Abstract
Objectives
The value of engaging health service users and their families (consumers) in research is increasingly being recognised in planning and evaluating health services to meet diverse needs. This project aimed to co-design a strategic consumer involvement framework and implementation plan for a public Australian hospital and health service.


Methods
A co-design approach was used to adopt a framework and develop an implementation plan across five stages: (1) an initial consultation with key stakeholders, (2) a survey of health service staff about involving consumers in research at the health service, (3) three group sessions using Nominal Group Technique with health service consumers and staff that explored barriers and solutions to involving consumers, (4) data synthesis, and (5) a workshop of key stakeholders to develop and refine the implementation plan. Three consumer partners contributed to protocol development, research design, data analysis, and manuscript writing.


Results
Survey and group session data highlighted a need for governance, infrastructure, capacity building, and leadership and culture within the organisation to support the involvement of consumers in research at the health service. These aligned with the South Australian Health and Medical Research Institute (SAHMRI) Framework domains. Implementation strategies were adjusted on the basis of insights from the local context to facilitate adoption within the health service.


Conclusions
By better supporting consumers and researchers to work together in health service research, organisations can enhance the relevance, quality, and impact of their research efforts. This project provides a valuable blueprint for developing a local, contextualised approach to promoting effective consumer–researcher relationships in Australian public health services.
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References
34
[1]
[2]
Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews

Josephine Ocloo, Sara Garfield, Bryony Dean Franklin et al.

Health Research Policy and Systems 2021 10.1186/s12961-020-00644-3
[3]
The impact of patient and public involvement in health research versus healthcare: A scoping review of reviews

Anton Modigh, Filipa Sampaio, Linda Moberg et al.

Health Policy 2021 10.1016/j.healthpol.2021.07.008
[4]
Anderst "Engaging consumers in health research: A narrative review." Aust Health Rev (2020) 10.1071/ah19202
[5]
Frameworks for supporting patient and public involvement in research: Systematic review and co‐design pilot

TRISHA GREENHALGH, Lisa Hinton, Teresa Finlay et al.

Health Expectations 2019 10.1111/hex.12888
[6]
[7]
[8]
Carlini "Researcher Perceptions of Involving Consumers in Health Research in Australia: A Qualitative Study." Int J Environ Res Public Health (2023) 10.3390/ijerph20105758
[9]
Ayton "Barriers and enablers to consumer and community involvement in research and healthcare improvement: Perspectives from consumer organisations, health services and researchers in Melbourne, Australia." Health Soc Care Community (2022) 10.1111/hsc.13515
[10]
Gunatillake "Embedding consumer and community involvement within an established research centre: moving from general recommendations to an actionable framework." Res Involv Engagem (2020) 10.1186/s40900-020-00241-2
[11]
Miller "Integrating consumer engagement in health and medical research - an Australian framework." Health Res Policy Syst (2017) 10.1186/s12961-017-0171-2
[12]
Briggs "Challenges for health systems: Australian perspectives." Public Policy Adm (2017)
[13]
[14]
[15]
Co-creation, co-design, co-production for public health – a perspective on definitions and distinctions

Carmen Vargas, Jill Whelan, Julie Brimblecombe et al.

Public Health Research and Practice 2022 10.17061/phrp3222211
[16]
GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research

S. Staniszewska, J. Brett, I. Simera et al.

Research Involvement and Engagement 2017 10.1186/s40900-017-0062-2
[17]
[18]
Ryan "Consumer involvement in health service research: a cross-sectional survey of staff in an Australian public hospital and health service." Aust Health Rev (2024) 10.1071/ah24186
[19]
Ryan "Exploring barriers and solutions to consumer involvement in health service research using a nominal group technique." Res Involv Engagem (2024) 10.1186/s40900-024-00604-z
[20]
Nichole "Nominal group technique: An effective method for obtaining group consensus: Application of nominal group technique." Int J Nurs Pract (2012) 10.1111/j.1440-172x.2012.02017.x
[21]
[22]
[24]
McKenzie "Consumer and community involvement in health and medical research: evaluation by online survey of Australian training workshops for researchers." Res Involv Engagem (2016) 10.1186/s40900-016-0030-2
[25]
Luna Puerta "The “PPI Hawker”: an innovative method for patient and public involvement (PPI) in health research." Res Involv Engagem (2020) 10.1186/s40900-020-00205-6
[26]
DeBortoli "Measurable outcomes of consumer engagement in health research: A scoping review." Front Public Health (2022) 10.3389/fpubh.2022.994547
[27]
Oliver "The dark side of coproduction: do the costs outweigh the benefits for health research?" Health Res Policy Syst (2019) 10.1186/s12961-019-0432-3
[28]
Reaching the hard-to-reach: a systematic review of strategies for improving health and medical research with socially disadvantaged groups

Billie Bonevski, Madeleine Randell, Chris Paul et al.

BMC Medical Research Methodology 2014 10.1186/1471-2288-14-42
[29]
Khan "Diversity, community engagement and co-design in research: a rapid review." BMJ Lead (2024) 10.1136/leader-2024-001046
[30]
Ryan "Navigating Inclusive Research in PhD Studies: A Model for Limited Resource Environments." Int J Qual Methods (2025) 10.1177/16094069241311201
[31]
Dadich "What does it mean to conduct participatory research with Indigenous peoples? A lexical review." BMC Public Health (2019) 10.1186/s12889-019-7494-6
[32]
Manikam "Using a co-production prioritization exercise involving South Asian children, young people and their families to identify health priorities requiring further research and public awareness." Health Expect (2017) 10.1111/hex.12524
[33]
From tokenism to empowerment: progressing patient and public involvement in healthcare improvement

Josephine Ocloo, Rachel Matthews

BMJ Quality & Safety 2016 10.1136/bmjqs-2015-004839
[34]
Tremblay "Engaging indigenous patient partners in patient-oriented research: lessons from a one-year initiative." Res Involv Engagem (2020) 10.1186/s40900-020-00216-3
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Published
May 29, 2025
Vol/Issue
35(2)
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Cite This Article
Laura Ryan, Rachel Wenke, Joan Carlini, et al. (2025). Co-design of an Australian health service framework and implementation plan for involving consumers in research. Public Health Research and Practice, 35(2). https://doi.org/10.1071/pu24021