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Move to Improve: Co-Designing a Hospital-Based Physical Activity Program for Children With Chronic Health Conditions

Hamsini Sivaramakrishnan1,2, Amy Finlay Jones1,2,3, Treya Long4

  • 1The Kids Research Institute Australia, Nedlands, Australia.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|March 1, 2026
PubMed

Insights

Co-designing the Move to Improve protocol with children and parents created a tailored physical activity program for pediatric chronic health conditions. This approach ensures family-centered care, promoting sustained engagement and improved health outcomes.

Area of Science:

  • Pediatric Health
  • Clinical Service Design
  • Health Behavior Interventions

Background:

  • Physical activity is crucial for children with chronic health conditions.
  • Tailored programs are essential for successful participation.
  • Hospital-based services can facilitate physical activity support.

Purpose of the Study:

  • To co-design the Move to Improve protocol for a hospital-based physical activity service.
  • To support physical activity participation in children with chronic health conditions.
  • To ensure the protocol meets the specific needs of children and their families.

Main Methods:

  • Four online co-design workshops were conducted.
  • Children with chronic health conditions and their parents participated.
  • Reflexive thematic analysis was used for data analysis.

Main Results:

  • Five themes emerged: family-led, goal-oriented, individualized design, enjoyment, confidence-building, and transition support.
  • Family-centered and tailored programs are key for sustained physical activity.
  • Co-design input directly shaped the protocol's structure, content, and delivery.

Conclusions:

  • The co-designed protocol incorporates evidence-based strategies aligned with family priorities.
  • Key strategies include goal setting, review, and tailored self-management support.
  • This offers a clinically relevant and scalable model for hospital-based physical activity services.
Abstract

Keywords:
adolescentchronic diseasechronic illnessexercisesportyoung people

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