title: Involving patients in HTA activities at local level: a study protocol based on the collaboration between researchers and knowledge users.
abstract: BACKGROUND
  The literature recognizes a need for greater patient involvement in health technology assessment (HTA), but few studies have been reported, especially at the local level. Following the decentralisation of HTA in Quebec, Canada, the last few years have seen the creation of HTA units in many Quebec university hospital centres. These units represent a unique opportunity for increased patient involvement in HTA at the local level. Our project will engage patients in an assessment being carried out by a local HTA team to assess alternatives to isolation and restraint for hospitalized or institutionalized adults. Our objectives are to: 1) validate a reference framework for exploring the relevance and applicability of various models of patient involvement in HTA, 2) implement strategies that involve patients (including close relatives and representatives) at different stages of the HTA process, 3) evaluate intervention processes, and 4) explore the impact of these interventions on a) the applicability and acceptability of recommendations arising from the assessment, b) patient satisfaction, and c) the sustainability of this approach in HTA.
  
  
  METHODS
  For Objective 1, we will conduct individual interviews with various stakeholders affected by the use of alternatives to isolation and restraint for hospitalized or institutionalized adults. For Objective 2, we will implement three specific strategies for patient involvement in HTA: a) direct participation in the HTA process, b) consultation of patients or their close relatives through data collection, and c) patient involvement in the dissemination of HTA results. For Objectives 3 and 4, we will evaluate the intervention processes and the impact of patient involvement strategies on the recommendations arising from the HTA and the understanding of the ethical and social implications of the HTA.
  
  
  CONCLUSIONS
  This project is likely to influence future HTA practices because it directly targets knowledge users' need for strategies that increase patient involvement in HTA. By documenting the processes and outcomes of these involvement strategies, the project will contribute to the knowledge base related to patient involvement in HTA.
authors.affiliation: Centre Hospitalier Universitaire de Québec Research Centre, Hôpital Saint-François d'Assise, 10 rue de l'Espinay, D6-726, Quebec, QC G1L 3L5, Canada. marie-pierre.gagnon@fsi.ulaval.ca
authors.forename: Marie-Pierre
authors.initials: MP
authors.lastname: Gagnon
authors.forename: Johanne
authors.initials: J
authors.lastname: Gagnon
authors.forename: Michèle
authors.initials: M
authors.lastname: St-Pierre
authors.forename: François-Pierre
authors.initials: FP
authors.lastname: Gauvin
authors.forename: Florence
authors.initials: F
authors.lastname: Piron
authors.forename: Marc
authors.initials: M
authors.lastname: Rhainds
authors.forename: Martin
authors.initials: M
authors.lastname: Coulombe
authors.forename: Dolores
authors.initials: D
authors.lastname: Lepage-Savary
authors.forename: Marie
authors.initials: M
authors.lastname: Desmartis
authors.forename: Mylène
authors.initials: M
authors.lastname: Tantchou Dipankui
authors.forename: France
authors.initials: F
authors.lastname: Légaré
mesh_terms: D000328:Adult; D003299:Cooperative Behavior; D006302:Health Services Research; D006757:Hospital Units / Q000458:organization & administration*; D006785:Hospitals, University; D006801:Humans; D010356:Patient Isolation; D010358:Patient Participation; D011792:Quebec; D012108:Research Personnel; D012149:Restraint, Physical; D013673:Technology Assessment, Biomedical / Q000458:organization & administration*