Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Aug 8:5:1624820.
doi: 10.3389/frhs.2025.1624820. eCollection 2025.

Empowering partnership: key lessons from the co-development of patient-oriented research with parents, researchers, and healthcare professionals

Affiliations

Empowering partnership: key lessons from the co-development of patient-oriented research with parents, researchers, and healthcare professionals

Jacqueline M Wilson et al. Front Health Serv. .

Abstract

Background: Co-developing research in partnership with patients and families is integral to Learning Health Systems (LHSs). These partnerships advance LHS objectives by (1) ensuring innovation is relevant to local contexts, (2) accelerating evidence into practice, and (3) improving services and outcomes that are meaningful to patients and families. Despite the importance of patient and family engagement in LHSs, strategies that guide researchers to build and sustain teams of patients, clinicians, and other partners are under-reported.

Objective: We report actionable insights for co-developing research learned through our experience within Alberta's LHS.

Context: Parents from a provincial advisory group in Alberta identified the need to evaluate parents' experiences with family-centered care in Neonatal Intensive Care Units (NICUs). In response, a research team of parent partners, researchers, and clinicians is co-developing a validated experience measure for parents in NICUs.

Methods: During co-development, the research team engaged in reflective practice through semi-structured discussion informed by Schön's Reflection Model. Notes from the discussion were thematically analyzed to identify insights and research co-development strategies.

Results: Three key insights and associated strategies were generated: (1) operationalizing co-development through a shared governance structure, terms of reference, and dedicated reflection; (2) adaptive approaches to team member involvement, renegotiating workflows, and addressing dissent; and (3) team evolution by nurturing reciprocity and utilizing existing partnerships to recruit members.

Conclusion: We demonstrate how a team of patient partners, researchers, and clinicians can effectively co-develop research to address health system issues, and we present strategies to support patient-oriented research teams within LHSs.

Keywords: co-developed research; knowledge translation; patient and public involvement; patient engagement; patient- and family-centered care; patient-oriented research.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Shared governance structure utilized by the NICER research team.

References

    1. Reid RJ. Embedding research in the learning health system. Healthc Pap. (2016) 16:30–5. 10.12927/hcpap.2016.24724 - DOI
    1. Friedman C, Rigby M. Conceptualising and creating a global learning health system. Int J Med Inform. (2013) 82(4):e63–71. 10.1016/j.ijmedinf.2012.05.010 - DOI - PubMed
    1. Friedman CP, Greene SM. Four distinct models of learning health systems: strength through diversity. Learn Health Syst. (2025) 9(2):e70009. 10.1002/lrh2.70009 - DOI - PMC - PubMed
    1. Ellis LA, Fisher G, Saba M, Dammery G, Churruca K, Spanos S, et al. Charting progress in learning health systems: a systematic review of 5 years of definitions, models, and frameworks. Learn Health Syst. (2025):e70006. 10.1002/lrh2.70006 - DOI - PMC - PubMed
    1. Strosher H, Hainstock T, Karsten S, Whyte B, Hauschildt C, McMillan T, et al. Patient-oriented research: an essential driver of learning health system capacity development. Healthc Manage Forum. (2024) 37(4):283–9. 10.1177/08404704241235601 - DOI - PubMed

LinkOut - more resources