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. 2022 Jul 7;22:877. doi: 10.1186/s12913-022-08079-y

Table 2.

Study characteristics

Author, year, country Health condition Aim of study Methodology Participant numbers Co-approach Definition of co-approach used by authors

Cowdell et al. (2020)

UK [27]

Eczema To devise strategies to amend lay and practitioner eczema mindlines to improve consultation experiences and self- management practices in primary care. To identify 1. What knowledge needs to be mobilised. 2. Who needs this knowledge. 3. How should this knowledge be shared Qualitative case study

Total n = 22

Lay people n = 10

Health practitioners n = 12

Co-Creation

Using 8 principles of Co-Create co-production matrix:

Holistic, resourced, transparent, inclusive, iterative, positive, equal, Sustainable

Dal Mas et al. (2020)

Italy/UK [50]

Breast cancer How can knowledge translation be triggered by design to support and enhance the physical and psychological recovery of patients after breast cancer surgery Qualitative case study

Total n = 28

Researchers n = 4

Psychiatrists/physiotherapists n = 9

Nurses n = 3

Breast surgeon n = 1

Sport and fitness professional n = 1

Patients n = 2

National association of breast surgery operated women n = 2

Librarians n = 3

Admin staff n = 3

Co-production

Patient engagement

Active and effective participation of patients in their healthcare

Dent et al. (2016)

Australia [36]

Long term musculoskeletal problems Describe lessons learned from implementation of a population health intervention study in a rural setting using a Co-KT framework as a guideline for intervention Qualitative case study Not reported Co-creation (cocreating a knowledge translation framework – Co-KT) ‘Co-creating of KT’ (Co-KT) framework, which combines academic evidence-based knowledge with the context-specific knowledge from stakeholders

Fonseka et al. (2019)

Canada [43]

Mental Health A knowledge translation project to adapt the CANMAT clinician guidelines into an accessible, plain language version Qualitative case study

Total n = 7

Workshop

People with lived experience of mental health problems n = 7

Co-design Incorporating expertise of individuals with lived experience

Grindell et al. (2020)

UK [28]

Malignant pleural effusion To describe the co-design methods used to mobilse knowledge and co-create a decision support tool for people with malignant pleural effusion Qualitative case study

Total n = 41

Workshop 1

Site 1

Total n = 9,

Consultant physician n = 3

Patients n = 5

Carers n = 2

Nurse specialist n = 1

Site 2

Total n = 11,

Consultant physician n = 1

Physician Registrar n = 1

Patients n = 5

Carers n = 3

Nurse specialist n = 1

Research nurse n = 1

Site 3

Total n = 11,

Physician registrar n = 1

Patients n = 5

Carers n = 5

Senior research nurse n = 1

Student nurse n = 1

Workshop 2

Total n = 10

Consultant physicians n = 2

Physician registrar n = 3

Nurses n = 3

Patients n = 2

Creative co-production/design A four phased, human-centred process of divergent and convergent thinking. Recognising all forms of knowledge. Considering all ideas before the best, most practical solutions are tested through an iterative prototyping process ready for implementation

Heaton (2016)

UK [29]

Acute stroke management What does the theory of co- production add to our understanding of the processes of knowledge creation and translation in PenCLAHRC Qualitative case study

Total n = 9

NHS trust staff and local stroke network n = 5

Researchers n = 4

Co-production Co-production of knowledge and closer collaboration

IKT casebook vol 1 (2019) [44]

Case studies:

Townley et al., Sibbald et al., Gainforth et al., Kastner et al

Editors

McCutcheon et al

Canada

4 case studies includes chronic pain assessment, spinal cord injury and multi chronic disease Using a integrated knowledge translation approach to co-create a pain assessment toolkit, and physical activity interventions and to co-design a multi disease management tool Case studies Not disclosed Co-production, co-creation and co-design Not explicitly defined beyond an integrated knowledge translation approach

IKT casebook vol 3 (2020) [45] Case study: Ramage et al

Editors Boland et al

Stroke The co-design and piloting of an evidence-based intervention aimed at increasing physical activity to reduce secondary stroke risk Case study

Total n = 45

Knowledge user partners

Total n = 13

Person with lived experience of stroke n = 1

Physiotherapists n = 2

Exercise scientist n = 1

Researchers n = 5

PhD supervisors n = 4 (with research expertise in physiotherapy [n = 3] and nutrition and dietetics [n = 1])

Knowledge-user informants

Total n = 32

Health-care workers (n = 16) such as doctors, nurses, physiotherapists, managers

Stroke survivors (n = 10)

Carers (n = 5)

Behaviour change researcher (n = 1)

Co-design Not explicitly described but involving knowledge user partners and knowledge user informants at each stage of project

Knowles et al. (2018)

UK [30]

People with multi-morbidity To explore whether co- production methodologies could enhance intervention development and provide a mechanism to translate available evidence into patient- centred intervention proposals for multimorbidity and safety

Qualitative

(codesign and survey)

Total n = 34

Workshop 1

Total n = 11

People or carers with multi morbidities n = 11

Workshop 2

Total n = 5

GP n = 1

Pharmacists n = 3

Pharmacy dispenser n = 1

Workshop 3

Total n = 11

Public contributors n = 9

Pharmacist n = 1

Pharmacy dispenser n = 1

Survey n = 7

Patients n = 4

Health care professionals n = 3

Co-design (participatory design) Methodologies which explicitly involve patients in design and development

Law (2020)

UK [31]

Long term conditions To identify and produce a taxonomy of physical activity interventions that aim to reduce functional decline in people with long- term conditions managed in primary care (Stage 4 Intervention co-design, actionable recommendations and knowledge mobilisation) Study protocol – realist synthesis with embedded co-production and co-design Participant numbers not described Co-design/production Draw on the lived experiences of service users and professionals providing services to them. Ensuring all views from stakeholders are included and embedded within the process

Lewando Hundt et al. (2019)

UK [32]

End of life care Evaluation of research based theatre performance post discussions to capture the nature and dynamics of the co-production of knowledge Qualitative case studies

Total n = 25–75

On average 50% 0f audience (n = 50–150) attended post show activities

included service users, carers, students, researchers, and health, and social care service providers and the wider public

Co-production (of knowledge) This term recognizes that the process involves multiple types of knowledge and experience from a plurality of stakeholders and actors

Livings et al. (2020)

Australia [37]

Osteo-Arthritis To establish whether a co-designed, community- based, physiotherapy- led multidisciplinary model of care for managing knee OA can be developed and implemented in the community physiotherapy setting

Study protocol

a quasi- experimental, pre– post design with an embedded qualitative component- phase 2 = co-design

Aim to recruit 52 Co-design Consultation with researchers, patients, clinical staff, members of the public and other stakeholders

Miller et al. (2016)

Canada [46]

Osteo -Arthritis(OA) What does quality care mean to patients with OA and what is most helpful in managing their arthritis Qualitative People with OA n = 25 Co-design Co-design of research project- participants setting research questions, collecting data etc

Milton et al. (2021)

Australia [38]

Mental health /eating disorders To collaboratively customise and configure the InnoWell Platform to enhance access to and service quality of Butterfly’s National Helpline Qualitative case study

Total n = 45

People with experience of eating disorders

Workshop 1 n = 9

Workshop 2 n = 7

Workshop 3 n = 11

Workshop 4 n = 5

Workshop 5 n = 5

Workshop 6 n = 8

Co-design/participatory design The active participation of all stakeholders to ensure that the end product meets the needs of its intended user base, improves usability, and increases engagement of all individuals

Ospina- Pinillos et al. (2018)

Australia [41]

Mental health To codesign and build a Mental Health eClinic (MHeC) to improve timely access to, and better quality, mental health care for young people across Australia Qualitative case study

Total n = 44

Stage 1 n 28

Young people (YP) with mental health problems n = 18

Health care professionals (HCP) n = 10

Stage 2 n = 9

YP n = 6

HCP n = 4

Stage 3 n = 6

YP n = 4

HCP n = 2

Codesign

(participatory design)

Involves iterative design cycles in which end users and researchers contribute to knowledge production and the development of the end product

Ospina- Pinillos et al. (2019)

Australia [39]

Mental health To co-design and culturally adapt the MHeC for Spanish-speaking young people based in Australia; Qualitative case study

Total n = 32

Workshops n = 17

YP n = 10

HCP n = 7

User testing n = 15

YP n = 7

HCP n = 5

Supportive others n = 3

Codesign

(participatory design)

involve stakeholders and end users in the design and development to increase user engagement and system usability

Ospina- Pinillos et al. (2020)

Australia [40]

Mental health To culturally adapt the MHeC for young people in Colombia Qualitative case study

Total n = 28

Workshop n = 18

YP n = 7

HCP n = 11

User testing

YP n = 5

HCP n = 3

Supportive others n = 2

Codesign

(participatory design)

The process involves engaging end users and other stakeholders at all stages (from conception to completion) of the design, development, and testing of these technologies

Reeve (2016)

UK [33]

Mental health and wellbeing The aim was to translate a model of care into practice-based evidence describing delivery and impact. (started as a formative evaluation but finished as a co-production model) Qualitative case study

Numbers not specified

Initial evaluation:

GP practices = 7

Redesign of intervention:

GP practice n = 1

Co-production To generate practice based knowledge to contextualise a complex intervention ready for implementation

Revenas (2018)

Sweden [48]

Parkinsons Disease The aim of this study was to describe the co-design an eHealth service for co-care (knowledge exchange) for Parkinson disease Qualitative

Total n = 25

4 workshops:

People with Parkinsons Disease n = 7

HCP n = 9

Facilitators n = 7

Co-design Co-creation has been broadly defined as any act of collective creativity, while co-design signifies the span of a design process

Thompson (2020)

Canada [47]

Functional constipation in children To use patient engagement methods to establish a research collaboration with parents to co-create a digital knowledge translation tool for parents caring for a child with functional constipation Qualitative study protocol Specific numbers not disclosed Co-creation Not explicitly described but to be achieved through a parent collaborator group

Wannheden (2020)

Sweden [49]

Parkinsons disease This study explores People with Parkinson’s (PwP) and HCPs’ expectations and desired eHealth functionalities to achieve co-care (knowledge exchange to improve healthcare outcomes)

Qualitative

(Co-design workshops and questionnaire)

Total n = 53

4 workshops n = 16

PwP n = 7

HCP’s n = 9

Prototype questionnaire n = 37

PwP n = 31

informal care givers n = 6

Co-design/participatory design Participatory design shares similarities with action research and offers a method for combining health service and technology development in close collaboration with the intended users of the future service

Wolstenholme, Poll, Tod (2020)

UK [35]

Hepatitis C To devise interventions to improve access to the nurse-led hepatitis C clinic through sharing knowledge from those who both receive and deliver services Qualitative case study

Total n = 22

Over 2 workshops:

service users who were current or former patients of the hospital HCV clinic n = 12

Stakeholders representing seven different agencies n = 10

Co-production Meaningful engagement of all stakeholders in the design of new services or knowledge. Ensuring the research is relevant to the end users and informed by them

Wolstenholme, Grindell, Tod, Bec (2018)

UK [34]

Various health conditions including low back pain, chronic obstructive pulmonary disease, stroke

Highlights of

how knowledge is translated, in its many forms, into action. With a particular focus on the contribution of creative practices and design to deliver successful change

Collection of case studies

Varies across projects

From n = 10 – n = 75

Co-design That allows the contribution of all the stakeholders of a project or service to share and synthesise new knowledge

Yeganeh et al. (2021)

Australia [42]

Early menopause (EM)/

premature ovarian insufficiency (POI)

To describe and summarize the overall process of co-design and report on the development and evaluation of the digital resource as well as dissemination and implementation Qualitative case study

Total 156

Interviews

Women with EM n = 30

Surveys n = 126

Women with POI n = 110

HCP n = 16

Co-design With all stakeholders including active patient inclusion, to ensure developed resources are relevant and improve patient understanding and knowledge