Daniel Masterson

Feeling tired? Take a look at a bit of blue space.

A little timelapse of a lake in Sweden for you.

Yes please - thanks for creating

🧵 What do you feel are the essential elements for #coproduction or #codesign?

What makes engagement authentic?

We read over 1000 articles to explore these questions.
Here is a thread on what we learned (with some examples).
Please share your thoughts 👇

Hi 👋 bluesky! Here, in the below is some of my work in codesign and coproduction from working in mental health care research. The participatory zeitgiest here mh.bmj.com/content/45/3... presents a theoretical model of the relational transitions that help understand how things work in co-design 👇

I would like to know the answer to that question too. Clouds? I doubt I'll ever stop calling them tweets.

Couldn't find a starter pack for #PublicInvolvement #PPI #Coproduction & participatory health and care research so I started one.
If you're not on this and would like to be and/or have suggestions of others to add let me know.
Or indeed if you know of a starter pack I've missed

go.bsky.app/PWEAnFR

A carved pumpkin sneezing with a hygiene mask only half covering its face. Irresponsibly carved by a 40 year old man child while his children were inviting they were bored and wanted to go trick and treating

Happy halloween

Timelapse of going round an ice rink

Also for big kids. So much fun!

I could do this all day.

If i wasn't mega unfit.

An ice rink with equipment to help children to learn to skate

A bit of quality family time today I Sweden.

A full sized ice rink. Completely free for all to use. With equipment.

All children get a chance to learn to skate.

#healthyurbanplanning

What are the essential elements for #codesign & #coproduction?

🎬 A 1 minute summary

Masterson et al. (2024) Mechanisms for #codesigning and #coproducing health and social care: a realist synthesis. Reseach Involvement & Engagement 10, 103. doi.org/10.1186/s409...

A chart showing the highest chance of seen the aurora for years. Another chart showing 100% cloud cover. Eyes rolling to convey that the author fully believed that he would get to see the Aurora after moving to Sweden, only for the UK to get many more spectacular displays since 2017. The authors went to bed full to the brim of jealousy and spite.

🙄

On behalf of the co-authors, thank you for engaging in this thread. This EAA framework is still work in progress (an initial programme theory) but we hope we can spark dialogue on the topic.

Hot off the press - here is the Open Access article

researchinvolvement.biomedcentral.com/articles/10....

Rather than rely on a single word to convey a complex process, consider how to apply the values and principles of co-production in combination with the key elements identified.

We learned that rather than rely on a single word or method to convey a complex process, we can consider how to apply the values and principles of co-production in combination with these "essential elements".

With the #intention for authenticity, these can be applied to a wide range of approaches

We learned that there needs to be interaction between the "essential elements" identified. An iterative, repeating interaction between Engagement, Alignment & Agreement The three circles previously discussed are presented. The wheels have arrows around them to suggest motion, allowing for dialogue to interact with all the other essential elements. Even if only brief, interaction between these "essential elements" is needed for co-design and co-production

We learned that even if only brief, there needs to be an iterative, repeating interaction between #Engagement, #Alignment & #Agreement in context

Dialogue & documentation (alignment) is central to this interaction

Agreement Those involved reaching a broad consensus A means towards discovery of a new view. Those involved reaching a broad consensus Alignment and agreement allow us to work towards a common vision. All of these essential elements requires interaction in context. (explained in the next picture)

By #agreement, we mean those involved reaching a broad consensus

#Dialogue on interpretation & understanding is a means towards discovery of a new view.

#Alignment and #agreement allow us to work towards a common vision.

These "essential elements" require interaction in #context.

Understanding The mutual comprehension and insights gained. Achieved through dialogue on interpretation. Shared understanding is an important step towards Agreement (explained on the next picture)

The continued #dialogue on #interpretation of our #SharedUnderstanding is an essential elements towards an #Agreement

This is not linear. This is not map to follow. This is not the complete picture.

This agreement may just be on "what are our guiding values?"

Interpretation Making sense of the documented dialogue and expressed views A moment to reflect on what has taken place Interpretation can be independent though it requires interaction with alignment in order to lead to understanding (explained on the next picture)

We learned that for #coproduction there needs to be moments to reflect on what has taken place.

Making sense of #documented #dialogue and expressed views (interpretation) can be a separate part altogether, though it requires further interaction with #alignment in order to lead to #understanding

Alignment The bringing together views or ideas A circle is split into two halves is presented. On one half is dialogue, the other half is documentation. The interaction of which leads to alignment. Central to co-production is dialogue. With documentation, we capture dialogue and can begin to align expressed views and ideas through interpretation.

We learned that central to #coproduction is the interaction between #dialogue & #documentation

Through the bringing together of views or ideas and documentation of these, we can begin to #align expressed views and ideas.

We need to have continued dialogue on the #interpretation of documentation.

Documentation Capturing divergent views ensures voices are heard. An opportunity to reflect on views expressed. Documenting dialogue allows us to review decisions, clarify interpretation and report transparently.

What is also essential is that we #document the #dialogue

Capturing divergent views ensures voices are heard and provides an opportunity to reflect on views expressed.

Documenting dialogue allows us to review decisions, clarify interpretation and report transparently.

Dialogue Exploration of ideas & views with mutuality and insight Dialogue is central to co-production. Divergence of views allows us to go beyond one-way knowledge extraction to knowledge sharing

We learned that #dialogue is not only important, but it is central to co-production.

There needs to be exploration of ideas & views with mutuality and insight

It is through divergence of views which allows us to go beyond one-way knowledge extraction to knowledge sharing

Reflection on intentions andassets to create a conducive environment for meaningful engagement A circle split into two halves with two essential elements for engagement: intention and assets. But to co-produce, these essential elements need interaction with dialogue (text continues into the next image)

Through #reflection on #intentions & #assets, we can begin create a conducive environment for meaningful #engagement

But to co-produce, these essential elements need interaction with #dialogue.

We need to talk about our intentions. We need to talk about the assets in the room.

Assets Consideration of strengths, opportunities & possibilities Reflect on what is needed to enhance and build upon the assets in the room What resources can we work with to make this happen?

Nothing worth having comes easy. While we focus on essential elements (mechanisms), #coproduction is not simple.

Consider our opportunities - what resources can we work with to make #coproduction happen?

Reflect on what is needed to enhance & build upon the assets in the room.

Intention. Any toolbox can become a tickbox. Our reasoning will influence our behaviour. Are we willing to learn from what we hear or are we hoping to hear what we've already learned?

In a scoping review exploring definitions of #coproduction, we learned that the WHY is more important that the WHAT

onlinelibrary.wiley.com/doi/10.1111/...

In this review, we find the WHY can help us to decide on the HOW.

Any toolbox can become a tickbox. Any method can be meaningful.

Co-design & co-production can be applied to a range of participatory approaches. A word art is presented with the following listed: Participatory research, Co-production, co-design, Community-based research, Combined methods – design, Experience-based co-design, Participatory design, Combined methods – design & research, Combined methods – research, User-centred design, Assets-based community development, Co-ideation, Collective autoethnography, Human-centred design, Knowledge Café, Modified Nominal Group Technique, Patient and Public Involvement and Shared decision making, Cultural Animation, Qualitative Research, Technology Interaction. There are essential elements needed for shared learning.

Linking with conclusion from @louiselocock.bsky.social & @annetteboaz.bsky.social #Codesign & #coproduction can be applied to a range of participatory approaches (including qualitative research)

bristoluniversitypressdigital.com/configurable...

More than a word The words co-design & co-production are often used to communicate a complex engagement process. Many do not report how they co-produced.

We learned that #coproduction is more than a word.

The words #codesign & #coproduction are often
used to communicate a complex engagement
process. Many do not report how they co-produced.

I wish I had read this paper in 2019 @louiselocock.bsky.social

If you are exploring the challenges of "what" and "how" to co-produce, this is a must read.

Spoiler alert for our review - 1000 articles and 5 years later, our findings support their conclusion and reinforce the message.

Not out of kindness, the process of dialogue was clear throughout. There were also some absolute gems which were #coproduced but excluded because they rely on the co- to convey a process.

My first learning experience from Lynn L. was when I used "empowerment" & Lynn introduced me to your work

No easy answer to that, I fear! bristoluniversitypressdigital.com/configurable...

We looked for any interaction with opportunities for mutuality, insight and clarification in their engagement process.

We excluded articles that relied on the word co-production or co-design to convey a process. The same if it was only stated that a workshop or focus group took place.

The Participatory Zeitgeist: an explanatory theoretical model of change in an era of coproduction and codesign in healthcare improvement Healthcare systems redesign and service improvement approaches are adopting participatory tools, techniques and mindsets. Participatory methods increasingly used in healthcare improvement coalesce aro...

Palmer et al (2019) had also found dialogue to be a key mechanism for #codesign and #coproduction

Principles such as power were rarely discussed the articles we located, but we could consider whether there was #dialogue

mh.bmj.com/content/45/3...