Participant in Research Experience Survey - West of England, 2023 to 2024

  • Published: 13 December 2024
  • 48 min read

Summary

The Participant in Research Experience Survey (PRES) is a way for those taking part in research to anonymously share feedback about their experience. This feedback helps us to improve research delivery and ensure the best possible experience is being provided.

The survey is delivered by the National Institute for Health and Care Research (NIHR). 

This report is the analysis of responses received from the beginning of April 2023 until the end of March 2024. During this period the survey was delivered across all 15 regions of the NIHR Clinical Research Network (CRN). In the West of England, the survey was distributed to participants by research delivery staff and administered by the Clinical Research Network West of England (CRN WE).

The NIHR Research Delivery Network (RDN) replaced the CRN on 1 October 2024. 12 Regional Research Delivery Networks replaced the 15 Local CRN regions and working with the Research Delivery Network Coordinating Centre (RDNCC), make up the NIHR RDN.

As we have seen in previous years, responses showed that the majority of people taking part in research had a positive experience. Participants reported that their interactions with research delivery colleagues are an essential part of this experience.

  • From April 2023 to March 2024, 59,237 participants across the West of England volunteered to take part in health and care research
  • Participants in the region were recruited into a total of 637 studies
  • 6,209 people completed a survey; 6,103 responses to the adult survey and 106 responses to the children and young people survey

Download the full PDF report.

How was the PRES delivered?

In the West of England participants can complete either an online or paper version. 4 different versions of the survey are available in both formats:

  • Adult participants
  • Participants aged 0-6 years old
  • Participants aged 7-11 years old
  • Participants aged 12-15 years old

57% of reportable responses were received via the digital survey, an increase from 40% in the previous year. This increase is likely due to a targeted digital mailout that was sent to participants of the Avon Longitudinal Study of Parents and Children (ALSPAC) - also known as Children of the 90s, a large-scale birth cohort study in the region.

Year

Paper responses

Digital responses

2021 to 2022

1,340

585

2022 to 2023

1,539

1,023

2023 to 2024

2,478

3,301

Annual performance

During the reporting period, 6,209 people completed a PRES; this is made up of 6,103 responses to the adult survey and 106 responses to the children and young people (CYP) survey. Responses were received from across 177 different studies, and from all 7 trusts in the region and 29 primary care sites.

The total number of responses received is a 137% increase from the number of responses received in the previous year. This is largely due to a high number of responses from ALSPAC. 4,487 responses (72%) were received from ALPSAC studies. Due to this high proportion, the responses from ALSPAC will be analysed separately in this report to avoid skewed data.

As part of the survey, there is the space for participants to identify the site and study in which they participated. This information is important in providing specific feedback to study teams and delivery teams. Responses with this information are also shared with the national CRN team to be included in the overall network’s analysis. During the reporting period, 5,779 responses (93%) included this information; this is made up of 5,674 responses to the adult survey and 105 responses to the CYP survey.

Year

Annual PRES responses

Proportion of Annual Network Total

2020 to 2021

1,126

5%

2021 to 2022

1,925

7%

2022 to 2023 (Including ALSPAC)

2,562

8%

2022 to 2023 (Excluding ALSPAC)

1,764

5%

2023 to 2024 (Including ALSPAC)

5,779

16%

2023 to 2024 (Excluding ALSPAC)

1,434

4%

Our increase in PRES responses has also led to an increase in the region’s contribution to the overall network’s responses, from 8% in the previous reporting year to 16% in the current reporting year. If ALSPAC responses are excluded from the calculations, this contribution drops to from 5% to 4%. Whilst this decrease is disappointing for us as a region, this percentage contribution is inline with trends seen in other CRNs. In the West of England, we have trialled a number of initiatives to increase the number of responses, such as identifying high recruiting studies without PRES responses and encouraging study teams to deliver the survey. We will continue to explore what more can be done in this area.

Year

Adult

CYP

2020 to 2021

1,126

0

2021 to 2022

1,897

28

2022 to 2023

2,482

80

2023 to 2024

5,674

105

The number of PRES responses to the CYP survey has increased by 30% in the West of England. This is due to work that has been done to engage with research delivery staff. The CYP survey was discussed at the Children's Community of Practice meeting which is attended by representatives from all the active NHS Trusts in children's research in the CRN WE region. The Research Delivery Manager and Local Specialty Research Lead for children’s research also had individual meetings with Partner Organisations to talk about children’s research and the CYP survey formed part of these discussions.

Specialty

Responses

Public Health

4,390

Cardiovascular Disease

251

Cancer

213

Infection

185

Primary Care

176

Respiratory Disorders

127

Reproductive Health and Childbirth

86

Anaesthesia, Perioperative Medicine and Pain Management

78

Mental Health

42

Children

30

Diabetes

28

Stroke

27

Metabolic and Endocrine Disorders

27

Musculoskeletal Disorders

25

Dementias and Neurodegeneration

24

Renal Disorders

22

Responses were received across 24 of 31 specialty areas. The chart above shows the specialties with over 20 responses. The large number of responses from public health studies is due to the high number of responses from ALSPAC.

Adult responses

This section of the report is the analysis of the 1,616 responses received to the adult survey from non-ALPSAC studies.

Who responded?

The most common age range of respondents is between 55-85 years old. As we saw in the previous reporting year, more work needs to be done to ensure representation from a wider range of age groups.

Age

Respondees

16-25

0.34%

26-35

5.25%

36-45

4.18%

46-55

7.46%

56-65

23.88%

66-75

25.54%

76-85

28.73%

86+

4.62%

Most surveys were completed by the person who was taking part in research (91%). For the majority of respondents it was the first research study they had taken part in (67%), with most reporting that they had been taking part in research for less than 3 months (41%).

The majority of respondents identified as female (55%). An overwhelming majority identified as the sex they were registered at birth, with only 4 people reporting that their gender is not the same as the sex they were registered at birth.

How long have you been taking part in this research study?

Respondees

Less than 3 months

41%

At least 3 months but less than 1 year

23%

At least 1 year but less than 3 years

17%

3 years or longer

19%

Is this the first research study you have taken part in?

Respondees

Yes

67%

No

33%

Who completed the survey?

Respondees

The person taking part in the research

92%

The person taking part in the research with help from someone else

4%

Someone else on behalf of the person taking part in the research

4%

What sex were you registered at birth?

Respondees

Female

55%

Male

45%

Is your gender the same as the sex you were registered at birth?

Respondees

Yes

99.73%

No

0.27%

The majority of respondents reported their ethnicity as White English/Welsh/Scottish/Northern Irish/British (91.74%). This is higher than is seen in the wider population of the West of England (83.83%). There was also a higher number of Irish people who completed the PRES (1.22%) compared to the wider population (0.64%).

For all other ethnic groups a lower number of participants completed the PRES compared to the wider population.

The population column shows demographic data for the West of England region as recorded in the 2021 Census. Ethnicity data for research participants is not routinely captured and so we cannot determine if our PRES respondents are representative of all those who participate in research. We are funding and leading initiatives to capture this data across all studies.

Ethnic Group

Respondees

Population

Asian/ Asian British/ Indian

0.64%

1.75%

Asian/ Asian British/ Pakistani

0.26%

0.58%

Asian/ Asian British/ Bangladeshi

0%

0.31%

Asian/ Asian British/ Chinese

0.51%

0.60%

Asian/ Asian British/ Any other Asian background

0.38%

1.00%

Black/ African/ Caribbean/ Black British/ African

0.32%

1.32%

Black/ African/ Caribbean/ Black British/ Caribbean

0.19%

0.55%

Black/ African/ Caribbean/ Black British/ Any other Black/ African Caribbean background

0%

0.28%

Mixed/ Multiple Ethnic groups/ White and Black Caribbean

0.13%

0.88%

Mixed/ Multiple Ethnic groups/ White and Black African

0.06%

0.33%

Mixed/ Multiple Ethnic groups/ White and Asian

0.51%

0.74%

Mixed/ Multiple Ethnic groups/ Any other mixed/Multiple ethnic backgrounds

0.26%

0.65%

White/ English/ Welsh/ Scottish/ Northern Irish/ British

91.74%

83.83%

White/ Irish

1.22%

0.64%

White/ Gypsy or Irish Traveller

0.19%

0.11%

White/ Any other White background

3.46%

5.42%

Other

0.13%

1.01%

What was positive about your research experience?

1,223 respondents (76%) left a comment explaining what made their research experience positive. From these comments we identified the following themes:

  • 568 comments mentioned the research delivery staff
  • 383 comments related to good communication
  • 200 comments related to contributing to improving healthcare
  • 195 comments said the research study was efficient and easy to take part in
  • 187 comments mentioned gaining a feeling of hope
  • 160 comments mentioned experiencing personal benefits
  • 82 comments related to having a good experience
  • 24 comments said "everything" was positive
  • 13 comments related to consent and not feeling pressure to participate
  • 12 comments related to refreshments
  • 7 comments related to where the research took place
  • 7 comments related to recognition and financial reimbursement
  • 5 comments related to travel

Top themes 2022 to 2023

Top themes 2023 to 2024

Research delivery staff

Research delivery staff

Contributing to improving healthcare

Good communication

Good communication

Contributing to improving healthcare

The 3 top themes remain the same as last year: research delivery staff, good communication and contributing to improving healthcare. This year there has been an increase in the proportion of comments related to good communication, moving from the third highest theme to the second highest. It is positive to see an increase in comments around communication as this is a theme that is often highlighted as the area that needs the most improvement.

Consent is a new theme that we identified this year. This relates to people feeling that there wasn’t any pressure to take part, that they were given the time to make their decision and that it was made clear that they could withdraw their consent at a later date if they wanted to. This is something that is often discussed as part of Informed Consent training, so it is positive to see these comments coming through. 

Examples of comments from each theme are shown in Appendix 1.

What would have made your research experience better?

342 respondents (21%) left a comment about what could have made their research experience better. This table shows the themes that we identified from these comments.

Theme

Comments

Participant communication:

Information about the study results/updates, general information about the study or condition, personal results, more contact from the study team, method of communication, information about side effects, internal communication between teams, receiving incorrect information, information about what was required, information about expenses, design of communication

192

Procedures and materials:

Issues with questionnaires, technical issues with apps/equipment, method of procedures, more explanation about tests or how to use equipment, more or fewer tests

64

Appointments:

Location, method, delays and waiting times, more time during appointments, flexibility over appointment times, issues with appointments, reminders

48

Travel:

Less travel less for appointments, free or better parking and travel options, better travel information

22

Study related:

Wanting the study to be longer, being in the control arm, side effects

19

Consent:

When people were approached about taking part in research, wanting more time to think about participating

10

Refreshments

 

10

Knowledge and experience:

Feeling like staff didn’t have the knowledge to answer questions or use required equipment. Comments under this section also relate to negative participant experiences relating to treatment from staff

8

Communication with other participants

 

5

Payments and recognition:

Wanting payment or to receive a greater payment

3

Examples of comments are shown in Appendix 2.

Although fewer participants left comments about what would have made their experience better (21% compared to 23% in the previous reporting year), the themes identified are broadly the same as last year.

Through the PRES survey, communication has consistently been identified as the biggest area for improvement. This is the 4th year in a row that it has been highlighted as the most common issue. It’s important that more work is done to ensure participants are kept updated and informed about the research studies that they are taking part in. We will continue to champion the importance of communication with participants and encourage our sites to put processes in place to ensure this happens. A number of our sites have already started to implement initiatives to address this, such as participant newsletters, but this needs to be more consistent across the region.

Quantitative questions

This table shows the percentage of participants who responded positively to the quantitative questions in the survey. This means they responded to the question with either ‘Strongly Agree’ or ‘Agree’.

Green boxes indicate where the percentage has increased or stayed the same compared to the previous year. Orange boxes indicate where the percentage has decreased in comparison to the previous year. Positive responses to the majority of questions have seen a minor decrease compared to those received in the previous reporting year.

The question where we have seen the biggest decrease over the past 2 years is in relation to participants knowing how to contact someone from the research team if they have any questions or concerns. This is something that has been raised with research delivery teams as part of the process of sharing PRES data. Sites in the region are exploring ways they can improve this, for example creating contact cards so that participants have clear information on how to get in touch with the team.

In comparison to the national average, responses to the majority of quantitative questions in the adult survey compare favourably.

Question

2022 to 2023

2023 to 2024

National average 2023 to 2024

The information that I received before taking part prepared me

94%

94%

93%

I feel I have been kept updated about this research

82%

80%

72%

I know how I will receive the results of this research

78%

76%

77%

I know how to contact someone from the research team if I have any questions or concerns

89%

86%

84%

I feel research staff have valued my taking part in this research study

94%

93%

92%

Research staff have always treated me with courtesy and respect

97%

95%

95%

I would consider taking part in research again

93%

91%

91%

ALSPAC

This section of the report is the analysis of the 4,487 responses received to the adult survey from Avon Longitudinal Study of Parents and Children (ALPSAC) studies, also known as Children of the 90s.

Who responded?

The most common age range of respondents is between 55-75 years old. This is inline with the study demographic and suggests the majority of responses were received from the parents of the Children of the 90s.

Age

Respondees

26-35

25.60%

36-45

0.07%

46-55

2.37%

56-65

47.06%

66-75

24.11%

76-85

0.69%

86+

0.08%

Most surveys were completed by the person who was taking part in research (98%). For the majority of respondents it was the first research study they had taken part in (67%), with most reporting that they had been taking part in research for 3 years or longer (97%).

The majority of respondents identified as female (69%). An overwhelming majority identified as the sex they were registered at birth, with 23 people reporting that their gender is not the same as the sex they were registered at birth.

How long have you been taking part in this research study?

Respondees

Less than 3 months

1%

At least 3 months but less than 1 year

1%

At least one year but less than 3 years

1%

3 years or longer

97%

Is this the first research study you have taken part in?

Respondees

Yes

67%

No

33%

Who completed the survey?

Respondees

The person taking part in the research

98%

The person taking part in the research with help from someone else

1%

Someone else on behalf of the person taking part in the research

1%

What sex were you registered at birth?

Respondees

Female

69%

Male

31%

Is your gender the same as the sex you were registered at birth?

Respondees

Yes

99.48%

No

0.52%

The majority of respondents reported their ethnicity as White (93.71%). This is higher than is seen in the wider population of the West of England (83.83%). There was also a higher number of Irish people who completed the PRES (0.90%) compared to the wider population (0.64%).

For all other ethnic groups a lower number of participants completed the PRES compared to the wider population.

Ethnic Group

Respondees

Population

Asian/ Asian British/ Indian

0.36%

1.75%

Asian/ Asian British/ Pakistani

0%

0.58%

Asian/ Asian British/ Bangladeshi

0.05%

0.31%

Asian/ Asian British/ Chinese

0.18%

0.60%

Asian/ Asian British/ Any other Asian background

0.02%

1.00%

Black/ African/ Caribbean/ Black British/ African

0.02%

1.32%

Black/ African/ Caribbean/ Black British/ Caribbean

0.32%

0.55%

Black/ African/ Caribbean/ Black British/ Any other Black/ African Caribbean background

0.07%

0.28%

Mixed/ Multiple Ethnic groups/ White and Black Caribbean

0.38%

0.88%

Mixed/ Multiple Ethnic groups/ White and Black African

0.11%

0.33%

Mixed/ Multiple Ethnic groups/ White and Asian

0.61%

0.74%

Mixed/ Multiple Ethnic groups/ Any other mixed/ Multiple ethnic backgrounds

0.45%

0.65%

WhiteEnglish/ Welsh/Scottish/ Northern Irish/British

93.71%

83.83%

WhiteIrish

0.90%

0.64%

WhiteGypsy or Irish Traveller

0.05%

0.11%

WhiteAny other White background

2.68%

5.42%

Other

0.90%

1.01%

What was positive about your research experience?

2,720 (60%) respondents left a comment explaining what made their research experience positive. From these comments we identified the following themes:

  • 903 comments mentioned the research delivery staff
  • 340 comments related to good communication
  • 231 comments related to having a good experience
  • 151 comments related to contributing to improving healthcare
  • 151 comments said the research study was efficient and easy to take part in
  • 139 comments mentioned experiencing personal benefits
  • 109 comments mentioned gaining a feeling of hope
  • 89 comments related to refreshments
  • 72 comments related to to the environment and where the research took place
  • 47 comments related to consent and not feeling pressure to participate
  • 34 comments related to recognition, financial reimbursement and expenses
  • 32 comments related to travel
  • 31 comments said "everything" was positive

Top themes non-ALSPAC 2023 to 2024

Top themes ALSPAC 2023 to 2024

Research delivery staff

Research delivery staff

Good communication

Good communication

Contributing to improving healthcare

Having a good experience

The 2 top themes for ALSPAC responses are the same as those for participants from other research studies: research delivery staff and communication. However the third theme is different, with a high number of comments being received about the experience. This includes people finding the experience interesting and enjoyable.

Examples of comments from each theme are shown in Appendix 3.

What would have made your research experience better?

730 respondents (16%) left a comment about what could have made their research experience better. This table shows the themes that we identified from these comments.

Theme

Comments

Participant communication:

Information about the study results/updates, general information about the study, personal results, more contact from the study team, receiving incorrect information, information about what was required, design of communication

321

Procedures and materials:

Issues with questionnaires, technical issues with apps/equipment, more tests

173

Appointments:

Location, delays and waiting times, more time during appointments, flexibility over appointment times

122

Travel:

Less travel less for appointments, free or better parking and travel options, better travel information

70

Knowledge and experience:

Feeling like staff didn’t have the knowledge to answer questions or use required equipment. Comments under this section also relate to negative participant experiences relating to treatment from staff

53

Refreshments

 

43

Payments and expenses:

Wanting payment or to receive more money, time it took to receive payments, method of recognition

14

Study related:

Wanting to be involved in participant involvement, being in the control arm, negative effects

3

Communication with other participants

 

3

Examples of comments are shown in Appendix 4.

A lot of the themes identified from the ALSPAC participants are similar to those identified by participants of other studies, however we did see some study specific differences. One example is a greater proportion of comments about travel, which is likely related to the longitudinal nature of the study and that many people have since moved from Bristol where the clinics take place.

Quantitative questions

This table shows the percentage of participants who responded positively to the quantitative questions in the survey. This means they responded to the question with either ‘Strongly Agree’ or ‘Agree’.

In comparison to the national average, responses to all of the quantitative questions in the adult survey compare favourably. In comparison to the regional average, the responses to the majority of questions also compare favourably. The biggest differences are seen in relation to participants feeling they have been kept updated about the research and knowing how they will receive the results. The team at ALSPAC are regularly in contact with their participants through newsletters and social media, this best practice will be shared with other study teams to enable them to explore whether they are able to implement similar processes.

Question

ALSPAC average 2023 to 2024

Regional average 2023 to 2024

National average 2023 to 2024

The information that I received before taking part prepared me

93%

94%

93%

I feel I have been kept updated about this research

89%

80%

72%

I know how I will receive the results of this research

89%

76%

77%

I know how to contact someone from the research team if I have any questions or concerns

84%

86%

84%

I feel research staff have valued my taking part in this research study

96%

93%

92%

Research staff have always treated me with courtesy and respect

97%

95%

95%

I would consider taking part in research again

98%

91%

91%

CYP responses

This section of the report is the analysis of the 106 responses received to the children and young people (CYP) survey.

Who responded?

The greatest number of responses were received for the 0-6 years old version of the CYP survey. This is likely due to a high amount of neonatal intensive care unit (NICU) research happening in the region, as well as infant vaccine studies.

Age

Respondees

0-6

62%

7-11

14%

12-15

24%

Most surveys were completed by the parent or carer (67%). For the majority of participants it was the first research study they had taken part in (77%), with most having taken part in research for less than 3 months (56%).

Demographic data is not collected through the CYP survey.

How long have you been taking part in this research study?

Respondees

Less than three months

56%

At least three months but less than one year

21%

At least one year but less than three years

14%

Three years or longer

9%

Is this the first research study you have taken part in?

Respondees

Yes

77%

No

23%

Who completed the survey?

Respondees

The child/young person

17%

Both the child/young person and the parent or carer together

16%

The parent or carer

67%

What was positive about your research experience?

73 (69%) respondents left a comment explaining what made their research experience positive. From these comments we identified the following themes:

  • 45 comments mentioned the research delivery staff
  • 26 comments related to good communication
  • 13 comments mentioned gaining a feeling of hope
  • 11 comments said the research study was efficient and easy to take part in
  • 6 comments related to contributing to improving healthcare
  • 5 comments related to consent and not feeling pressure to participate
  • 5 comments mentioned experiencing personal benefits
  • 2 comments said "everything" was positive
  • 1 comment related to having a good experience
  • 1 comments related to recognition and financial reimbursement

Top themes adults 2023 to 2024

Top themes CYP 2023 to 2024

Research delivery staff

Research delivery staff

Good communication

Good communication

Contributing to improving healthcare

Gaining a feeling of hope

The 2 top themes for CYP responses are the same as those for adults: research delivery staff and communication. However the third theme is different, with a number of comments about gaining a feeling of hope. This includes feeling that the research will have a positive impact on the future for other children.

Examples of comments from each theme are shown in Appendix 5.

What would have made your research experience better?

24 respondents (22%) left a comment about what could have made their research experience better. This table shows the themes that we identified from these comments.

Theme

Comments

Procedures and materials:

Technical issues with apps/equipment, more explanation about tests or how to use equipment

11

Appointments:

Delays and waiting times, flexibility over appointment times, reminders

4

Participant communication:

Personal results, design

3

Study related:

Being in the control arm

2

Refreshments

 

2

Examples of comments are shown in Appendix 6.

In contrast to the focus on communications in responses to the adult survey, procedures and materials were identified as the biggest area for improvement through the CYP survey. This mainly relates to issues with apps and equipment, and wanting more explanation about tests and how to use equipment.

Quantitative questions

This table shows the percentage of participants who responded positively to the quantitative questions in the survey. This means they responded to the question with either ‘Strongly Agree’ or ‘Agree’.

Green boxes indicate where the percentage has increased or stayed the same compared to the previous year. Orange boxes indicate where the percentage has decreased in comparison to the previous year. As seen in the adult survey, responses to the majority of questions in the CYP survey have also decreased compared to the previous year.

In comparison to the national average, responses to the majority of quantitative questions in the CYP survey compare favourably.

Question

2022 to 2023

2023 to 2024

National average for 2023 to 2024

The information received before taking part prepared me/my child

96%

95%

95%

I feel I have been kept updated about this research

93%

85%

75%

I know how I will receive the results of this research

69%

78%

82%

I know how to contact someone from the research team if I have any questions or concerns

90%

90%

86%

I feel research staff have valued my child taking part in this research study

98%

96%

91%

Research staff have always treated my child with courtesy and respect

100%

95%

94%

I would consider my child taking part in research again

96%

90%

89%

What we’ve done

Participant feedback plays a vital role in helping us to improve research delivery and ensure the best possible experience is being provided. In response to the feedback we received from PRES last year, we’ve implemented the following projects related to the participant experience.

PRES working group

We formed a PRES working group made up of representatives from our Partner Organisations, as well as members of the public. This group meets on a monthly basis to discuss and implement improvement projects based on feedback from the survey. The actions of this group have led to a number of changes in research delivery, such as offering appointments outside of working hours, buying a coffee machine and creating cards with contact details.

Competency framework

We have recently refreshed our CRN West of England research delivery competency framework, and launched the new framework in April 2024. The framework was designed to work across all research delivery roles in any setting, and provide a pathway for staff to develop their skills and knowledge, from awareness through to leading others. Following feedback from PRES, we developed a new competency to include in the framework, which focuses specifically on participant experience. This competency incorporates suggestions and examples from participant feedback, including how research activities/equipment are explained, engaging with research champions, and considering the participant experience throughout the study lifecycle from recruitment to study closure. 

Implicit bias workshop

We have led on the development of a new implicit bias workshop which will provide staff the opportunity to consider implicit bias in a research delivery specific context, and utilise tools and strategies to acknowledge and mitigate biases where they may be present. The session was developed with input from research delivery staff and public contributors to ensure that it reflects what is most meaningful to both the research workforce and participants in research. The session has now begun to be piloted across the South West supra-region, and will continue to be rolled out across the region and refined based on delivery feedback.

Public newsletter

We have continued to circulate our newsletter aimed at members of the public where we share participant stories, news about health and care research and opportunities to get involved. Although these stories won’t necessarily be about the study the participant is taking part in, they help to give a general understanding of research and the difference that participation makes. You can sign up to the newsletter via this form. Research delivery teams can also signpost participants to sign up to the newsletter.

Training

We are still using PRES comments in training courses as case studies and discussion topics. This helps research delivery staff reflect on the experiences of participants and the difference that they can make.

Research Champions

We have recruited even more Research Champions and now have 50 across the region. These are members of the public who volunteer their time to spread the word about health and care research to the public and help healthcare staff understand more about the experiences of participants. This role also offers the opportunity for participants to meet others who have taken part in research, something several PRES respondents suggested they would like.

Community Engagement

We are continuing to work with Community Organisations and Community Champions to raise awareness of research and listen to the current perceptions of research. We have supported a number of projects within the community, including condition specific events where researchers talk to members of the public about research and answer any questions they have about the condition or taking part in research.

Recommendations and next steps

The points highlighted in the report above will form the basis of discussions with participants and research staff about the areas that they feel are most important. It is important that both groups are involved in deciding on priority areas of focus. These areas will be used to form projects which aim to improve the participant experience.

Responses from the ongoing survey are regularly shared, including through a live dashboard, with study teams to enable real-time analysis and improvements to practice. This ensures participants’ experiences play a role in shaping how studies are delivered.

As we have seen in previous years, the responses received overwhelmingly demonstrate that the majority of participants in the West of England have a positive experience of taking part in research. The majority of our quantitative responses are above or in line with the national average. However, unfortunately this year we have seen a decrease regionally in positive responses to the quantitative questions in comparison to the previous year. We also saw a decrease in the number of responses received to the adult survey for non-ALSPAC studies. This will be discussed in meetings with research delivery staff and the PRES working group to explore what we can do to increase quantitative scores and overall response rates.

Communication remains the largest area of improvement identified through the survey. It’s clear that more needs to be done to ensure participants are kept informed and are happy with the amount of information they are receiving relating to the studies they are taking part in.

We also saw an increase in the proportion of responses about procedures and materials. Whilst a lot of these covered topics that are outside of our control in research delivery, such as the design of questionnaires, there are aspects that we can influence.

As we endeavour to continually improve participants’ experiences of taking part in research, the feedback from the PRES is helpful in identifying potential areas of focus. Key recommendations from this year’s feedback include:

Communication

  • Identify ways in which communication with participants can be improved, especially in relation to sharing the results of the study and providing regular updates
  • Ensure new participants are given general information in a clear and concise way about the study, such as its aims and timescales
  • Explore ways of ensuring participants understand how to get in contact with the study team
  • Where possible, provide participants with results to their personal tests or explain why these cannot be provided

Procedures and materials

  • Ensure all procedures are fully explained to participants and that they know how to use any equipment that is required as part of their participation
  • Where possible, ensure all equipment required for research appointments is available and working correctly

PRES delivery

  • Explore ways to record whether each participant has been offered a PRES survey to ensure that everyone taking part in research is offered the opportunity to share their feedback

If you have any questions or for further information about anything in this report, please contact our Public Engagement Team.

Appendix 1: Adults: What was positive about your research experience?

Theme

Comments

568 comments mentioned the research delivery staff

“Staff are always kind, helpful and attentive. They always try to make my long appointments relaxing and fun for me!”

“The research staff have all, and always, been a pleasure to deal with. I couldn't fault them. My appointments have always been conducted on time and been concise and succinct.”

“The research nurse provided extra support throughout my treatment. Initially it was a very stressful emotional time so was great to know someone was there if I needed any help or support.”

“The staff that I'm involved with always treat me as if I'm the most important person. Always polite and very helpful.”

383 comments related to good communication

“I knew what the research entailed and was kept fully informed throughout.”

“Each step was explained in advance so I knew what to expect.”

“Good information several times regarding the survey”

“I was kept well informed, and had numerous contact telephone numbers if I needed any advice or help.”

200 comments related to contributing to improving healthcare or feeling that their contribution was valued

“I enjoy contributing and the staff make me feel like this is a valuable opportunity”

“Knowing I am contributing to cancer research”

“It was clear that the research was valued and that by taking part it may help others in the future.”

“I was contributing to medical research”

195 comments said the research study was efficient and easy to take part in

“Quick. Part of routine assessment so didn’t take up any additional time.”

“Clear, well organised, straightforward.”

“It was made very unobtrusive for me to take part so was happy to do so.”

“Easy to include into my daily life”

187 comments mentioned gaining a feeling of hope

“Hope by taking part in the research will help future patients.”

“Knowing we will be helping future developments in the field of IVF”

“I felt I was taking part in something that would help people in the future”

“Gives me a sense of being helpful for future changes to the system and the way medication is prescribed.”

160 comments mentioned experiencing personal benefits

“The possibility of receiving a therapeutic vaccine for HPV. (A treatment that is not yet available elsewhere.)”

“I feel my health is being very well monitored while taking part in the research. Also there could be benefits if I am receiving the active drug rather than the placebo.”

“Great improvement in my condition.”

“I believe I have been seen more often than if I hadn't taken part in this research.”

82 comments related to having a good experience

“Pleasant experience”

“Very good and interesting”

“Great range of tasks”

24 comments said "everything" was positive

“Everything well done.”

“Everything was good about my experience and it was enjoyable.”

“All experiences so far very positive.”

13 comments related to consent and not feeling pressure to participate

“Did not feel I was put under any pressure, was my choice.”

“Being asked to take part and understanding what to expect during the trial. Also knowing that I can withdraw if I feel this is not right for me at any point.”

“I was given a sufficient period of time to make my decision without any undue pressure or influence. The trial was explained by more than one NHS member of staff with the relevant paperwork given.”

12 comments related to refreshments

“Food and drink that was available.”

“Well looked after with food, drink etc.”

7 comments related to where the research took place

“Pleasant environment in which tests take place.”

“Very calming waiting area and nice sofas and chairs.”

7 comments related to recognition and financial reimbursement

“My vouchers”

“A surprise gift of BP monitor at the end of the trial.”

5 comments related to travel

“The pre-trial info was very helpful and clear incl. parking info and reserved space (took the stress away)”

“The research was take place at my local surgery.”

Appendix 2: Adults: What would have made your research experience better?

Communication

192 comments related to communication. This theme covered the following topics:

Topic

Comments

More information about the study results and/or updates about how the study is progressing (65 comments)

“I would be interested to hear about the findings from the study, and perhaps information on how to find the study if it is published.”

“To be more informed of how the research was going.”

“Had I been kept informed about the trial. Found it had been closed in 2023 from other sources. Will I receive info when trial is wrapped up?”

More general information about the study (e.g. its aims and timescales) and/or the condition (46 comments)

“Some information about variables being tested and what exactly the research was intended to elucidate”

“Maybe a little more detail about the reasons for some of the questions.”

“Exactly how it will help further the study. What info I shall receive as a result What activities I will be involved in, or time commitment i will need to provide.”

Access to results of personal tests, including how these compare to others on the study (25 comments)

“More feedback on my progress over time and against a norm for my age.”

“I am very interested in my data and would appreciate being provided with a summary for personal use.”

“Perhaps being able to see my results at each stage”

Wanting more contact from the study team, clearer information about how the study team can be contacted and/or a single point of contact throughout (25 comments)

“I would not have been sure how to contact a member of staff involved if I had needed to. It would have been that little more reassuring to have a contact number supplied at the point of meeting.”

“Someone should have kept in touch”

“Possibly more contact from the research team”

Method of communication (9 comments)

“Just talking to someone. I know about the present shortage of people and why that is the case; I just wish that some sort of human interface could be restored.”

“The occasional face-to-face contact. I've had only telephone conversations since initially signing up to the trial.”

Receiving incorrect information, such as appointment requirements (8 comments)

“Was asked to bring back details & photo ID. These were never asked for.”

“Addressing the ambiguity of diary email telling me - wrongly - not to bother filling it in if nothing to report.”

Design of the communications materials, including information sheets and emails being lengthy and using medical jargon (6 comments)

“Some of the information requested would be better understood in layman's terms.”

“Reduce the paperwork/reading material - more consise so shorter if possible.”

Clearer information about potential side effects and recovery (3 comments)

“A leaflet with possible side effects, things to expect, things that you can't eat or drink (if any), tablets you can't take with these tablets (if any).”

“More explanation about the Omeprazole side effects. These I did not know until starting to take for the first few weeks having an odd symptom, read leaflet + NHS review on line, and found some information worrying, especially liver problems.”

Clearer information about expenses and how they can be claimed (2 comments)

“Slightly more information on the process for claiming expenses.”

“Money is not the topic - but more clarity on what / when amounts are paid. I would have done the study anyway.”

More information about what was required from the participant (2 comments)

“Knowing some of the questions likely to be asked so have time to find them out before so it doesn't take so long to answer what is needed.”

“Knowing that I'd be fasting before booking an appointment time.”

Issues around internal communication between staff and departments (1 comment)

“Informing other antenatal staff. My midwife only found out about the trial once I shared my information sheets”

Procedures and materials

64 comments related to procedures and materials. This theme covered the following topics:

Topic

Comments

Issues with questionnaires, such as feeling they were repetitive or too long (18 comments)

“Just that some of the questionnaires were quite long and didn't seem to be mobile friendly. When I tried to complete them on my phone, the page would skip or I couldn't see all columns.”

“Some of questions on survey were a bit tricky to answer on diet e.g. answer 'never' still had to add portion size so took me a few attempts”

Method/how procedures were done (9 comments)

“Smaller swallowable tablets instead of chewables”

“Things to read during tests where you have to be still”

Having functionality to enable feedback (8 comments)

“No freeform field in monthly feedback questions. Would have ben useful to add comments such as how often nasal spray I was given was used and why”

“The 'tick box' answers to some of the questions were too specific and did not always match my circumstances. In these cases a box for written elaboration of my answers would have been useful and given the researchers a more complete picture.”

Technical issues with apps/equipment (6 comments)

“A few issues with the app to complete the study diaries - not sending me through reminders to complete on certain days.”

“Had to provide urine sample - no receptacle initially apart from specimen pot! Difficult for female pts!”

Wanting more explanation about tests or how to use equipment (6 comments)

“More information about what an MRI is like - looks like, noise etc.”

“Clearer explanation of some tasks before completing them”

Design and accessibility (5 comments)

“The website to complete the surveys does not allow you to go back and check your previous reply if you realise it was the wrong response and wish to correct it.”

“This set of tests was designed on a PC. You should test it on an iMAC”

Would like to have done more tests (4 comments)

“More testing! I enjoyed it so much, I would love to do more.”

“More scans to help understand my well being”

Would like fewer tests (4 comments)

“I found that as more activities were added it took longer and longer to complete and I had no chance to improve my scores”

“Not do the memory + other tests!”

Issues related to medication after participating in research (4 comments)

“To have been allowed the drug regime at end of trial as it was very positive”

“Staying on the combination medication”

Appointments

48 comments related to appointments. This theme covered the following topics:

 

Topic

Comments

Wanting greater flexibility over appointment times (14 comments)

“Maybe more appointments out of working hours as for two I will need to go in work time and will need to work the time back.”

“Earlier appointment so less hungry!”

“Better management of the appointments - so they were on the same day so I missed less work for example.”

Location of the appointment and/or facilities (8 comments)

“Thought room was a little small for three people and sometimes four.”

“If the waiting room was warmer.”

Experiencing delays and waiting times (6 comments)

“Reduce wait time for getting medication from pharmacy”

“A bit of a wait for the appointment - 20 minutes late.”

More information about time commitments (6 comments)

“I had not appreciated how long procedure would take.”

“The day took a little longer than anticipated. 3 1/2 hours rather than 2 1/2.”

Method of appointment (5 comments)

“Doing it online”

“Having face to face with drs to ask questions”

Wanting more time during appointments (4 comments)

“A bit more time to look at and discuss the cardio vascular test results.”

“Bit more time.”

Wanting reminders (3 comments)

“Perhaps a reminder message beforehand.”

“If I had a choice of selecting date and time for the examination and a reminder of the appointment and the eating/drinking restrictions the day before.”

Issues with appointments, such as cancellations (2 comments)

“Not so many cancellations”

“The first few appointments were held in respiratory outpatients. On one occasion they failed to let the research nurse know I was there and I was left waiting.”

Travel

22 comments related to travel. This theme covered the following topics:

Topic

Comments

Free or better parking and travel options (12 comments)

“Parking at the hospital!”

“Not paying for car park!! With complicated machine.”

Wanting to travel less for appointments (8 comments)

“To be able to have the tests done more locally.”

“Less far to travel.”

“Experience was good but if I had lived geographically closer it would have been easier.”

Better travel information (2 comments)

“Only logistics knowing where best to park on a given day. The carparks have small, detailed and specific parking areas, getting fined by parking in the wrong area by accident is always a concern.”

“More information about parking at hospital.”

Study related

19 comments related to the study. This theme covered the following topics:

Topic

Comments

Being in the control arm (8 comments)

“If I had been part of the intervention group.”

“A different result to the randomisation”

Would have liked the study to be longer (6 comments)

“Longer study!”

“I would have liked the research to go on for longer.”

Experiencing negative side effects (5 comments)

“I felt sick during some periods of the research, this was counteracted by being prescribed medication.”

“If I didn't react to product”

Consent

10 comments related to consent, such as when the participant was approached about taking part in research.

“If it could have been discussed at my pre-op and then I could have thought about it a bit more.”

“More support for partners, my wife is quite upset at the impact this is having on our ability to travel as well as the difficulty in comprehending the medical/genetic issues. I wish I had been able to consider the implications before consent. I suggest that a consent should be agreed after a few days to enable a thorough analysis by partner and participant”

Refreshments

10 comments related to refreshments.

“Coffee and biscuits”

“A cup of tea/coffee whilst waiting”

Knowledge and experience

8 comments related to staff knowledge and experience. This theme included comments about feeling like staff didn’t have the knowledge to answer questions or use required equipment. Comments under this section also relate to negative participant experiences relating to treatment from staff.

“It was always difficult to extract blood from me during initial appointments therefore requiring further appointments with GP. Maybe ensuring a nurse/doctor experienced in the above at the time of initial appointment.”

“Being seen as a human being and not just part of the research.”

Communication with other participants

5 comments mentioned that they would like to meet or talk with others taking part in the study.

“Talking or hearing about what people who had been in other trials had felt + experienced”

“I would have loved to meet other people taking - to learn from them and to hear their experience etc.”

Payments and recognition

3 comments related to wanting to receive recognition or to receive a greater payment for taking part.

“Larger payment.”

“A gift for completing the survey.”

Appendix 3: ALSPAC: What was positive about your research experience?

Theme

Comments

903 comments mentioned the research delivery staff

“Very friendly staff, made the day fun and made sure I was looked after”

“From start to finish, everyone at children 90s staff are fantastic.”

“Staff are always excellent -professional and friendly.”

“From the moment I walked through the door,and by everyone I encountered,I was treated enthusiastically,kindly and with respect.”

340 comments related to good communication

“Everything was very well explained and they were very happy to answer any questions I had.”

“I was kept fully informed of all what was happening and everything was explained fully. It's been a very pleasing experience.”

“Very organised with emails to invite me. Easy to follow instructions emailed prior to attending clinic.”

231 comments related to having a good experience

“It was a positive experience and I enjoyed taking part.”

“It was an interesting experience which was beneficial to both my self and the study”

“An enjoyable experience.”

151 comments related to contributing to improving healthcare or feeling that their contribution was valued

“Felt valued. Felt contributing to an important study.”

“I felt that I was contributing to a very important piece of long-term medical research.”

“Feeling valued about taking part.”

151 comments said the research study was efficient and easy to take part in

“Easy to complete. Simply questions”

“Very well organised.”

“Very smoothly co-ordinated, good level of information.”

139 comments mentioned experiencing personal benefits

“It was good to have a health check”

“Being given information about my own health  It makes me think about myself and my family and the way we live”

“The clinics research has helped me get the help I need for my disability.”

109 comments mentioned gaining a feeling of hope

“I hope I am helping this and future generations”

“The study is a far seeing way of understanding child development across a wide range of families. The research will help future generations in ways as yet undiscovered.”

“The well-being of future generations”

89 comments related to refreshments

“Plenty of snacks & drinks if required”
“Great selection of refreshments to enjoy after fasting.”

“Loved the cafe where you could have a breakfast after fasting before a visit”

72 comments related to the environment and where the research took place

“The facility was clean, welcoming and friendly.”

“The facilities are always inviting and well kept”

“Additional needs are well-accomodated for to attend the clinic.”

47 comments related to consent and not feeling pressure to participate

“Everything was explained clearly and it was made clear I could say no at any point.”

“They made sure I was comfortable with everything and didn't pressure me into things that I didn't want to do.”

“Consent was made a priority.”

34 comments related to recognition, financial reimbursement and expenses

“It is also nice to receive a financial incentive to take part.”

“Having financial help means I can take part easily.”

32 comments related to travel

“The added bonus of availability of parking on site.”

“The taxi collecting me and dropping me home makes it a stress free journey, which I really value.”

31 comments said "everything" was positive

"Everything. absolutely everything”

“It was all positive”

Appendix 4: ALSPAC: What would have made your research experience better?

Communication

321 comments related to communication. This theme covered the following topics:

Topic

Comments

Access to results of personal tests, including how these compare to others on the study (186 comments)

“To see my own progress and changes over the years”

“Direct feedback on personal results”

“Perhaps to understand where your results per test place you in the overall population.”

“Being able to receive all scan and test result information in a format with easy access.”

More general information about the study (73 comments)

“I think it would be interesting too know why certain tests were done for their research”

“Understanding more what they were researching and how this would help.”

“Would like to know more re the long-term research focus of ALSPAC.”

More information about the study results and/or updates about how the study is progressing (40 comments)

“To receive more study research findings.”

“Know more about what it informs”

“More clear outcomes from the research, ie a cure for something, or better lifestyle advice?”

Receiving incorrect information, such as appointment requirements (11 comments)

“The pre clinical information said I had to fast prior to attending , yet when I was in clinic , no one mentioned my need to fast . When I asked I was told that part of the research wasn’t available that day so I could eat!”
“Was sent incorrect info regarding fasting otherwise no other reccomedations”

More information about what was required from the participant (4 comments)

“One small thing - I was told in advance that the dates of my COVID vaccinations would be needed, so looked them up. I don't think I was told that you would need the type of vaccine, so had to access my GP records again at the appointment.”

“I was not aware that I required my full COVID.19 vaccination history.”

Wanting more contact from the study team and/or a single point of contact throughout (4 comments)

“More regular contact with the research teams.”

“Newsletters more often. I know it takes time to see trends and draw conclusions, but even a hello when I’m not being asked to fill in a survey would be nice.”

Wanting to receive fewer emails (1 comment)

“The constant trying to contact me before attending the clinic was unnecessary and excessive, yet when I had to cancel the visit at the last minute due to poor health, I heard nothing back.”

Issues around internal communication between staff and departments (1 comment)

“I feel there was a little confusion between different personel. One would say its okay to go and have a break/drink, then someone else would appear with the next activity lined up.”

Design of communications (1 comment)

“The clarity in the emails received. The format is often identical with the subject line not always linking to the content meaning you have re-read each email in detail to differentiate them.”

Procedures and materials

173 comments related to procedures and materials. This theme covered the following topics:

Topic

Comments

Technical issues with apps/equipment (57 comments)

“Some equipment was not working so one of the tests was not done.”

“The IT didn't work at various stages. Tech should be smoother! First scan machine didn't work. Tongue test didn't work at all. Researcher had to keep inputting my data manually.”

Would like to have done more tests (38 comments)

“Perhaps doing more tests or activities to learn additional facts about myself.”

“More clinics or questionares to be done”

Issues with questionnaires, such as feeling they were repetitive or too long (32 comments)

“Sometimes the questionnaires are rather long and there are some questions which are asked more than once but just with different wording.”

“The questionnaires are usually quite long. It might be easier to find the time if they were a bit shorter” 

Wanting more explanation about tests or how to use equipment (30 comments)

“Some of the instructions for the tasks could have been explained in a little more detail before doing them. Was sometimes a little confused.”

“More information beforehand about some tests - arrived and was unable to complete certain elements when they were explained.”

Method/how procedures were done (16 comments)

“A proper hearing test - the screening method used is not effective for anyone with tinnitus.”

“Not having to fast for quite so long!”

Appointments

122 comments related to appointments. This theme covered the following topics:

 

Topic

Comments

Location of the appointment and/or facilities (29 comments)

“I know it sounds daft but maybe pop posters (fun facts) where the participants are having to stay still for a while i.e. while getting the bone scan you have a light directly above, maybe attach one to the ceiling.”

“the temperature of the building fluctuated per room, kept having to put my jumper on and both off again.”

Experiencing delays and waiting times (18 comments)

“Time waiting around between tests.”

“I didn't expect to have to wait 20 minutes after my appointment time to be seen. After 2 hours I had to ask for refreshments, It was never offered to me.”

Wanting more time during appointments or more time for breaks (16 comments)

“Felt rushed in a few tasks and didn't get to complete all tasks as I usually would.”

“I would have liked a short break in the middle of the session. I had to ask and I felt awkward. It can be a lot for some people to continue straight for over 2 hours.”

Wanting greater flexibility over appointment times (14 comments)

“The option to book as a family would be great too as my husband is also part of the study as is my daughter so logistically would be easier to all book in for the same day”

“More appointment flexibility”

Booking of appointments (11 comments)

“Online booking system for days with lots of chance to book a long time ahead. We travel from North Yorkshire to do visits so like to tie in with other family visits.”

“Ability to reschedule as needed”

Issues with appointments (11 comments)

“Slightly chaotic organisation of the hearing test and one other test (which I don't think that I completed) with different people being tested at the same time. but generally a very good experience.”

“I wasn't able to do the dexa scan because it was occupied the whole time and stationary bike test because there was a data recording error.”

Wanting reminders (9 comments)

“ Sometimes with questionnaires a second nudge or request for me to complete as in busy life i can forget”

“Reminder day before to fast as I forgot.”

Wanting shorter appointment times (9 comments)

“Shorter - took too long”

“Not quite so long”

More information about time commitments (5 comments)

“It's gone on for longer than expected - warning of this would be good but not a huge deal!”

“I was told it would take 2 hours but it was actually closer to 3 hours - would have been good to be warned of that beforehand.”

Travel

70 comments related to travel. This theme covered the following topics:

Topic

Comments

Wanting to travel less for appointments (42 comments)

“Having a satellite centre where you could go for the focus sessions for people who live in the north of england”

“More local site to my home or a home visit”

Free or better parking and travel options (15 comments)

“Easier parking as car park was full.”

“Better transport links”

Better travel information (13 comments)

“Map of centre sent to my phone before my visit as I got lost”

“I don't think much else could be done to improve things, other than a map of the immediate vicinity of the test centre. We did take a wrong turning (too early) only to find the road closed off. My mistake, so not an issue, but a warning might have been useful. Not a big problem though.”

Knowledge and experience

53 comments related to staff knowledge and experience. This theme included comments about feeling like staff didn’t have the knowledge to answer questions or use required equipment. Comments under this section also relate to negative participant experiences relating to treatment from staff.

“For my research staff member to have put me a little more at ease as I was very nervous. It felt like she was reading from a script.”

“Staff who were confident and competent at using the equipment to complete the assessments, many times they didn’t know how the equipment worked”

“Issues getting my blood from my arm and no senior staff near the end of the day to try from my hand - but then again i picked a late time - but maybe making sure someone senior is there later still”

Refreshments

43 comments related to refreshments.

“More vegan food would be appreciated”

“Real coffee and more fruit!”

Payments and recognition

14 comments related to wanting to receive recognition or to receive a greater payment for taking part. This theme covered the following topics:

Topic

Comments

Wanting to receive payment or to receive more money (8 comments)

“More compensation/appreciation of time given.”

“I would like to be compensated more. I think that, over the years, data has become more and more valuable, and people are becoming more aware of the value of their own data and how this can be compromised. Therefore, I think that the amount of shopping voucher that is given should be of a higher amount, as the data we give is worth so much.”

Time it took to receive reimbursement/payments (3 comments)

“If I didn't have to pay for train tickets myself and wait several weeks for the money to be reimbursed”

“Payment of train in advance so I wasn't out of pocket for 1 month”

Method of recognition (3 comments)

“The cards which are given with some money on them are impossible to use.”

“If the voucher could be spent on stuff like electric + council tax that would be really helpful.”

Study related

3 comments related to the study. This theme covered the following topics:

Topic

Comments

Being in the control arm (1 comment)

“Not getting the placebo”

Being involved in participant involvement (1 comment)

“The only thing that I believe would make the study better is wider participant involvement in the decisions made about the research taking place. As a long term participant, I'd like to have a say on what I would like to see from the research in the future. It might not impact us as a generation, but could result in things being identified in our own children or generations to come. This could also have a massive impact on care provision in the future, saving money and time if illnesses or conditions can be identified in their infancy.”

Experiencing negative reactions (1 comment)

“I did have red pinch marks on my arm from the blood pressure tests which I’ve never had before”

Communication with other participants

3 comments mentioned that they would like to meet or talk with others taking part in the study.

“Meeting other people involved in the study”

“maybe if i could meet other parents”

“More newsletters + some meet ups with people who have been part of the study.”

Appendix 5: CYP: What was positive about your research experience?

Theme

Comments

45 comments mentioned the research delivery staff

“The staff that came to us and explained everything to us was very informative, caring and just generally lovely and put us at ease given the situation we were facing.”

“The staff here are all wonderful. Everyone we have encountered has been so friendly and helpful. Everyone is calm, confident and experienced. We feel very well looked after.”

“Very friendly approach. Clear explanations. Very much felt like we were treated as individuals, rather than 'participants in a study'.”

26 comments related to good communication

“You explained to me like a person of my age not a 2 year old and allowed me to fully understand the research and what I was doing/happening”

“Gave me lots of information.”

13 comments mentioned gaining a feeling of hope

“Great that this kind of research can help in future procedures such as his & may one day possibly find a cause for these heart conditions”

“That is could be beneficial in the future for other children with his conditions.”

11 comments said the research study was efficient and easy to take part in

“Any tests needed to be done were always done as a regular part of treatment, this has prevented a lot of stress for my daughter”

“It was non-intrusive. I didn't want my child to have to do anything extra (he gets distressed around unfamilar people & places). It had been explained when samples would be taken and I was happy to go ahead”

6 comments related to contributing to improving healthcare or feeling that their contribution was valued

“I am happy for my child to take part in the research if it will help others”

“Being able to help others”

5 comments related to consent and not feeling pressure to participate

“The team were kind and genuine, we never felt pressured. They were clear and patient, giving us time to process the information.”

“The research nurses were friendly and kind. They were happy to answer any questions we had, and very clearly stated that we were fine to stop participation at any point if we change our minds!”

5 comments mentioned experiencing personal benefits

“My son benefited from the vaccine.”

“Finding out weight + height. Skin assessments”

2 comments said "everything" was positive

“everything”

“All great”

1 comment related to having a good experience

“Interesting study to be a part of!”

1 comment related to recognition and financial reimbursement

“I can’t believe we get paid £75 to contribute to improving health!”

Appendix 6: CYP: What would have made your research experience better?

Procedures and materials

11 comments related to procedures and materials. This theme covered the following topics:

Topic

Comments

Technical issues with apps/equipment (6 comments)

“The app was glitchy and didn’t always work.”

“The app to collect data could be improved as it wasn’t always easy to complete the questions on there”

Wanting more explanation about tests or how to use equipment (5 comments)

“More advice prior to bracing on initial logistics of getting used to brace, E.g needing 2-3 T-shirts per day, needing to buy trousers etc a size bigger to go over brace. Physio/exercise advice given at start of bracing to counteract negative effects of wearing brace, e.g on core.”

“That bloods were being taken without being told normal bloods were being done”

Appointments

4 comments related to appointments. This theme covered the following topics:

Topic

Comments

Wanting greater flexibility over appointment times (1 comment)

“I'm not sure what could be done - but the time was stressful for getting cover at work - this is very difficult at short notice.”

Experiencing delays and waiting times (1 comment)

“Waiting to be discharged is always a slow process. Perhaps we just don't understand what the wait is for? Could something be done to improve this, freeing up the bed for someone else?”

Wanting reminders (1 comment)

“A reminder on the app to inform me if I’d filled out the e diary that month.”

Continuity of staff (1 comment)

“Continuity of doctor seen at research appointments.”

Communication

3 comments relating to communication. This theme covered the following topics:

Topic

Comments

Access to results of personal tests, including how these compare to others on the study (2 comments)

“More frequent updates on research progression”

“We're sure we were probably told, but we can't recall much about what happens with the results of the study and whether and how they get communicated to us?”

Design of communications (1 comment)

“The only thing I would mention is the information leaflet at the beginning of the trial which gives you the information about the radar trial. For me this leaflet was far too long and far too detailed to read in a time where you’re already in a time of information overload and feel overwhelmed with everything going on. I know it is important to be told every little detail and to have it in writing, I don’t think that should change but I do think there should be a section of the leaflet which just has a very simplified pros and cons list or simplfiied information list with the most important things to know. The wording is quite confusing and it would be helpful to have something to help you make a decision about whether you want to take part in the trial or not.”

Study related

2 comments related to being allocated to the control arm of the study.

“That my child wasn't given the placebo!”

“Being able to benefit of the allergy test after the research experience (as we were the control group), so not so beneficial for us.”

Refreshments

2 comments related to refreshments.

“Expenses, more biscuits”

“sweets or stickers. Nothing important, the experience was fine for a hospital procedure”