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Co-Design for Equity, Inclusion and Engagement: Strategies for Social Prescribing
Irene Sarasua1,2, Lorelli Nowell1, Kimberly Shapkin1
1Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
Summary
Inclusive co-design in social prescribing requires foundational principles, enabling structures, and operational practices. This framework guides equitable and responsive community health initiatives, emphasizing collaboration for better outcomes.
Area of Science:
- Public Health
- Health Services Research
- Community Engagement
Background:
- Social prescribing connects individuals to community resources for improved health and well-being.
- Co-design is recommended for developing effective social prescribing pathways.
- Understanding inclusive and equity-centred co-design in this context is crucial but limited.
Purpose of the Study:
- To synthesize health-related literature on co-design strategies promoting equity and inclusion in social prescribing.
- To identify and integrate concepts into a conceptual framework for inclusive co-design.
Main Methods:
- A 10-year narrative review of MEDLINE, CINAHL, and Google Scholar was conducted.
- Approximately 530 records were screened, with 52 sources included.
- An iterative narrative synthesis approach was used to identify patterns and develop a framework.
Main Results:
- Three interconnected domains of inclusive co-design were identified: foundational principles, enabling structures, and operational practices.
- Foundational principles establish values, enabling structures create conditions for participation, and operational practices translate commitments into action.
- These domains form a conceptual framework for inclusive co-design in social prescribing.
Conclusions:
- Inclusive co-design provides a values-informed, practical approach for equitable, relational, and responsive social prescribing.
- The framework offers guidance for practitioners, researchers, policymakers, and community partners.
- Future research should collaboratively define measures to evaluate co-design processes and outcomes.
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