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Involving informal carers in health and social care research
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-0808-0004
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages
Abstract [en]

The overarching aim of this thesis is to gain a deeper understanding of informal carer involvement in health and social care research, from the perspective of informal carers themselves as well as from a researcher perspective.The thesis is comprised of three qualitative studies and one quantitative study. Three studies are from the perspective of informal carers, and one is from the perspective of researchers. The three qualitative studies used qualitative content analysis and discourse psychology, while the quantitative study used descriptive statistics, logistic regression and two different types of factor analysis. The data collection methods varied; in the first and the fourth studies, the data were derived from individual interviews, in the second study participants completed a questionnaire, and in the third study the data were collected from group meetings with carers.The findings showed that carer involvement in research is complex, comprising both benefits and challenges, and demands a high level of engagement from all involved, throughout the research process. The researcher must acknowledge that carers’ motivations for involvement in research vary, and the researcher should adapt their recruitment methods accordingly. It is easy to believe that becoming involved in research is an individual choice, but the findings revealed that only some carer groups choose to become involved in research. The findings also showed that the knowledge brought by carers to the research stretches far beyond their practical experiences of caring. When researchers choose to involve carers in research, their research would benefit greatly if they acknowledged the possibility that they themselves might become relationally and emotionally involved.Successful carer involvement in research therefore encompasses both a meaningful process and a meaningful result. As carers are a heterogeneous group, this places demands on a researcher’s flexibility and creativity to manage the recruitment process and involve a broad cross section of carers. If they fail in this, the research carried out and any interventions developed risk being valid for particular groups of carers and invalid in relation to other carer groups.

Place, publisher, year, edition, pages
Kalmar: Linnaeus University Press, 2022. , p. 87
Series
Linnaeus University Dissertations ; 453
Keywords [en]
carer involvement, health and social care research, heterogeneity, identity, participatory research, patient and public involvement
National Category
Health Sciences
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-112828ISBN: 9789189709072 (print)ISBN: 9789189709089 (electronic)OAI: oai:DiVA.org:lnu-112828DiVA, id: diva2:1657778
Public defence
2022-06-03, Sal Lapis, Hus Vita, Kalmar, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2022-05-12 Created: 2022-05-12 Last updated: 2025-05-15Bibliographically approved
List of papers
1. Moving beyond the first response phenomenon: Exploring carers' views and experiences of being involved in research and development work
Open this publication in new window or tab >>Moving beyond the first response phenomenon: Exploring carers' views and experiences of being involved in research and development work
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2019 (English)In: International journal of sociology and social policy, ISSN 0144-333X, E-ISSN 1758-6720, Vol. 39, no 7-8, p. 627-643Article in journal (Refereed) Published
Abstract [en]

Purpose In Sweden, the care of older people and people with disabilities is increasingly carried out by informal carers, often family members, who are unpaid and outside a professional or formal framework. While there is an increasing awareness of the role of carers within service systems and their own needs for support, their involvement in research is underexplored. The purpose of this paper is to explore carers' views and experiences of involvement in research and development (R&D) work. Design/methodology/approach A qualitative study was conducted, consisting of 12 individual interviews with carers from different local Swedish carer organizations. Findings Core findings included carers' discussions of the perceived challenges and benefits of their involvement in research, both generally and more specifically, in the context of their involvement in the development of a national carer strategy. Research limitations/implications - Limitations included the relative lack of male carer participants and the convenience sample. Practical implications - Authentic carer involvement in research demands a high level of engagement from researchers during the entire research process. The provided CRAC framework, with reference to the themes community, reciprocity, advocacy and circumstantiality, may help researchers to understand and interpret carer involvement in research and provide the prerequisites for their involvement. Originality/value There is a dearth of studies that systematically examine carer involvement in research. This paper attempts to redress this gap by providing a nuanced analysis of carer involvement in R&D work from the perspective of carers themselves.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2019
Keywords
Identity, Heterogeneity, Research and development, Social policy, Carer involvement, Carer strategy
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-89259 (URN)10.1108/IJSSP-05-2019-0091 (DOI)000482906500008 ()2-s2.0-85071592502 (Scopus ID)
Available from: 2019-09-24 Created: 2019-09-24 Last updated: 2025-05-15Bibliographically approved
2. What motivates informal carers to be actively involved in research, and what obstacles to involvement do they perceive?
Open this publication in new window or tab >>What motivates informal carers to be actively involved in research, and what obstacles to involvement do they perceive?
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2021 (English)In: Research Involvement and Engagement, E-ISSN 2056-7529, Vol. 7, no 1, article id 80Article in journal (Refereed) Published
Abstract [en]

Background: Due to demographic changes and a strained public sector operating in many countries globally, informal care is increasing. Currently, at least 1.3 million adults in Sweden regularly provide help, support and/or care to a family member/significant other. With no sign of an imminent decrease in their caring activities, it is important that informal carers are considered as a key stakeholder group within research that affects them, e.g., the co-design of carer and/or dyadic support interventions. The objective of this descriptive, quantitative study was to investigate informal carers’ perceived motivations and obstacles to become involved in research.

Methods: A cross-sectional survey design was adopted, using first-wave data from a panel study. The data, collected in Sweden between September 2019 and March 2020, included survey responses from 147 informal carers who were either aged 60+ years themselves or were caring for someone who was aged 60+ years.

Results: Our main results showed that informal carers are, in general, interested in research. Slightly fewer were interested in becoming actively involved themselves, but older age was the only characteristic significantly associated with less interest of being actively involved. Two latent motivational dimensions emerged from the factor analysis: ‘family motivation’ and ‘the greater good motivation’. These, according to our results, almost equally valued dimensions, described the differing reasons for informal carers to become involved in research. The most common perceived obstacle was lack of time and it was reported by more women than men.

Conclusion: Our study contributes with new knowledge of informal carers’ perceived motivations and obstacles regarding carer involvement in research. Paying attention to the differing motivational dimensions held by informal carers could help researchers create conditions for more inclusive and systematic participation of informal carers within research. Thereby, increasing the opportunities for research that is deemed to be of higher societal impact. IRRID (International Registered Report Identifier): RR2-10.2196/17759.

Place, publisher, year, edition, pages
BioMed Central, 2021
Keywords
General Health Professions, Health(social science)
National Category
Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-107848 (URN)10.1186/s40900-021-00321-x (DOI)2-s2.0-85118706709 (Scopus ID)2021 (Local ID)2021 (Archive number)2021 (OAI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2021-11-09 Created: 2021-11-09 Last updated: 2025-05-15Bibliographically approved
3. Exploring the knowledge contributions of carers involved in a group process aimed at co-creating a targeted support intervention
Open this publication in new window or tab >>Exploring the knowledge contributions of carers involved in a group process aimed at co-creating a targeted support intervention
2023 (English)In: International Journal of Care and Caring, ISSN 2397-8821, E-ISSN 2397-883X, Vol. 7, no 3, p. 479-497Article in journal (Refereed) Published
Abstract [en]

Patient and public involvement is a way of ensuring that research and practices are more responsive to their target groups. This study, inspired by discourse psychology, explores the knowledge contributions of informal carers who participated in group meetings to co-create a support intervention. Findings highlight that carers’ knowledge is complex, including more than practical caring experiences. Acknowledging carers’ knowledge contributions and involving a heterogeneous sample of carers are key considerations for patient and public involvement in research; otherwise, there is a danger of establishing risks of injustice. Accepting the multifaceted knowledge of carers could increase the validity of research and the relevance of interventions developed.

Place, publisher, year, edition, pages
Bristol University Press, 2023
Keywords
carers, carer knowledge, discourse psychology, patient and public involvement
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-119620 (URN)10.1332/239788221x16740618578816 (DOI)000972016500001 ()2-s2.0-85167419122 (Scopus ID)
Available from: 2023-03-01 Created: 2023-03-01 Last updated: 2025-08-12Bibliographically approved
4. A balance between putting on the researcher's hat and being a fellow human being: a researcher perspective on informal carer involvement in health and social care research
Open this publication in new window or tab >>A balance between putting on the researcher's hat and being a fellow human being: a researcher perspective on informal carer involvement in health and social care research
2022 (English)In: Health Research Policy and Systems, E-ISSN 1478-4505, Vol. 20, no 1, article id 135Article in journal (Refereed) Published
Abstract [en]

Background: Public involvement in health and social care research is increasingly prioritized by policy-makers and research funders. Often, the impact of the involvement is described in terms of how it has contributed to the research outcomes and how it has affected the involved members of the public. There is a dearth of studies reporting from the perspective of researchers themselves of having involved members of the public in their research. Nevertheless, there is a general expectation for researchers to accept and embrace public involvement in research. This study aims to explore researchers' views of involving informal carers in health and social care research. Methods: Eleven individual in-depth interviews with researchers in the fields of social work, caring science, health science and medical science constituted the dataset of this qualitative study, inspired by discourse psychology. Results: The qualitative data analysis resulted in two interpretative repertoires describing researchers' views of involving informal carers in research, "Philosophy of Science " and "Personal relationships and growth ". Both repertoires need to be recognized; however, as of today, the Philosophy of Science repertoire is more acknowledged, while the second repertoire describing empathy, relationships and emotions may be viewed as the researcher being "unprofessional ". Further, the findings highlighted the dual perspective of being a researcher and a carer as creating opportunities for growth on the part of the researcher, on both a professional and a personal level. Conclusions: Researchers and their research work would benefit from acknowledging, discussing and reporting both interpretative repertoires in their publications, as well as recognizing the benefit of dialectal positions, for example, having a dual perspective as both a researcher and an informal carer.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Informal carer involvement, Researchers, Health and social care research, Public and patient involvement (PPI), Interviews, Discourse psychology
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-118754 (URN)10.1186/s12961-022-00946-8 (DOI)000899891300001 ()36527014 (PubMedID)2-s2.0-85144096685 (Scopus ID)
Available from: 2023-01-26 Created: 2023-01-26 Last updated: 2025-08-20Bibliographically approved

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Citation style
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