title: Patient perspectives on engagement in shared decision-making for asthma care.
abstract: Engagement of patient and advocacy group stakeholders is increasingly considered essential to meaningful outcomes research. Patient-centred research benefits from partnership formation between patients, clinicians and research team members. Here, we describe the rationale for engaging patients on a research team and a case study of patient engagement on an asthma shared decision-making study.
  
  
  
  Here, we describe a case study of patient engagement in outcomes research and examine the variety of roles patients are engaged in and the associated impact on the study.
  
  
  
  Patients assisted the project at various levels and were integrated into the research team by (i) advising on study development; (ii) assisting with design and usability of study materials, including the toolkit, patient surveys and dissemination strategies; and (iii) advocacy via membership in external disease-specific organizations and participating in outcomes research conferences. Patients were engaged both individually and as members of a patient advisory board. Primary lessons learned were the importance of building a trusting partnership with patients through understanding perspectives, being aware of clearly explaining patients' roles, research methods and jargon, providing training, listening to patients' needs and understanding what the partnership means from a patient perspective.
  
  
  
  For the case study described, patient engagement directly influenced multiple aspects of the study, including study design, implementation, data analysis and dissemination through incorporation of the patients' and caregivers' input and concerns.
authors.affiliation: Department of Family Medicine, Carolinas HealthCare System, Charlotte, NC, USA.
authors.forename: Hazel
authors.initials: H
authors.lastname: Tapp
authors.affiliation: Transplant Center, Carolinas HealthCare System, Charlotte, NC, USA.
authors.forename: Diane
authors.initials: D
authors.lastname: Derkowski
authors.affiliation: Mecklenburg County Asthma Coalition.
authors.forename: Melissa
authors.initials: M
authors.lastname: Calvert
authors.affiliation: Department of Family Medicine, Carolinas HealthCare System, Charlotte, NC, USA.
authors.forename: Madelyn
authors.initials: M
authors.lastname: Welch
authors.affiliation: Elizabeth Family Medicine Patient Advisory Board, Carolinas HealthCare System, Charlotte, NC, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Spencer
mesh_terms: D026683:Advisory Committees / Q000458:organization & administration; D001249:Asthma / Q000628:therapy*; D003657:Decision Making; D017144:Focus Groups; D006801:Humans; D009657:North Carolina; D019982:Organizational Case Studies; D017063:Outcome Assessment, Health Care; D010358:Patient Participation / Q000523:psychology*; D010817:Physician-Patient Relations; D011320:Primary Health Care; D012107:Research Design
keywords: Dissemination; focus groups; patient advisory boards; patient engagement; patient experience; primary care