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Pathways to Implementation for Public Engagement in Research (PIPER)


Project Overview

This project is designed to understand the potential role, contribution and impact of patients, service users, carers and the public in the implementation of evidence into practice in health and social care.

While awareness for public involvement in implementation is increasing, we have a limited understanding of the roles that patients and the public could play in implementation practice.

Through a realist evaluation approach of this study, a toolkit with a set of ‘Guiding Principles’ will be developed, helping health and social care to have high quality, cost-effective and appropriate services for patients and service users.

Project Aims

  1. To co-produce theories of how, why, in what context, and with what impact, patients, service users, carers and the public can be involved in the process of implementation of evidence into health and social care practice.
  2. To co-produce the PIPER toolkit to guide best practice in how patients and the public are involved in implementation of evidence into practice.
  3. To pilot the PIPER resource and produce a final version ready for use by patients, the public and other stakeholders.
  4. To evaluate this study’s co-production process, to understand how it works for patient and public involvement in the implementation of health and social care evidence into practice.

Research Question

This study will address the key gap in our knowledge and practice, by answering the overall question:-

‘How best can we involve patients, carers, service users and the public in the implementation of health and social care research evidence into practice?’


What we will do....

The study is comprised of four work packages, and patient and public involvement will be taken throughout the study.

Work Package 1: Literature Review

  • A realist literature review of literature in order to develop theories driven understanding of how, why, in what context, and with what impact, patients, service users, carers and the public can be involved in the process of implementation in health and social care.

Work Package 2: Qualitative Study

  • Based on the initial theories in WP1 to collect qualitative data to strengthen our theory and help us to understand the different ways in which patients and the public can be involved in implementation.

Work Package 3: Developing PIPER

  • We will take the PPI implementation theory developed in WP2 and co-produce the PIPER toolkit for different stakeholders.

Work Package 4: Pilot Evaluation of PIPER

  • To evaluate the use of PIPER in pilot case studies. WP4 will also develop an implementation strategy for scaling PIPER up beyond the study and produce a final refined version of PIPER ready for use.

What's happening...


Contact us

For any enquiries, please email: PIPERStudy@warwick.ac.uk