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Co-developing a Survey on Public Understanding of Sustainable Clinical Research: A Study Protocol

This study protocol outlines a two-phase approach to co-developing and deploying an online survey with Public and Patient Involvement partners to assess public awareness and attitudes toward environmental sustainability in clinical research.

Original authors: Keegan, D., ONeill, L., Doran, P.

Published 2026-01-23
📖 4 min read☕ Coffee break read

Original authors: Keegan, D., ONeill, L., Doran, P.

Original paper licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). ⚕️ This is an AI-generated explanation of a preprint that has not been peer-reviewed. It is not medical advice. Do not make health decisions based on this content. Read full disclaimer

The Big Picture: A Recipe for a Better Questionnaire

Imagine that clinical research (the studies that help us find new cures) is like a giant, busy kitchen. It's essential for feeding the world better health, but it creates a lot of "mess" in the form of carbon emissions—like smoke from ovens, waste from packaging, and exhaust from delivery trucks.

The authors of this paper realize that while the kitchen is making a mess, they don't really know what the diners (the public and patients) think about it. Do they care about the smoke? Do they know the menu is changing to be greener?

This paper isn't the final report on what people think yet. Instead, it is the blueprint or recipe for building a tool to find out. It's a plan to create a survey, but with a special twist: they aren't just writing the questions themselves; they are building the survey with the people who will take it.

The Two-Phase Plan

The study is like building a house in two distinct stages:

Phase 1: The "Architects and Homeowners" Meeting (Co-Development)

Before they can ask the public questions, they need to make sure the questions actually make sense to regular people, not just scientists.

  • The Analogy: Imagine you are building a new park. Instead of just drawing the plans in an office, you invite the neighbors to sit around a table with you. You say, "We think we need a slide here," and the neighbors say, "Actually, we'd prefer a sandbox there, and the slide should be blue, not red."
  • What they will do: The researchers will hold two workshops with a small group of "Public and Patient Involvement" (PPI) partners. These are regular people, not necessarily experts.
  • The Process:
    1. Workshop 1: They will brainstorm topics (like "Do you know what clinical research is?" or "How much do you care about the environment?"). They will use a method called "Card Sorting." Think of this like a game where everyone writes ideas on index cards, shuffles them, and groups them together to see what themes naturally pop up.
    2. Workshop 2: They will look at the draft questions, refine them, and make sure the language is clear and friendly.
  • The Goal: To create a survey that feels like it was written by the community, for the community, ensuring no one feels confused or talked down to.

Phase 2: The "Town Hall" (Distribution)

Once the survey is built and tested by the neighbors (the PPI partners), it's time to open the doors to the whole town.

  • The Analogy: Now that the park is designed, they are putting up signs all over the city to invite everyone to come in and fill out a feedback form about the park.
  • Who they are asking: They will send the survey to people connected to clinical research, patient groups, and the general public via social media and networks.
  • The Goal: They want to hear from about 377 people. They aren't trying to predict the future or force a specific outcome; they just want a clear snapshot of what people currently know and feel about "green" research.

Why Do It This Way?

The paper argues that if scientists just write a survey in a lab, they might use confusing jargon or ask questions nobody cares about. It's like a chef asking, "How do you feel about the molecular gastronomy?" when the diner just wants to know if the soup is too salty.

By using Public and Patient Involvement (PPI), they ensure the survey is:

  • Accessible: Easy to read and understand.
  • Relevant: Asking about things that actually matter to people.
  • Trustworthy: Because the public helped build it, they are more likely to trust the results.

The Rules of the Game

  • Privacy: The survey is anonymous. It's like dropping a note in a sealed box; no one knows who wrote it.
  • Ethics: They have official permission from a university ethics committee to do this.
  • No Results Yet: This paper is just the plan. The actual answers from the 377 people haven't been collected or analyzed yet.

Summary

In short, this paper is a promise to build a bridge between scientists and the public. The researchers are saying, "We know clinical research has an environmental footprint, but we don't know what you think about it. So, let's build a questionnaire together, and then let's ask the whole world what they think." The result will be a better understanding of public opinion, which can help guide how research is done in the future to be cleaner and more sustainable.

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