Experiences with a co-creation process to adapt a healthy sleep intervention with adolescents: A Health CASCADE...

Area of Science:

• Public Health
• Intervention Science
• Adolescent Health

Background:

• Co-adaptation is a collaborative strategy for adapting interventions to new contexts, crucial for scaling public health initiatives.
• Understanding the experiential aspects of co-adaptation is limited, particularly in adolescent health interventions.

Purpose of the Study:

• To examine if a robust co-creation process can be sustained when adapting a previously co-created intervention for adolescent healthy sleep.
• To explore adolescents' experiences throughout the co-adaptation process using established co-creation dimensions.

Main Methods:

• A qualitative observational study involving an action group of 8 adolescents and 2 researchers.
• Data collected over eleven sessions using Intervention Mapping, including session transcripts, reflections, evaluations, and focus groups.
• Qualitative Content Analysis (QCA) was employed to analyze the data.

Main Results:

• Adolescents' experiences reflected all five dimensions of co-creation: collaborative action, co-learning, contextual knowledge production, meaning generation, and inclusive dialogue.
• Participants reported enjoyment, commitment, learning opportunities, and meaningful engagement in a respectful atmosphere.
• Challenges included exclusion of non-group students and time constraints.

Conclusions:

• The study confirms that robust co-creation research can be maintained during the co-adaptation of interventions.
• This approach is viable even when adapting a previously co-created intervention for a new context and stakeholders.