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Can theatre successfully disseminate messages about public involvement in research?

20 November 2024

A play jointly developed and performed by public contributors and a community theatre team raised awareness of domestic abuse, according to a new paper published in Health Expectations. However, opinions were divided on whether it was also able to successfully disseminate messages about patient and public involvement (PPI) in research on sensitive subjects.

In December 2020, the research team behind a study about mindfulness for women with a history of domestic abuse (the coMforT study) secured a grant to explore the value of PPI in disseminating research on a sensitive topic. This resulted in the co-development of a play about the lived experiences of two members of the study’s PPI group.

The research team subsequently secured further funding to evaluate the impact, acceptability, and safety of using theatre to publicize PPI and findings from research on domestic abuse.

The results of this evaluation have demonstrated that both audience members and the play’s creators felt it increased audience knowledge and changed attitudes about domestic abuse. They linked its value for research dissemination to its accessibility and ability to emotionally engage the public.

However, the evaluation also showed that the play’s ability to raise audience awareness about PPI in research was limited. While the project funder wanted to prioritise the PPI value of the play, it was PPI contributors with lived experience who led its development. They chose to prioritise the story line about domestic abuse, resilience, and peer support.

Due to the subject matter, the play’s potential for re-traumatising its creators, performers and audience members had to be carefully considered so risks could be minimised. The play creators tried to prevent and mitigate the risk of re-traumatising audience members and the project team by:

  • creating safe environments
  • centring trusting relationships and peer support
  • ensuring the core messages and process of play development were empowering making the play accessible

Cat Papastavrou Brooks, lead author on the study, said:

“Our work has shown that co-developing plays based on the lived experiences of PPI contributors can be an acceptable and safe way of disseminating research on sensitive subjects.

“However, successfully achieving this depends on the team being given flexibility to decide the key messages they want to disseminate. PPI contributors should have autonomy during this process and funders should be aware that the output will be shaped by PPI contributors.”

Dr Natalia Lewis, senior author on the study, said:

“Adequate resources are vital to ensuring that everyone can be supported in their role within a project of this type. Practitioners should also ensure that the creative process centres play, empowerment and safety and the play is not based on the personal experiences of contributors.”

Read the paper: The Acceptability, Safety and Impact of a Play Co-Developed With Public Contributors as a Format for Disseminating Research on a Sensitive Subject

Further information

About the Centre for Academic Primary Care

The Centre for Academic Primary Care (CAPC) at the University of Bristol is a leading centre for primary care research in the UK, one of ten forming the NIHR School for Primary Care Research. It sits within Bristol Medical School, an internationally recognised centre of excellence for population health research and teaching. Follow on Bluesky: @capcbristol.bsky.social, X: @capcbristol and LinkedIn

About the NIHR

The mission of the National Institute for Health and Care Research (NIHR) is to improve the health and wealth of the nation through research. We do this by:

  • Funding high quality, timely research that benefits the NHS, public health and social care;
  • Investing in world-class expertise, facilities and a skilled delivery workforce to translate discoveries into improved treatments and services;
  • Partnering with patients, service users, carers and communities, improving the relevance, quality and impact of our research;
  • Attracting, training and supporting the best researchers to tackle complex health and social care challenges;
  • Collaborating with other public funders, charities and industry to help shape a cohesive and globally competitive research system;
  • Funding applied global health research and training to meet the needs of the poorest people in low and middle income countries.

NIHR is funded by the Department of Health and Social Care. Its work in low and middle income countries is principally funded through UK Aid from the UK government.

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