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 |