Multi-stakeholder perspectives on co-production: Five key recommendations following the Liverpool Co-PARS project

Discerning the perspectives and working practices of those who deliver receive a health service makes for sensible step towards improving it. The Liverpool Co-PARS project was four-year iterative process in which physical activity referral scheme inactive patients with conditions developed, refined, evaluated. aim present study to explore multidisciplinary stakeholder involved co-production inform recommendations future research. We invited 5 stakeholders (service user, exercise practitioner, fitness centre manager, general practitioner/public commissioner, an academic) co-author paper provide their reflections co-production. Four non-academic completed ~ 30-minute phone discussion personal process, transcribed real-time by first author edited checked accuracy stakeholder. fifth, academic writing. multi-stakeholder presented this highlight identified strengths (multidisciplinary that were listened acted upon, permeated throughout research project, intervention adaptation) challenges (homogeneous sample users, power imbalances, modestly adapted intervention) propose could be seen as pro-active tool development interventions, mitigating potential issues encountered during latter implementation phases. conclude five key facilitate