Evidence map›Paper›PMID 33729653›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2021

The manifestation of participation within a co-design process involving patients, significant others and health-care professionals.

Sebastian Lindblom, Maria Flink, Marie Elf, Ann Charlotte Laska, Lena von Koch, Charlotte Ytterberg

2 registry-linked trialsAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–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.

NCT02925871 nacompletednot on this map

The Missing Link- Development and Feasibility Evaluation of Person-centred Transitions From the Stroke Unit to the Home - a Co-design Project

TypeinterventionalSponsorKarolinska InstitutetRan2016 to 2022Enrolled49ConditionsStrokeArmsCo-designed person-centred care transitions, Current care transitions
NCT05646589 nacompletednot on this mapstarted 2022, after this paper: background citation

Implementation and Evaluation of a Person-centred Care Transition Support for People With Stroke/TIA

TypeinterventionalSponsorKarolinska InstitutetRan2022 to 2025Enrolled213ConditionsStroke, Transient Ischemic AttackArmsPerson-centred care transition support, Regular care transition
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 'That Essence of Empowerment': An Exploration of People Living With Mental Illness', Healthcare Professionals', and Researchers' Experiences of Co-Design.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  3. Article
  4. Article
  5. Co-Designing the Early Pain Intervention After Knee Replacement (EPIK) Model of Care for People With Persistent Pain After Knee Replacement.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  6. Co-Designing Local Collaboration Between Social Services, Primary Healthcare, and the Third Sector-A Realist Process Evaluation.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  7. Article
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  9. Continuity Is Essential: The Experiences of Co-Design Participants During the Implementation of a New Health Service.Health expectations : an international journal of public participation in health care and health policy · 2025
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  10. Article
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  12. Feasibility, Fidelity and Acceptability of a Person-Centred Care Transition Support Intervention for Stroke Survivors: A Non-Randomised Controlled Study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  13. Rationalizing the Influence of Co-Design on Distress, Clinical Decision-Making and Disease Self-Management of Cancer Patients-as-Partners: A Quasi-Experimental Study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  14. The Perspectives of Healthcare Professionals and Managers on Patient Involvement in Care Pathway Development: A Discourse Analysis.Health expectations : an international journal of public participation in health care and health policy · 2024
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  15. Article
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  19. Patient and public involvement in health research from researchers' perspective.Health expectations : an international journal of public participation in health care and health policy · 2023
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  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.

Sebastian LindblomDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.ORCID 0000-0003-3781-7615
Maria FlinkDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.ORCID 0000-0003-0536-0024
Marie ElfSchool of Education, Health and Social Studies, Dalarna University, Falun, Sweden.ORCID 0000-0001-7044-8896
Ann Charlotte LaskaDepartment of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-7330-940X
Lena von KochDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.ORCID 0000-0002-8560-3016
Charlotte YtterbergDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.ORCID 0000-0003-3704-8887

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite intentions to increase user participation in the development of health services, the concept of participation and how it unfolds within studies with a participatory design has rarely been addressed.

objectiveThe aim of this study was to describe how user participation manifests itself within a co-design process involving patients, significant others and health-care professionals, including potential enablers or barriers.

methodsThis study was conducted in the context of a co-design process of a new person-centred transition from a hospital to continued rehabilitation in the home involving three patients with stroke, one significant other and 11 professionals. Data were collected by observations during the workshops, semi-structured interviews and questionnaires.

resultsFour categories: 'Composition of individuals for an adaptive climate'; 'The balancing of roles and power'; 'Different perspectives as common ground for a shared understanding'; and 'Facilitating an unpredictable and ever-adaptive process', with all together nine subcategories, resulted from the analysis. Participation varied between individuals, groups and steps within the process, and on the topic of discussions and the motivation to contribute. DISCUSSION/

conclusionParticipation is not something that is realized by only applying participatory design methodology. Participation manifests itself through the interaction of the participants and their skills to handle different perspectives, roles and assignments. Participation is enabled by individual, group and facilitating aspects. Co-design processes should allow for varying levels of participation among the participants and throughout the process. PATIENT OR PUBLIC CONTRIBUTION: Patients, significant others and health-care professionals participated as co-designers of a care transition model between hospital and home.

Indexed as

Health PersonnelHospitalsHumansQualitative Researchdesign thinkinghealth services researchinvolvementparticipatory designpatient participationqualitative researchrehabilitationstakeholder participationstrokeuser involvement

Identifiers

PMID33729653
PMCPMC8235880

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.