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

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.