Back to Search
Start Over
Healthy Living and Co-Production: Evaluation of Processes and Outcomes of a Health Promotion Initiative Co-Produced with Adolescents
- Source :
- International Journal of Environmental Research and Public Health, Volume 17, Issue 21, International Journal of Environmental Research and Public Health, Vol 17, Iss 8007, p 8007 (2020)
- Publication Year :
- 2020
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2020.
-
Abstract
- Co-production is an approach to designing, delivering, and evaluating public services through strict collaboration among professionals and the people using services with an equal and reciprocal relationship. Health promotion initiatives that include education services rarely use the co-production approach. Nevertheless, the value of co-production is widely recognized, although it is considered a normative good, and scarce and mixed evidence is available in literature. The purpose of this paper is to provide evidence supporting the hypothesis that a co-production approach, applied to an intervention for preventing obesity, can be effective and efficient. To this end, an evaluation of the processes, outputs meant as intermediate results, and behavioral and economic outcomes of a public health-promotion initiative co-produced and co-delivered with adolescents (beFood) was conducted. Mixed methods were used, including field-observations, two self-reported questionnaires, and an opportunity&ndash<br />cost analysis that compared beFood to traditional approaches of public health promotion. The co-production model was successfully implemented and appears to be effective&mdash<br />more than 5000 adolescents were reached by only 49 co-producer adolescents, who reported behavioral changes (e.g., eating better and practicing more physical activity). The cost analysis showed that the co-production approach was also efficient, producing relevant savings and potentially making available more than 3000 h of professionals&rsquo<br />time. This research can support a re-thinking of public institutions&rsquo<br />organization, public initiatives&rsquo<br />design, and public servants&rsquo<br />role.
- Subjects :
- Male
medicine.medical_specialty
Opportunity cost
opportunity–cost
Adolescent
obesity prevention
health promotion
adolescents
co-production
evaluation
public value
Cost-Benefit Analysis
Health, Toxicology and Mutagenesis
media_common.quotation_subject
lcsh:Medicine
Article
03 medical and health sciences
0302 clinical medicine
Promotion (rank)
Intervention (counseling)
050602 political science & public administration
medicine
Humans
Obesity
030212 general & internal medicine
Public value
Exercise
media_common
business.industry
Public health
lcsh:R
05 social sciences
Public Health, Environmental and Occupational Health
Public institution
Public relations
0506 political science
Health promotion
Normative
Female
Public Health
business
Psychology
Subjects
Details
- Language :
- English
- ISSN :
- 16604601
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....0bca920e34f73838d775f9eecd21a43d
- Full Text :
- https://doi.org/10.3390/ijerph17218007