Introducing patient and public involvement practices to healthcare research in Austria: strategies to promote change at multiple levels

Patient and public involvement (PPI) in research is well-established in the UK. However, it can be challenging to introduce PPI to research communities where there is limited prior knowledge, experience or appreciation of PPI. In a new article, researcher from the LBG Open Innovation and Science Center (, the Ludwig Boltzmann Institute for Digital Health and Prevention ( and the Ludwig Boltzmann Instituts Digital Health and Patient Safety ( to explore current PPI practices, experiences and ethical and operational challenges with PPI within our own research community in Austria, to inform strategies for supporting PPI in Austria going forward.

Methods The authors surveyed scientists at 21 research institutes of the Ludwig Boltzmann Gesellschaft (LBG) and representatives of 32 medical and university research ethics committees in Austria using online questionnaires. They analysed quantitative data using descriptive statistics, and  collated textual responses to open questions. Also, they combined survey data with anecdotal evidence from our personal experience to summarise current challenges around implementing PPI in Austria.

Results Nineteen scientists from nine research institutes indicated generally positive attitudes towards PPI. However, the majority reported they rarely or never involved patients and members of the public in roles of consultation, collaboration or control in research. Six of eight ethics committees were unfamiliar with PPI. The authors discern five current challenges to implementing PPI in Austria: lack of knowledge and skills for PPI among scientists, scepticism about the usefulness of PPI, conflation of PPI with qualitative research, uncertainty about ethical requirements for PPI and uncertainty about publishing PPI activities.

Discussion The authors suggest that the provision of guidance about ethical requirements of PPI is a strategic priority. To address this, and following on from a recently introduced PPI training and grant scheme by the LBG, the surveys have initiated a dialogue with ethics committees and have informed the development of a checklist for ethical aspects of PPI.

Conclusion Those experiences may provide useful examples to others who seek to introduce or strengthen PPI practices within their own research communities.