{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:19:13Z","timestamp":1787797153647,"version":"build-2784847793"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patient and public involvement and engagement (PPIE) is recognised as essential to high\u2010quality health and care research. However, there is limited guidance on how to sustain meaningful involvement in rapid evaluations characterised by compressed timelines and shifting priorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To reflect on how PPIE developed within the NIHR Rapid Service Evaluation Team (RSET) and to identify practical lessons for navigating tensions between influence, feasibility, and equity in time\u2010pressured contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This practice\u2010based critical reflection draws on internal documentation, shared reflections, and evaluation activities from 13 rapid evaluations (2018\u20102026). Using the International Association for Public Participation (IAP2) Spectrum as a guiding tool, we mapped RSET's PPIE approach across three phases: Early Phase, Developing Maturity, and Current Position, highlighting trade\u2010offs in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Early involvement was meaningful but ad hoc, constrained by limited infrastructure and resources. As the programme matured, more structured yet flexible approaches were introduced, including a standing PPIE panel, tailored involvement aligned to lived experience, and earlier engagement at key decision points. Involvement practice required ongoing negotiation of trade\u2010offs, including Depth vs Speed, Inclusivity vs Practicality, Consistency vs Flexibility, Relationship\u2010building vs Time, and Value vs Feasibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Meaningful PPIE in rapid evaluations is achievable when involvement is planned intentionally, responsive to context, and supported by strong collaboration and communication. Rather than pursuing full co\u2010production, effective involvement focuses on relationships and influence where it adds most value, offering transferable lessons for involvement practice in fast\u2010paced research settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This paper examines PPIE practice. Public contributors were involved in the programme, contributed to the development of PPIE approaches and practices, and reflected on their experiences. One co\u2010author was a public contributor who helped shaped the interpretation and lessons presented in this paper.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70749","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:23:16Z","timestamp":1782973396000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Balancing Trade\u2010Offs in Patient and Public Involvement and Engagement in Rapid Evaluation: Reflections and Lessons"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8411-220X","authenticated-orcid":false,"given":"Pei Li","family":"Ng","sequence":"first","affiliation":[{"name":"Research Department of Behavioural Science and Health, Institute of Epidemiology and Healthcare University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4003-530X","authenticated-orcid":false,"given":"Raj","family":"Mehta","sequence":"additional","affiliation":[{"name":"Public Contributor  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4446-6916","authenticated-orcid":false,"given":"Angus I. G.","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Research Department of Behavioural Science and Health, Institute of Epidemiology and Healthcare University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5306-6140","authenticated-orcid":false,"given":"Naomi J.","family":"Fulop","sequence":"additional","affiliation":[{"name":"Research Department of Behavioural Science and Health, Institute of Epidemiology and Healthcare University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4899-795X","authenticated-orcid":false,"given":"Jenny","family":"Shand","sequence":"additional","affiliation":[{"name":"Department of Clinical Educational and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Health Research Authority The Shared Commitment to Public Involvement in health and social care research2025 https:\/\/www.hra.nhs.uk\/planning-and-improving-research\/best-practice\/public-involvement\/shared-commitment-public-involvement-health-and-social-care-research\/."},{"key":"e_1_2_9_3_1","unstructured":"UK Research and Innovation Guidance on engaging the public with your research2025 https:\/\/www.ukri.org\/manage-your-award\/good-research-resource-hub\/guidance-on-engaging-the-public-with-your-research\/."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2012.00795.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7129.463"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004839"},{"key":"e_1_2_9_7_1","unstructured":"Public Involvement Standards Development Partnership UK Standards for Public Involvement2019 https:\/\/sites.google.com\/nihr.ac.uk\/pi-standards\/standards."},{"key":"e_1_2_9_8_1","unstructured":"National Institute for Health and Care Research (NIHR) Public involvement in research2025 https:\/\/www.nihr.ac.uk\/nihr-public-contributor-roles-framework."},{"key":"e_1_2_9_9_1","unstructured":"Patient\u2010Centered Outcomes Research Institute (PCORI) Patient\u2010Centered Outcomes Research Institute \u2010 About Our Research2024 https:\/\/www.pcori.org\/research-related-projects\/about-our-research."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2042"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-019-0838-1"},{"key":"e_1_2_9_12_1","unstructured":"Canadian Institutes of Health Research Strategy for Patient\u2010Oriented Research \u2010 Patient Engagement Framework2014 https:\/\/cihr-irsc.gc.ca\/e\/48413.html."},{"key":"e_1_2_9_13_1","unstructured":"Health Care Consumers\u2019 Association Consumer and Community Participation Framework Canberra Australia: Health Care Consumers\u2019 Association;2021 https:\/\/www.hcca.org.au\/wp-content\/uploads\/2024\/10\/7.2-Consumer-and-Community-Participation-Framework-endorsed-October-2022.pdf."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-020-00644-3"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12609"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2011.05.002"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13040"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-016-0051-x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-016-0032-0"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-014-0065-0"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.3310\/BTNU5673"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsoc.2023.982946"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0266462315000410"},{"key":"e_1_2_9_24_1","unstructured":"N.FulopandC.Sherlaw\u2010Johnson2023 [cited 2025] https:\/\/www.nuffieldtrust.org.uk\/news-item\/fast-tracked-the-vital-importance-of-rapid-evaluation."},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12805"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-064345"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1098214019886914"},{"issue":"3","key":"e_1_2_9_28_1","first-page":"172","article-title":"Can We Re\u2010Imagine Research So It Is Timely, Relevant and Responsive? 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