policy Vol. 27; no. 6; pp. e70074 - n/a
Main Authors Brooks, Cat Papastavrou, Hopewell‐Kelly, Noreen, Lewis, Natalia V.
Format Journal Article
LanguageEnglish
Published England John Wiley & Sons, Inc 01.12.2024
John Wiley and Sons Inc
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Abstract ABSTRACT Introduction Patient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however, traditional approaches often fail to engage non‐academic audiences. Creative methods such as co‐developed plays can be effective ways of making the research process and findings more engaging and accessible to the public. Not much is known about how to safely involve patients and the public in the development and delivery of plays disseminating research on sensitive subjects. Members of a PPI group on a study about mindfulness for women with a history of domestic abuse co‐developed and performed a play about their experiences. This study aimed to evaluate the impact, acceptability and safety of a co‐developed play in publicizing PPI and findings from research on domestic abuse. Methods We conducted a mixed‐methods study with the play team and audience. We collected 20 quantitative and 56 qualitative survey responses from audience members, carried out 4.25 h of direct observations of play performances and interviewed seven audience members and eight play team members. Data were analyzed using the framework method and descriptive statistics, using a ‘following a thread’ approach to integrate qualitative and quantitative findings in themes answering our study aim. Findings We developed three integrated themes with ten sub‐themes. The ‘Value’ theme summarized the plays' impact on audience understanding, potential mechanisms of impact and its effectiveness in depth over breadth of dissemination. The ‘Re‐traumatization’ theme described potential harms of the play, the risks of re‐traumatizing actors and distressing audiences. The ‘Reducing the risks’ theme summarized ways of reducing these risks of harm. Conclusion A play co‐developed and performed by study PPI members raised awareness of domestic abuse. However, there were divergent opinions on its value in disseminating messages about PPI in research on sensitive subjects. The value of the play for research dissemination was linked to its ability to emotionally engage the public, and to its accessibility. Implementing strategies to reduce the risk of re‐traumatizing audience members and the project team is recommended. Patient or Public Contribution Everyone with direct experience of co‐creating and performing the play contributed to this study. This included four public contributors: a community theatre producer, two actors with lived experience of domestic abuse who were members of the study PPI group and one community actor already working with the community theatre. A participatory workshop with PPI contributors was held to refine our research questions and data collection instruments, using a public involvement evaluation tool, The Cube. PPI contributors checked and commented on the draft manuscript.
AbstractList ABSTRACT Introduction Patient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however, traditional approaches often fail to engage non‐academic audiences. Creative methods such as co‐developed plays can be effective ways of making the research process and findings more engaging and accessible to the public. Not much is known about how to safely involve patients and the public in the development and delivery of plays disseminating research on sensitive subjects. Members of a PPI group on a study about mindfulness for women with a history of domestic abuse co‐developed and performed a play about their experiences. This study aimed to evaluate the impact, acceptability and safety of a co‐developed play in publicizing PPI and findings from research on domestic abuse. Methods We conducted a mixed‐methods study with the play team and audience. We collected 20 quantitative and 56 qualitative survey responses from audience members, carried out 4.25 h of direct observations of play performances and interviewed seven audience members and eight play team members. Data were analyzed using the framework method and descriptive statistics, using a ‘following a thread’ approach to integrate qualitative and quantitative findings in themes answering our study aim. Findings We developed three integrated themes with ten sub‐themes. The ‘Value’ theme summarized the plays' impact on audience understanding, potential mechanisms of impact and its effectiveness in depth over breadth of dissemination. The ‘Re‐traumatization’ theme described potential harms of the play, the risks of re‐traumatizing actors and distressing audiences. The ‘Reducing the risks’ theme summarized ways of reducing these risks of harm. Conclusion A play co‐developed and performed by study PPI members raised awareness of domestic abuse. However, there were divergent opinions on its value in disseminating messages about PPI in research on sensitive subjects. The value of the play for research dissemination was linked to its ability to emotionally engage the public, and to its accessibility. Implementing strategies to reduce the risk of re‐traumatizing audience members and the project team is recommended. Patient or Public Contribution Everyone with direct experience of co‐creating and performing the play contributed to this study. This included four public contributors: a community theatre producer, two actors with lived experience of domestic abuse who were members of the study PPI group and one community actor already working with the community theatre. A participatory workshop with PPI contributors was held to refine our research questions and data collection instruments, using a public involvement evaluation tool, The Cube. PPI contributors checked and commented on the draft manuscript.
ABSTRACT Introduction Patient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however, traditional approaches often fail to engage non‐academic audiences. Creative methods such as co‐developed plays can be effective ways of making the research process and findings more engaging and accessible to the public. Not much is known about how to safely involve patients and the public in the development and delivery of plays disseminating research on sensitive subjects. Members of a PPI group on a study about mindfulness for women with a history of domestic abuse co‐developed and performed a play about their experiences. This study aimed to evaluate the impact, acceptability and safety of a co‐developed play in publicizing PPI and findings from research on domestic abuse. Methods We conducted a mixed‐methods study with the play team and audience. We collected 20 quantitative and 56 qualitative survey responses from audience members, carried out 4.25 h of direct observations of play performances and interviewed seven audience members and eight play team members. Data were analyzed using the framework method and descriptive statistics, using a ‘following a thread’ approach to integrate qualitative and quantitative findings in themes answering our study aim. Findings We developed three integrated themes with ten sub‐themes. The ‘Value’ theme summarized the plays' impact on audience understanding, potential mechanisms of impact and its effectiveness in depth over breadth of dissemination. The ‘Re‐traumatization’ theme described potential harms of the play, the risks of re‐traumatizing actors and distressing audiences. The ‘Reducing the risks’ theme summarized ways of reducing these risks of harm. Conclusion A play co‐developed and performed by study PPI members raised awareness of domestic abuse. However, there were divergent opinions on its value in disseminating messages about PPI in research on sensitive subjects. The value of the play for research dissemination was linked to its ability to emotionally engage the public, and to its accessibility. Implementing strategies to reduce the risk of re‐traumatizing audience members and the project team is recommended. Patient or Public Contribution Everyone with direct experience of co‐creating and performing the play contributed to this study. This included four public contributors: a community theatre producer, two actors with lived experience of domestic abuse who were members of the study PPI group and one community actor already working with the community theatre. A participatory workshop with PPI contributors was held to refine our research questions and data collection instruments, using a public involvement evaluation tool, The Cube. PPI contributors checked and commented on the draft manuscript.
Patient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however, traditional approaches often fail to engage non-academic audiences. Creative methods such as co-developed plays can be effective ways of making the research process and findings more engaging and accessible to the public. Not much is known about how to safely involve patients and the public in the development and delivery of plays disseminating research on sensitive subjects. Members of a PPI group on a study about mindfulness for women with a history of domestic abuse co-developed and performed a play about their experiences. This study aimed to evaluate the impact, acceptability and safety of a co-developed play in publicizing PPI and findings from research on domestic abuse.INTRODUCTIONPatient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however, traditional approaches often fail to engage non-academic audiences. Creative methods such as co-developed plays can be effective ways of making the research process and findings more engaging and accessible to the public. Not much is known about how to safely involve patients and the public in the development and delivery of plays disseminating research on sensitive subjects. Members of a PPI group on a study about mindfulness for women with a history of domestic abuse co-developed and performed a play about their experiences. This study aimed to evaluate the impact, acceptability and safety of a co-developed play in publicizing PPI and findings from research on domestic abuse.We conducted a mixed-methods study with the play team and audience. We collected 20 quantitative and 56 qualitative survey responses from audience members, carried out 4.25 h of direct observations of play performances and interviewed seven audience members and eight play team members. Data were analyzed using the framework method and descriptive statistics, using a 'following a thread' approach to integrate qualitative and quantitative findings in themes answering our study aim.METHODSWe conducted a mixed-methods study with the play team and audience. We collected 20 quantitative and 56 qualitative survey responses from audience members, carried out 4.25 h of direct observations of play performances and interviewed seven audience members and eight play team members. Data were analyzed using the framework method and descriptive statistics, using a 'following a thread' approach to integrate qualitative and quantitative findings in themes answering our study aim.We developed three integrated themes with ten sub-themes. The 'Value' theme summarized the plays' impact on audience understanding, potential mechanisms of impact and its effectiveness in depth over breadth of dissemination. The 'Re-traumatization' theme described potential harms of the play, the risks of re-traumatizing actors and distressing audiences. The 'Reducing the risks' theme summarized ways of reducing these risks of harm.FINDINGSWe developed three integrated themes with ten sub-themes. The 'Value' theme summarized the plays' impact on audience understanding, potential mechanisms of impact and its effectiveness in depth over breadth of dissemination. The 'Re-traumatization' theme described potential harms of the play, the risks of re-traumatizing actors and distressing audiences. The 'Reducing the risks' theme summarized ways of reducing these risks of harm.A play co-developed and performed by study PPI members raised awareness of domestic abuse. However, there were divergent opinions on its value in disseminating messages about PPI in research on sensitive subjects. The value of the play for research dissemination was linked to its ability to emotionally engage the public, and to its accessibility. Implementing strategies to reduce the risk of re-traumatizing audience members and the project team is recommended.CONCLUSIONA play co-developed and performed by study PPI members raised awareness of domestic abuse. However, there were divergent opinions on its value in disseminating messages about PPI in research on sensitive subjects. The value of the play for research dissemination was linked to its ability to emotionally engage the public, and to its accessibility. Implementing strategies to reduce the risk of re-traumatizing audience members and the project team is recommended.Everyone with direct experience of co-creating and performing the play contributed to this study. This included four public contributors: a community theatre producer, two actors with lived experience of domestic abuse who were members of the study PPI group and one community actor already working with the community theatre. A participatory workshop with PPI contributors was held to refine our research questions and data collection instruments, using a public involvement evaluation tool, The Cube. PPI contributors checked and commented on the draft manuscript.PATIENT OR PUBLIC CONTRIBUTIONEveryone with direct experience of co-creating and performing the play contributed to this study. This included four public contributors: a community theatre producer, two actors with lived experience of domestic abuse who were members of the study PPI group and one community actor already working with the community theatre. A participatory workshop with PPI contributors was held to refine our research questions and data collection instruments, using a public involvement evaluation tool, The Cube. PPI contributors checked and commented on the draft manuscript.
ABSTRACT Introduction Patient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however, traditional approaches often fail to engage non‐academic audiences. Creative methods such as co‐developed plays can be effective ways of making the research process and findings more engaging and accessible to the public. Not much is known about how to safely involve patients and the public in the development and delivery of plays disseminating research on sensitive subjects. Members of a PPI group on a study about mindfulness for women with a history of domestic abuse co‐developed and performed a play about their experiences. This study aimed to evaluate the impact, acceptability and safety of a co‐developed play in publicizing PPI and findings from research on domestic abuse. Methods We conducted a mixed‐methods study with the play team and audience. We collected 20 quantitative and 56 qualitative survey responses from audience members, carried out 4.25 h of direct observations of play performances and interviewed seven audience members and eight play team members. Data were analyzed using the framework method and descriptive statistics, using a ‘following a thread’ approach to integrate qualitative and quantitative findings in themes answering our study aim. Findings We developed three integrated themes with ten sub‐themes. The ‘Value’ theme summarized the plays' impact on audience understanding, potential mechanisms of impact and its effectiveness in depth over breadth of dissemination. The ‘Re‐traumatization’ theme described potential harms of the play, the risks of re‐traumatizing actors and distressing audiences. The ‘Reducing the risks’ theme summarized ways of reducing these risks of harm. Conclusion A play co‐developed and performed by study PPI members raised awareness of domestic abuse. However, there were divergent opinions on its value in disseminating messages about PPI in research on sensitive subjects. The value of the play for research dissemination was linked to its ability to emotionally engage the public, and to its accessibility. Implementing strategies to reduce the risk of re‐traumatizing audience members and the project team is recommended. Patient or Public Contribution Everyone with direct experience of co‐creating and performing the play contributed to this study. This included four public contributors: a community theatre producer, two actors with lived experience of domestic abuse who were members of the study PPI group and one community actor already working with the community theatre. A participatory workshop with PPI contributors was held to refine our research questions and data collection instruments, using a public involvement evaluation tool, The Cube. PPI contributors checked and commented on the draft manuscript.
Patient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however, traditional approaches often fail to engage non-academic audiences. Creative methods such as co-developed plays can be effective ways of making the research process and findings more engaging and accessible to the public. Not much is known about how to safely involve patients and the public in the development and delivery of plays disseminating research on sensitive subjects. Members of a PPI group on a study about mindfulness for women with a history of domestic abuse co-developed and performed a play about their experiences. This study aimed to evaluate the impact, acceptability and safety of a co-developed play in publicizing PPI and findings from research on domestic abuse. We conducted a mixed-methods study with the play team and audience. We collected 20 quantitative and 56 qualitative survey responses from audience members, carried out 4.25 h of direct observations of play performances and interviewed seven audience members and eight play team members. Data were analyzed using the framework method and descriptive statistics, using a 'following a thread' approach to integrate qualitative and quantitative findings in themes answering our study aim. We developed three integrated themes with ten sub-themes. The 'Value' theme summarized the plays' impact on audience understanding, potential mechanisms of impact and its effectiveness in depth over breadth of dissemination. The 'Re-traumatization' theme described potential harms of the play, the risks of re-traumatizing actors and distressing audiences. The 'Reducing the risks' theme summarized ways of reducing these risks of harm. A play co-developed and performed by study PPI members raised awareness of domestic abuse. However, there were divergent opinions on its value in disseminating messages about PPI in research on sensitive subjects. The value of the play for research dissemination was linked to its ability to emotionally engage the public, and to its accessibility. Implementing strategies to reduce the risk of re-traumatizing audience members and the project team is recommended. Everyone with direct experience of co-creating and performing the play contributed to this study. This included four public contributors: a community theatre producer, two actors with lived experience of domestic abuse who were members of the study PPI group and one community actor already working with the community theatre. A participatory workshop with PPI contributors was held to refine our research questions and data collection instruments, using a public involvement evaluation tool, The Cube. PPI contributors checked and commented on the draft manuscript.
Author Brooks, Cat Papastavrou
Hopewell‐Kelly, Noreen
Lewis, Natalia V.
AuthorAffiliation 1 Bristol Medical School, Centre for Academic Primary Care, Population Health Sciences University of Bristol Bristol UK
2 NIHR Bristol Biomedical Research Centre University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol Bristol UK
3 Marie Curie Palliative Care Research Centre Cardiff University Cardiff UK
AuthorAffiliation_xml – name: 1 Bristol Medical School, Centre for Academic Primary Care, Population Health Sciences University of Bristol Bristol UK
– name: 2 NIHR Bristol Biomedical Research Centre University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol Bristol UK
– name: 3 Marie Curie Palliative Care Research Centre Cardiff University Cardiff UK
Author_xml – sequence: 1
  givenname: Cat Papastavrou
  orcidid: 0000-0002-3055-5301
  surname: Brooks
  fullname: Brooks, Cat Papastavrou
  email: cat.papastavroubrooks@bristol.ac.uk
  organization: University of Bristol
– sequence: 2
  givenname: Noreen
  orcidid: 0000-0002-0699-0178
  surname: Hopewell‐Kelly
  fullname: Hopewell‐Kelly, Noreen
  organization: Cardiff University
– sequence: 3
  givenname: Natalia V.
  orcidid: 0000-0002-4839-6548
  surname: Lewis
  fullname: Lewis, Natalia V.
  organization: University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol
BackLink https://www.ncbi.nlm.nih.gov/pubmed/39506470$$D View this record in MEDLINE/PubMed
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Issue 6
Keywords PTSD
theatre
domestic abuse
Patient and Public Involvement
creative methods
research dissemination
domestic violence
co‐production
Language English
License Attribution
2024 The Author(s). Health Expectations published by John Wiley & Sons Ltd.
This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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References 2007; 17
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Snippet ABSTRACT Introduction Patient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however,...
Patient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however, traditional approaches...
ABSTRACT Introduction Patient and public involvement (PPI) and dissemination of research findings are key parts of the pathway to research impact; however,...
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StartPage e70074
SubjectTerms Abuse
Acceptability
Access
Accessibility
Actors
Adult
Audiences
Cancer
Citizen participation
Collaboration
Community
Community involvement
Community Participation
Community theater
co‐production
creative methods
Data collection
Dissemination
domestic abuse
Domestic violence
Domestic Violence - psychology
Effectiveness
Empowerment
Feedback
Female
Gender
Group dynamics
Humans
Information Dissemination
Interviews
Medical research
Mindfulness
Original
Patient and Public Involvement
Patient Participation
Patients
Play and Playthings - psychology
PTSD
Public involvement
Qualitative analysis
Qualitative Research
Questionnaires
research dissemination
Researchers
Risk
Risk reduction
Safety
Sensitivity analysis
Surveys and Questionnaires
Teams
Theater
theatre
Women
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Title The Acceptability, Safety and Impact of a Play Co‐Developed With Public Contributors as a Format for Disseminating Research on a Sensitive Subject
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fhex.70074
https://www.ncbi.nlm.nih.gov/pubmed/39506470
https://www.proquest.com/docview/3149200145
https://www.proquest.com/docview/3125495763
https://pubmed.ncbi.nlm.nih.gov/PMC11540933
https://doaj.org/article/08d1328d80f04bf2a27f9804c25f8b24
Volume 27
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