Evidence map›Paper›PMID 39808788›Full record

ArticleJMIR research protocols2025

Value Cocreation and Codestruction in Digital Health Services: Protocol for a Systematic Review.

Elina Laukka, Tuure Tuunanen, Miia Jansson, Minna Vanhanen, Nina Hirvonen, Jenni Palukka, Märt Vesinurm, Paulus Torkki

Abstract read
In one paragraph

Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Elina LaukkaDepartment of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-3959-8591
Tuure TuunanenFaculty of Information Technology, University of Jyväskylä, Jyväskylä, Finland.ORCID 0000-0001-7119-1412
Miia JanssonResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.ORCID 0000-0001-5815-0325
Minna VanhanenFocus Area for Digital Solutions, Centre for Research and Innovation, Oulu University of Applied Sciences, Oulu, Finland.ORCID 0000-0002-7771-9756
Nina HirvonenInstitute of Healthcare Engineering and Management at the Department of Industrial Engineering and Management, Aalto University School of Science, Espoo, Finland.ORCID 0009-0008-0632-7705
Jenni PalukkaInstitute of Healthcare Engineering and Management at the Department of Industrial Engineering and Management, Aalto University School of Science, Espoo, Finland.ORCID 0009-0005-8487-8674
Märt VesinurmInstitute of Healthcare Engineering and Management at the Department of Industrial Engineering and Management, Aalto University School of Science, Espoo, Finland.ORCID 0000-0001-7351-7834
Paulus TorkkiDepartment of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-1127-4205

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo successfully design, develop, implement, and deliver digital health services that provide value, they should be cocreated with patients. However, occasionally, the value may also be codestructed. In the field of health care, the concepts of value cocreation and codestruction still need to be better established within emerging digital health services. Studying these concepts is essential for developing effective and sustainable patient-centered care.

objectiveThe aim of the study is (1) to understand the antecedents, decisions, and outcomes of value cocreation and codestruction in digital health services, (2) to define the dynamics between value cocreation and codestruction, and (3) to map future research areas of value cocreation and codestruction within digital health services.

methodsThe systematic review will be conducted in accordance with the Joanna Briggs Institute methodology for mixed method systematic reviews and the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. The review considers scientific qualitative, quantitative, or mixed method studies published in English, Finnish, or Swedish that concern either value cocreation or codestruction in digital health services. Studies focusing on physical robotics and online health communities, as well as non-peer-reviewed and nonscientific papers, will be excluded. The searches were conducted using Scopus and MEDLINE during this protocol creation. Critical appraisal will be done using suitable checklists for qualitative, quantitative, and mixed method studies. The review will adhere to a convergent integrated approach as outlined in the Joanna Briggs Institute methodology for mixed methods systematic reviews.

resultsThe searches resulted in a total of 837 records. The antecedents, decisions, and outcomes of value cocreation and codestruction in the context of digital health services will be described in a finalized systematic review. In the outcomes, our main interest is the effect on patient outcomes and experiences and professional experiences.

conclusionsSince our study involves diverse scientific fields, there is a risk that our search does not capture all relevant papers. To mitigate this risk, we used 2 large databases for the searches. In addition, the value cocreation or codestruction terms may not have been used in all studies focusing on the collaborative roles of patients and providers, especially in the medical field, and that may be difficult to capture. The review reveals the current understanding of value cocreation and codestruction in digital health services and shapes the research agenda for these phenomena. Value cocreation can be used to both design and efficiently use digital health services trying to maximize the value for patients. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/63015.

Indexed as

TelemedicineDelivery of Health CareHumansPatient-Centered CareResearch DesignSystematic Reviews as TopiceHealthsystematic reviewtelemedicinevalue cocreationvalue codestruction

Identifiers

PMID39808788
PMCPMC11775491

What OpenQuestion holds

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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.