{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T15:15:08Z","timestamp":1783264508024,"version":"3.54.6"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["#180345"],"award-info":[{"award-number":["#180345"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>\n                      Arts\u2010based knowledge mobilisation (ABKM) is a powerful means of interpreting and communicating health services research, centreing experiential, iterative, and reflective knowledge rooted in co\u2010creation. We developed a\n                      <jats:italic>research\u2010to\u2010public\u2010to\u2010research<\/jats:italic>\n                      feedback loop methodology extending beyond existing ABKM practices and our previous\n                      <jats:italic>research\u2010to\u2010public<\/jats:italic>\n                      methodology, creating a novel bidirectional epistemic process wherein meaning making occurs from research to public and from public to research. This approach produces knowledge that is rich, contextually grounded, and otherwise potentially inaccessible through conventional research.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We present a case study documenting the first application of the feedback loop, with the aim of advancing and refining the methodological framework by: sharing quantitative findings with the public and eliciting public engagement via a design installation, and levering engagement to inform subsequent qualitative research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using the design\u2010driven\n                      <jats:italic>research\u2010to\u2010public\u2010to\u2010research<\/jats:italic>\n                      feedback loop, we developed a participatory design installation focused on end\u2010of\u2010life care. Within an overarching mixed\u2010methods sequential study, we leveraged design and health services methods to: develop design principles; select installation aims and concept; prototype, refine, and iterate the design; and conduct descriptive analysis of installation outputs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Borrowing characteristics of a classic diner, the installation entitled\n                      <jats:italic>The Terminal Diner<\/jats:italic>\n                      , invited individuals to complete orders for their desired end\u2010of\u2010life healthcare experience or leave reviews drawn from lived experience with a deceased loved one's end\u2010of\u2010life journey. The installation disseminated quantitative findings and engaged the general public in contemplating and co\u2010creating around the subject of death\u2014outputs of which were used to inform subsequent qualitative research, while recruiting an interested audience as research participants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This study presents an innovative extension of our previous\n                      <jats:italic>research\u2010to\u2010public<\/jats:italic>\n                      methodology, representing a paradigmatic shift towards creative knowledge exchange and bidirectional meaning making within health services research.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Public Contribution<\/jats:title>\n                    <jats:p>\n                      The public's role as co\u2010creators is foundational to the\n                      <jats:italic>research\u2010to\u2010public\u2010to\u2010research<\/jats:italic>\n                      feedback loop methodology. Those with lived experience\u2014bereaved caregivers and patient partners\u2014were also embedded throughout both the research and design processes, ensuring accessibility, relevance, and emotional resonance. Blending personal knowledge and public perspective,\n                      <jats:italic>The Terminal Diner<\/jats:italic>\n                      foregrounded the essential role of patient and public contributions in co\u2010creating meaningful, responsive, and inclusive health services research.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70688","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T05:25:09Z","timestamp":1782278709000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Terminal Diner: Serving up a Novel Knowledge Exchange Methodology via Participatory Design Installation"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6742-2118","authenticated-orcid":false,"given":"Aria","family":"Wills","sequence":"first","affiliation":[{"name":"Bruy\u00e8re Health Research Institute Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Wilkes","sequence":"additional","affiliation":[{"name":"Independent Scholar Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Oikonen","sequence":"additional","affiliation":[{"name":"The Moment Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nyanna","family":"Flynn","sequence":"additional","affiliation":[{"name":"Caregiver Advisor Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2853-6881","authenticated-orcid":false,"given":"Shuaib","family":"Hafid","sequence":"additional","affiliation":[{"name":"Department of Family Medicine McMaster University Hamilton Ontario Canada"},{"name":"Department of Health Research Methods Evidence, and Impact, McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6405-2676","authenticated-orcid":false,"given":"Aleisha","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Ottawa Hospital Research Institute Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8127-5492","authenticated-orcid":false,"given":"Michelle","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Family Medicine McMaster University Hamilton Ontario Canada"},{"name":"Department of Health Research Methods Evidence, and Impact, McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6059-5366","authenticated-orcid":false,"given":"Sarina R.","family":"Isenberg","sequence":"additional","affiliation":[{"name":"Bruy\u00e8re Health Research Institute Ottawa Ontario Canada"},{"name":"Ottawa Hospital Research Institute Ottawa Ontario Canada"},{"name":"Department of Medicine, Faculty of Medicine University of Ottawa Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/14682753.2017.1362175"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-48991-4_38"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315775760"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3397-y"},{"key":"e_1_2_14_6_1","volume-title":"Storytelling in Palliative Care: Practice\u2010Enabled Knowledge Through Creative Processes","author":"McGuire\u2010Snieckus R.","year":"2026"},{"key":"e_1_2_14_7_1","volume-title":"Practice\u2010Led Research, Research\u2010Led Practice in the Creative Arts","year":"2009"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/25741136.2024.2384686"},{"key":"e_1_2_14_9_1","volume-title":"Art as Experience","author":"Dewey J.","year":"1934"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.2307\/2104138"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.29329\/ijpe.2024.657.4"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1163\/9789401210812_004"},{"key":"e_1_2_14_13_1","volume-title":"Educating the Reflective Practitioner: Toward a New Design for Teaching and Learning in the Professions","author":"Sch\u00f6n D. 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