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One of the hardest parts of writing a research paper can be just finding a good topic to write about. Fortunately we've done the hard work for you and have compiled a list of 113 interesting research paper topics. They've been organized into ten categories and cover a wide range of subjects so you can easily find the best topic for you.

In addition to the list of good research topics, we've included advice on what makes a good research paper topic and how you can use your topic to start writing a great paper.

What Makes a Good Research Paper Topic?

Not all research paper topics are created equal, and you want to make sure you choose a great topic before you start writing. Below are the three most important factors to consider to make sure you choose the best research paper topics.

#1: It's Something You're Interested In

A paper is always easier to write if you're interested in the topic, and you'll be more motivated to do in-depth research and write a paper that really covers the entire subject. Even if a certain research paper topic is getting a lot of buzz right now or other people seem interested in writing about it, don't feel tempted to make it your topic unless you genuinely have some sort of interest in it as well.

#2: There's Enough Information to Write a Paper

Even if you come up with the absolute best research paper topic and you're so excited to write about it, you won't be able to produce a good paper if there isn't enough research about the topic. This can happen for very specific or specialized topics, as well as topics that are too new to have enough research done on them at the moment. Easy research paper topics will always be topics with enough information to write a full-length paper.

Trying to write a research paper on a topic that doesn't have much research on it is incredibly hard, so before you decide on a topic, do a bit of preliminary searching and make sure you'll have all the information you need to write your paper.

#3: It Fits Your Teacher's Guidelines

Don't get so carried away looking at lists of research paper topics that you forget any requirements or restrictions your teacher may have put on research topic ideas. If you're writing a research paper on a health-related topic, deciding to write about the impact of rap on the music scene probably won't be allowed, but there may be some sort of leeway. For example, if you're really interested in current events but your teacher wants you to write a research paper on a history topic, you may be able to choose a topic that fits both categories, like exploring the relationship between the US and North Korea. No matter what, always get your research paper topic approved by your teacher first before you begin writing.

113 Good Research Paper Topics

Below are 113 good research topics to help you get you started on your paper. We've organized them into ten categories to make it easier to find the type of research paper topics you're looking for.

Arts/Culture

  • Discuss the main differences in art from the Italian Renaissance and the Northern Renaissance .
  • Analyze the impact a famous artist had on the world.
  • How is sexism portrayed in different types of media (music, film, video games, etc.)? Has the amount/type of sexism changed over the years?
  • How has the music of slaves brought over from Africa shaped modern American music?
  • How has rap music evolved in the past decade?
  • How has the portrayal of minorities in the media changed?

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Current Events

  • What have been the impacts of China's one child policy?
  • How have the goals of feminists changed over the decades?
  • How has the Trump presidency changed international relations?
  • Analyze the history of the relationship between the United States and North Korea.
  • What factors contributed to the current decline in the rate of unemployment?
  • What have been the impacts of states which have increased their minimum wage?
  • How do US immigration laws compare to immigration laws of other countries?
  • How have the US's immigration laws changed in the past few years/decades?
  • How has the Black Lives Matter movement affected discussions and view about racism in the US?
  • What impact has the Affordable Care Act had on healthcare in the US?
  • What factors contributed to the UK deciding to leave the EU (Brexit)?
  • What factors contributed to China becoming an economic power?
  • Discuss the history of Bitcoin or other cryptocurrencies  (some of which tokenize the S&P 500 Index on the blockchain) .
  • Do students in schools that eliminate grades do better in college and their careers?
  • Do students from wealthier backgrounds score higher on standardized tests?
  • Do students who receive free meals at school get higher grades compared to when they weren't receiving a free meal?
  • Do students who attend charter schools score higher on standardized tests than students in public schools?
  • Do students learn better in same-sex classrooms?
  • How does giving each student access to an iPad or laptop affect their studies?
  • What are the benefits and drawbacks of the Montessori Method ?
  • Do children who attend preschool do better in school later on?
  • What was the impact of the No Child Left Behind act?
  • How does the US education system compare to education systems in other countries?
  • What impact does mandatory physical education classes have on students' health?
  • Which methods are most effective at reducing bullying in schools?
  • Do homeschoolers who attend college do as well as students who attended traditional schools?
  • Does offering tenure increase or decrease quality of teaching?
  • How does college debt affect future life choices of students?
  • Should graduate students be able to form unions?

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  • What are different ways to lower gun-related deaths in the US?
  • How and why have divorce rates changed over time?
  • Is affirmative action still necessary in education and/or the workplace?
  • Should physician-assisted suicide be legal?
  • How has stem cell research impacted the medical field?
  • How can human trafficking be reduced in the United States/world?
  • Should people be able to donate organs in exchange for money?
  • Which types of juvenile punishment have proven most effective at preventing future crimes?
  • Has the increase in US airport security made passengers safer?
  • Analyze the immigration policies of certain countries and how they are similar and different from one another.
  • Several states have legalized recreational marijuana. What positive and negative impacts have they experienced as a result?
  • Do tariffs increase the number of domestic jobs?
  • Which prison reforms have proven most effective?
  • Should governments be able to censor certain information on the internet?
  • Which methods/programs have been most effective at reducing teen pregnancy?
  • What are the benefits and drawbacks of the Keto diet?
  • How effective are different exercise regimes for losing weight and maintaining weight loss?
  • How do the healthcare plans of various countries differ from each other?
  • What are the most effective ways to treat depression ?
  • What are the pros and cons of genetically modified foods?
  • Which methods are most effective for improving memory?
  • What can be done to lower healthcare costs in the US?
  • What factors contributed to the current opioid crisis?
  • Analyze the history and impact of the HIV/AIDS epidemic .
  • Are low-carbohydrate or low-fat diets more effective for weight loss?
  • How much exercise should the average adult be getting each week?
  • Which methods are most effective to get parents to vaccinate their children?
  • What are the pros and cons of clean needle programs?
  • How does stress affect the body?
  • Discuss the history of the conflict between Israel and the Palestinians.
  • What were the causes and effects of the Salem Witch Trials?
  • Who was responsible for the Iran-Contra situation?
  • How has New Orleans and the government's response to natural disasters changed since Hurricane Katrina?
  • What events led to the fall of the Roman Empire?
  • What were the impacts of British rule in India ?
  • Was the atomic bombing of Hiroshima and Nagasaki necessary?
  • What were the successes and failures of the women's suffrage movement in the United States?
  • What were the causes of the Civil War?
  • How did Abraham Lincoln's assassination impact the country and reconstruction after the Civil War?
  • Which factors contributed to the colonies winning the American Revolution?
  • What caused Hitler's rise to power?
  • Discuss how a specific invention impacted history.
  • What led to Cleopatra's fall as ruler of Egypt?
  • How has Japan changed and evolved over the centuries?
  • What were the causes of the Rwandan genocide ?

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  • Why did Martin Luther decide to split with the Catholic Church?
  • Analyze the history and impact of a well-known cult (Jonestown, Manson family, etc.)
  • How did the sexual abuse scandal impact how people view the Catholic Church?
  • How has the Catholic church's power changed over the past decades/centuries?
  • What are the causes behind the rise in atheism/ agnosticism in the United States?
  • What were the influences in Siddhartha's life resulted in him becoming the Buddha?
  • How has media portrayal of Islam/Muslims changed since September 11th?

Science/Environment

  • How has the earth's climate changed in the past few decades?
  • How has the use and elimination of DDT affected bird populations in the US?
  • Analyze how the number and severity of natural disasters have increased in the past few decades.
  • Analyze deforestation rates in a certain area or globally over a period of time.
  • How have past oil spills changed regulations and cleanup methods?
  • How has the Flint water crisis changed water regulation safety?
  • What are the pros and cons of fracking?
  • What impact has the Paris Climate Agreement had so far?
  • What have NASA's biggest successes and failures been?
  • How can we improve access to clean water around the world?
  • Does ecotourism actually have a positive impact on the environment?
  • Should the US rely on nuclear energy more?
  • What can be done to save amphibian species currently at risk of extinction?
  • What impact has climate change had on coral reefs?
  • How are black holes created?
  • Are teens who spend more time on social media more likely to suffer anxiety and/or depression?
  • How will the loss of net neutrality affect internet users?
  • Analyze the history and progress of self-driving vehicles.
  • How has the use of drones changed surveillance and warfare methods?
  • Has social media made people more or less connected?
  • What progress has currently been made with artificial intelligence ?
  • Do smartphones increase or decrease workplace productivity?
  • What are the most effective ways to use technology in the classroom?
  • How is Google search affecting our intelligence?
  • When is the best age for a child to begin owning a smartphone?
  • Has frequent texting reduced teen literacy rates?

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How to Write a Great Research Paper

Even great research paper topics won't give you a great research paper if you don't hone your topic before and during the writing process. Follow these three tips to turn good research paper topics into great papers.

#1: Figure Out Your Thesis Early

Before you start writing a single word of your paper, you first need to know what your thesis will be. Your thesis is a statement that explains what you intend to prove/show in your paper. Every sentence in your research paper will relate back to your thesis, so you don't want to start writing without it!

As some examples, if you're writing a research paper on if students learn better in same-sex classrooms, your thesis might be "Research has shown that elementary-age students in same-sex classrooms score higher on standardized tests and report feeling more comfortable in the classroom."

If you're writing a paper on the causes of the Civil War, your thesis might be "While the dispute between the North and South over slavery is the most well-known cause of the Civil War, other key causes include differences in the economies of the North and South, states' rights, and territorial expansion."

#2: Back Every Statement Up With Research

Remember, this is a research paper you're writing, so you'll need to use lots of research to make your points. Every statement you give must be backed up with research, properly cited the way your teacher requested. You're allowed to include opinions of your own, but they must also be supported by the research you give.

#3: Do Your Research Before You Begin Writing

You don't want to start writing your research paper and then learn that there isn't enough research to back up the points you're making, or, even worse, that the research contradicts the points you're trying to make!

Get most of your research on your good research topics done before you begin writing. Then use the research you've collected to create a rough outline of what your paper will cover and the key points you're going to make. This will help keep your paper clear and organized, and it'll ensure you have enough research to produce a strong paper.

What's Next?

Are you also learning about dynamic equilibrium in your science class? We break this sometimes tricky concept down so it's easy to understand in our complete guide to dynamic equilibrium .

Thinking about becoming a nurse practitioner? Nurse practitioners have one of the fastest growing careers in the country, and we have all the information you need to know about what to expect from nurse practitioner school .

Want to know the fastest and easiest ways to convert between Fahrenheit and Celsius? We've got you covered! Check out our guide to the best ways to convert Celsius to Fahrenheit (or vice versa).

These recommendations are based solely on our knowledge and experience. If you purchase an item through one of our links, PrepScholar may receive a commission.

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Christine graduated from Michigan State University with degrees in Environmental Biology and Geography and received her Master's from Duke University. In high school she scored in the 99th percentile on the SAT and was named a National Merit Finalist. She has taught English and biology in several countries.

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Practical Research 2 Module: Understanding Data and Ways to Systematically Collect Data

This Self-Learning Module (SLM) is prepared so that you, our dear learners, can continue your studies and learn while at home. Activities, questions, directions, exercises, and discussions are carefully stated for you to understand each lesson.

Each SLM is composed of different parts. Each part shall guide you step-by-step as you discover and understand the lesson prepared for you.

Pre-tests are provided to measure your prior knowledge on lessons in each SLM. This will tell you if you need to proceed on completing this module or if you need to ask your facilitator or your teacher’s assistance for better understanding of the lesson. At the end of each module, you need to answer the post-test to self-check your learning. Answer keys are provided for each activity and test. We trust that you will be honest in using these.

Please use this module with care. Do not put unnecessary marks on any part of this SLM. Use a separate sheet of paper in answering the exercises and tests. And read the instructions carefully before performing each task.

If you have any questions in using this SLM or any difficulty in answering the tasks in this module, do not hesitate to consult your teacher or facilitator.

When you aim to arrive to a certain solution of a problem, the journey is smooth and focused when the direction is clear. The research methodology of your study is very important since it gives direction to systematically arrive to answers or solution to your chosen research problem. It contains rules and procedures that you as a researcher will have to follow.

This module focuses on the discussion of your research design and plan, population to consider, sampling technique, research instruments, and appropriate statistical treatments to be employed. At end of this learning module learners are expected to understand the concept of research data and know the ways to systematically collect data.

The following are the lessons contained in this module:

  • Lesson 1 – Quantitative Research Design
  • Lesson 2 – Sampling Procedure and Sample
  • Lesson 3 – Research Instruments, Validity, Reliability
  • Lesson 4 – Research Intervention
  • Lesson 5 – Data Collection Procedure
  • Lesson 6 – Data Analysis
  • Lesson 7 – Presenting Research Methodology

At the end of this module, you should be able to:

1. choose appropriate quantitative research design;

2. describe sampling procedure and the sample;

3. construct an instrument and establishes its validity and reliability;

4. describe intervention (if applicable);

5. plan data collection procedure;

6. plan data analysis using statistics and hypothesis testing (if appropriate); and

7. present written research methodology.

PRACTICAL RESEARCH 2 Quarter 2 Self-Learning Module: Understanding Data and Ways to Systematically Collect Data

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7 Writing the Research Paper

Writing in a formal, academic, and technical manner can prove a difficult transition for clinicians turned researchers; however, there are several ways to improve your professional writing skills.  This chapter should be considered a collection of tools to consider as you work to articulate and disseminate your research.

Chapter 7: Learning Objectives

This is it! You’re ready to tell the world of the work you’ve done. As you prepare to write your research paper, you’ll be able to

  • Discuss the most general components of a research paper
  • Articulate the importance of framing your work for the reader using a template based on the research approach
  • Identify the major components of a manuscript describing original research
  • Identify the major components of a manuscript describing quality improvement projects
  • Contrast the specifications of guidelines and protocols
  • Identify the major components of a narrative review

Guiding Principles

Although it is wise to identify a potential journal or like avenue as you begin to write up you research, this is not always feasible. For this reason, it is a good idea to have an adequate understanding of the general expectations of what is required of written research articles and manuscripts. Here are some things to keep in mind:

Consider the articles you read

As you begin to research potential research interests, pay close attention to the style of writing found in peer-reviewed and academic journals.  You will notice that the ‘tone’ of ‘voice’ is often formal and rarely uses the first-person narrative.  You will be expected to develop writing of this caliber in order to be published in a reputable peer-reviewed forum.  One of the most difficult concepts for novice researchers to understand is that professional or technical writing is very different from casual or conversational writing.  There is little room for anecdotes, opinions, or overly descriptive narratives.  Keep your writing succinct and focused.

Keep it simple, silly! (KISS)

Recall when you were first introduced to writing a paper in an early English Composition course.  It is likely that you were told that the key components of a paper are the introduction, body, and conclusion.  This is truly the foundational structure of any good paper.  Consider the following outline for your writing assignments:

Introduction

  • Brief overview of the topic which identifies the gap of understanding about a particular topic that you hope to address (why is it important?)
  • Statement of problem (what issue are you going to address?)
  • Purpose statement/thesis statement (what is the objective of this paper?)

Typically the body of the paper will be broken down into themes or elements outlined in the introduction.  Occasionally rather than themes or topics to be addressed, the ‘body’ of the paper will have specific components such as a literature review, methodology, data analysis, discussion, and/or recommendation section.  Each of these sections may have specific requirements within that section. Later in this chapter, you will be introduced to specific requirements of different types of research papers.

The body of any paper is the ‘meat and potatoes’ of the work.  That is, this is the section wherein you both present and explain your ideas in support of the purpose of the paper (described in the introduction).  The body of your paper, regardless of specific structure, is where the majority of your evidentiary base should be included.  That is, many of the statements you make in these sections will require substantiation from outside resources.  It is vital to include appropriate citations of all references used. To save yourself time, cite and reference correctly as you write. Doing so will help ensure that you stay organized as your work evolves.

Sections such as methods or data analyses, will not require as much substantiation and should be considered very ‘cut and dry’. That is, there will be little to no discussion or interpretation of the evidence here. Results sections, similarly, should be focused on the presentation of results specific to your investigation, including statistical analyses. When reporting results of your work consider the format and whether it makes sense to summarize results in a table, figure, or appendix. The appropriate method will depend on both the type and amount of information that you are trying to convey.

The discussion section is the point at which you should frame your results in the context of your interpretation of the existing literature and how your work addresses the gap in knowledge. You’ll work to substantiate your interpretation by utilizing references to present evidence to support your rational. Pay close attention to your approach as you discuss your results and the impact of your work. Be careful not to make declarative statements if your data does not support a cause-and-effect relationship. Additionally, be careful not to draw inference as a result of bias. That is, use caution in skewing the evidence to support your hypothesis.

The conclusion is exactly that.  This is your opportunity to wrap your thoughts up succinctly.  A good conclusion will remind the reader of the point or focus of the paper, reiterate the arguments outlined in the body as well as summarize any discussion or recommendations posed in those respective sections, and articulate what the content of the paper added to the knowledge base of the subject.  This is not a time to introduce new arguments, concepts, or evidence.  The reader should be able to finish the paper understanding the purpose of the paper, the main arguments, and the impact of the work on the subject.

References should be cited correctly in text as well as appropriately formatted at the end of each body of work. The format of your references will depend on the guidelines required of the intended journal or forum you’re submitting to. For example, papers written utilizing the American Psychological Association (APA) formatting standards will include reference pages which are organized on a separate page, titled ‘References’, and organized alphabetically by author surname. If you’re not quite sure of where you’ll be submitting your paper for publication, it may be best to write using APA format; because the references are listed in ascending alphabetical order, adding or removing references during the revision process will be minimally impactful on the designation of subsequent references. Altering your references can then be done once you identify a method of dissemination and review specific guidelines.

Understanding how to present your work can be difficult. It’s one thing to plan and do the research; it’s quite another to put it down on paper in a logical and articulate way. As we discussed in chapters 1 and 2, planning is essential to the success of your research. Similarly, planning the layout of your manuscript will help ensure that you stay both organized and focused. Although most articles can be generalized as having an introduction, body, and conclusion; the specific components within each of those sections varies depending on the approach to research.

Original Research

Although many journals may outline specific requirements for how your manuscript or research paper is to be formatted, there are some generally acceptable formats. One of the most generalizable formats is referred to as IMRaD. IMRaD is an acronym and includes the following elements:

  • Introduction- 25%
  • Methods- 25%
  • Results- 35%
  • Discussion/conclusion- 15%
  • Clearly state the focus for the work. Provide a brief overview of the issue and the gap in knowledge identified; including both a problem and purpose statement in the context of what is currently understood about the topic. This is where you ‘reel’ the reader in and also highlight the important themes which are consistently addressed in the existing literature.
  • General and specific approaches
  • Participant selection/randomization
  • Instrumentation/measurements utilized
  • Here is where you report specific findings and outcomes of your work. There should be very little discussion in this section. Rather, you should present your results and comment, briefly, on how this may relate to the existing literature and state the bottom line. That is, what do these findings suggest. These succinct comments should frame the lens of the discussion section.
  • In the discussion section you can further elaborate on your interpretation, based in the evidence, of how your findings relate to what other researchers have found. You can discuss flaws in your work as well as suggestions for direction of future research. You should address each of the main points you presented in your introduction section(s).

QI Projects

When presenting your QI project; a systematic reporting tool, such as the SQUIRE method , is helpful to ensure that you appropriately present the information in a way that both adds to the understanding of the problem as well as a descriptive approach to solving the issue.

SQUIRE Method

Titling your QI project

  • Your title should indicate that the project addresses a specific initiative to improve healthcare.

Example of QI Project title

Quality Improvement Initiative to Standardize High Flow Nasal Cannula for Bronchiolitis: Decreases Hospital and Intensive Care Stay

  • Addresses specific initiative to improve healthcare
  • Directly identifies the bounds and focus of the project
  • Provide enough information to help with searching and indexing of your work
  • Summarize all key findings in the format required by the publication. Typical sections include background (including statement of the problem), methods, intervention, results, and conclusion
  • Include a description on the nature and significance of the problem
  • Summary of what is currently understood about the problem
  • Overview of framework, model, concepts and/or theory used to explain the problem. Include an assumptions, delimitations, or definitions used to both describe the problem as well as develop the intervention and why the intervention was intended to work.
  • Describe the purpose of the project
  • Describe the contextual elements relevant to both the problem and intervention (e.g. environmental factors contributing to the problem)
  • Include team-based approach, if applicable
  • Describe the approach used to assess the impact of the intervention as well as what approach was used to evaluate/assess the intervention
  • What tools did you use to study both the process and intervention and why?
  • What tools are in place for ongoing assessment of efficacy of the project?
  • How is completeness and accuracy of the data measured?
  • Describe the quantitative/qualitative methods used to draw inference from the data collected
  • Describe how ethical considerations were addressed and whether the project was overseen by an Institutional Review Board (IRB)
  • Initial steps of intervention and evolution over time; including modifications to the intervention or project
  • Details of the process measures and outcome
  • Key findings including relevance to the rational and specific aims
  • Strengths of the projects
  • Nature of the association between intervention and outcome
  • Comparison of the findings with those of other publications
  • Impact of the project
  • Reasons for differences between observed and anticipated outcomes; include contextual rationale
  • Costs and strategic implications
  • Limits to the generalizability of the work
  • Factors that may have limited internal validity (e.g. confounding variables, bias, design)
  • Efforts made to minimize or adjust for limitations
  • Usefulness of the work
  • Sustainability
  • Potential for application to other contexts
  • Implications for practice and further study
  • Suggested next steps
  • This section would be included if you received funding for the projects.

Narrative Reviews

As mentioned in chapter 2, development of either guidelines or protocols is an intensive process which often requires a systematic team approach to ensure that the scope and purpose of the work is as generalizable as possible. The best approach for the development of guidelines can be found by reviewing the World Health Organization handbook for guideline development .

Presenting a narrative review of a topic is an excellent way to contribute to the knowledge base on a particular subject as well as to provide framework for development of a protocol or guideline. The elements included in presentation of a narrative review are not all that different from those of traditional research studies; however, there are some notable differences. Here is a brief outline of what should be included in a quality narrative review, adapted from Green, Johnson, and Adams (2006) and Ferarri (2015):

  • Objective: State the purpose of the paper
  • Background: Describe why the paper is being written; include problem statement and/or research question
  • Methods: Include methods used to conduct the review; including those used to evaluate articles for inclusion into your work
  • Discussion: Frame the findings of the review in the context of the problem
  • Conclusion: State what new information your work contributes as a result of your review and synthesis
  • Key words: List MeSH terms and words that may help organize and/or locate your work
  • Clearly state the focus for the work. Provide a brief overview of the issue and the gap in knowledge identified; including both a problem and purpose statement
  • Provide an overview of how information related to the review was located. This includes what terms were searched and where as well as why studies were included in your review. Delimiting your search is important to describe the scope of the review
  • Themes or constructs should be identified throughout the review of the literature and arranged in a way such that the discussion of the theme and the link to the evidence should directly address the purpose of your inquiry
  • What sets a review apart from an annotated bibliography is synthesis of the evidence around major points identified consistently throughout the research (i.e. themes). Both consensus and diverging approaches should be included in the discussion of the evidence. This should not be considered simply a comparison of the existing evidence, but should be framed through the lens of the author’s interpretation of that evidence.
  • Tie back to the purpose as well as the major conclusions identified in the review. No new information should be discussed here, apart from suggestions for future research opportunities

An extremely important part of disseminating your work is ensuring that you have correctly attributed thoughts and content that you did not create. Depending on the nature of your research, discipline, or intended publication, the format by which you list your references or outline resources utilized may differ. Regardless of referencing formatting guidelines, it is imperative to keep your references organized as you draft different iterations of your work. For example, it may be easier to draft your work utilizing American Psychological Association (APA) formatting guidelines, which arrange references by author’s last name, in ascending alphabetical order, than in other formats which require that references be numbered in order of appearance in the text. As you add, delete, or rearrange references within the text of your manuscript, it may be both difficult and time consuming to constantly re-number each of your references. Note : Depending on the reference guidelines for your intended journal, you may be required to list the abbreviated names of journals. Finding this information can be difficult. Consider this resource for locating and identifying how best to list journal titles within a reference.

Key Takeaways

  • Identifying an appropriate outline for the research approach you selected is essential to developing a publishable manuscript
  • Academic writing is formal in both voice and tone
  • Academic writing is technical
  • Refrain from the use of the first person narratives, including anecdotes, or interjecting your unsubstantiated opinion
  • All research papers have an introduction, body, and conclusion
  • Specific components of the introduction and body will vary depending on the approach
  • Proper citation, referencing, or attributing must be included in all work

Green, B.N., Johnson, C.D., & Adams, A. (2006). Writing narrative literature reviews for peer-reviewed journals: Secrets of the trade. Journal of Chiropractic Medicine, 3 (5), 101-117.

Ferrari, R. (2015). Writing narrative style literature reviews. The European Medical Writers Association, 2 4(4), 230-235. doi: 10.1179/2047480615Z.000000000329

SQUIRE. (2017). Explanation and elaboration of SQUIRE 2.0 guidelines . SQUIRE. http://www.squire-statement.org/index.cfm?fuseaction=Page.ViewPage&pageId=504

World Health Organization. (2020). WHO handbook for guideline development, 2nd Ed . World Health Organization. https://apps.who.int/iris/handle/10665/145714

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Topic Kickstarter: Research topics in education

If you’re just starting out exploring education-related topics for your dissertation, thesis or research project, you’ve come to the right place. In this post, we’ll help kickstart your research topic ideation process by providing a hearty list of research topics and ideas , including examples from actual dissertations and theses..

PS – This is just the start…

We know it’s exciting to run through a list of research topics, but please keep in mind that this list is just a starting point . To develop a suitable education-related research topic, you’ll need to identify a clear and convincing research gap , and a viable plan of action to fill that gap.

If this sounds foreign to you, check out our free research topic webinar that explores how to find and refine a high-quality research topic, from scratch. Alternatively, if you’d like hands-on help, consider our 1-on-1 coaching service .

Overview: Education Research Topics

  • How to find a research topic (video)
  • List of 50+ education-related research topics/ideas
  • List of 120+ level-specific research topics 
  • Examples of actual dissertation topics in education
  • Tips to fast-track your topic ideation (video)
  • Free Webinar : Topic Ideation 101
  • Where to get extra help

Education-Related Research Topics & Ideas

Below you’ll find a list of education-related research topics and idea kickstarters. These are fairly broad and flexible to various contexts, so keep in mind that you will need to refine them a little. Nevertheless, they should inspire some ideas for your project.

  • The impact of school funding on student achievement
  • The effects of social and emotional learning on student well-being
  • The effects of parental involvement on student behaviour
  • The impact of teacher training on student learning
  • The impact of classroom design on student learning
  • The impact of poverty on education
  • The use of student data to inform instruction
  • The role of parental involvement in education
  • The effects of mindfulness practices in the classroom
  • The use of technology in the classroom
  • The role of critical thinking in education
  • The use of formative and summative assessments in the classroom
  • The use of differentiated instruction in the classroom
  • The use of gamification in education
  • The effects of teacher burnout on student learning
  • The impact of school leadership on student achievement
  • The effects of teacher diversity on student outcomes
  • The role of teacher collaboration in improving student outcomes
  • The implementation of blended and online learning
  • The effects of teacher accountability on student achievement
  • The effects of standardized testing on student learning
  • The effects of classroom management on student behaviour
  • The effects of school culture on student achievement
  • The use of student-centred learning in the classroom
  • The impact of teacher-student relationships on student outcomes
  • The achievement gap in minority and low-income students
  • The use of culturally responsive teaching in the classroom
  • The impact of teacher professional development on student learning
  • The use of project-based learning in the classroom
  • The effects of teacher expectations on student achievement
  • The use of adaptive learning technology in the classroom
  • The impact of teacher turnover on student learning
  • The effects of teacher recruitment and retention on student learning
  • The impact of early childhood education on later academic success
  • The impact of parental involvement on student engagement
  • The use of positive reinforcement in education
  • The impact of school climate on student engagement
  • The role of STEM education in preparing students for the workforce
  • The effects of school choice on student achievement
  • The use of technology in the form of online tutoring

Level-Specific Research Topics

Looking for research topics for a specific level of education? We’ve got you covered. Below you can find research topic ideas for primary, secondary and tertiary-level education contexts. Click the relevant level to view the respective list.

Research Topics: Pick An Education Level

Primary education.

  • Investigating the effects of peer tutoring on academic achievement in primary school
  • Exploring the benefits of mindfulness practices in primary school classrooms
  • Examining the effects of different teaching strategies on primary school students’ problem-solving skills
  • The use of storytelling as a teaching strategy in primary school literacy instruction
  • The role of cultural diversity in promoting tolerance and understanding in primary schools
  • The impact of character education programs on moral development in primary school students
  • Investigating the use of technology in enhancing primary school mathematics education
  • The impact of inclusive curriculum on promoting equity and diversity in primary schools
  • The impact of outdoor education programs on environmental awareness in primary school students
  • The influence of school climate on student motivation and engagement in primary schools
  • Investigating the effects of early literacy interventions on reading comprehension in primary school students
  • The impact of parental involvement in school decision-making processes on student achievement in primary schools
  • Exploring the benefits of inclusive education for students with special needs in primary schools
  • Investigating the effects of teacher-student feedback on academic motivation in primary schools
  • The role of technology in developing digital literacy skills in primary school students
  • Effective strategies for fostering a growth mindset in primary school students
  • Investigating the role of parental support in reducing academic stress in primary school children
  • The role of arts education in fostering creativity and self-expression in primary school students
  • Examining the effects of early childhood education programs on primary school readiness
  • Examining the effects of homework on primary school students’ academic performance
  • The role of formative assessment in improving learning outcomes in primary school classrooms
  • The impact of teacher-student relationships on academic outcomes in primary school
  • Investigating the effects of classroom environment on student behavior and learning outcomes in primary schools
  • Investigating the role of creativity and imagination in primary school curriculum
  • The impact of nutrition and healthy eating programs on academic performance in primary schools
  • The impact of social-emotional learning programs on primary school students’ well-being and academic performance
  • The role of parental involvement in academic achievement of primary school children
  • Examining the effects of classroom management strategies on student behavior in primary school
  • The role of school leadership in creating a positive school climate Exploring the benefits of bilingual education in primary schools
  • The effectiveness of project-based learning in developing critical thinking skills in primary school students
  • The role of inquiry-based learning in fostering curiosity and critical thinking in primary school students
  • The effects of class size on student engagement and achievement in primary schools
  • Investigating the effects of recess and physical activity breaks on attention and learning in primary school
  • Exploring the benefits of outdoor play in developing gross motor skills in primary school children
  • The effects of educational field trips on knowledge retention in primary school students
  • Examining the effects of inclusive classroom practices on students’ attitudes towards diversity in primary schools
  • The impact of parental involvement in homework on primary school students’ academic achievement
  • Investigating the effectiveness of different assessment methods in primary school classrooms
  • The influence of physical activity and exercise on cognitive development in primary school children
  • Exploring the benefits of cooperative learning in promoting social skills in primary school students

Secondary Education

  • Investigating the effects of school discipline policies on student behavior and academic success in secondary education
  • The role of social media in enhancing communication and collaboration among secondary school students
  • The impact of school leadership on teacher effectiveness and student outcomes in secondary schools
  • Investigating the effects of technology integration on teaching and learning in secondary education
  • Exploring the benefits of interdisciplinary instruction in promoting critical thinking skills in secondary schools
  • The impact of arts education on creativity and self-expression in secondary school students
  • The effectiveness of flipped classrooms in promoting student learning in secondary education
  • The role of career guidance programs in preparing secondary school students for future employment
  • Investigating the effects of student-centered learning approaches on student autonomy and academic success in secondary schools
  • The impact of socio-economic factors on educational attainment in secondary education
  • Investigating the impact of project-based learning on student engagement and academic achievement in secondary schools
  • Investigating the effects of multicultural education on cultural understanding and tolerance in secondary schools
  • The influence of standardized testing on teaching practices and student learning in secondary education
  • Investigating the effects of classroom management strategies on student behavior and academic engagement in secondary education
  • The influence of teacher professional development on instructional practices and student outcomes in secondary schools
  • The role of extracurricular activities in promoting holistic development and well-roundedness in secondary school students
  • Investigating the effects of blended learning models on student engagement and achievement in secondary education
  • The role of physical education in promoting physical health and well-being among secondary school students
  • Investigating the effects of gender on academic achievement and career aspirations in secondary education
  • Exploring the benefits of multicultural literature in promoting cultural awareness and empathy among secondary school students
  • The impact of school counseling services on student mental health and well-being in secondary schools
  • Exploring the benefits of vocational education and training in preparing secondary school students for the workforce
  • The role of digital literacy in preparing secondary school students for the digital age
  • The influence of parental involvement on academic success and well-being of secondary school students
  • The impact of social-emotional learning programs on secondary school students’ well-being and academic success
  • The role of character education in fostering ethical and responsible behavior in secondary school students
  • Examining the effects of digital citizenship education on responsible and ethical technology use among secondary school students
  • The impact of parental involvement in school decision-making processes on student outcomes in secondary schools
  • The role of educational technology in promoting personalized learning experiences in secondary schools
  • The impact of inclusive education on the social and academic outcomes of students with disabilities in secondary schools
  • The influence of parental support on academic motivation and achievement in secondary education
  • The role of school climate in promoting positive behavior and well-being among secondary school students
  • Examining the effects of peer mentoring programs on academic achievement and social-emotional development in secondary schools
  • Examining the effects of teacher-student relationships on student motivation and achievement in secondary schools
  • Exploring the benefits of service-learning programs in promoting civic engagement among secondary school students
  • The impact of educational policies on educational equity and access in secondary education
  • Examining the effects of homework on academic achievement and student well-being in secondary education
  • Investigating the effects of different assessment methods on student performance in secondary schools
  • Examining the effects of single-sex education on academic performance and gender stereotypes in secondary schools
  • The role of mentoring programs in supporting the transition from secondary to post-secondary education

Tertiary Education

  • The role of student support services in promoting academic success and well-being in higher education
  • The impact of internationalization initiatives on students’ intercultural competence and global perspectives in tertiary education
  • Investigating the effects of active learning classrooms and learning spaces on student engagement and learning outcomes in tertiary education
  • Exploring the benefits of service-learning experiences in fostering civic engagement and social responsibility in higher education
  • The influence of learning communities and collaborative learning environments on student academic and social integration in higher education
  • Exploring the benefits of undergraduate research experiences in fostering critical thinking and scientific inquiry skills
  • Investigating the effects of academic advising and mentoring on student retention and degree completion in higher education
  • The role of student engagement and involvement in co-curricular activities on holistic student development in higher education
  • The impact of multicultural education on fostering cultural competence and diversity appreciation in higher education
  • The role of internships and work-integrated learning experiences in enhancing students’ employability and career outcomes
  • Examining the effects of assessment and feedback practices on student learning and academic achievement in tertiary education
  • The influence of faculty professional development on instructional practices and student outcomes in tertiary education
  • The influence of faculty-student relationships on student success and well-being in tertiary education
  • The impact of college transition programs on students’ academic and social adjustment to higher education
  • The impact of online learning platforms on student learning outcomes in higher education
  • The impact of financial aid and scholarships on access and persistence in higher education
  • The influence of student leadership and involvement in extracurricular activities on personal development and campus engagement
  • Exploring the benefits of competency-based education in developing job-specific skills in tertiary students
  • Examining the effects of flipped classroom models on student learning and retention in higher education
  • Exploring the benefits of online collaboration and virtual team projects in developing teamwork skills in tertiary students
  • Investigating the effects of diversity and inclusion initiatives on campus climate and student experiences in tertiary education
  • The influence of study abroad programs on intercultural competence and global perspectives of college students
  • Investigating the effects of peer mentoring and tutoring programs on student retention and academic performance in tertiary education
  • Investigating the effectiveness of active learning strategies in promoting student engagement and achievement in tertiary education
  • Investigating the effects of blended learning models and hybrid courses on student learning and satisfaction in higher education
  • The role of digital literacy and information literacy skills in supporting student success in the digital age
  • Investigating the effects of experiential learning opportunities on career readiness and employability of college students
  • The impact of e-portfolios on student reflection, self-assessment, and showcasing of learning in higher education
  • The role of technology in enhancing collaborative learning experiences in tertiary classrooms
  • The impact of research opportunities on undergraduate student engagement and pursuit of advanced degrees
  • Examining the effects of competency-based assessment on measuring student learning and achievement in tertiary education
  • Examining the effects of interdisciplinary programs and courses on critical thinking and problem-solving skills in college students
  • The role of inclusive education and accessibility in promoting equitable learning experiences for diverse student populations
  • The role of career counseling and guidance in supporting students’ career decision-making in tertiary education
  • The influence of faculty diversity and representation on student success and inclusive learning environments in higher education

Research topic idea mega list

Education-Related Dissertations & Theses

While the ideas we’ve presented above are a decent starting point for finding a research topic in education, they are fairly generic and non-specific. So, it helps to look at actual dissertations and theses in the education space to see how this all comes together in practice.

Below, we’ve included a selection of education-related research projects to help refine your thinking. These are actual dissertations and theses, written as part of Master’s and PhD-level programs, so they can provide some useful insight as to what a research topic looks like in practice.

  • From Rural to Urban: Education Conditions of Migrant Children in China (Wang, 2019)
  • Energy Renovation While Learning English: A Guidebook for Elementary ESL Teachers (Yang, 2019)
  • A Reanalyses of Intercorrelational Matrices of Visual and Verbal Learners’ Abilities, Cognitive Styles, and Learning Preferences (Fox, 2020)
  • A study of the elementary math program utilized by a mid-Missouri school district (Barabas, 2020)
  • Instructor formative assessment practices in virtual learning environments : a posthumanist sociomaterial perspective (Burcks, 2019)
  • Higher education students services: a qualitative study of two mid-size universities’ direct exchange programs (Kinde, 2020)
  • Exploring editorial leadership : a qualitative study of scholastic journalism advisers teaching leadership in Missouri secondary schools (Lewis, 2020)
  • Selling the virtual university: a multimodal discourse analysis of marketing for online learning (Ludwig, 2020)
  • Advocacy and accountability in school counselling: assessing the use of data as related to professional self-efficacy (Matthews, 2020)
  • The use of an application screening assessment as a predictor of teaching retention at a midwestern, K-12, public school district (Scarbrough, 2020)
  • Core values driving sustained elite performance cultures (Beiner, 2020)
  • Educative features of upper elementary Eureka math curriculum (Dwiggins, 2020)
  • How female principals nurture adult learning opportunities in successful high schools with challenging student demographics (Woodward, 2020)
  • The disproportionality of Black Males in Special Education: A Case Study Analysis of Educator Perceptions in a Southeastern Urban High School (McCrae, 2021)

As you can see, these research topics are a lot more focused than the generic topic ideas we presented earlier. So, in order for you to develop a high-quality research topic, you’ll need to get specific and laser-focused on a specific context with specific variables of interest.  In the video below, we explore some other important things you’ll need to consider when crafting your research topic.

Get 1-On-1 Help

If you’re still unsure about how to find a quality research topic within education, check out our Research Topic Kickstarter service, which is the perfect starting point for developing a unique, well-justified research topic.

Research Topic Kickstarter - Need Help Finding A Research Topic?

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Research topics and ideas in psychology

64 Comments

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Anangnerisia@gmail.com

You can find our list of nursing-related research topic ideas here: https://gradcoach.com/research-topics-nursing/

FOSU DORIS

Write on action research topic, using guidance and counseling to address unwanted teenage pregnancy in school

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Rhod Tuyan

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Mercedes Bunsie

parental involvement and students academic performance

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alina

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How about School management and supervision pls.?

JOHANNES SERAME MONYATSI

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NKWAIN Chia Charles

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Nkwain Chia Charles

Kindly help me with the research questions on the topic” Effects of workplace conflict on the employees’ job performance”. The effects can be applicable in every institution,enterprise or organisation.

Kelvin Kells Grant

Greetings, I am a student majoring in Sociology and minoring in Public Administration. I’m considering any recommended research topic in the field of Sociology.

Sulemana Alhassan

I’m a student pursuing Mphil in Basic education and I’m considering any recommended research proposal topic in my field of study

Cristine

Research Defense for students in senior high

Kupoluyi Regina

Kindly help me with a research topic in educational psychology. Ph.D level. Thank you.

Project-based learning is a teaching/learning type,if well applied in a classroom setting will yield serious positive impact. What can a teacher do to implement this in a disadvantaged zone like “North West Region of Cameroon ( hinterland) where war has brought about prolonged and untold sufferings on the indegins?

Damaris Nzoka

I wish to get help on topics of research on educational administration

I wish to get help on topics of research on educational administration PhD level

Sadaf

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Afriyie Saviour

I am a student of undergraduate, doing research on how to use guidance and counseling to address unwanted teenage pregnancy in school

wysax

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William AU Mill

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ChRISTINE

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Aza Hans

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l would like to request suggestions on a topic in managing teaching and learning, PhD level (educational leadership and management)

request suggestions on a topic in managing teaching and learning, PhD level (educational leadership and management)

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I am PhD student, I am searching my Research topic, It should be innovative,my area of interest is online education,use of technology in education

revathy a/p letchumanan

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D.Newlands PhD.

Look at British Library as they keep a copy of all PhDs in the UK Core.ac.uk to access Open University and 6 other university e-archives, pdf downloads mostly available, all free.

Monica

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Aman

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Ellyjoy

Am a PhD student in Educational Foundations would like a sociological topic. Thank

muhammad sani

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also916

Greetings and Regards I am a doctoral student in the field of philosophy of education. I am looking for a new topic for my thesis. Because of my work in the elementary school, I am looking for a topic that is from the field of elementary education and is related to the philosophy of education.

shantel orox

Masters student in the field of curriculum, any ideas of a research topic on low achiever students

Rey

In the field of curriculum any ideas of a research topic on deconalization in contextualization of digital teaching and learning through in higher education

Omada Victoria Enyojo

Amazing guidelines

JAMES MALUKI MUTIA

I am a graduate with two masters. 1) Master of arts in religious studies and 2) Master in education in foundations of education. I intend to do a Ph.D. on my second master’s, however, I need to bring both masters together through my Ph.D. research. can I do something like, ” The contribution of Philosophy of education for a quality religion education in Kenya”? kindly, assist and be free to suggest a similar topic that will bring together the two masters. thanks in advance

betiel

Hi, I am an Early childhood trainer as well as a researcher, I need more support on this topic: The impact of early childhood education on later academic success.

TURIKUMWE JEAN BOSCO

I’m a student in upper level secondary school and I need your support in this research topics: “Impact of incorporating project -based learning in teaching English language skills in secondary schools”.

Fitsum Ayele

Although research activities and topics should stem from reflection on one’s practice, I found this site valuable as it effectively addressed many issues we have been experiencing as practitioners.

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  • Print Friendly
  • Open access
  • Published: 13 May 2024

What are the strengths and limitations to utilising creative methods in public and patient involvement in health and social care research? A qualitative systematic review

  • Olivia R. Phillips 1 , 2   na1 ,
  • Cerian Harries 2 , 3   na1 ,
  • Jo Leonardi-Bee 1 , 2 , 4   na1 ,
  • Holly Knight 1 , 2 ,
  • Lauren B. Sherar 2 , 3 ,
  • Veronica Varela-Mato 2 , 3 &
  • Joanne R. Morling 1 , 2 , 5  

Research Involvement and Engagement volume  10 , Article number:  48 ( 2024 ) Cite this article

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Metrics details

There is increasing interest in using patient and public involvement (PPI) in research to improve the quality of healthcare. Ordinarily, traditional methods have been used such as interviews or focus groups. However, these methods tend to engage a similar demographic of people. Thus, creative methods are being developed to involve patients for whom traditional methods are inaccessible or non-engaging.

To determine the strengths and limitations to using creative PPI methods in health and social care research.

Electronic searches were conducted over five databases on 14th April 2023 (Web of Science, PubMed, ASSIA, CINAHL, Cochrane Library). Studies that involved traditional, non-creative PPI methods were excluded. Creative PPI methods were used to engage with people as research advisors, rather than study participants. Only primary data published in English from 2009 were accepted. Title, abstract and full text screening was undertaken by two independent reviewers before inductive thematic analysis was used to generate themes.

Twelve papers met the inclusion criteria. The creative methods used included songs, poems, drawings, photograph elicitation, drama performance, visualisations, social media, photography, prototype development, cultural animation, card sorting and persona development. Analysis identified four limitations and five strengths to the creative approaches. Limitations included the time and resource intensive nature of creative PPI, the lack of generalisation to wider populations and ethical issues. External factors, such as the lack of infrastructure to support creative PPI, also affected their implementation. Strengths included the disruption of power hierarchies and the creation of a safe space for people to express mundane or “taboo” topics. Creative methods are also engaging, inclusive of people who struggle to participate in traditional PPI and can also be cost and time efficient.

‘Creative PPI’ is an umbrella term encapsulating many different methods of engagement and there are strengths and limitations to each. The choice of which should be determined by the aims and requirements of the research, as well as the characteristics of the PPI group and practical limitations. Creative PPI can be advantageous over more traditional methods, however a hybrid approach could be considered to reap the benefits of both. Creative PPI methods are not widely used; however, this could change over time as PPI becomes embedded even more into research.

Plain English Summary

It is important that patients and public are included in the research process from initial brainstorming, through design to delivery. This is known as public and patient involvement (PPI). Their input means that research closely aligns with their wants and needs. Traditionally to get this input, interviews and group discussions are held, but this can exclude people who find these activities non-engaging or inaccessible, for example those with language challenges, learning disabilities or memory issues. Creative methods of PPI can overcome this. This is a broad term describing different (non-traditional) ways of engaging patients and public in research, such as through the use or art, animation or performance. This review investigated the reasons why creative approaches to PPI could be difficult (limitations) or helpful (strengths) in health and social care research. After searching 5 online databases, 12 studies were included in the review. PPI groups included adults, children and people with language and memory impairments. Creative methods included songs, poems, drawings, the use of photos and drama, visualisations, Facebook, creating prototypes, personas and card sorting. Limitations included the time, cost and effort associated with creative methods, the lack of application to other populations, ethical issues and buy-in from the wider research community. Strengths included the feeling of equality between academics and the public, creation of a safe space for people to express themselves, inclusivity, and that creative PPI can be cost and time efficient. Overall, this review suggests that creative PPI is worthwhile, however each method has its own strengths and limitations and the choice of which will depend on the research project, PPI group characteristics and other practical limitations, such as time and financial constraints.

Peer Review reports

Introduction

Patient and public involvement (PPI) is the term used to describe the partnership between patients (including caregivers, potential patients, healthcare users etc.) or the public (a community member with no known interest in the topic) with researchers. It describes research that is done “‘with’ or ‘by’ the public, rather than ‘to,’ ‘about’ or ‘for’ them” [ 1 ]. In 2009, it became a legislative requirement for certain health and social care organisations to include patients, families, carers and communities in not only the planning of health and social care services, but the commissioning, delivery and evaluation of them too [ 2 ]. For example, funding applications for the National Institute of Health and Care Research (NIHR), a UK funding body, mandates a demonstration of how researchers plan to include patients/service users, the public and carers at each stage of the project [ 3 ]. However, this should not simply be a tokenistic, tick-box exercise. PPI should help formulate initial ideas and should be an instrumental, continuous part of the research process. Input from PPI can provide unique insights not yet considered and can ensure that research and health services are closely aligned to the needs and requirements of service users PPI also generally makes research more relevant with clearer outcomes and impacts [ 4 ]. Although this review refers to both patients and the public using the umbrella term ‘PPI’, it is important to acknowledge that these are two different groups with different motivations, needs and interests when it comes to health research and service delivery [ 5 ].

Despite continuing recognition of the need of PPI to improve quality of healthcare, researchers have also recognised that there is no ‘one size fits all’ method for involving patients [ 4 ]. Traditionally, PPI methods invite people to take part in interviews or focus groups to facilitate discussion, or surveys and questionnaires. However, these can sometimes be inaccessible or non-engaging for certain populations. For example, someone with communication difficulties may find it difficult to engage in focus groups or interviews. If individuals lack the appropriate skills to interact in these types of scenarios, they cannot take advantage of the participation opportunities it can provide [ 6 ]. Creative methods, however, aim to resolve these issues. These are a relatively new concept whereby researchers use creative methods (e.g., artwork, animations, Lego), to make PPI more accessible and engaging for those whose voices would otherwise go unheard. They ensure that all populations can engage in research, regardless of their background or skills. Seminal work has previously been conducted in this area, which brought to light the use of creative methodologies in research. Leavy (2008) [ 7 ] discussed how traditional interviews had limits on what could be expressed due to their sterile, jargon-filled and formulaic structure, read by only a few specialised academics. It was this that called for more creative approaches, which included narrative enquiry, fiction-based research, poetry, music, dance, art, theatre, film and visual art. These practices, which can be used in any stage of the research cycle, supported greater empathy, self-reflection and longer-lasting learning experiences compared to interviews [ 7 ]. They also pushed traditional academic boundaries, which made the research accessible not only to researchers, but the public too. Leavy explains that there are similarities between arts-based approaches and scientific approaches: both attempts to investigate what it means to be human through exploration, and used together, these complimentary approaches can progress our understanding of the human experience [ 7 ]. Further, it is important to acknowledge the parallels and nuances between creative and inclusive methods of PPI. Although creative methods aim to be inclusive (this should underlie any PPI activity, whether creative or not), they do not incorporate all types of accessible, inclusive methodologies e.g., using sign language for people with hearing impairments or audio recordings for people who cannot read. Given that there was not enough scope to include an evaluation of all possible inclusive methodologies, this review will focus on creative methods of PPI only.

We aimed to conduct a qualitative systematic review to highlight the strengths of creative PPI in health and social care research, as well as the limitations, which might act as a barrier to their implementation. A qualitative systematic review “brings together research on a topic, systematically searching for research evidence from primary qualitative studies and drawing the findings together” [ 8 ]. This review can then advise researchers of the best practices when designing PPI.

Public involvement

The PHIRST-LIGHT Public Advisory Group (PAG) consists of a team of experienced public contributors with a diverse range of characteristics from across the UK. The PAG was involved in the initial question setting and study design for this review.

Search strategy

For the purpose of this review, the JBI approach for conducting qualitative systematic reviews was followed [ 9 ]. The search terms were (“creativ*” OR “innovat*” OR “authentic” OR “original” OR “inclu*”) AND (“public and patient involvement” OR “patient and public involvement” OR “public and patient involvement and engagement” OR “patient and public involvement and engagement” OR “PPI” OR “PPIE” OR “co-produc*” OR “co-creat*” OR “co-design*” OR “cooperat*” OR “co-operat*”). This search string was modified according to the requirements of each database. Papers were filtered by title, abstract and keywords (see Additional file 1 for search strings). The databases searched included Web of Science (WoS), PubMed, ASSIA and CINAHL. The Cochrane Library was also searched to identify relevant reviews which could lead to the identification of primary research. The search was conducted on 14/04/23. As our aim was to report on the use of creative PPI in research, rather than more generic public engagement, we used electronic databases of scholarly peer-reviewed literature, which represent a wide range of recognised databases. These identified studies published in general international journals (WoS, PubMed), those in social sciences journals (ASSIA), those in nursing and allied health journals (CINAHL), and trials of interventions (Cochrane Library).

Inclusion criteria

Only full-text, English language, primary research papers from 2009 to 2023 were included. This was the chosen timeframe as in 2009 the Health and Social Reform Act made it mandatory for certain Health and Social Care organisations to involve the public and patients in planning, delivering, and evaluating services [ 2 ]. Only creative methods of PPI were accepted, rather than traditional methods, such as interviews or focus groups. For the purposes of this paper, creative PPI included creative art or arts-based approaches (e.g., e.g. stories, songs, drama, drawing, painting, poetry, photography) to enhance engagement. Titles were related to health and social care and the creative PPI was used to engage with people as research advisors, not as study participants. Meta-analyses, conference abstracts, book chapters, commentaries and reviews were excluded. There were no limits concerning study location or the demographic characteristics of the PPI groups. Only qualitative data were accepted.

Quality appraisal

Quality appraisal using the Critical Appraisal Skills Programme (CASP) checklist [ 10 ] was conducted by the primary authors (ORP and CH). This was done independently, and discrepancies were discussed and resolved. If a consensus could not be reached, a third independent reviewer was consulted (JRM). The full list of quality appraisal questions can be found in Additional file 2 .

Data extraction

ORP extracted the study characteristics and a subset of these were checked by CH. Discrepancies were discussed and amendments made. Extracted data included author, title, location, year of publication, year study was carried out, research question/aim, creative methods used, number of participants, mean age, gender, ethnicity of participants, setting, limitations and strengths of creative PPI and main findings.

Data analysis

The included studies were analysed using inductive thematic analysis [ 11 ], where themes were determined by the data. The familiarisation stage took place during full-text reading of the included articles. Anything identified as a strength or limitation to creative PPI methods was extracted verbatim as an initial code and inputted into the data extraction Excel sheet. Similar codes were sorted into broader themes, either under ‘strengths’ or ‘limitations’ and reviewed. Themes were then assigned a name according to the codes.

The search yielded 9978 titles across the 5 databases: Web of Science (1480 results), PubMed (94 results), ASSIA (2454 results), CINAHL (5948 results) and Cochrane Library (2 results), resulting in 8553 different studies after deduplication. ORP and CH independently screened their titles and abstracts, excluding those that did not meet the criteria. After assessment, 12 studies were included (see Fig.  1 ).

figure 1

PRISMA flowchart of the study selection process

Study characteristics

The included studies were published between 2018 and 2022. Seven were conducted in the UK [ 12 , 14 , 15 , 17 , 18 , 19 , 23 ], two in Canada [ 21 , 22 ], one in Australia [ 13 ], one in Norway [ 16 ] and one in Ireland [ 20 ]. The PPI activities occurred across various settings, including a school [ 12 ], social club [ 12 ], hospital [ 17 ], university [ 22 ], theatre [ 19 ], hotel [ 20 ], or online [ 15 , 21 ], however this information was omitted in 5 studies [ 13 , 14 , 16 , 18 , 23 ]. The number of people attending the PPI sessions varied, ranging from 6 to 289, however the majority (ten studies) had less than 70 participants [ 13 , 14 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ]. Seven studies did not provide information on the age or gender of the PPI groups. Of those that did, ages ranged from 8 to 76 and were mostly female. The ethnicities of the PPI group members were also rarely recorded (see Additional file 3 for data extraction table).

Types of creative methods

The type of creative methods used to engage the PPI groups were varied. These included songs, poems, drawings, photograph elicitation, drama performance, visualisations, Facebook, photography, prototype development, cultural animation, card sorting and creating personas (see Table  1 ). These were sometimes accompanied by traditional methods of PPI such as interviews and focus group discussions.

The 12 included studies were all deemed to be of good methodological quality, with scores ranging from 6/10 to 10/10 with the CASP critical appraisal tool [ 10 ] (Table  2 ).

Thematic analysis

Analysis identified four limitations and five strengths to creative PPI (see Fig.  2 ). Limitations included the time and resource intensity of creative PPI methods, its lack of generalisation, ethical issues and external factors. Strengths included the disruption of power hierarchies, the engaging and inclusive nature of the methods and their long-term cost and time efficiency. Creative PPI methods also allowed mundane and “taboo” topics to be discussed within a safe space.

figure 2

Theme map of strengths and limitations

Limitations of creative PPI

Creative ppi methods are time and resource intensive.

The time and resource intensive nature of creative PPI methods is a limitation, most notably for the persona-scenario methodology. Valaitis et al. [ 22 ] used 14 persona-scenario workshops with 70 participants to co-design a healthcare intervention, which aimed to promote optimal aging in Canada. Using the persona method, pairs composed of patients, healthcare providers, community service providers and volunteers developed a fictional character which they believed represented an ‘end-user’ of the healthcare intervention. Due to the depth and richness of the data produced the authors reported that it was time consuming to analyse. Further, they commented that the amount of information was difficult to disseminate to scientific leads and present at team meetings. Additionally, to ensure the production of high-quality data, to probe for details and lead group discussion there was a need for highly skilled facilitators. The resource intensive nature of the creative co-production was also noted in a study using the persona scenario and creative worksheets to develop a prototype decision support tool for individuals with malignant pleural effusion [ 17 ]. With approximately 50 people, this was also likely to yield a high volume of data to consider.

To prepare materials for populations who cannot engage in traditional methods of PPI was also timely. Kearns et al. [ 18 ] developed a feedback questionnaire for people with aphasia to evaluate ICT-delivered rehabilitation. To ensure people could participate effectively, the resources used during the workshops, such as PowerPoints, online images and photographs, had to be aphasia-accessible, which was labour and time intensive. The author warned that this time commitment should not be underestimated.

There are further practical limitations to implementing creative PPI, such as the costs of materials for activities as well as hiring a space for workshops. For example, the included studies in this review utilised pens, paper, worksheets, laptops, arts and craft supplies and magazines and took place in venues such as universities, a social club, and a hotel. Further, although not limited to creative PPI methods exclusively but rather most studies involving the public, a financial incentive was often offered for participation, as well as food, parking, transport and accommodation [ 21 , 22 ].

Creative PPI lacks generalisation

Another barrier to the use of creative PPI methods in health and social care research was the individual nature of its output. Those who participate, usually small in number, produce unique creative outputs specific to their own experiences, opinions and location. Craven et al. [ 13 ], used arts-based visualisations to develop a toolbox for adults with mental health difficulties. They commented, “such an approach might still not be worthwhile”, as the visualisations were individualised and highly personal. This indicates that the output may fail to meet the needs of its end-users. Further, these creative PPI groups were based in certain geographical regions such as Stoke-on-Trent [ 19 ] Sheffield [ 23 ], South Wales [ 12 ] or Ireland [ 20 ], which limits the extent the findings can be applied to wider populations, even within the same area due to individual nuances. Further, the study by Galler et al. [ 16 ], is specific to the Norwegian context and even then, maybe only a sub-group of the Norwegian population as the sample used was of higher socioeconomic status.

However, Grindell et al. [ 17 ], who used persona scenarios, creative worksheets and prototype development, pointed out that the purpose of this type of research is to improve a certain place, rather than apply findings across other populations and locations. Individualised output may, therefore, only be a limitation to research wanting to conduct PPI on a large scale.

If, however, greater generalisation within PPI is deemed necessary, then social media may offer a resolution. Fedorowicz et al. [ 15 ], used Facebook to gain feedback from the public on the use of video-recording methodology for an upcoming project. This had the benefit of including a more diverse range of people (289 people joined the closed group), who were spread geographically around the UK, as well as seven people from overseas.

Creative PPI has ethical issues

As with other research, ethical issues must be taken into consideration. Due to the nature of creative approaches, as well as the personal effort put into them, people often want to be recognised for their work. However, this compromises principles so heavily instilled in research such as anonymity and confidentiality. With the aim of exploring issues related to health and well-being in a town in South Wales, Byrne et al. [ 12 ], asked year 4/5 and year 10 pupils to create poems, songs, drawings and photographs. Community members also created a performance, mainly of monologues, to explore how poverty and inequalities are dealt with. Byrne noted the risks of these arts-based approaches, that being the possibility of over-disclosure and consequent emotional distress, as well as people’s desire to be named for their work. On one hand, the anonymity reduces the sense of ownership of the output as it does not portray a particular individual’s lived experience anymore. On the other hand, however, it could promote a more honest account of lived experience. Supporting this, Webber et al. [ 23 ], who used the persona method to co-design a back pain educational resource prototype, claimed that the anonymity provided by this creative technique allowed individuals to externalise and anonymise their own personal experience, thus creating a more authentic and genuine resource for future users. This implies that anonymity can be both a limitation and strength here.

The use of creative PPI methods is impeded by external factors

Despite the above limitations influencing the implementation of creative PPI techniques, perhaps the most influential is that creative methodologies are simply not mainstream [ 19 ]. This could be linked to the issues above, like time and resource intensity, generalisation and ethical issues but it is also likely to involve more systemic factors within the research community. Micsinszki et al. [ 21 ], who co-designed a hub for the health and well-being of vulnerable populations, commented that there is insufficient infrastructure to conduct meaningful co-design as well as a dominant medical model. Through a more holistic lens, there are “sociopolitical environments that privilege individualism over collectivism, self-sufficiency over collaboration, and scientific expertise over other ways of knowing based on lived experience” [ 21 ]. This, it could be suggested, renders creative co-design methodologies, which are based on the foundations of collectivism, collaboration and imagination an invalid technique in the research field, which is heavily dominated by more scientific methods offering reproducibility, objectivity and reliability.

Although we acknowledge that creative PPI techniques are not always appropriate, it may be that their main limitation is the lack of awareness of these methods or lack of willingness to use them. Further, there is always the risk that PPI, despite being a mandatory part of research, is used in a tokenistic or tick-box fashion [ 20 ], without considering the contribution that meaningful PPI could make to enhancing the research. It may be that PPI, let alone creative PPI, is not at the forefront of researchers’ minds when planning research.

Strengths of creative PPI

Creative ppi disrupts power hierarchies.

One of the main strengths of creative PPI techniques, cited most frequently in the included literature, was that they disrupt traditional power hierarchies [ 12 , 13 , 17 , 19 , 23 ]. For example, the use of theatre performance blurred the lines between professional and lay roles between the community and policy makers [ 12 ]. Individuals created a monologue to portray how poverty and inequality impact daily life and presented this to representatives of the National Assembly of Wales, Welsh Government, the Local Authority, Arts Council and Westminster. Byrne et al. [ 12 ], states how this medium allowed the community to engage with the people who make decisions about their lives in an environment of respect and understanding, where the hierarchies are not as visible as in other settings, e.g., political surgeries. Creative PPI methods have also removed traditional power hierarchies between researchers and adolescents. Cook et al. [ 13 ], used arts-based approaches to explore adolescents’ ideas about the “perfect” condom. They utilised the “Life Happens” resource, where adolescents drew and then decorated a person with their thoughts about sexual relationships, not too dissimilar from the persona-scenario method. This was then combined with hypothetical scenarios about sexuality. A condom-mapping exercise was then implemented, where groups shared the characteristics that make a condom “perfect” on large pieces of paper. Cook et al. [ 13 ], noted that usually power imbalances make it difficult to elicit information from adolescents, however these power imbalances were reduced due to the use of creative co-design techniques.

The same reduction in power hierarchies was noted by Grindell et al. [ 17 ], who used the person-scenario method and creative worksheets with individuals with malignant pleural effusion. This was with the aim of developing a prototype of a decision support tool for patients to help with treatment options. Although this process involved a variety of stakeholders, such as patients, carers and healthcare professionals, creative co-design was cited as a mechanism that worked to reduce power imbalances – a limitation of more traditional methods of research. Creative co-design blurred boundaries between end-users and clinical staff and enabled the sharing of ideas from multiple, valuable perspectives, meaning the prototype was able to suit user needs whilst addressing clinical problems.

Similarly, a specific creative method named cultural animation was also cited to dissolve hierarchies and encourage equal contributions from participants. Within this arts-based approach, Keleman et al. [ 19 ], explored the concept of “good health” with individuals from Stoke-on Trent. Members of the group created art installations using ribbons, buttons, cardboard and straws to depict their idea of a “healthy community”, which was accompanied by a poem. They also created a 3D Facebook page and produced another poem or song addressing the government to communicate their version of a “picture of health”. Public participants said that they found the process empowering, honest, democratic, valuable and practical.

This dissolving of hierarchies and levelling of power is beneficial as it increases the sense of ownership experienced by the creators/producers of the output [ 12 , 17 , 23 ]. This is advantageous as it has been suggested to improve its quality [ 23 ].

Creative PPI allows the unsayable to be said

Creative PPI fosters a safe space for mundane or taboo topics to be shared, which may be difficult to communicate using traditional methods of PPI. For example, the hypothetical nature of condom mapping and persona-scenarios meant that adolescents could discuss a personal topic without fear of discrimination, judgement or personal disclosure [ 13 ]. The safe space allowed a greater volume of ideas to be generated amongst peers where they might not have otherwise. Similarly, Webber et al. [ 23 ], , who used the persona method to co-design the prototype back pain educational resource, also noted how this method creates anonymity whilst allowing people the opportunity to externalise personal experiences, thoughts and feelings. Other creative methods were also used, such as drawing, collaging, role play and creating mood boards. A cardboard cube (labelled a “magic box”) was used to symbolise a physical representation of their final prototype. These creative methods levelled the playing field and made personal experiences accessible in a safe, open environment that fostered trust, as well as understanding from the researchers.

It is not only sensitive subjects that were made easier to articulate through creative PPI. The communication of mundane everyday experiences were also facilitated, which were deemed typically ‘unsayable’. This was specifically given in the context of describing intangible aspects of everyday health and wellbeing [ 11 ]. Graphic designers can also be used to visually represent the outputs of creative PPI. These captured the movement and fluidity of people and well as the relationships between them - things that cannot be spoken but can be depicted [ 21 ].

Creative PPI methods are inclusive

Another strength of creative PPI was that it is inclusive and accessible [ 17 , 19 , 21 ]. The safe space it fosters, as well as the dismantling of hierarchies, welcomed people from a diverse range of backgrounds and provided equal opportunities [ 21 ], especially for those with communication and memory difficulties who might be otherwise excluded from PPI. Kelemen et al. [ 19 ], who used creative methods to explore health and well-being in Stoke-on-Trent, discussed how people from different backgrounds came together and connected, discussed and reached a consensus over a topic which evoked strong emotions, that they all have in common. Individuals said that the techniques used “sets people to open up as they are not overwhelmed by words”. Similarly, creative activities, such as the persona method, have been stated to allow people to express themselves in an inclusive environment using a common language. Kearns et al. [ 18 ], who used aphasia-accessible material to develop a questionnaire with aphasic individuals, described how they felt comfortable in contributing to workshops (although this material was time-consuming to make, see ‘Limitations of creative PPI’ ).

Despite the general inclusivity of creative PPI, it can also be exclusive, particularly if online mediums are used. Fedorowicz et al. [ 15 ], used Facebook to create a PPI group, and although this may rectify previous drawbacks about lack of generalisation of creative methods (as Facebook can reach a greater number of people, globally), it excluded those who are not digitally active or have limited internet access or knowledge of technology. Online methods have other issues too. Maintaining the online group was cited as challenging and the volume of responses required researchers to interact outside of their working hours. Despite this, online methods like Facebook are very accessible for people who are physically disabled.

Creative PPI methods are engaging

The process of creative PPI is typically more engaging and produces more colourful data than traditional methods [ 13 ]. Individuals are permitted and encouraged to explore a creative self [ 19 ], which can lead to the exploration of new ideas and an overall increased enjoyment of the process. This increased engagement is particularly beneficial for younger PPI groups. For example, to involve children in the development of health food products, Galler et al. [ 16 ] asked 9-12-year-olds to take photos of their food and present it to other children in a “show and tell” fashion. They then created a newspaper article describing a new healthy snack. In this creative focus group, children were given lab coats to further their identity as inventors. Galler et al. [ 16 ], notes that the methods were highly engaging and facilitated teamwork and group learning. This collaborative nature of problem-solving was also observed in adults who used personas and creative worksheets to develop the resource for lower back pain [ 23 ]. Dementia patients too have been reported to enjoy the creative and informal approach to idea generation [ 20 ].

The use of cultural animation allowed people to connect with each other in a way that traditional methods do not [ 19 , 21 ]. These connections were held in place by boundary objects, such as ribbons, buttons, fabric and picture frames, which symbolised a shared meaning between people and an exchange of knowledge and emotion. Asking groups to create an art installation using these objects further fostered teamwork and collaboration, both at an individual and collective level. The exploration of a creative self increased energy levels and encouraged productive discussions and problem-solving [ 19 ]. Objects also encouraged a solution-focused approach and permitted people to think beyond their usual everyday scope [ 17 ]. They also allowed facilitators to probe deeper about the greater meanings carried by the object, which acted as a metaphor [ 21 ].

From the researcher’s point of view, co-creative methods gave rise to ideas they might not have initially considered. Valaitis et al. [ 22 ], found that over 40% of the creative outputs were novel ideas brought to light by patients, healthcare providers/community care providers, community service providers and volunteers. One researcher commented, “It [the creative methods] took me on a journey, in a way that when we do other pieces of research it can feel disconnected” [ 23 ]. Another researcher also stated they could not return to the way they used to do research, as they have learnt so much about their own health and community and how they are perceived [ 19 ]. This demonstrates that creative processes not only benefit the project outcomes and the PPI group, but also facilitators and researchers. However, although engaging, creative methods have been criticised for not demonstrating academic rigour [ 17 ]. Moreover, creative PPI may also be exclusive to people who do not like or enjoy creative activities.

Creative PPI methods are cost and time efficient

Creative PPI workshops can often produce output that is visible and tangible. This can save time and money in the long run as the output is either ready to be implemented in a healthcare setting or a first iteration has already been developed. This may also offset the time and costs it takes to implement creative PPI. For example, the prototype of the decision support tool for people with malignant pleural effusion was developed using personas and creative worksheets. The end result was two tangible prototypes to drive the initial idea forward as something to be used in practice [ 17 ]. The use of creative co-design in this case saved clinician time as well as the time it would take to develop this product without the help of its end-users. In the development of this particular prototype, analysis was iterative and informed the next stage of development, which again saved time. The same applies for the feedback questionnaire for the assessment of ICT delivered aphasia rehabilitation. The co-created questionnaire, designed with people with aphasia, was ready to be used in practice [ 18 ]. This suggests that to overcome time and resource barriers to creative PPI, researchers should aim for it to be engaging whilst also producing output.

That useable products are generated during creative workshops signals to participating patients and public members that they have been listened to and their thoughts and opinions acted upon [ 23 ]. For example, the development of the back pain resource based on patient experiences implies that their suggestions were valid and valuable. Further, those who participated in the cultural animation workshop reported that the process visualises change, and that it already feels as though the process of change has started [ 19 ].

The most cost and time efficient method of creative PPI in this review is most likely the use of Facebook to gather feedback on project methodology [ 15 ]. Although there were drawbacks to this, researchers could involve more people from a range of geographical areas at little to no cost. Feedback was instantaneous and no training was required. From the perspective of the PPI group, they could interact however much or little they wish with no time commitment.

This systematic review identified four limitations and five strengths to the use of creative PPI in health and social care research. Creative PPI is time and resource intensive, can raise ethical issues and lacks generalisability. It is also not accepted by the mainstream. These factors may act as barriers to the implementation of creative PPI. However, creative PPI disrupts traditional power hierarchies and creates a safe space for taboo or mundane topics. It is also engaging, inclusive and can be time and cost efficient in the long term.

Something that became apparent during data analysis was that these are not blanket strengths and limitations of creative PPI as a whole. The umbrella term ‘creative PPI’ is broad and encapsulates a wide range of activities, ranging from music and poems to prototype development and persona-scenarios, to more simplistic things like the use of sticky notes and ordering cards. Many different activities can be deemed ‘creative’ and the strengths and limitations of one does not necessarily apply to another. For example, cultural animation takes greater effort to prepare than the use of sticky notes and sorting cards, and the use of Facebook is cheaper and wider reaching than persona development. Researchers should use their discretion and weigh up the benefits and drawbacks of each method to decide on a technique which suits the project. What might be a limitation to creative PPI in one project may not be in another. In some cases, creative PPI may not be suitable at all.

Furthermore, the choice of creative PPI method also depends on the needs and characteristics of the PPI group. Children, adults and people living with dementia or language difficulties all have different engagement needs and capabilities. This indicates that creative PPI is not one size fits all and that the most appropriate method will change depending on the composition of the group. The choice of method will also be determined by the constraints of the research project, namely time, money and the research aim. For example, if there are time constraints, then a method which yields a lot of data and requires a lot of preparation may not be appropriate. If generalisation is important, then an online method is more suitable. Together this indicates that the choice of creative PPI method is highly individualised and dependent on multiple factors.

Although the limitations discussed in this review apply to creative PPI, they are not exclusive to creative PPI. Ethical issues are a consideration within general PPI research, especially when working with more vulnerable populations, such as children or adults living with a disability. It can also be the case that traditional PPI methods lack generalisability, as people who volunteer to be part of such a group are more likely be older, middle class and retired [ 24 ]. Most research is vulnerable to this type of bias, however, it is worth noting that generalisation is not always a goal and research remains valid and meaningful in its absence. Although online methods may somewhat combat issues related to generalisability, these methods still exclude people who do not have access to the internet/technology or who choose not to use it, implying that online PPI methods may not be wholly representative of the general population. Saying this, however, the accessibility of creative PPI techniques differs from person to person, and for some, online mediums may be more accessible (for example for those with a physical disability), and for others, this might be face-to-face. To combat this, a range of methods should be implemented. Planning multiple focus group and interviews for traditional PPI is also time and resource intensive, however the extra resources required to make this creative may be even greater. Although, the rich data provided may be worth the preparation and analysis time, which is also likely to depend on the number of participants and workshop sessions required. PPI, not just creative PPI, often requires the provision of a financial incentive, refreshments, parking and accommodation, which increase costs. These, however, are imperative and non-negotiable, as they increase the accessibility of research, especially to minority and lower-income groups less likely to participate. Adequate funding is also important for co-design studies where repeated engagement is required. One barrier to implementation, which appears to be exclusive to creative methods, however, is that creative methods are not mainstream. This cannot be said for traditional PPI as this is often a mandatory part of research applications.

Regarding the strengths of creative PPI, it could be argued that most appear to be exclusive to creative methodologies. These are inclusive by nature as multiple approaches can be taken to evoke ideas from different populations - approaches that do not necessarily rely on verbal or written communication like interviews and focus groups do. Given the anonymity provided by some creative methods, such as personas, people may be more likely to discuss their personal experiences under the guise of a general end-user, which might be more difficult to maintain when an interviewer is asking an individual questions directly. Additionally, creative methods are by nature more engaging and interactive than traditional methods, although this is a blanket statement and there may be people who find the question-and-answer/group discussion format more engaging. Creative methods have also been cited to eliminate power imbalances which exist in traditional research [ 12 , 13 , 17 , 19 , 23 ]. These imbalances exist between researchers and policy makers and adolescents, adults and the community. Lastly, although this may occur to a greater extent in creative methods like prototype development, it could be suggested that PPI in general – regardless of whether it is creative - is more time and cost efficient in the long-term than not using any PPI to guide or refine the research process. It must be noted that these are observations based on the literature. To be certain these differences exist between creative and traditional methods of PPI, direct empirical evaluation of both should be conducted.

To the best of our knowledge, this is the first review to identify the strengths and limitations to creative PPI, however, similar literature has identified barriers and facilitators to PPI in general. In the context of clinical trials, recruitment difficulties were cited as a barrier, as well as finding public contributors who were free during work/school hours. Trial managers reported finding group dynamics difficult to manage and the academic environment also made some public contributors feel nervous and lacking confidence to speak. Facilitators, however, included the shared ownership of the research – something that has been identified in the current review too. In addition, planning and the provision of knowledge, information and communication were also identified as facilitators [ 25 ]. Other research on the barriers to meaningful PPI in trial oversight committees included trialist confusion or scepticism over the PPI role and the difficulties in finding PPI members who had a basic understanding of research [ 26 ]. However, it could be argued that this is not representative of the average patient or public member. The formality of oversight meetings and the technical language used also acted as a barrier, which may imply that the informal nature of creative methods and its lack of dependency on literacy skills could overcome this. Further, a review of 42 reviews on PPI in health and social care identified financial compensation, resources, training and general support as necessary to conduct PPI, much like in the current review where the resource intensiveness of creative PPI was identified as a limitation. However, others were identified too, such as recruitment and representativeness of public contributors [ 27 ]. Like in the current review, power imbalances were also noted, however this was included as both a barrier and facilitator. Collaboration seemed to diminish hierarchies but not always, as sometimes these imbalances remained between public contributors and healthcare staff, described as a ‘them and us’ culture [ 27 ]. Although these studies compliment the findings of the current review, a direct comparison cannot be made as they do not concern creative methods. However, it does suggest that some strengths and weaknesses are shared between creative and traditional methods of PPI.

Strengths and limitations of this review

Although a general definition of creative PPI exists, it was up to our discretion to decide exactly which activities were deemed as such for this review. For example, we included sorting cards, the use of interactive whiteboards and sticky notes. Other researchers may have a more or less stringent criteria. However, two reviewers were involved in this decision which aids the reliability of the included articles. Further, it may be that some of the strengths and limitations cannot fully be attributed to the creative nature of the PPI process, but rather their co-created nature, however this is hard to disentangle as the included papers involved both these aspects.

During screening, it was difficult to decide whether the article was utilising creative qualitative methodology or creative PPI , as it was often not explicitly labelled as such. Regardless, both approaches involved the public/patients refining a healthcare product/service. This implies that if this review were to be replicated, others may do it differently. This may call for greater standardisation in the reporting of the public’s involvement in research. For example, the NIHR outlines different approaches to PPI, namely “consultation”, “collaboration”, “co-production” and “user-controlled”, which each signify an increased level of public power and influence [ 28 ]. Papers with elements of PPI could use these labels to clarify the extent of public involvement, or even explicitly state that there was no PPI. Further, given our decision to include only scholarly peer-reviewed literature, it is possible that data were missed within the grey literature. Similarly, the literature search will not have identified all papers relating to different types of accessible inclusion. However, the intent of the review was to focus solely on those within the definition of creative.

This review fills a gap in the literature and helps circulate and promote the concept of creative PPI. Each stage of this review, namely screening and quality appraisal, was conducted by two independent reviewers. However, four full texts could not be accessed during the full text reading stage, meaning there are missing data that could have altered or contributed to the findings of this review.

Research recommendations

Given that creative PPI can require effort to prepare, perform and analyse, sufficient time and funding should be allocated in the research protocol to enable meaningful and continuous PPI. This is worthwhile as PPI can significantly change the research output so that it aligns closely with the needs of the group it is to benefit. Researchers should also consider prototype development as a creative PPI activity as this might reduce future time/resource constraints. Shifting from a top-down approach within research to a bottom-up can be advantageous to all stakeholders and can help move creative PPI towards the mainstream. This, however, is the collective responsibility of funding bodies, universities and researchers, as well as committees who approve research bids.

A few of the included studies used creative techniques alongside traditional methods, such as interviews, which could also be used as a hybrid method of PPI, perhaps by researchers who are unfamiliar with creative techniques or to those who wish to reap the benefits of both. Often the characteristics of the PPI group were not included, including age, gender and ethnicity. It would be useful to include such information to assess how representative the PPI group is of the population of interest.

Creative PPI is a relatively novel approach of engaging the public and patients in research and it has both advantages and disadvantages compared to more traditional methods. There are many approaches to implementing creative PPI and the choice of technique will be unique to each piece of research and is reliant on several factors. These include the age and ability of the PPI group as well as the resource limitations of the project. Each method has benefits and drawbacks, which should be considered at the protocol-writing stage. However, given adequate funding, time and planning, creative PPI is a worthwhile and engaging method of generating ideas with end-users of research – ideas which may not be otherwise generated using traditional methods.

Data availability

No datasets were generated or analysed during the current study.

Abbreviations

Critical Appraisal Skills Programme

The Joanna Briggs Institute

National Institute of Health and Care Research

Public Advisory Group

Public and Patient Involvement

Web of Science

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Acknowledgements

With thanks to the PHIRST-LIGHT public advisory group and consortium for their thoughts and contributions to the design of this work.

The research team is supported by a National Institute for Health and Care Research grant (PHIRST-LIGHT Reference NIHR 135190).

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Olivia R. Phillips and Cerian Harries share joint first authorship.

Authors and Affiliations

Nottingham Centre for Public Health and Epidemiology, Lifespan and Population Health, School of Medicine, University of Nottingham, Clinical Sciences Building, City Hospital Campus, Hucknall Road, Nottingham, NG5 1PB, UK

Olivia R. Phillips, Jo Leonardi-Bee, Holly Knight & Joanne R. Morling

National Institute for Health and Care Research (NIHR) PHIRST-LIGHT, Nottingham, UK

Olivia R. Phillips, Cerian Harries, Jo Leonardi-Bee, Holly Knight, Lauren B. Sherar, Veronica Varela-Mato & Joanne R. Morling

School of Sport, Exercise and Health Sciences, Loughborough University, Epinal Way, Loughborough, Leicestershire, LE11 3TU, UK

Cerian Harries, Lauren B. Sherar & Veronica Varela-Mato

Nottingham Centre for Evidence Based Healthcare, School of Medicine, University of Nottingham, Nottingham, UK

Jo Leonardi-Bee

NIHR Nottingham Biomedical Research Centre (BRC), Nottingham University Hospitals NHS Trust, University of Nottingham, Nottingham, NG7 2UH, UK

Joanne R. Morling

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Contributions

Author contributions: study design: ORP, CH, JRM, JLB, HK, LBS, VVM, literature searching and screening: ORP, CH, JRM, data curation: ORP, CH, analysis: ORP, CH, JRM, manuscript draft: ORP, CH, JRM, Plain English Summary: ORP, manuscript critical review and editing: ORP, CH, JRM, JLB, HK, LBS, VVM.

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Correspondence to Olivia R. Phillips .

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40900_2024_580_MOESM1_ESM.docx

Additional file 1: Search strings: Description of data: the search strings and filters used in each of the 5 databases in this review

Additional file 2: Quality appraisal questions: Description of data: CASP quality appraisal questions

40900_2024_580_moesm3_esm.docx.

Additional file 3: Table 1: Description of data: elements of the data extraction table that are not in the main manuscript

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Phillips, O.R., Harries, C., Leonardi-Bee, J. et al. What are the strengths and limitations to utilising creative methods in public and patient involvement in health and social care research? A qualitative systematic review. Res Involv Engagem 10 , 48 (2024). https://doi.org/10.1186/s40900-024-00580-4

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Received : 28 November 2023

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Published : 13 May 2024

DOI : https://doi.org/10.1186/s40900-024-00580-4

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Research Involvement and Engagement

ISSN: 2056-7529

practical research 2 topics examples

ORIGINAL RESEARCH article

This article is part of the research topic.

Emerging SARS-COV-2 Variants: Genomic Variations, Transmission, Pathogenesis, Clinical Impact and Interventions, Volume III

Most accurate mutations in SARS-CoV-2 genomes identified in Uzbek patients show novel amino acid changes Provisionally Accepted

  • 1 Center of Genomics and Bioinformatics, Academy of Science of Uzbekistan, Uzbekistan
  • 2 Center of Genomics and Bioinformatics, Academy Sciences of Uzbekistan, Uzbekistan
  • 3 Department of Chemistry of Natural Compounds, National University of Uzbekistan, Uzbekistan
  • 4 Luxembourg Institute of Health, Luxembourg

The final, formatted version of the article will be published soon.

The rapid changes in the coronavirus genomes created new strains after the first variation was found in Wuhan in 2019. SARS-CoV-2 genotypes should periodically undergo whole genome sequencing to control it because it has been extremely helpful in combating the virus. Many diagnoses, treatments, and vaccinations have been developed against it based on genome sequencing. With its practical implications, this study aimed to determine changes in the delta variant of SARS-CoV-2 widespread in Uzbekistan during the pandemic by genome sequencing, thereby providing crucial insights for developing effective control strategies that can be directly applied in the field. Design: We meticulously generated 17 high-quality whole-genome sequence data from 48 SARS-CoV-2 genotypes of COVID-19 patients who tested positive by PCR in Tashkent, Uzbekistan. Our rigorous approach, which includes stringent quality control measures and multiple rounds of verification, ensures the accuracy and reliability of our findings. Methods: Our study employed a unique combination of genome sequencing and bioinformatics web tools to analyze amino acid (AA) changes in the virus genomes. This approach allowed us to understand the genetic changes in the delta variant of SARS-CoV-2 widespread in Uzbekistan during the pandemic. Results: Our study revealed significant nucleotide polymorphisms, including nonsynonymous (missense) and synonymous mutations in the coding regions of the sequenced sample genomes. These findings, categorized by phylogenetic analysis into the G clade (or GK sub-clade), contribute to our understanding of the delta variant of SARS-CoV-2 widespread in Uzbekistan during the pandemic. A total of 134 mutations were identified, consisting of 65 shared and 69 unique mutations. These nucleotide changes, including one frameshift mutation, one conservative and disruptive insertion-deletion, four upstream region mutations, four downstream region mutations, 39 synonymous mutations, and 84 missense mutations, are crucial in the ongoing battle against the virus. The comprehensive whole-genome sequencing data presented in this study aids in tracing the origins and sources of circulating SARS-CoV-2 variants and analyzing emerging variations within Uzbekistan and globally.

Keywords: SARS-CoV-2, virus, transmission, AA mutations, Delta strain

Received: 15 Mar 2024; Accepted: 14 May 2024.

Copyright: © 2024 Ayubov, Mirzakhmedov, Yusupov, Asrorov, Nosirov, Usmanov, Shermatov, Ubaydullaeva, Abdukarimov, Buriev and Abdurakhmonov. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Mirzakamol S. Ayubov, Center of Genomics and Bioinformatics, Academy of Science of Uzbekistan, Tashkent, Uzbekistan Prof. Ibrokhim Y. Abdurakhmonov, Center of Genomics and Bioinformatics, Academy of Science of Uzbekistan, Tashkent, Uzbekistan

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