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Library›Open textbooks›Evaluation of the NHS England Low-Calorie Diet implementation pilot: a coproduced mixed-method study›Patient and public involvement

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Evaluation of the NHS England Low-Calorie Diet implementation pilot: a coproduced mixed-method study · Patient and public involvement

Patient and public involvement

CC BY 4.0 · National Institute for Health and Care Research · approximately 4 min read

Patient and public involvement activity and impact

Our PPI team (Jenny Teke, Abi Ojo, Mike Willis, Gulsoom Akhtar, Clair Goddard, Beth Clegg, led by Ken Clare) represents a range of ages, genders, ethnicities and lived experience of T2D and/or obesity. In the last 6 months, unfortunately, Clair had to resign due to a change in employment, and three new members (Chris, Sarah-Louise and John) joined to bring a lived experience of undertaking the LCD programme, as we work to co-develop a long-term follow-up study (currently under review with Diabetes UK). This study simply would not have been achieved without the PPI team, who played a critical role in every stage of the research. A summary of our PPI activity and impact is summarised in Table 1.

TABLE 1 A summary of the Re:Mission PPI activity and impact
PPI activityImpact
Initial proposal conception and co-developmentA successful patient-centred proposal
Biannual PPI meetingsContinuous research co-development and patient-centred focus to research conduct, interpretation and dissemination
PPI WhatsApp group, regular member check-ins, session evaluations and post-session support provided by PPI lead Ken ClareHighly productive and cohesive group working and very low attrition
PPI data collection trainingPPI members took part in the patient interview data collection, which enhanced the patient-centredness of our approach, enriched the study data and contributed to developing participant relationships which resulted in excellent adherence rates
PPI lead Ken Clare represented the group at all internal and external project meetingsPPI activity and input are shared, discussed and actioned during every stage of the research
PPI member co-design and testing of all patient-facing materialsGood study uptake and completion rates
PPI members fed into NIHR reportingEnsure all PPI activity is documented and shared
PPI co-development of study website: www.remission.study and supporting materials (Table 2)Expanded reach and engagement of the research and study
PPI ongoing research co-developmentA new co-developed research proposal and the recruitment of three new PPI team members
PPI involvement in service user interviews at 12, 18 and 52 weeksEnhanced participant engagement, enriched study data and person-centred focus
PPI-led dissemination and learning (see Public and patient involvement dissemination and shared learning)Significantly enhanced reach and impact of the study

Patient and public involvement dissemination and shared learning

Our PPI team played a critical role in the co-development of dissemination materials and were actively involved in the process of sharing learning. These activities are documented in Table 2.

TABLE 2 Patient and public involvement dissemination and shared learning activities and impact
Dissemination and shared learning activitiesOutputs and impact
Co-presentation of the Re:Mission study at European Congress on Obesity (ECO) 2021 online and Re:Mission study posters ECO 2022 in DublinShared learning to an international audience, and co-authorship of conference abstracts
Co-presentation of the Re:Mission study posters at the UK Congress on Obesity (UKCO) in Lancaster 2022Shared learning to a national audience, and co-authorship of conference abstracts
Co-presentation of the Re:Mission study and good practice PPI learning to the sense nutrition professional group in Autumn 2023Shared learning to a large audience of nutrition professionals
Co-authorship of key patient-orientated papers – see RA10, RA12, RA13, RA19, RA20, RA22Co-authorship of international peer-reviewed manuscripts, which emphasise the importance of person-centred care
The Re:Mission study PPI group’s own peer-reviewed publication (RA1)PPI-led production and authorship of a peer-reviewed manuscript which shares critical learning from the Re:Mission study PPI activity to an international audience
Co-presentation at the Yorkshire Obesity Research Alliance eventShared learning and best practice with key policy, practice and public stakeholders across Yorkshire
Presentation of Re:Mission PPI activity by three group members at the ASO webinar: the importance of PPI from a research and public perspectiveShared learning and best practices to key policy-makers and practitioners across the UK
Co-presentation of a PPI workshop to early career researchers (ECR) which used the Re:Mission study as an example of good practice at UKCO 2022 ECR dayShared learning around the importance of PPI to a national audience of ECR professionals; this included a practical workshop where delegates were supported to develop their own PPI plans
Co-presentation of a PPI workshop to ECR which used the Re:Mission study as an example of good practice for the European Association for the Study of Obesity November 2023Shared learning around the importance of PPI to an international audience of ECR professionals. This has changed views, perceptions and practice around PPI internationally
PPI-led presentation to the Yorkshire and Humber Clinical Research Network on the Re:Mission study and best practice PPI learning in 2023Shared learning on the study findings and good PPI practice to a regional diabetes audience
PPI co-development of study website materials: Participation filmPatient experience blogsGlossary of termsExpanded reach and engagement of the research and study. For example, the participant survey video has received 337 views (28 September 2024)
PPI co-development of LCD patient journey film and illustrated patient journalThese materials will be used to help communicate the evaluation findings (patient journal) and patient experience to a wide range of stakeholders which include the general public, GPs, SPs, to raise awareness of the programme and the evaluation findings to the widest possible audience (directly addressing a need arising from the evaluation findings)
Co-presentation of the planned Re:Mission study British Journal of Diabetes recorded webinar (March 2024)This will showcase learning from the patient experience special edition to a national and international audience of diabetes specialists
PPI member chaired the LCD symposium at UKCO 2024Demonstrates the importance and impact of the voice of lived experience
← DiscussionEquality, diversity and inclusion →

Attribution. Louisa J Ells; Tamara Brown; Jamie Matu; Ken Clare; Simon Rowlands; Maria Maynard et al. (2025). Evaluation of the NHS England Low-Calorie Diet implementation pilot: a coproduced mixed-method study. National Institute for Health and Care Research. Copyright © 2025 Ells et al. Licensed under CC BY 4.0. NCBI Bookshelf NBK616722. CC BY 4.0. Original source ↗. Text reproduced from the Bookshelf XML without changing wording; figures, images and supplements are not reproduced.

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