Evaluating stakeholder involvement in building a decision support tool for NHS health checks : co-producing the WorkHORSE study

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http://hdl.handle.net/10138/324609

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Lloyd-Williams , F , Hyseni , L , Guzman-Castillo , M , Kypridemos , C , Collins , B , Capewell , S , Schwaller , E & O'Flaherty , M 2020 , ' Evaluating stakeholder involvement in building a decision support tool for NHS health checks : co-producing the WorkHORSE study ' , BMC Medical Informatics and Decision Making , vol. 20 , no. 1 , 182 . https://doi.org/10.1186/s12911-020-01205-y

Title: Evaluating stakeholder involvement in building a decision support tool for NHS health checks : co-producing the WorkHORSE study
Author: Lloyd-Williams, Ffion; Hyseni, Lirije; Guzman-Castillo, Maria; Kypridemos, Chris; Collins, Brendan; Capewell, Simon; Schwaller, Ellen; O'Flaherty, Martin
Contributor: University of Helsinki, Demography
Date: 2020-08-10
Language: eng
Number of pages: 12
Belongs to series: BMC Medical Informatics and Decision Making
ISSN: 1472-6947
URI: http://hdl.handle.net/10138/324609
Abstract: Background Stakeholder engagement is being increasingly recognised as an important way to achieving impact in public health. The WorkHORSE (WorkingHealthOutcomesResearchSimulationEnvironment) project was designed to continuously engage with stakeholders to inform the development of an open access modelling tool to enable commissioners to quantify the potential cost-effectiveness and equity of the NHS Health Check Programme. An objective of the project was to evaluate the involvement of stakeholders in co-producing the WorkHORSE computer modelling tool and examine how they perceived their involvement in the model building process and ultimately contributed to the strengthening and relevance of the modelling tool. Methods We identified stakeholders using our extensive networks and snowballing techniques. Iterative development of the decision support modelling tool was informed through engaging with stakeholders during four workshops. We used detailed scripts facilitating open discussion and opportunities for stakeholders to provide additional feedback subsequently. At the end of each workshop, stakeholders and the research team completed questionnaires to explore their views and experiences throughout the process. Results 30 stakeholders participated, of which 15 attended two or more workshops. They spanned local (NHS commissioners, GPs, local authorities and academics), third sector and national organisations including Public Health England. Stakeholders felt valued, and commended the involvement of practitioners in the iterative process. Major reasons for attending included: being able to influence development, and having insight and understanding of what the tool could include, and how it would work in practice. Researchers saw the process as an opportunity for developing a common language and trust in the end product, and ensuring the support tool was transparent. The workshops acted as a reality check ensuring model scenarios and outputs were relevant and fit for purpose. Conclusions Computational modellers rarely consult with end users when developing tools to inform decision-making. The added value of co-production (continuing collaboration and iteration with stakeholders) enabled modellers to produce a "real-world" operational tool. Likewise, stakeholders had increased confidence in the decision support tool's development and applicability in practice.
Subject: Co-production
Stakeholder engagement
Group model building
NHS health checks
COPRODUCTION
ENGAGEMENT
CAUSAL
3142 Public health care science, environmental and occupational health
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