‘No one ever asked us’: a feasibility study assessing the co-creation of a physical activity programme with adolescent girls

Corr, Méabh; Murtagh, Elaine

doi:10.1177/1757975919853784

Cited by 10 publications

(5 citation statements)

References 39 publications

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“…Our results were similar to those from two recent negative randomized trials of BCW-informed interventions, one delivering thrombolytic therapy for stroke in Australia ( 53 ) and the other promoting physical activity among adults at risk for cardiovascular disease in the Netherlands ( 54 ). Similar to our experience, the authors of these studies found the BCW framework to be feasible and useful for rigorously selecting and specifying implementation components, as have other investigators planning trials of novel BCW-informed strategies to promote smoking cessation in China ( 55 ), encourage physical activity among adolescent girls in Ireland ( 56 ), and reduce sedentary behaviors at work in England ( 57 ). The two groups that observed implementation failures, the Australian thrombolytic therapy group and the Dutch physical activity group, identified challenges with implementation fidelity and a compressed implementation period as factors that limited engagement of the health care workers whom their implementation strategies targeted.…”

Section: Discussionsupporting

confidence: 52%

Theory-Informed Design of a Tailored Strategy for Implementing Household TB Contact Investigation in Uganda

Davis

Ayakaka

Ggita

et al. 2022

Front. Public Health

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Since 2012, the World Health Organization has recommended household contact investigation as an evidence-based intervention to find and treat individuals with active tuberculosis (TB), the most common infectious cause of death worldwide after COVID-19. Unfortunately, uptake of this recommendation has been suboptimal in low- and middle-income countries, where the majority of affected individuals reside, and little is known about how to effectively deliver this service. Therefore, we undertook a systematic process to design a novel, theory-informed implementation strategy to promote uptake of contact investigation in Uganda, using the COM-B (Capability-Opportunity-Motivation-Behavior) model and the Behavior Change Wheel (BCW) framework. We systematically engaged national, clinic-, and community-based stakeholders and collectively re-examined the results of our own formative, parallel mixed-methods studies. We identified three core behaviors within contact investigation that we wished to change, and multiple antecedents (i.e., barriers and facilitators) of those behaviors. The BCW framework helped identify multiple intervention functions targeted to these antecedents, as well as several policies that could potentially enhance the effectiveness of those interventions. Finally, we identified multiple behavior change techniques and policies that we incorporated into a multi-component implementation strategy, which we compared to usual care in a household cluster-randomized trial. We introduced some components in both arms, including those designed to facilitate initial uptake of contact investigation, with improvement relative to historical controls. Other components that we introduced to facilitate completion of TB evaluation—home-based TB-HIV evaluation and follow-up text messaging—returned negative results due to implementation failures. In summary, the Behavior Change Wheel framework provided a feasible and transparent approach to designing a theory-informed implementation strategy. Future studies should explore the use of experimental methods such as micro-randomized trials to identify the most active components of implementation strategies, as well as more creative and entrepreneurial methods such as human-centered design to better adapt the forms and fit of implementation strategies to end users.

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Section: Discussionsupporting

confidence: 52%

Theory-Informed Design of a Tailored Strategy for Implementing Household TB Contact Investigation in Uganda

Davis

Ayakaka

Ggita

et al. 2022

Front. Public Health

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“…In the last few years, co-creation is obtaining more and more attention in the context of physical activity [ 53 ], and also in the educational context, e.g., in PE [ 54 ]. It is also a good way to increase the participation of underrepresented groups or people who are not as physically active as others [ 55 , 56 ]. There is also evidence of the positive effects of cooperative planning in the sense of health promotion [ 57 ], as well as in many domains related to physical, social, and psychological variables [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

Students’ Perspectives on School Sports Trips in the Context of Participation and Democratic Education

Kreinbucher-Bekerle

Mikosch

2023

Children

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School sports trips, as a part of extracurricular physical education (PE), are a very important addition to regular PE, with benefits for not only physical activity behavior, but also for personal development and social inclusion. To better understand the relevance for students, the aim of this study was to look at their perspectives on school sports trips in terms of involvement, active participation, and co-designing opportunities. Therefore, 14 group interviews with 47 students (age: M = 13.9; SD = 0.9 years) were held in three exemplary secondary schools in Austria. The following six topics were derived from a qualitative text analysis: (a) the relevance for the students, (b) the motives for (non-) participation, (c) positive experiences, (d) barriers and challenges, (e) desired changes and ideas of the students, and (f) feedback opportunities. The results indicate that students are highly motivated to put forward their ideas for designing school sports trips in terms of physical activity and social components. This can further be considered for the planning and implementation of extracurricular PE, to make this an enjoyable experience for both students and teachers, promoting the relevance of physical activity in schools and beyond.

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“…Co-creation has been successfully implemented in several public health initiatives 5,29,32 , and may be a viable approach to addressing other complex health behaviours. For instance, involving end-users in the design of physical activity among adolescent girls provided them with a sense of autonomy and ownership 40 , which led to increased participation and effectiveness of the intervention. The success of the projects, including the co-creation activity in this study, suggests that it is crucial to have a transition from the traditional model of service delivery to a more collaborative and transparent approach involving community participation from the outset.…”

Section: Discussionmentioning

confidence: 99%

Developing healthy weight maintenance through co-creation: a partnership with Black African migrant community in East Midlands

Ochieng

Amaugo

Ochieng

2021

European Journal of Public Health

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Background Obesity prevalence in the UK varies according to ethnicity, with children from minority ethnic groups experiencing higher levels, and yet, there is a scarcity of projects that involve minority ethnic groups in the design of interventions to promote healthy weight maintenance. This article presents an account of the involvement of the participants in a co-creation activity to design public health resources for the maintenance of healthy weight. Methods The material is drawn from a study that involved Black African parents (n = 30) and Health Visitors (n = 32), residing and working in the East Midlands, UK, respectively. The participants were purposely selected according to an inclusion/exclusion criterion and invited to participate in seven focus groups (FG) conducted for parents (FG-4) and health visitors (FG-3) at a time and place convenient to the participants. Following the focus groups, the Black African parents participated in three co-creation workshops. Results The co-creation activities involved the participants, the researcher and a nutritionist. The outcome was an African heritage eatwell guide and a framework to promote healthy weight, which was well-received when presented to members of the community and local health and social care practitioners. Conclusion The co-creation process went beyond giving the participant a voice in shaping the promotion of healthy weight within their community, as they also became active participants in the design and creation of the specific public health service. The approach offered the potential for improved levels of community satisfaction for a public health intervention.

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‘No one ever asked us’: a feasibility study assessing the co-creation of a physical activity programme with adolescent girls

Cited by 10 publications

References 39 publications

Theory-Informed Design of a Tailored Strategy for Implementing Household TB Contact Investigation in Uganda

Theory-Informed Design of a Tailored Strategy for Implementing Household TB Contact Investigation in Uganda

Students’ Perspectives on School Sports Trips in the Context of Participation and Democratic Education

Developing healthy weight maintenance through co-creation: a partnership with Black African migrant community in East Midlands

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