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Data were collected by observations during the workshops, semi\u2010structured interviews and questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four categories: \u2018Composition of individuals for an adaptive climate\u2019; \u2018The balancing of roles and power\u2019; \u2018Different perspectives as common ground for a shared understanding\u2019; and \u2018Facilitating an unpredictable and ever\u2010adaptive process\u2019, with all together nine subcategories, resulted from the analysis. Participation varied between individuals, groups and steps within the process, and on the topic of discussions and the motivation to contribute.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion\/Conclusion<\/jats:title><jats:p>Participation is not something that is realized by only applying participatory design methodology. Participation manifests itself through the interaction of the participants and their skills to handle different perspectives, roles and assignments. Participation is enabled by individual, group and facilitating aspects. Co\u2010design processes should allow for varying levels of participation among the participants and throughout the process.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or public contribution<\/jats:title><jats:p>Patients, significant others and health\u2010care professionals participated as co\u2010designers of a care transition model between hospital and home.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13233","type":"journal-article","created":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T11:55:26Z","timestamp":1615982126000},"page":"905-916","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["The manifestation of participation within a co\u2010design process involving patients, significant others and health\u2010care professionals"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3781-7615","authenticated-orcid":false,"given":"Sebastian","family":"Lindblom","sequence":"first","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet Huddinge Sweden"},{"name":"Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0536-0024","authenticated-orcid":false,"given":"Maria","family":"Flink","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet Huddinge Sweden"},{"name":"Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7044-8896","authenticated-orcid":false,"given":"Marie","family":"Elf","sequence":"additional","affiliation":[{"name":"School of Education, Health and Social Studies Dalarna University Falun Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7330-940X","authenticated-orcid":false,"given":"Ann Charlotte","family":"Laska","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Danderyd Hospital Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8560-3016","authenticated-orcid":false,"given":"Lena","family":"von Koch","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet Huddinge Sweden"},{"name":"Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3704-8887","authenticated-orcid":false,"given":"Charlotte","family":"Ytterberg","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet Huddinge Sweden"},{"name":"Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/01944366908977225"},{"key":"e_1_2_9_3_1","volume-title":"Crossing the Quality Chasm: A New Health System for the 21st Century","author":"Institute of Medicine, Committee on Quality of Health Care in America","year":"2001"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004315"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2012.1133"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39246.581169.80"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcnurse.2011.06.008"},{"key":"e_1_2_9_8_1","volume-title":"(Highlight Report) Patient\u2010Centeredness in Sweden's Health System \u2010\u2010 An External Assessment and Six Steps for Progress","author":"Docteur E","year":"2012"},{"key":"e_1_2_9_9_1","doi-asserted-by":"crossref","unstructured":"Bj\u00f6rgvinssonE EhnP HillgrenP\u2010A.Participatory design and \u201cdemocratizing innovation\u201d. 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