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Co-Produce, Co-Design, Co-Create, or Co-Construct—Who Does It and How Is It Done in Chronic Disease Prevention? A Scoping Review. Healthcare (Basel) 2022; 10:healthcare10040647. [PMID: 35455826 PMCID: PMC9029027 DOI: 10.3390/healthcare10040647] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 03/17/2022] [Accepted: 03/28/2022] [Indexed: 01/18/2023] Open
Abstract
Co-production in health literature has increased in recent years. Despite mounting interest, numerous terms are used to describe co-production. There is confusion regarding its use in health promotion and little evidence and guidance for using co-produced chronic disease prevention interventions in the general population. We conducted a scoping review to examine the research literature using co-production to develop and evaluate chronic disease prevention programs. We searched four electronic databases for articles using co-production for health behaviour change in smoking, physical activity, diet, and/or weight management. In 71 articles that reported using co-production, co-design, co-create, co-develop, and co-construct, these terms were used interchangeably to refer to a participatory process involving researchers, stakeholders, and end users of interventions. Overall, studies used co-production as a formative research process, including focus groups and interviews. Co-produced health promotion interventions were generally not well described or robustly evaluated, and the literature did not show whether co-produced interventions achieved better outcomes than those that were not. Uniform agreement on the meanings of these words would avoid confusion about their use, facilitating the development of a co-production framework for health promotion interventions. Doing so would allow practitioners and researchers to develop a shared understanding of the co-production process and how best to evaluate co-produced interventions.
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Westberg K, Stavros C, Parker L, Powell A, Martin DM, Worsley A, Reid M, Fouvy D. Promoting healthy eating in the community sport setting: a scoping review. Health Promot Int 2021; 37:6153943. [PMID: 33647956 DOI: 10.1093/heapro/daab030] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Community sport organizations promote beneficial health outcomes such as social connection and physical activity, yet they can also facilitate the consumption of unhealthy food and beverages. To provide a foundation for future research and to inform intervention efforts in this context, this scoping review summarizes existing knowledge of the factors that contribute to unhealthy food and beverage consumption in the community sport setting and explores the interventions to promote healthier choices. Using a qualitative process aligned with the nature of our aims, 228 articles were initially identified and subjected to a systemized appraisal, resulting in 45 articles pertinent to the review. The findings identify that the two key factors contributing to unhealthy food choices are the limited availability of healthy options within the sport setting and the presence of unhealthy food and beverage sponsorship. These factors contribute to the normalization of unhealthy eating in this context and health promotion interventions have had limited success. Barriers to change primarily stem from the revenue implications of removing unhealthy food sponsors, lack of organizational capabilities and resources, and consumer preference for unhealthy options. Public health practitioners seeking to intervene in this setting should consider adopting practices used in other settings outside of the sport environment, including the use of technology, the role of peers and mentors and the co-production of impactful material. Community sport plays a vital role in delivering health benefits but must do more to stem its facilitation of a potentially unhealthy consumptive environment.
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Affiliation(s)
- Kate Westberg
- School of Economics, Finance and Marketing, RMIT University, 124 La Trobe Street, Melbourne, Victoria 3000, Australia
| | - Constantino Stavros
- School of Economics, Finance and Marketing, RMIT University, 124 La Trobe Street, Melbourne, Victoria 3000, Australia
| | - Lukas Parker
- School of Media and Communication, RMIT University, 124 La Trobe Street, Melbourne, Victoria 3000, Australia
| | - Ashleigh Powell
- School of Economics, Finance and Marketing, RMIT University, 124 La Trobe Street, Melbourne, Victoria 3000, Australia
| | - Diane M Martin
- School of Economics, Finance and Marketing, RMIT University, 124 La Trobe Street, Melbourne, Victoria 3000, Australia
| | - Anthony Worsley
- School of Exercise and Nutrition Science, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia
| | - Mike Reid
- School of Economics, Finance and Marketing, RMIT University, 124 La Trobe Street, Melbourne, Victoria 3000, Australia
| | - David Fouvy
- School of Media and Communication, RMIT University, 124 La Trobe Street, Melbourne, Victoria 3000, Australia
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