Application of a tool for the evaluation of public and patient involvement in research.

At the individual level, there were three individuals showing an overall decreasing trend and one with an increasing trend (3, 9, 11, 6; table 2 ).

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However, within factor 1 (being valued) the small decrease in score across the whole group approached significance and occurred mostly between surveys 5 and 6 (−0.07, −0.15 to 0.01, table 2 and figure 2 ).

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