Evaluating the co-creation process in public health interventions: the PROSECO framework

Abstract

Objectives To date, there is a lack of evaluation frameworks to guide the planning and conducting of the evaluation of co-creation in public health. This study aims to identify and set the components of the PROSECO framework (PROcesS Evaluation framework for CO-creation) to support the evaluation of co-creation processes in public health interventions. Study design A multi-step, iterative approach combining the outcomes of two scoping reviews, expert validation, and design refinement. Methods The PROSECO framework was developed in three steps. Firstly, collecting results from two scoping reviews on process evaluation for co-creation and evaluation of co-creation methods. The scoping review results were analysed and refined by a selected group of experts and through a three-round anonymous survey. Based on those findings, the framework visualisation was developed and designed through multiple design iterations. Results The PROcesS Evaluation framework for CO-creation, called the PROSECO framework, was developed to assist researchers and stakeholders in evaluating a co-creation process. The framework comprises a list of 37 components grouped under the five dimensions of Delivery, Participation, Experiential, Context, and Impact. Conclusions PROSECO is the first framework to offer a systematic approach to evaluating co-creation. By integrating a diverse set of evaluation components, encompassing delivery, participation, experiential, impact, and context, it offers a flexible and comprehensive approach to address the complex nature of co-creation.