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Development of a framework for the co-production and prototyping of public health interventions

Hawkins, Jemma; Madden, Kim; Fletcher, Adam; Midgley, Luke; Grant, Aimee; Cox, Gemma; Moore, Laurence; Campbell, Rona; Murphy, Simon; Bonell, Chris; White, James

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Authors

Jemma Hawkins

Kim Madden

Adam Fletcher

Luke Midgley

Aimee Grant

Gemma Cox

Laurence Moore

Rona Campbell

Simon Murphy

Chris Bonell

James White



Abstract

Background: Existing guidance for developing public health interventions does not provide information for researchers about how to work with intervention providers to co-produce and prototype the content and delivery of new interventions prior to evaluation. The ASSIST + Frank study aimed to adapt an existing effective peer-led smoking prevention intervention (ASSIST), integrating new content from the UK drug education resource Talk to Frank (www.talktofrank.com) to co-produce two new school-based peer-led drug prevention interventions. A three-stage framework was tested to adapt and develop intervention content and delivery methods in collaboration with key stakeholders to facilitate implementation. Methods: The three stages of the framework were: 1) Evidence review and stakeholder consultation; 2) Co-production; 3) Prototyping. During stage 1, six focus groups, 12 consultations, five interviews, and nine observations of intervention delivery were conducted with key stakeholders (e.g. Public Health Wales [PHW] ASSIST delivery team, teachers, school students, health professionals). During stage 2, an intervention development group consisting of members of the research team and the PHW ASSIST delivery team was established to adapt existing, and co-produce new, intervention activities. In stage 3, intervention training and content were iteratively prototyped using process data on fidelity and acceptability to key stakeholders. Stages 2 and 3 took the form of an action-research process involving a series of face-to-face meetings, email exchanges, observations, and training sessions. Results: Utilising the three-stage framework, we co-produced and tested intervention content and delivery methods for the two interventions over a period of 18 months involving external partners. New and adapted intervention activities, as well as refinements in content, the format of delivery, timing and sequencing of activities, and training manuals resulted from this process. The involvement of intervention delivery staff, participants and teachers shaped the content and format of the interventions, as well as supporting rapid prototyping in context at the final stage. Conclusions: This three-stage framework extends current guidance on intervention development by providing step-by-step instructions for co-producing and prototyping an intervention's content and delivery processes prior to piloting and formal evaluation. This framework enhances existing guidance and could be transferred to co-produce and prototype other public health interventions. Trial registration: ISRCTN14415936, registered retrospectively on 05 November 2014.

Citation

Hawkins, J., Madden, K., Fletcher, A., Midgley, L., Grant, A., Cox, G., …White, J. (2017). Development of a framework for the co-production and prototyping of public health interventions. BMC Public Health, 17(1), https://doi.org/10.1186/s12889-017-4695-8

Journal Article Type Article
Acceptance Date Aug 22, 2017
Online Publication Date Sep 4, 2017
Publication Date 2017-12
Deposit Date Jan 11, 2023
Publicly Available Date Mar 29, 2024
Journal BMC Public Health
Electronic ISSN 1471-2458
Publisher BioMed Central
Peer Reviewed Peer Reviewed
Volume 17
Issue 1
DOI https://doi.org/10.1186/s12889-017-4695-8
Keywords Public Health, Environmental health; Occupational Health; Intervention development; Public health; Co-production; Prototyping; Transdisciplinary action research; Drug prevention; Adolescence
Public URL https://uwe-repository.worktribe.com/output/10336927
Publisher URL https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-017-4695-8

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Copyright Statement
his article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.




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