{"id":{"repo_id":"unsw","oai_identifier":"oai:unsworks.library.unsw.edu.au:1959.4/103342"},"canonical_url":"https://search.dev.ndltd.org/etd/unsw/oai:unsworks.library.unsw.edu.au:1959.4/103342","repository":{"repo_id":"unsw","name":"University of New South Wales","base_url":"https://unsworks.unsw.edu.au/oai/provider"},"display":{"title":"Processes and outcomes of co-design to improve physical health care with mental health consumers in primary care","abstract":"Co-design is increasingly used to improve and innovate in health care, but research into improving co-design processes has been limited. Co-design combines service user, service provider and other stakeholder expertise to develop novel solutions informed by lived experience. This study examined the co-design processes that contributed to the experience and outcomes of a co-design project involving mental health consumers, families/carers/kin, primary care providers, and peer support workers. The co-design project, which aimed to improve mental health consumers’ physical health care in primary care settings, created and tested a Physical Health Conversation Guide (PHCG). This study comprised two interrelated stages. Stage 1 co-designed the PHCG and determined a method for testing it. The research analysed the co-designers’ experience and the processes by which outcomes were achieved. Stage 2 explored experiences of using the PHCG, its impact on physical healthcare interactions, ways to improve the PHCG and how these findings reflected on the co-design process. Lived experience researchers and a Lived Experience Advisory Group ensured research processes were informed by lived expertise. This research clarified three key co-design processes - generating knowledge, creating space, and influencing change - and described the interdependent tensions that underlie them. The findings highlighted mechanisms that support collaborative decision-making in healthcare co-design and the role of time in the achievement of tasks - constructing meaning, building relationships, and negotiating action - that are core to each of these processes. Testing confirmed that the PHCG aligned with consumers’ preferences for personal control and a holistic approach to health and primary care providers’ preferences for patient-centredness and efficient information sharing. Foregrounding lived expertise to improve interactions about mental health consumers’ physical health was a strength of this study. The research clarified key processes that contributed to equitable participation and collaborative decision-making in co-design. This study also corroborated the effectiveness of co-design for developing a mutually acceptable solution that had the potential to improve mental health consumers’ health care and outcomes.","abstract_html":"Co-design is increasingly used to improve and innovate in health care, but research into improving co-design processes has been limited. Co-design combines service user, service provider and other stakeholder expertise to develop novel solutions informed by lived experience. This study examined the co-design processes that contributed to the experience and outcomes of a co-design project involving mental health consumers, families/carers/kin, primary care providers, and peer support workers. The co-design project, which aimed to improve mental health consumers’ physical health care in primary care settings, created and tested a Physical Health Conversation Guide (PHCG). This study comprised two interrelated stages. Stage 1 co-designed the PHCG and determined a method for testing it. The research analysed the co-designers’ experience and the processes by which outcomes were achieved. Stage 2 explored experiences of using the PHCG, its impact on physical healthcare interactions, ways to improve the PHCG and how these findings reflected on the co-design process. Lived experience researchers and a Lived Experience Advisory Group ensured research processes were informed by lived expertise. This research clarified three key co-design processes - generating knowledge, creating space, and influencing change - and described the interdependent tensions that underlie them. The findings highlighted mechanisms that support collaborative decision-making in healthcare co-design and the role of time in the achievement of tasks - constructing meaning, building relationships, and negotiating action - that are core to each of these processes. Testing confirmed that the PHCG aligned with consumers’ preferences for personal control and a holistic approach to health and primary care providers’ preferences for patient-centredness and efficient information sharing. Foregrounding lived expertise to improve interactions about mental health consumers’ physical health was a strength of this study. The research clarified key processes that contributed to equitable participation and collaborative decision-making in co-design. This study also corroborated the effectiveness of co-design for developing a mutually acceptable solution that had the potential to improve mental health consumers’ health care and outcomes.","abstract_has_math":false,"creators":["Thorburn, Kathryn ; https://orcid.org/0000-0002-7383-874X"],"institution":"UNSW, Sydney","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024","date_published":"2024","updated_at":"2026-07-24T05:32:00Z","subjects":["co-design","mental health","physical health","primary care","healthcare","collaborative decisions","anzsrc-for: 42 HEALTH SCIENCES"],"languages":["en"],"rights":["open access","CC BY 4.0","free_to_read"],"rights_urls":["https://purl.org/coar/access_right/c_abf2","https://creativecommons.org/licenses/by/4.0/"],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["https://doi.org/10.26190/unsworks/30608"],"render_values":[{"text":"https://doi.org/10.26190/unsworks/30608","href":"https://doi.org/10.26190/unsworks/30608","code":true}]}]},"links":{"outbound_url":"http://hdl.handle.net/1959.4/103342","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Thorburn, Kathryn ; https://orcid.org/0000-0002-7383-874X"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2024"]},{"key":"dc:publisher","label":"Institution","values":["UNSW, Sydney"]},{"key":"dc:type","label":"Dc Type","values":["doctoral thesis","http://purl.org/coar/resource_type/c_db06"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["co-design","mental health","physical health","primary care","healthcare","collaborative decisions","anzsrc-for: 42 HEALTH SCIENCES"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["open access","https://purl.org/coar/access_right/c_abf2","CC BY 4.0","https://creativecommons.org/licenses/by/4.0/","free_to_read"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://hdl.handle.net/1959.4/103342","https://unsworks.unsw.edu.au/bitstreams/8c6b1292-673d-44e6-82cf-6273f0c0f7cb/download","https://doi.org/10.26190/unsworks/30608"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Co-design is increasingly used to improve and innovate in health care, but research into improving co-design processes has been limited. Co-design combines service user, service provider and other stakeholder expertise to develop novel solutions informed by lived experience. This study examined the co-design processes that contributed to the experience and outcomes of a co-design project involving mental health consumers, families/carers/kin, primary care providers, and peer support workers. The co-design project, which aimed to improve mental health consumers’ physical health care in primary care settings, created and tested a Physical Health Conversation Guide (PHCG). This study comprised two interrelated stages. Stage 1 co-designed the PHCG and determined a method for testing it. The research analysed the co-designers’ experience and the processes by which outcomes were achieved. Stage 2 explored experiences of using the PHCG, its impact on physical healthcare interactions, ways to improve the PHCG and how these findings reflected on the co-design process. Lived experience researchers and a Lived Experience Advisory Group ensured research processes were informed by lived expertise. This research clarified three key co-design processes - generating knowledge, creating space, and influencing change - and described the interdependent tensions that underlie them. The findings highlighted mechanisms that support collaborative decision-making in healthcare co-design and the role of time in the achievement of tasks - constructing meaning, building relationships, and negotiating action - that are core to each of these processes. Testing confirmed that the PHCG aligned with consumers’ preferences for personal control and a holistic approach to health and primary care providers’ preferences for patient-centredness and efficient information sharing. Foregrounding lived expertise to improve interactions about mental health consumers’ physical health was a strength of this study. The research clarified key processes that contributed to equitable participation and collaborative decision-making in co-design. This study also corroborated the effectiveness of co-design for developing a mutually acceptable solution that had the potential to improve mental health consumers’ health care and outcomes."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Processes and outcomes of co-design to improve physical health care with mental health consumers in primary care"]}]}],"canonical_facts":{"dc:creator":["Thorburn, Kathryn ; https://orcid.org/0000-0002-7383-874X"],"dc:date":["2024"],"dc:description":["Co-design is increasingly used to improve and innovate in health care, but research into improving co-design processes has been limited. Co-design combines service user, service provider and other stakeholder expertise to develop novel solutions informed by lived experience. This study examined the co-design processes that contributed to the experience and outcomes of a co-design project involving mental health consumers, families/carers/kin, primary care providers, and peer support workers. The co-design project, which aimed to improve mental health consumers’ physical health care in primary care settings, created and tested a Physical Health Conversation Guide (PHCG). This study comprised two interrelated stages. Stage 1 co-designed the PHCG and determined a method for testing it. The research analysed the co-designers’ experience and the processes by which outcomes were achieved. Stage 2 explored experiences of using the PHCG, its impact on physical healthcare interactions, ways to improve the PHCG and how these findings reflected on the co-design process. Lived experience researchers and a Lived Experience Advisory Group ensured research processes were informed by lived expertise. This research clarified three key co-design processes - generating knowledge, creating space, and influencing change - and described the interdependent tensions that underlie them. The findings highlighted mechanisms that support collaborative decision-making in healthcare co-design and the role of time in the achievement of tasks - constructing meaning, building relationships, and negotiating action - that are core to each of these processes. Testing confirmed that the PHCG aligned with consumers’ preferences for personal control and a holistic approach to health and primary care providers’ preferences for patient-centredness and efficient information sharing. Foregrounding lived expertise to improve interactions about mental health consumers’ physical health was a strength of this study. The research clarified key processes that contributed to equitable participation and collaborative decision-making in co-design. This study also corroborated the effectiveness of co-design for developing a mutually acceptable solution that had the potential to improve mental health consumers’ health care and outcomes."],"dc:format":["application/pdf"],"dc:identifier":["http://hdl.handle.net/1959.4/103342","https://unsworks.unsw.edu.au/bitstreams/8c6b1292-673d-44e6-82cf-6273f0c0f7cb/download","https://doi.org/10.26190/unsworks/30608"],"dc:language":["en"],"dc:publisher":["UNSW, Sydney"],"dc:rights":["open access","https://purl.org/coar/access_right/c_abf2","CC BY 4.0","https://creativecommons.org/licenses/by/4.0/","free_to_read"],"dc:subject":["co-design","mental health","physical health","primary care","healthcare","collaborative decisions","anzsrc-for: 42 HEALTH SCIENCES"],"dc:title":["Processes and outcomes of co-design to improve physical health care with mental health consumers in primary care"],"dc:type":["doctoral thesis","http://purl.org/coar/resource_type/c_db06"]},"updated_at":"2026-07-24T05:32:00Z"}