Bohm, Natalie Diane;
(2020)
The research priorities for UK ENT, Hearing and Balance Care: a qualitative investigation of the views and voices of stakeholders.
Doctoral thesis (Ph.D), UCL (university College London).
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Abstract
Clinical research activity in ENT, Hearing and Balance care has historically been low in the UK and internationally. Stimulating this activity can improve patient care but it has been recognised that there is significant waste in biomedical research, and that research questions need to be developed that translate to patient benefit. Priority setting has been increasingly used to develop research agendas to address this, reduce waste, and influence the allocation of resources in healthcare research. Although there have been previous research priority setting exercises in ENT, Hearing and Balance care, none undertaken in the UK have gone beyond a specific clinical topic or consulted with a broad range of stakeholders. This thesis, as the first study of the research priorities across UK ENT, Hearing and Balance care, contributes to addressing this gap. Following a review of the literature a multi-step process using qualitative methodology was designed to determine stakeholders and identify research ideas. Gathering data through a survey and focus groups, developing the ideas and then prioritising them through an Expert Forum and Consensus Conference, this study addressed the question: What are the research priorities for ENT, Hearing and Balance care in the UK according to the views and voices of its stakeholders? A two-dimensional framework, inductively derived from the data, identified research themes and clinically-based topics. Within this framework, 21 research priorities were chosen by mixed groups of stakeholders through facilitated small and large group discussion, and reasons given by the groups for their choices were outlined. This study discusses the quality of the process developed, and the priorities compared to those from other exercises. In developing the priorities, the balance needed between methodological purity and pragmatism is considered, and the contribution of this study to research in the field is explored.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | Ph.D |
| Title: | The research priorities for UK ENT, Hearing and Balance Care: a qualitative investigation of the views and voices of stakeholders |
| Event: | UCL |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2020. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| Keywords: | Research priorities, Research priority setting exercise, ENT, Otolaryngology, Hearing and balance care, Qualitative |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10109434 |
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