Table 1 Illustration of the results.

Peer workers boost the ongoing shift toward increased service user involvement

• Managers facilitate peer workers involvement

• Benefits to the organization, nonpeer workers, and service delivery

Peer workers are highly valued in the service transformation process

• Peer workers? contextual knowledge is vital when redefining services

• Peer workers facilitate communication and build bridges

Managers involve peer workers as partners in co-creation

• Managers commit to involving peer workers

• Challenges when involving peer workers as partners in co-creation