Johnsson Cecilia, Jakobsson Elin, Hagströmer Maria, Guidetti Susanne, Patomella Ann-Helen, Asaba Eric
Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, 141-52, Stockholm, Sweden.
Unit for Research, Development, and Education, Stockholm's Sjukhem Foundation, 112-19, Stockholm, Sweden.
Res Involv Engagem. 2025 Feb 6;11(1):10. doi: 10.1186/s40900-025-00676-5.
To describe and explore the refinement of a stroke prevention intervention and conditions for implementation in primary healthcare by utilising co-creation with stakeholders.
This was an iterative co-creation process of five collaborative workshops engaging stakeholders; healthcare professionals (HP), and persons at risk for stroke, who participated in or delivered a stroke prevention intervention in primary healthcare.
Through co-creation with stakeholders key components for revision were identified in the Make My Day intervention. The overall pedagogics, which was recognised as overarching, and three additional key components: the HP education, the intervention sessions, and the digital tool were identified. Moreover, the co-creation process rendered refinements of the prevention program addressing the key components representing stakeholder experiences. Refinements encompass delivering and receiving the Make My Day intervention, material ownership, and the interprofessional team.
The co-creation process revealed the importance of applying a strategic pedagogic approach in a complex intervention. The process underscored the need to augment a sense of material ownership and to improve interprofessional collaboration in primary healthcare, ultimately enhancing the intervention experience and facilitating the change process for individuals at risk of stroke. Utelising a co-creation process in this current intervention allowed for creation of refinements to the intervention optimising conditions for implementation.
通过与利益相关者共同创造，描述并探索一种中风预防干预措施的优化以及在初级医疗保健中实施的条件。
这是一个由五个协作研讨会组成的迭代式共同创造过程，涉及利益相关者；医疗保健专业人员（HP）以及参与或提供初级医疗保健中风预防干预措施的中风高危人群。
通过与利益相关者共同创造，在“让我开心”干预措施中确定了需要修订的关键组成部分。确定了被视为首要的总体教学法，以及另外三个关键组成部分：医疗保健专业人员教育、干预课程和数字工具。此外，共同创造过程对预防计划进行了优化，以解决代表利益相关者经验的关键组成部分。优化内容包括提供和接受“让我开心”干预措施、材料所有权以及跨专业团队。
共同创造过程揭示了在复杂干预中应用战略教学法的重要性。该过程强调了增强材料所有权意识以及改善初级医疗保健中跨专业协作的必要性，最终提升干预体验并促进中风高危个体的变革过程。在当前干预中采用共同创造过程能够对干预措施进行优化，以改善实施条件。
