Co-Design and Implementation Effectiveness

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The MISCHIEF group within the Methods and Implementation Support for Clinical and Health research (MISCH) Hub have a focus on supporting implementation effectiveness and co-design for clinical trial designs and other health-related research.  Implementation effectiveness and co-design of interventions are increasingly essential to high-quality clinical trials and research in health. This is because greater attention to the implementation factors and strategies that may support effective embedding of interventions might lead to better uptake (an ongoing issue in trials research), and improvements to health outcomes.   The co-design of interventions that are fit for purpose and match with the individuals who may be delivering or receiving these is equally important.

Our MISCHIEF group can provide the following support and services:


  • Identification of implementation strategies, frameworks and designs that may increase the likely embedding of an intervention within different health care settings for clinical trial designs.
  • Co-design of clinical related interventions (such as new treatments, point of care, models of care or digital interventions, and technologies) working with clinicians and key stakeholders such as industry partners, or government and non-government organisations and working in partnership with people with lived experience to ensure fit for purpose interventions that can better meet the needs and experiences of participants.
  • Co-design for funded grants where interventions still require adaptation to be suitable for different contexts and to fit within clinical and participant workflow.


  • Practical support to collect data that is related to implementation effectiveness and qualitative and mixed-method data collection for process evaluations within clinical trials.
  • Co-investigator models to support qualitative analysis for trial evaluations and apply implementation and other relevant theoretical frameworks in the analysis of data.
  • Preparation of reports and contribute to publications as required.


  • Analysis of process evaluation data and completion of process evaluations in collaboration with the research team.
  • Analysis for implementation effectiveness with attention to the strategies, factors and conditions that supported or hindered the intervention being delivered and taken up.


What can I expect from my MISCH-IEF consultation?

During your initial consultation, we work with you to identify your co-design or implementation effectiveness objective relevant to the aims of the project. We ask about the intended co-design output for your work, your timelines and of course, your budget. We will then complete an agreement outlining our involvement, which we will ask you to sign.

Can I just be trained to do the co-design myself?

We provide bespoke facilitation of co-design which is a skill set you purchase by collaborating with us. We bring our years of working as co-designers and conveners to the team and implement bespoke principles and processes from our work and model. This kind of expertise is difficult to train people in for a short-term project – it isn’t feasible to deliver two hours of upskilling that would enable you to run your own co-design. For this reason, we do not offer this option.

Why do we name one of the MISCH-IEF members as a CI instead of AI?

Including a MISCH-IEF member as a CI ensures embedding this expert within the team so they have equal status to other team members – some team members are still building their careers just like you and this supports their career development and engagement in research activities. Like current approaches to embed a MISCH biostatistician or health economist within your team, the co-design and implementation science expertise is a unique skill set. Sometimes this model will require a fractional amount of time included in the project budget for the member to be embedded within the team for a longer-term period.

Do I have to name a MISCH-IEF member on the research team as a CI?

No, you do not have to engage our team as a CI in all instances. We only recommend this when there is mutual benefit and alignment with the project and where you would like to embed co-design or implementation science expertise across the life of the research. This would entail collaborative publications, policy briefs and translational plans following on from the research. We also offer co-design packages or data collection support and analysis where applicable–costings will be available via our product brochure (coming soon!).

Why do I need to include a budget in my grant application for you to facilitate the co-design?

As co-design and implementation effectiveness requires specialist expertise in delivery, we recommend budgeting this within your grant proposal. The cost includes preparation for co-design (it takes time to convene a group, considering the people that are required and their needs). This costing also factors in delivery time and most importantly the provision of the outputs from co-design sessions related to your co-design objective. We can advise regarding the best package for your project in our initial consultation.  Please note that co-design can lead to outcomes that are co-created in a session to take up in the future, or it can result in other products, technologies requiring the allocation of further resources for the design and development. This needs to be considered ahead of the session.

Reimbursement of co-design members and research participants

The budget needs to include reimbursement for participants in all research studies – for co-design and interviews or other data collection activities that might be conducted as part of your study. We can discuss these participant reimbursement amounts and processes with you.

Can I sit in to watch the co-design session?

Unfortunately not. We usually try and have one convener from our team-leading and another at hand in case of any tech issues or if distress protocols need to be implemented so having more people attending can skew the balance in the room, impact on power dynamics and lead to people feeling that they are being observed in research rather than co-designing the research.

A  FAQ brochure can be downloaded HERE