Our Goals 2020 Inclusive research and experimental design

Research to improve human health should aim to create equal and better health outcomes, from basic biomedical research through to clinical trials. How research is prioritised, designed and conducted can impact who it can benefit. Increasing the diversity of people involved in the research cycle and the inclusivity of research design can help tackle health inequalities and improve the quality of research.

EDIS wants to take a whole systems approach to work towards this goal. Research is conducted as part of a wider system with many moving parts. Who does research and who is involved in the research process can influence how inclusive research is and vice versa.

Leading the conversation

Inclusive Research and Experimental Design has been at the forefront of our minds since the EDIS 2019 symposium on the topic. This has been particularly relevant when thinking about representation in COVID-19 research and we hope to continue more work in this area next year, including sharing objectives with Wellcome’s Diversity and Inclusion Team’s new goal on ‘Inclusive Research Design and Practice’ to drive equal health outcomes.

For researchers

In 2020 we helped deliver 3 interactive workshops in a series on sex differences in circadian rhythms and sleep that are available for anyone to watch online. Discussions explored further biological and socio-cultural factors that could be considered in this fast-moving field where research is already leading to policy recommendations, showing the importance of inclusive research design and practice.

A template for these workshops will be made available so anyone in any field can start these conversations. However, in the meantime the prompt questions and answers from the interactive element of this workshop series are on the open science framework here.

There are plenty of excellent training materials freely available for researchers as well as the guidance linked to the right. The Canadian Institutes of Health Research Online Training Modules: Integrating Sex & Gender in Health Research are particularly good for all researchers involved in the bench to bedside pipeline. 

For funders

We’re collaborating with Gendered Innovations to explore the global landscape of funding policies related to inclusive research design. We will be reviewing policies related to training, funding requirements, evaluations of research and evaluations of these policies to share good practice and create action plans for funders. This work will widen the focus of inclusive research design beyond sex and gender into more diversity characteristics dependent on the cultural context and with an understanding of the social determinants of health. 

Inclusive research and experimental design includes research funding and priority setting, clinical trials, patient and public involvement, research design and research communications. We created discussion prompt panels for the EDIS 2019 symposium on these topics that you can download below.

EDIS member Wellcome Trust has also updated its clinical trials funding policy to emphasise inclusion of people from under-served groups and references NIHR’s INCLUDE guidance. You can read more about this work and its relevance to the COVID-19 pandemic in this news piece from devex.

For publishers

Some publishers have already taken the first steps to requiring elements of inclusive research and experimental design in their publishing policies. For example the British Journal of Pharmacology (owned by EDIS member the British Pharmacological Society) has updated its guidelines to authors to ensure sex is considered as an experimental variable. We will continue to push for inclusive research and experimental design to be considered as good research practice and an expectation of all research.

Useful resources:

Robin Craig

Posters from the 2023 EDIS Symposium

For more information on the EDIS 2023 Symposium, check out the delegate booklet here [PDF].   View the Applied Microbiology International poster at full size

National Institute for Health Research: INCLUDE Framework

INCLUDE provides a suggested framework of questions to guide the deliberations of funders, researchers and delivery teams as they design and assess clinical research proposals. It gives examples of good practice and resources to guide teams seeking to engage with, and include under-served groups in clinical research.

Being Inclusive in Public Involvement (PI) in Health Research

Dr Bella Starling shares her experience and explains the rationale and process behind the creation of the NIHR INVOLVE guidance ‘Being Inclusive in Public Involvement (PI) in Health Research: Things to think about: for researchers and practitioners’.

Sex and Gender Equity in Research (SAGER) guidelines

The European Association of Science Editors (EASE) Gender Policy Committee, experts and members of the research community have developed the SAGER guidelines: a comprehensive procedure for reporting of sex and gender information in study design, data analyses, results and interpretation of findings.

The INCLUDE Ethnicity Framework

The INCLUDE Ethnicity Framework aims to help clinical trial teams think carefully about which ethnic groups should be included in their trial for its results to be widely applicable, and what challenges there may be to making this possible. Having identified potential challenges, the trial team can then consider ways to reduce those challenges. 

UK Standards for Public Involvement in Research

The UK Standards for Public Involvement are designed to improve the quality and consistency of public involvement in research. This link takes you to the resources listed to support meeting the ‘inclusive opportunities’ standard.