Evidence map›Paper›PMID 32045087›Full record

Trial reportHealth expectations : an international journal of public participation in health care and health policy2020

Experience-based co-design-Adapting the method for a researcher-initiated study in a multi-site setting.

David K Raynor, Hanif Ismail, Alison Blenkinsopp, Beth Fylan, Gerry Armitage, Jonathan Silcock

Abstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed.

  1. Trial
  2. Experience-based co-design-Adapting the method for a researcher-initiated study in a multi-site setting.Health expectations : an international journal of public participation in health care and health policy · 2020
    Trial
  3. Article
  4. Co-Designing a Care Pathway for Healthcare Professionals to Recognise and Respond to Human Trafficking Victims in Emergency Departments.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Article
  6. From Co-Design to Quality Improvement: Using the Double Diamond Framework to Develop Primary Care Redesign Priorities for Hypertension Care.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Supporting Older People Living With Frailty to Self-Manage Multiple Medicines: An Experience-Based Co-Design of a Complex Intervention Developed in UK Primary Care.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  11. Review
  12. Co-Designing Aphasia Services: Evaluation of Involvement and Processes to Support Inclusion of People With Post Stroke Aphasia.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  13. Article
  14. Article
  15. Adapting Experience-Based Co-Design to Disability Research: Co-Producing the CycLink Co-Design Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  16. Developing an Inclusive Dance Guide for Children With Cerebral Palsy: A Co-Design Process and Initial Feasibility Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  17. Article
  18. Enablers and Barriers to an Experience-Based Co-Design Process to Develop Service Improvements in Enhanced Community Care in Ireland: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

David K RaynorUniversity of Leeds, Leeds, UK.ORCID 0000-0003-0306-5275
Hanif IsmailUniversity of Bradford, Bradford, UK.ORCID 0000-0002-7885-6648
Alison BlenkinsoppUniversity of Bradford, Bradford, UK.ORCID 0000-0001-8872-2769
Beth FylanUniversity of Bradford, Bradford, UK.ORCID 0000-0003-0599-4537
Gerry ArmitageUniversity of Bradford, Bradford, UK.
Jonathan SilcockUniversity of Bradford, Bradford, UK.ORCID 0000-0002-4920-9249

Funding

Department of Health RP-PG-0514-20009
6 · The paper itself

Abstract

backgroundExperience-based co-design (EBCD) brings patients and staff together to co-design services. It is normally conducted in one organization which initiates and implements the process. We used the traditional EBCD method with a number of adaptations as part of a larger research study in the British National Health Service.

methodsThe primary aim was to assess the feasibility and acceptability of conducting research-initiated EBCD, to enhance intervention development prior to testing. As well as embedding the method in a research study, there were 3 further key adaptations: (a) working across primary and secondary care sectors, (b) working on multiple sites and (c) incorporating theory-informed analysis.

resultsWe recruited four sites (covering both primary and secondary care) and, on each site, conducted the initial traditional EBCD meetings, with separate staff and patient groups-followed by a single joint patient-staff event, where four priority areas for co-design were agreed. This event was driven by theory-informed analysis, as well as the traditional trigger film of patient experiences. Each site worked on one priority area, and the four co-design groups met over 2-3 months to design prototype tools. A second joint event was held (not usually undertaken in single-site EBCD) where they shared and compared outputs. The research team combined elements of these outputs to create an intervention, now being tested in a cluster randomized controlled trial.

conclusionsEBCD can be successfully adapted for use across an entire patient pathway with multiple organizations and as part of a research process to identify an intervention for subsequent testing in a randomized trial. Our pragmatic approach used the patient experience to identify areas for improvement and co-designed an intervention which directly reflected patient priorities.

Indexed as

Research DesignState MedicineHumansadapted methodcodesigncomplex interventionexperience-based co-design

Identifiers

PMID32045087
PMCPMC7321746

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.