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Integrating Co-Created and Theory-Driven Insights

A Worked Example Using an Equitable and Power Sharing Approach

Bibliographic Data

ID7156559
AuthorsNessa Millet (0000-0001-5468-5197, Amsterdam University Medical Centers, corresponding author), Reney Karsten (Utrecht University), Breanna W Bosman (Amsterdam University Medical Centers), Sammy Albader (0009-0004-9860-9849, Amsterdam University Medical Centers), Baudewijntje P C Kreukels (0000-0002-9713-4835, Amsterdam University Medical Centers), David Matthew Doyle (0000-0002-8010-6870, Amsterdam UMC Location Vrije Universiteit Amsterdam)
Year2026
Volume25
Publication date2026-01-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Qualitative Methods (JOURNAL)
Journal identifiersISSN: 1609-4069 • E-ISSN: 1609-4069
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/16094069251381898
OpenAlexW7119141827
LanguageEN
References cited48

Co-creation with citizens has emerged as an integral component in tackling a plethora of healthcare inequities. At the stage of scientific conceptualization, processes of integrating co-created insights as legitimate forms of knowledge lack transparent methods, risking disempowerment for citizens who have been positioned as influencing research processes and outcomes. We detail an approach to integrating co-created insights into a scientific model using an equitable and power-sharing approach (EPSA) method, exampled during the study design phase of the AFFIRM Relationships project. The EPSA method consists of three phases: a preparatory phase (researcher reflexivity, topic formulation and sensitization); a co-creation phase (knowledge production, analytic phases, summarizing and ethics work) and an insight integration phase. Applying the EPSA method highlighted the important role of researcher reflexivity in preparing to foster a safe environment for open dialogue during co-creation. Transforming scientific research stages into activities that can engage co-researchers (including conducting analysis, critical thinking, and producing overarching themes) underscored an equitable partnership. While the final phase enabled identification of how resulting knowledge was derived (i.e., via co-creation or existing theory), further consideration of how refinement processes can be grounded in lived experience is necessary, particularly during final stages as decision-making becomes increasingly led by academic team members

Component (thermodynamics) · Grounded theory · Identification (biology) · Phase (matter) · Power (physics) · Process (computing) · Reflexivity · Health Policy Implementation Science · Mental Health and Patient Involvement · Participatory Visual Research Methods

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