{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:32:50Z","timestamp":1787581970257,"version":"build-2736575974"},"reference-count":62,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Alongside software developers, our community\u2013academic partnership adapted an exercise designed for participatory priority setting to engage low\u2010income community members in online deliberations about health and welfare spending priorities. This study evaluated the feasibility and quality of a fully virtual deliberative exercise using an adapted Choosing All Together (CHAT) tool among low\u2010income community members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010one groups including 128 low\u2010income individuals diverse in age, household size, race\/ethnicity and urbanicity used an online version of the CHAT exercise. Sessions included both English\u2010 and Spanish\u2010speaking participants. Pre\u2010 and post\u2010CHAT surveys assessed participant experiences and views of online public deliberations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean item and scale scores (on a 0\u20134 Likert scale, where 0\u2009=\u2009strongly disagree and 4\u2009=\u2009strongly agree) demonstrated that online use of the CHAT exercise was rated as enjoyable (3.4) and easy to do (3.2). Participants rated the information and choices provided as sufficient (3.4), with most participants agreeing that the choices offered in the deliberation were realistic (3.4) and believable (3.4). Participants generally thought they had enough information (2.4). The view of deliberation scale was scored (3.5), showing deliberative quality was rated highly. Participants agreed they gained an understanding of the arguments that opposed their own (3.2), that they had lots of chances to share their views (3.7) and that their views were considered (3.5). Some (2.8) stated that a few people dominated the discussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Virtual modes of engagement could enable greater group heterogeneity, the participation of less mobile and more remote persons. Online deliberations added increased comfort and convenience for participants. Many participants stated that they expect and prefer online research participation, demonstrating that Covid may have shifted the paradigm. Participants indicated some technology problems, but these did not hinder participation as demonstrated by favourable mean item scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participants found the online CHAT deliberation easy and enjoyable and felt that the choices and information provided to them were sufficient. Despite technological problems, virtual modes of deliberation appear to be well\u2010received by participants, adding comfort and convenience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>DECIDERS, a steering committee of community partners, co\u2010created the virtual CHAT game and guided its design. Participants shared their stories and provided feedback on the virtual experience, informing both the evaluation and interpretation of the findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70487","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T16:41:59Z","timestamp":1763052119000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Deliberating at a Distance: Evaluating the Feasibility of a Fully Virtual CHAT Exercise Among Low\u2010Income Communities"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6353-7402","authenticated-orcid":false,"given":"Lydia","family":"Perry","sequence":"first","affiliation":[{"name":"University of Michigan Medical School, Center for Bioethics and Social Sciences in Medicine Ann Arbor Michigan United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Carmona","sequence":"additional","affiliation":[{"name":"Department of Learning Health Sciences University of Michigan Medical School Ann Arbor Michigan United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Danis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charo","family":"Led\u00f3n","sequence":"additional","affiliation":[{"name":"Buenos Vecinos Ann Arbor Michigan United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Clinical Mental Health Counselor at Total Balance LLC Perrysburg Ohio United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Rowe","sequence":"additional","affiliation":[{"name":"Friends of Parkside Detroit Michigan United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan Dorr","family":"Goold","sequence":"additional","affiliation":[{"name":"Professor of Internal Medicine and Health Management and Policy University of Michigan Ann Arbor Michigan United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Patient\u2010Centered Outcomes Research Institute.The Value of Engagement in Research. 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