Delfmann Lea Rahel, de Boer Janneke, Schreier Margrit, Messiha Katrina, Deforche Benedicte, Hunter Simon C, Cardon Greet, Vandendriessche Ann, Verloigne Maïté
Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Campus UZ Ghent, Entrance 42, Corneel Heymanslaan 10, 9000, Ghent, Belgium; Department of Movement and Sports Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium.
Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Campus UZ Ghent, Entrance 42, Corneel Heymanslaan 10, 9000, Ghent, Belgium; Department of Movement and Sports Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium.
Public Health. 2025 Apr;241:69-74. doi: 10.1016/j.puhe.2025.02.006. Epub 2025 Feb 15.
Co-adaptation is a collaborative process to adapt existing interventions to new contexts and offers a promising way to scale (co-created) public health interventions. However, there is limited understanding of how co-adaptation processes are experienced. This study examined whether a robust co-creation process can be maintained when adapting a previously co-created intervention to promote adolescents' healthy sleep. Adolescents' experiences during this co-adaptation process were explored, using five key dimensions of co-creation (1) multistakeholder collaborative action, 2) co-learning towards innovation, 3) contextual knowledge production, 4) generating meaning, 5) open, trustful, and inclusive dialogue) as the guiding framework.
Qualitative observational study.
Qualitative data were collected from a co-adaptation process with an action group of adolescents (n = 8) and researchers (n = 2). Over eleven sessions (50 min) following Intervention Mapping, a needs assessment was conducted, and the original intervention's goals and materials were adapted. Data sources included session transcripts, facilitator reflections, adolescent evaluations (n = 5), and focus group transcripts (n = 3), elaborating on adolescents' experiences during sessions, and were analysed using Qualitative Content Analysis (QCA).
All five dimensions of co-creation were reflected in adolescents' experiences of co-adapting the healthy sleep intervention. They enjoyed collaborating, committed to the project, reported ongoing possibilities for learning, and produced contextual knowledge from their lived experiences. The process felt meaningful, with a respectful atmosphere. However, challenges like the exclusion of students outside the group and time constraints were also encountered.
The presence of the five dimensions of co-creation in this study demonstrates that robust co-creation research can be maintained also when co-adapting a previously co-created intervention to a new context with a new group of stakeholders.
共同适应是一个将现有干预措施适用于新环境的协作过程，为扩大（共同创建的）公共卫生干预措施提供了一条很有前景的途径。然而，对于共同适应过程的体验了解有限。本研究探讨了在调整先前共同创建的促进青少年健康睡眠的干预措施时，是否能够维持一个强有力的共同创建过程。利用共同创建的五个关键维度（1）多利益相关方协作行动，2）朝着创新共同学习，3）情境知识生成，4）产生意义，5）开放、信任和包容的对话）作为指导框架，探索了青少年在这一共同适应过程中的经历。
定性观察研究。
从与一个青少年行动小组（n = 8）和研究人员（n = 2）的共同适应过程中收集定性数据。在干预映射之后的十一次会议（每次50分钟）中，进行了需求评估，并对原始干预措施的目标和材料进行了调整。数据来源包括会议记录、主持人反思、青少年评估（n = 5）和焦点小组记录（n = 3），阐述了青少年在会议期间的经历，并使用定性内容分析（QCA）进行了分析。
共同创建的所有五个维度都反映在青少年对健康睡眠干预措施的共同适应经历中。他们喜欢合作，致力于该项目，报告了持续的学习可能性，并从他们的生活经历中生成了情境知识。这个过程感觉很有意义，氛围也很融洽。然而，也遇到了一些挑战，比如小组外学生被排除在外以及时间限制。
本研究中共同创建的五个维度的存在表明，当将先前共同创建的干预措施与新的利益相关方群体一起适用于新环境时，也能够维持强有力的共同创建研究。
