Developing a co-designed, culturally responsive physical activity program for Pasifika communities in Western Sydney, Australia.

Pasifika communities in Western Sydney experience significant health disparities, particularly related to chronic diseases such as cardiovascular conditions and diabetes. Physical activity is known to improve both physical and mental health, yet access to culturally responsive physical activity programs for Pasifika communities is limited. This study leveraged expertise from an Advisory Committee to adopt community-based participatory research (CBPR) through Talanoa to co-design a physical activity program specifically tailored for Pasifika people in Western Sydney. Pasifika mothers were identified as a priority population due to their central role in family health and well-being. The co-design process followed the four stages of Engage, Gather, Understand and Improve, guided by the Fonofale Model of Health to ensure a culturally responsive approach. We report on each stage of the co-design process and the results gathered, highlighting key findings such as the need for culturally safe environments, flexible scheduling, ensuring programs are community-led and addressing key barriers including caregiving responsibilities, sociocultural expectations and health status. The results from this study will guide the implementation of a culturally tailored physical activity program that meets the unique needs and values of the Pasifika community in Western Sydney.