Consumer involvement in systematic reviews of comparative effectiveness research

Abstract

Background: The Institute of Medicine recently recommended that comparative effectiveness research (CER) should involve input from consumers. While systematic reviews are a major component of CER, little is known about consumer involvement.

Objective: To explore current approaches to involving consumers in US-based and key international organizations and groups conducting or commissioning systematic reviews ('organizations').

Design: In-depth, semi-structured interviews with key informants and review of organizations' websites.

Setting and participants: Seventeen highly regarded US-based and international (Cochrane Collaboration, Campbell Collaboration) organizations.

Results: Organizations that usually involve consumers (seven of 17 in our sample) involve them at a programmatic level in the organization or in individual reviews through one-time consultation or on-going collaboration. For example, consumers may suggest topics, provide input on the key questions of the review, provide comments on draft protocols and reports, serve as co-authors or on an advisory group. Organizations involve different types of consumers (individual patients, consumer advocates, families and caregivers), recruiting them mainly through patient organizations and consumer networks. Some offer training in research methods, and one developed training for researchers on how to involve consumers. Little formal evaluation of the effects of consumer involvement is being carried out.

Conclusions: Consumers are currently involved in systematic reviews in a variety of ways and for various reasons. Assessing which approaches are most effective in achieving different aims of consumer involvement is now required to inform future recommendations on consumer involvement in CER.

Keywords: consumer involvement; consumer participation; research; systematic reviews.

Figure 1

Different forms of consumer involvement in systematic reviews across selected organizations, both one‐time and continuous. AHRQ, Agency for Healthcare Research and Quality; CPCG, Cochrane Pregnancy and Childbirth Group; EPC, Evidence‐based Practice Center.

Figure 2

Approaches for consumer involvement in different stages of a systematic review at selected organizations (examples). The main stages of a systematic review are Topic identification and prioritization, Protocol development, Review conduct and Dissemination. Consumers are involved in all of these stages – either as a one‐time involvement or as a continuous involvement, for example by being on the author team or on an advisory group. For the full range of approaches applied in the organizations of our sample, see Appendix S4. AHRQ, Agency for Healthcare Research and Quality; CMSG, Cochrane Musculoskeletal Group; CPCG, Cochrane Pregnancy and Childbirth Group; EPC, Evidence‐based Practice Center.