Measuring impacts of patient and public involvement and engagement (PPIE): a narrative review synthesis of review evidence

Abstract Introduction Patient and public involvement and engagement (PPIE), in its various forms, offers a wide range of potential benefits to research, health services and systems, and to those involved in this collaborative process. As PPIE has expanded over the years, so too have expectations reg...

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Main Authors: William Lammons, Anne L. Buffardi, Dalya Marks
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Research Involvement and Engagement
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Online Access:https://doi.org/10.1186/s40900-025-00748-6
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author William Lammons
Anne L. Buffardi
Dalya Marks
author_facet William Lammons
Anne L. Buffardi
Dalya Marks
author_sort William Lammons
collection DOAJ
description Abstract Introduction Patient and public involvement and engagement (PPIE), in its various forms, offers a wide range of potential benefits to research, health services and systems, and to those involved in this collaborative process. As PPIE has expanded over the years, so too have expectations regarding the evaluation of its effects and impacts. Methods We conducted a narrative review synthesis of review articles around measurement of PPIE impact – conceptualising ‘impact’ to include any type of effect on people or processes, both proximate and longer-term. We searched PubMed, Cochrane Library of Systematic Reviews, and CINAHL electronic databases and conducted hand searches. Inclusion criteria comprised: public involvement, reporting impacts of public involvement, and using a review methodology. This yielded 27 review articles based on studies in the UK, US, Canada and Australia. We employed a three-part analysis process: 1) extracting all subcategories of impact reported into Excel (n = 37); 2) combining and categorising this list into primary and subcategories of impact based on thematic analysis; and 3) cross-checking these categories with the original review. Results Our review of reviews indicates that studies often do not report impacts of PPIE activities and when they do, they report a wide range, with little consistency across studies. We classified four broad types of PPIE impacts on: people (PPIE contributors, researchers, healthcare staff and policymakers), different phases of the research process, services and systems and on PPIE processes themselves. Across these categories, the most commonly documented impacts relate to impacts on PPIE collaborators, including individual empowerment and recovery, on researchers, improving their understanding of and collaboration with people typically excluded from research and on earlier phases of the research process. Studies reported both positive and negative impacts. Methodologically, previous evaluations of PPIE impact predominantly relied on retrospective self-reporting, with little triangulation from other data sources or prospective data collection over time. Conclusion The impacts of PPIE appear to be under- and inconsistently reported. More robust evaluation of PPIE impact, drawing on the broad categories we present, offers opportunities for PPIE contributors, researchers and funders to better understand the effects of these investments.
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spelling doaj-art-bc0588d4a6e0430ea288e7ed1b5827e82025-08-20T03:45:41ZengBMCResearch Involvement and Engagement2056-75292025-07-0111112510.1186/s40900-025-00748-6Measuring impacts of patient and public involvement and engagement (PPIE): a narrative review synthesis of review evidenceWilliam Lammons0Anne L. Buffardi1Dalya Marks2Department of Primary Care and Population Health, University College London (UCL)Department of Primary Care and Population Health, University College London (UCL)Department of Public Health, Environments and Society, London, School of Hygiene & Tropical Medicine (LSHTM) Abstract Introduction Patient and public involvement and engagement (PPIE), in its various forms, offers a wide range of potential benefits to research, health services and systems, and to those involved in this collaborative process. As PPIE has expanded over the years, so too have expectations regarding the evaluation of its effects and impacts. Methods We conducted a narrative review synthesis of review articles around measurement of PPIE impact – conceptualising ‘impact’ to include any type of effect on people or processes, both proximate and longer-term. We searched PubMed, Cochrane Library of Systematic Reviews, and CINAHL electronic databases and conducted hand searches. Inclusion criteria comprised: public involvement, reporting impacts of public involvement, and using a review methodology. This yielded 27 review articles based on studies in the UK, US, Canada and Australia. We employed a three-part analysis process: 1) extracting all subcategories of impact reported into Excel (n = 37); 2) combining and categorising this list into primary and subcategories of impact based on thematic analysis; and 3) cross-checking these categories with the original review. Results Our review of reviews indicates that studies often do not report impacts of PPIE activities and when they do, they report a wide range, with little consistency across studies. We classified four broad types of PPIE impacts on: people (PPIE contributors, researchers, healthcare staff and policymakers), different phases of the research process, services and systems and on PPIE processes themselves. Across these categories, the most commonly documented impacts relate to impacts on PPIE collaborators, including individual empowerment and recovery, on researchers, improving their understanding of and collaboration with people typically excluded from research and on earlier phases of the research process. Studies reported both positive and negative impacts. Methodologically, previous evaluations of PPIE impact predominantly relied on retrospective self-reporting, with little triangulation from other data sources or prospective data collection over time. Conclusion The impacts of PPIE appear to be under- and inconsistently reported. More robust evaluation of PPIE impact, drawing on the broad categories we present, offers opportunities for PPIE contributors, researchers and funders to better understand the effects of these investments.https://doi.org/10.1186/s40900-025-00748-6PPIEImpactOutcomesNarrative reviewSynthesis of evidence
spellingShingle William Lammons
Anne L. Buffardi
Dalya Marks
Measuring impacts of patient and public involvement and engagement (PPIE): a narrative review synthesis of review evidence
Research Involvement and Engagement
PPIE
Impact
Outcomes
Narrative review
Synthesis of evidence
title Measuring impacts of patient and public involvement and engagement (PPIE): a narrative review synthesis of review evidence
title_full Measuring impacts of patient and public involvement and engagement (PPIE): a narrative review synthesis of review evidence
title_fullStr Measuring impacts of patient and public involvement and engagement (PPIE): a narrative review synthesis of review evidence
title_full_unstemmed Measuring impacts of patient and public involvement and engagement (PPIE): a narrative review synthesis of review evidence
title_short Measuring impacts of patient and public involvement and engagement (PPIE): a narrative review synthesis of review evidence
title_sort measuring impacts of patient and public involvement and engagement ppie a narrative review synthesis of review evidence
topic PPIE
Impact
Outcomes
Narrative review
Synthesis of evidence
url https://doi.org/10.1186/s40900-025-00748-6
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