Obesity Voices Hub: PPIE Request Form

Obesity Voices Hub: PPIE Request Form

Thank you for your interest in the Obesity Voices Hub.
Before you commence, please read our Obesity Voices PPIE Request Guide. Our team will respond to your request within 10 working days. We will inform when your request has been approved and if applicable, request you make the fee payment. Representatives from commercial, third-sector, or NHS organisations are encouraged to contact obesityinstitute@leedsbeckett.ac.uk to discuss fee options.
Full Name*

First NameLast Name
Organisation*
Role*
Contact Number*
Email*

Confirmation EmailPlease confirm email address
How did you hear about us?
Are you a member of The Association for the Study of Obesity (ASO)? We will confirm membership with ASO.*

YesNo
Do you belong to any other professional bodies?
Please can you specify which of the following best represents you:*

ResearcherStudentOrganisation – commercial, industry or third sector (charity), local authority, nhs or other. Please specify
Are you collaborating with any staff from Leeds Beckett University? If yes, please provide their full name or select no.*

NoYes
- Short project title*
- Project Summary. Please share a simple plain language summary of your project, including a description of the project, how our PPIE members will contribute, and the intended objective of your project.*
  
  If you are proposing a PPIE workshop, we recommend offering up to three sample questions to help members grasp the nature of the discussions they will be participating in. See Appendix 3, in our Obesity Voices PPIE Request Guide for an example advert.0/1000
- Project Start Date*
  
  DayMonthYear
- Project End Date*
  
  DayMonthYear
- Project Start Date*
  
  DayMonthYear
  Date
- Project End Date*
  
  DayMonthYear
  Date
- How is this Project Funded? (e.g. UKRI, NIHR, Local Authority, NHS, Organisation, Charity, Industry, other)*
- Does your project funding include your PPIE activities?*
  
  YesNo
- If not, how will you be funding your PPIE activities?*
- If you have advert for your project, please upload it here
  
  Cancelof
- Based on the information we collect about our members interests, please tick the box(es) that best describe the representation you are looking for:*
  
  Adults (35-64 years)Young adults (18-34 years)Older adults (65+ years)AdolescentsBariatric surgeryBlack, Asian and Minority ethnic communitiesCommunities living in povertyDietary interventionsDigital support services (e-health)LGBTQIA+Mens healthNew drug therapyPeople living with cancerPeople living with diabetesPeople living with emotional or disordered eatingPeople living with heart diseasePeople living with liver diseasePeople living with mental illnessPeople living with muscular skeletal conditionsPeople living with obesity and skin conditionsPeople living with polycystic ovary syndromePeople living with respiratory diseasePeople living with sleep apnoeaPeople with neurodiversityPhysical activity interventionsPreschool childrenPrimary school aged childrenPsychological/talking therapiesStudent teachingTackling stigma and weight biasWomen during and after pregnancyI'm interested in any opportunityOther, please specify:
- How many PPIE Representatives are you looking for?*
- Project PPIE Activities: Provide a detailed breakdown of the activities, including the expected time commitment, preferred dates (if available, and if they are flexible). Clearly specify if these activities will be conducted online, in-person, or in a hybrid format, and if any preparatory work is necessary. *
  If your project consists of multiple activities, please list them and provide brief one-sentence descriptions for each, outlining what each activity will involve.
- Please see our Obesity Voices PPIE Request Guide, which includes details on payments.
- PPIE Member Payments: Outline your reimbursement plan for PPIE members, detailing payment rates and methods (e.g., BACS, cash, vouchers), or providing options for members to select their preferred method. Please consider costs associated with preparation time, travel expenses, internet accessibility, accommodation, subsistence, and alternative childcare or caring arrangements when determining payments. *
  If required, please include reimbursing travel, childcare, etc.
- What is your deadline for expressions of interest? *
  
  DayMonthYear
- What is your deadline for expressions of interest? *
  
  DayMonthYear
  Date
- We will ask our members to contact you or a member of your project team directly if they are interested in the vacancy. Please provide details for who they will need to contact:*
  
  I am the person they need to contactPlease ask them to contact (Provide full name and email address):
- The 6 values and principles for public involvement as set out in INVOLVE (2015) Public involvement in research: values and principles framework, which are:
  1. Respect: Researchers, research organisations and the public respect one another’s roles and perspectives.
  2. Support: Researchers, research organisations and the public have access to practical and organisational support to involve and be involved.
  3. Transparency: Researchers, research organisations and the public are clear and open about the aims and scope of involvement in the research.
  4. Responsiveness: Researchers and research organisations actively respond to the input of public members involved in research.
  5. Fairness of opportunity: Researchers and research organisations ensure that public involvement in research is open to individuals and communities without discrimination.
  6. Accountability: Researchers, research organisations and the public are accountable for their involvement in research and to people affected by the research.
  You will also ensure:
  - Members are treated as partners of research.
  - PPIE activities with Members must be research that is carried out WITH or BY Members and not TAKING PART in research that is about or for them.
  - Activities and opportunities and the level of contribution are always TAILORED to each Member’s interest and availability.
  - Members to be reimbursed adequately and timely on terms no less generous than those set out in the PPIE national guidelines (https://www.nihr.ac.uk/documents/payment-guidance-for-researchers-and-professionals/27392#payment-rates).
  - Appropriately acknowledge Member contribution.
  - Demonstrate honesty, care, compassion, collaboration, equality and inclusion.
  - Use person first language in all communications and support Obesity Institute to eliminate weight stigma and bias.
  - Feed results of activity back to Members.
  - All Member Personal Information will be held in the strictest confidence and in accordance with all Data Privacy Laws.
  - Have in place and implement appropriate procedures to deal with complaints from Members, and in any event permit Members to withdraw from their projects should they no longer wish to participate.
  For GDPR purposes we do not share contact details of our PPIE Members. The obesity Institute will share details of your PPIE opportunity to our members and the onus will be on them to contact you directly. Please see PPIE Roadmap diagram below.
- By submitting this form, I agree to:*
  
  The code of conduct for researchers, providing information on how many representatives I have recruited through Obesity Voices and to participate in the evaluation process
- Should you have any questions about this form, please contact our PPIE Administrator via email, obesityinstitute@leedsbeckett.ac.uk or call on +44(0)113 812 3199
- Should be Empty: