{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T11:32:43Z","timestamp":1793359963412,"version":"4.5.0"},"reference-count":61,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["SDR 24\u2010121"],"award-info":[{"award-number":["SDR 24\u2010121"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Learning Health Systems"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Active involvement of patients is an essential feature of learning health systems and patient\u2010centered research. Research networks and healthcare organizations lack guidance on best practices for developing and sustaining patient engagement infrastructure. We sought to examine perspectives on promising Veteran\u2010engagement infrastructure and practices used by US Veterans Affairs (VA) research networks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We solicited expert opinion from three separate panels of Veterans, VA engagement staff, and VA research leaders using a modified Delphi process comprising two rounds of online surveys and a set of virtual group meetings or individual interviews. In a prior study, we identified promising engagement practices in use by VA national research networks. We analyzed survey data with predefined rating categories to determine which practices the three expert panels consistently endorsed. We used thematic analysis to compare experts' perspectives across panels and to identify emergent cross\u2010cutting themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Veterans, VA engagement staff, and VA research leaders consistently endorsed 66% (29\/44) of the research networks' promising Veteran\u2010engagement practices. Summarized, these practices formed five recommended engagement\u2010related responsibilities for VA research networks. Some network engagement practices were inconsistently endorsed (13\/44, 30%), and two practices (4%) received overall ratings of neutral or unsure by at least one expert panel. Network practices not consistently endorsed varied by expert panel, but panelists' comments reflected three overarching themes: constraint of resource availability, commitment to respectful and meaningful engagement processes, and concern for potential burden on partners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Panelists' perspectives highlight challenges regarding how to best invest limited patient\u2010engagement resources within research and learning health system organizations. Research network engagement infrastructure can help expand the capacity and culture of patient\u2010centered research and care. Organizations seeking to function as learning health systems need to devote planning time, skilled staff, and funds to develop and sustain patient\u2010engagement infrastructure tailored to their context.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lrh2.70119","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T08:16:10Z","timestamp":1789546570000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Promising Patient\u2010Engagement Practices Used by National Research Networks at the\n                    <scp>US<\/scp>\n                    Veterans Health Administration: Perspectives of Veterans, Staff, and Research Leaders"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7459-0451","authenticated-orcid":false,"given":"Tracy L.","family":"Sides","sequence":"first","affiliation":[{"name":"Center for Care Delivery and Outcomes Research Minneapolis Veterans Affairs (VA) Health Care System  Minneapolis Minnesota USA"},{"name":"School of Medicine University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3441-946X","authenticated-orcid":false,"given":"Jennifer","family":"Wisdom","sequence":"additional","affiliation":[{"name":"Wisdom Consulting LLC  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malloree M.","family":"Argust","sequence":"additional","affiliation":[{"name":"Center for Care Delivery and Outcomes Research Minneapolis Veterans Affairs (VA) Health Care System  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin C.","family":"Amundson","sequence":"additional","affiliation":[{"name":"Center for Care Delivery and Outcomes Research Minneapolis Veterans Affairs (VA) Health Care System  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Burgess","sequence":"additional","affiliation":[{"name":"Center for Care Delivery and Outcomes Research Minneapolis Veterans Affairs (VA) Health Care System  Minneapolis Minnesota USA"},{"name":"School of Medicine University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura A.","family":"Meis","sequence":"additional","affiliation":[{"name":"Center for Care Delivery and Outcomes Research Minneapolis Veterans Affairs (VA) Health Care System  Minneapolis Minnesota USA"},{"name":"School of Medicine University of Minnesota  Minneapolis Minnesota USA"},{"name":"National Center for PTSD, Women's Health Sciences Division  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnes C.","family":"Jensen","sequence":"additional","affiliation":[{"name":"Center for Care Delivery and Outcomes Research Minneapolis Veterans Affairs (VA) Health Care System  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin E.","family":"Krebs","sequence":"additional","affiliation":[{"name":"Center for Care Delivery and Outcomes Research Minneapolis Veterans Affairs (VA) Health Care System  Minneapolis Minnesota USA"},{"name":"School of Medicine University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"issue":"1","key":"e_1_2_10_2_1","first-page":"1122","article-title":"Operationalizing the Learning Health Care System in an Integrated Delivery System","volume":"3","author":"Psek W. 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