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      Engaging Burn Survivors, Their Families, and the Burn Community in Patient-Centered Outcomes Research: A Burn Survivor- and Burn Community Stakeholder-Generated and Prioritized Research Agenda

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          Abstract

          Burn survivors are involved in burn research, but typically in the role of research subject. We believe that the outcomes and impact of burn research can be improved by engaging survivors as collaborators in the planning, implementation, and dissemination of burn research. The goal of this work was to produce the first burn research agenda generated and prioritized by burn survivors and other stakeholders from the burn community. A series of structured focus groups covering 5 topics (Patient and Family Education, Aftercare, Navigating the Healthcare System, Recovery: Physical and Psychosocial, and Barriers to Research) were held with burn survivors and their family members. Specific research questions/topics were identified from the transcripts and prioritized via an anonymous survey of burn survivors, their caregivers, and other stakeholders from the burn community. From these sessions, 37 specific research questions/topics were identified and ranked. In addition, 19 research barriers were identified and ranked. This work presents an innovative approach to burn research through co-production with survivors and other stakeholders. Burn survivors and their caregivers are experts in their lived experiences. By involving them in burn research as collaborators and contributors from the very first steps of research and throughout the continuum of the research planning, conducting projects, and distributing findings, we believe that the research will be both more successful and more impactful. We have taken the first steps in burn research co-production with this novel stakeholder-generated research agenda for the burn community.

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          Most cited references10

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          Continuous patient engagement in comparative effectiveness research.

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            Designing and developing a co-produced theoretical and evidence-based online support for family caregivers of people with dementia at the end of life

            Background Caring for someone with dementia can be physically and emotionally difficult. Acting as a caregiver can make it difficult to access sources of support, particularly in the later stages of dementia. This paper reports the development and presents the targets (subject areas) and components of a prototype website to support family caregivers of a person with dementia towards the end of life. Methods Adopting an iterative approach and co-production methods the development process consisted of four stages: Stage1-Synthesis of data: three sources of data (interviews, systematic review and theory) were synthesised using tabulation, to identify the targets of the prototype; Stage2-Identifying intervention targets and components: a research development group (health practitioners, a family caregiver and academic experts) met to discuss the development, using a modified nominal group process, refining the synthesis from stage 1; Stage3-Developing the intervention prototype: an outline of the prototype was developed based on stage 1 and 2; and Stage4–User testing: interviews with caregivers testing the prototype website. Results Qualitative interviews with caregivers identified four targets for the intervention: 1) feeling prepared and equipped; 2) feeling connected and supported; 3) valuing themselves as a caregiver and as an individual; 4) maintaining control of the caring situation and being the coordinator of care. The systematic review provided evidence on how and what components could address these targets, including providing information, peer support, contact with professionals, and psychological support. Theory helped to narrow the focus within each of these targets. Active discussion with the research development group and end users provided an outline of the prototype website. The prototype website presented addresses these targets with written information, videos from other caregivers, and peer and professional support sections. The subject areas covered included expectations at the end of life, support with day-to-day caring, care planning, and communication. Conclusions This paper provides a detailed account of the development process of a prototype website for caregiver support. The transparent methodology and key lessons learnt from developing the prototype should help those who are developing similar interventions, across complex, progressive conditions and not just limited to dementia.
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              Improving the quality and content of midwives' discussions with low-risk women about their options for place of birth: Co-production and evaluation of an intervention package.

              Women's planned place of birth is gaining increasing importance in the UK, however evidence suggests that there is variation in the content of community midwives' discussions with low risk women about their place of birth options. The objective of this study was to develop an intervention to improve the quality and content of place of birth discussions between midwives and low-risk women and to evaluate this intervention in practice.
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                Author and article information

                Contributors
                Journal
                J Burn Care Res
                J Burn Care Res
                jbcr
                Journal of Burn Care & Research: Official Publication of the American Burn Association
                Oxford University Press (US )
                1559-047X
                1559-0488
                Mar-Apr 2025
                25 October 2024
                25 October 2024
                : 46
                : 2
                : 468-474
                Affiliations
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Phoenix Society for Burn Survivors , Kentwood, MI 49508, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Department of Surgery, Division of Trauma, Burn, Critical Care, Vanderbilt University , Nashville, TN 37232, USA
                Department of Surgery, Alaska Native Medical Center , Anchorage, AK 99508, USA
                Department of Surgery, UW Medicine Regional Burn Center, University of Washington , Seattle, WA 98104, USA
                Northwest Regional Burn Model System , Seattle, WA 98104, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                American Burn Association , Chicago, IL 60606, USA
                Department of Surgery, University of North Carolina , Chapel Hill, NC 25714, USA
                Department of Surgery, Walter L. Ingram Burn Center at Grady Health System , Atlanta, GA 30303, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Department of Surgery, University of Utah Regional Burn Center , Salt Lake City, UT 84132, USA
                Author notes
                Address correspondence to C.M.T. (email: callie.thompson@ 123456hsc.utah.edu )
                Author information
                https://orcid.org/0000-0002-1529-5687
                https://orcid.org/0000-0001-7886-6398
                https://orcid.org/0000-0002-7523-9038
                https://orcid.org/0000-0002-1438-7483
                https://orcid.org/0000-0001-6969-2648
                https://orcid.org/0009-0008-9286-4477
                https://orcid.org/0000-0001-6324-684X
                https://orcid.org/0000-0002-1271-476X
                https://orcid.org/0009-0009-5836-4724
                https://orcid.org/0009-0003-9316-3369
                Article
                irae196
                10.1093/jbcr/irae196
                11879724
                39451070
                51ede936-f015-4d67-ae3a-9a04eee40fc5
                © The Author(s) 2024. Published by Oxford University Press on behalf of the American Burn Association.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

                History
                : 15 November 2024
                Page count
                Pages: 7
                Funding
                Funded by: Eugene Washington PCORI Engagement;
                Award ID: EACB-22508
                Funded by: Patient-Centered Outcomes Research Institute, DOI 10.13039/100006093;
                Funded by: Board of Governors;
                Funded by: Methodology Committee;
                Categories
                Original Articles
                AcademicSubjects/MED00910

                co-production,burn survivors,research agenda
                co-production, burn survivors, research agenda

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