Table 2.

Factors that could be barriers to or facilitators of residents' involvement in research processes

Barrier and facilitator categories
Social factorsSkillsResourcesCare-home organisational factorsOrganisation of the research
BarriersResident low confidence
Apprehension to engage into something different
Power relations (mentioned in relation to staff and relatives)
Researcher and research seen as threatening (to staff)
Frustration about complexity and slow progress
Lack of trust in confidentiality
Low or changing mood of some residents
Role conflict of researching in own home
Sensory and communication difficulties
Changing health of residents
Cognitive impairment resulting in limited skills to participate and negotiate
Meetings might be monopolised by one member
Lengthy and complex reports can frustrate residents
Residents' low energy
Lack of funding for more continuous input
Limited time of the researcher (e.g. not available at the weekend, no time for providing feedback)
Lack of space to hold meetings
Unsupportive organisational culture
Individuals and groups feel isolated from each other
Perception that residents’ involvement might slow down decision-making process
Dominant person might influence residents
Limited researcher flexibility
Ethical protocols excluded and limited participation
Researchers reluctance to relinquish control
Timing of meetings, e.g. evening
Venue of meeting, e.g. not at care home or lack of privacy
FacilitatorsThe development of trust and good relationships
Residents’ experiences valued
Residents are supported to contribute
People are open to change
Good commitment from the PPI people
Transparency of processes
Residents have some control, e.g. some ownership over decisions
Assurance that the study will result in progress
Assured confidentiality
Ensure members can stop at any time without reason
Researchers providing constant encouragement and support to residents
Researchers embracing deviant perspectives
Researchers using successful examples to illustrate involvement
Researchers willing to share control
Researchers contactable at all times
Making negotiated ground rules
Being able to communicate with diverse groups of people
Researchers using creative methods to engage residents
Researchers being flexible
Funding for honorarium for participants
Time to do the groundwork required, e.g. proving information
Time to arrange meetings and support residents
Suitable venues and space to hold meetings
Providing sustenance
Financial resources to implement changes identified by the research
Supportive organisational culture
Care-home management on board
Care-home management willing to change
Care-home staff value residents being involved in study
Emergent study design
Use topics that really matter to the residents
Flexibility in residents’ involvement, e.g. use informal conversations if needed
Allow personal ad hoc contact with research team
Summarise meeting notes into accessible formats, e.g. posters
Send materials out before meetings
Recruit researchers who can support older people
Recognise multiple stakeholder groups and support marginalised groups
Barrier and facilitator categories
Social factorsSkillsResourcesCare-home organisational factorsOrganisation of the research
BarriersResident low confidence
Apprehension to engage into something different
Power relations (mentioned in relation to staff and relatives)
Researcher and research seen as threatening (to staff)
Frustration about complexity and slow progress
Lack of trust in confidentiality
Low or changing mood of some residents
Role conflict of researching in own home
Sensory and communication difficulties
Changing health of residents
Cognitive impairment resulting in limited skills to participate and negotiate
Meetings might be monopolised by one member
Lengthy and complex reports can frustrate residents
Residents' low energy
Lack of funding for more continuous input
Limited time of the researcher (e.g. not available at the weekend, no time for providing feedback)
Lack of space to hold meetings
Unsupportive organisational culture
Individuals and groups feel isolated from each other
Perception that residents’ involvement might slow down decision-making process
Dominant person might influence residents
Limited researcher flexibility
Ethical protocols excluded and limited participation
Researchers reluctance to relinquish control
Timing of meetings, e.g. evening
Venue of meeting, e.g. not at care home or lack of privacy
FacilitatorsThe development of trust and good relationships
Residents’ experiences valued
Residents are supported to contribute
People are open to change
Good commitment from the PPI people
Transparency of processes
Residents have some control, e.g. some ownership over decisions
Assurance that the study will result in progress
Assured confidentiality
Ensure members can stop at any time without reason
Researchers providing constant encouragement and support to residents
Researchers embracing deviant perspectives
Researchers using successful examples to illustrate involvement
Researchers willing to share control
Researchers contactable at all times
Making negotiated ground rules
Being able to communicate with diverse groups of people
Researchers using creative methods to engage residents
Researchers being flexible
Funding for honorarium for participants
Time to do the groundwork required, e.g. proving information
Time to arrange meetings and support residents
Suitable venues and space to hold meetings
Providing sustenance
Financial resources to implement changes identified by the research
Supportive organisational culture
Care-home management on board
Care-home management willing to change
Care-home staff value residents being involved in study
Emergent study design
Use topics that really matter to the residents
Flexibility in residents’ involvement, e.g. use informal conversations if needed
Allow personal ad hoc contact with research team
Summarise meeting notes into accessible formats, e.g. posters
Send materials out before meetings
Recruit researchers who can support older people
Recognise multiple stakeholder groups and support marginalised groups
Table 2.

Factors that could be barriers to or facilitators of residents' involvement in research processes

Barrier and facilitator categories
Social factorsSkillsResourcesCare-home organisational factorsOrganisation of the research
BarriersResident low confidence
Apprehension to engage into something different
Power relations (mentioned in relation to staff and relatives)
Researcher and research seen as threatening (to staff)
Frustration about complexity and slow progress
Lack of trust in confidentiality
Low or changing mood of some residents
Role conflict of researching in own home
Sensory and communication difficulties
Changing health of residents
Cognitive impairment resulting in limited skills to participate and negotiate
Meetings might be monopolised by one member
Lengthy and complex reports can frustrate residents
Residents' low energy
Lack of funding for more continuous input
Limited time of the researcher (e.g. not available at the weekend, no time for providing feedback)
Lack of space to hold meetings
Unsupportive organisational culture
Individuals and groups feel isolated from each other
Perception that residents’ involvement might slow down decision-making process
Dominant person might influence residents
Limited researcher flexibility
Ethical protocols excluded and limited participation
Researchers reluctance to relinquish control
Timing of meetings, e.g. evening
Venue of meeting, e.g. not at care home or lack of privacy
FacilitatorsThe development of trust and good relationships
Residents’ experiences valued
Residents are supported to contribute
People are open to change
Good commitment from the PPI people
Transparency of processes
Residents have some control, e.g. some ownership over decisions
Assurance that the study will result in progress
Assured confidentiality
Ensure members can stop at any time without reason
Researchers providing constant encouragement and support to residents
Researchers embracing deviant perspectives
Researchers using successful examples to illustrate involvement
Researchers willing to share control
Researchers contactable at all times
Making negotiated ground rules
Being able to communicate with diverse groups of people
Researchers using creative methods to engage residents
Researchers being flexible
Funding for honorarium for participants
Time to do the groundwork required, e.g. proving information
Time to arrange meetings and support residents
Suitable venues and space to hold meetings
Providing sustenance
Financial resources to implement changes identified by the research
Supportive organisational culture
Care-home management on board
Care-home management willing to change
Care-home staff value residents being involved in study
Emergent study design
Use topics that really matter to the residents
Flexibility in residents’ involvement, e.g. use informal conversations if needed
Allow personal ad hoc contact with research team
Summarise meeting notes into accessible formats, e.g. posters
Send materials out before meetings
Recruit researchers who can support older people
Recognise multiple stakeholder groups and support marginalised groups
Barrier and facilitator categories
Social factorsSkillsResourcesCare-home organisational factorsOrganisation of the research
BarriersResident low confidence
Apprehension to engage into something different
Power relations (mentioned in relation to staff and relatives)
Researcher and research seen as threatening (to staff)
Frustration about complexity and slow progress
Lack of trust in confidentiality
Low or changing mood of some residents
Role conflict of researching in own home
Sensory and communication difficulties
Changing health of residents
Cognitive impairment resulting in limited skills to participate and negotiate
Meetings might be monopolised by one member
Lengthy and complex reports can frustrate residents
Residents' low energy
Lack of funding for more continuous input
Limited time of the researcher (e.g. not available at the weekend, no time for providing feedback)
Lack of space to hold meetings
Unsupportive organisational culture
Individuals and groups feel isolated from each other
Perception that residents’ involvement might slow down decision-making process
Dominant person might influence residents
Limited researcher flexibility
Ethical protocols excluded and limited participation
Researchers reluctance to relinquish control
Timing of meetings, e.g. evening
Venue of meeting, e.g. not at care home or lack of privacy
FacilitatorsThe development of trust and good relationships
Residents’ experiences valued
Residents are supported to contribute
People are open to change
Good commitment from the PPI people
Transparency of processes
Residents have some control, e.g. some ownership over decisions
Assurance that the study will result in progress
Assured confidentiality
Ensure members can stop at any time without reason
Researchers providing constant encouragement and support to residents
Researchers embracing deviant perspectives
Researchers using successful examples to illustrate involvement
Researchers willing to share control
Researchers contactable at all times
Making negotiated ground rules
Being able to communicate with diverse groups of people
Researchers using creative methods to engage residents
Researchers being flexible
Funding for honorarium for participants
Time to do the groundwork required, e.g. proving information
Time to arrange meetings and support residents
Suitable venues and space to hold meetings
Providing sustenance
Financial resources to implement changes identified by the research
Supportive organisational culture
Care-home management on board
Care-home management willing to change
Care-home staff value residents being involved in study
Emergent study design
Use topics that really matter to the residents
Flexibility in residents’ involvement, e.g. use informal conversations if needed
Allow personal ad hoc contact with research team
Summarise meeting notes into accessible formats, e.g. posters
Send materials out before meetings
Recruit researchers who can support older people
Recognise multiple stakeholder groups and support marginalised groups
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