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Cultural values are crucial to the practice and impact of patient and public involvement (PPI) in research. To understand different PPI cultures among research teams and the impacts of PPI associated with each culture type. A participatory action research design. The setting was 10 palliative care research projects. Seventeen patients and members of the public and 31 researchers participated. A programme consisting of four components (1) training and coaching of patients and the public to prepare them for participation in research, (2) t
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