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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.
Keywords
Co-creation, Co-design, Co-production, Evaluation, Participatory, Process evaluation, IMPLEMENTATION

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MLA
Longworth, Giuliana Raffaella, et al. “Evaluating the Co-Creation Process in Public Health Interventions : The PROSECO Framework.” PUBLIC HEALTH, vol. 245, 2025, doi:10.1016/j.puhe.2025.105783.
APA
Longworth, G. R., Agnello, D. M., Chastin, S., Davis, A., Hidalgo, E. S., Baselga, S. V., … Giné-Garriga, M. (2025). Evaluating the co-creation process in public health interventions : the PROSECO framework. PUBLIC HEALTH, 245. https://doi.org/10.1016/j.puhe.2025.105783
Chicago author-date
Longworth, Giuliana Raffaella, Danielle Marie Agnello, Sebastien Chastin, Aaron Davis, Enric Senabre Hidalgo, Sergio Villanueva Baselga, Lauren McCaffrey, Jorge Zapata Restrepo, Laura Coll-Planas, and Maria Giné-Garriga. 2025. “Evaluating the Co-Creation Process in Public Health Interventions : The PROSECO Framework.” PUBLIC HEALTH 245. https://doi.org/10.1016/j.puhe.2025.105783.
Chicago author-date (all authors)
Longworth, Giuliana Raffaella, Danielle Marie Agnello, Sebastien Chastin, Aaron Davis, Enric Senabre Hidalgo, Sergio Villanueva Baselga, Lauren McCaffrey, Jorge Zapata Restrepo, Laura Coll-Planas, and Maria Giné-Garriga. 2025. “Evaluating the Co-Creation Process in Public Health Interventions : The PROSECO Framework.” PUBLIC HEALTH 245. doi:10.1016/j.puhe.2025.105783.
Vancouver
1.
Longworth GR, Agnello DM, Chastin S, Davis A, Hidalgo ES, Baselga SV, et al. Evaluating the co-creation process in public health interventions : the PROSECO framework. PUBLIC HEALTH. 2025;245.
IEEE
[1]
G. R. Longworth et al., “Evaluating the co-creation process in public health interventions : the PROSECO framework,” PUBLIC HEALTH, vol. 245, 2025.
@article{01K6FYHZGT5T2SQ63TVB27FYYD,
  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.}},
  articleno    = {{105783}},
  author       = {{Longworth, Giuliana Raffaella and Agnello, Danielle Marie and Chastin, Sebastien and Davis, Aaron and Hidalgo, Enric Senabre and Baselga, Sergio Villanueva and McCaffrey, Lauren and Restrepo, Jorge Zapata and Coll-Planas, Laura and Giné-Garriga, Maria}},
  issn         = {{0033-3506}},
  journal      = {{PUBLIC HEALTH}},
  keywords     = {{Co-creation,Co-design,Co-production,Evaluation,Participatory,Process evaluation,IMPLEMENTATION}},
  language     = {{eng}},
  pages        = {{5}},
  title        = {{Evaluating the co-creation process in public health interventions : the PROSECO framework}},
  url          = {{http://doi.org/10.1016/j.puhe.2025.105783}},
  volume       = {{245}},
  year         = {{2025}},
}

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