ArticleHealth research policy and systems2022
Fit for purpose. Co-production of complex behavioural interventions. A practical guide and exemplar of co-producing a telehealth-delivered exercise intervention for people with stroke.
Article in Health research policy and systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Do self-management interventions improve self-efficacy and health-related quality of life after stroke? A systematic review.International journal of stroke : official journal of the International Stroke Society · 2025Pooled it
- Secondary prevention of stroke. A telehealth-delivered physical activity and diet pilot randomized trial (ENAbLE-pilot).International journal of stroke : official journal of the International Stroke Society · 2024Trial
- Health risk factors in Australian Stroke Survivors: A latent class analysis.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2024Trial
- Consumer and health professional reflections and feedback on the Help After Leaving hospiTal delirium rehabilitation programme.Age and ageing · 2026Article
- Co-Designing a Care Coordination Intervention for People With Motor Neuron Disease: Protocol for a Mixed Methods Study.JMIR research protocols · 2026Article
- Implementing Co-innovation to Develop an Accessible, Web-Based Exercise Program for People with Multiple Sclerosis.Archives of rehabilitation research and clinical translation · 2026Article
- Evaluating the implementation of integrated knowledge translation in a multi-country research consortium in Sub-Saharan Africa - a mixed methods comparative case study.Implementation science : IS · 2026Article
- Creation of EmpowerMe Website to Promote Self-Efficacy in Survivors of Stroke: Co-Design Study.Journal of medical Internet research · 2026Article
- Article
- Feasibility and Outcomes of Device and Self-Reported Physical Activity Measurement after Stroke in the ENAbLE Randomized Pilot Trial.Cerebrovascular diseases (Basel, Switzerland) · 2026Article
- Moving together to facilitate equity and inclusion in research. The co-production of interventions for clinical trials to facilitate participation of people from ethnically diverse communities.Health research policy and systems · 2026Article
- Mental Health Care Guidelines for Telemedicine During the COVID-19 Pandemic: Scoping Review.JMIR mental health · 2025Article
- Addressing power imbalance in research: exploring power in integrated knowledge translation health research.Research involvement and engagement · 2025Review
- i-REBOUND Cook Well After Stroke: Co-Designing a Culinary Nutrition Programme for Australian Stroke Survivors.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Harnessing RSPCA Stakeholder Expertise to Co-Produce a Complex Intervention Addressing Childhood and Adolescent Animal Harm.Animals : an open access journal from MDPI · 2025Article
- Citizen science approaches in the development of post-stroke physical activity interventions: A scoping review.PloS one · 2025Article
- Development of a behaviour change intervention for improving physical activity amongst stroke survivors with physical disabilities: a co-design approach.BMC public health · 2024Article
- Adapting a Telehealth Physical Activity and Diet Intervention to a Co-Designed Website for Self-Management After Stroke: Tutorial.Journal of medical Internet research · 2024Article
- The Online Health Information-Seeking Behaviors of People Who Have Experienced Stroke: Qualitative Interview Study.JMIR formative research · 2024Article
- A scoping review of patient and public involvement in empirical stroke research.International journal of stroke : official journal of the International Stroke Society · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 7 institutions in 2 countries.
Funding
Abstract
backgroundCareful development of interventions using principles of co-production is now recognized as an important step for clinical trial development, but practical guidance on how to do this in practice is lacking. This paper aims (1) provide practical guidance for researchers to co-produce interventions ready for clinical trial by describing the 4-stage process we followed, the challenges experienced and practical tips for researchers wanting to co-produce an intervention for a clinical trial; (2) describe, as an exemplar, the development of our intervention package.
methodWe used an Integrated Knowledge Translation (IKT) approach to co-produce a telehealth-delivered exercise program for people with stroke. The 4-stage process comprised of (1) a start-up planning phase with the co-production team. (2) Content development with knowledge user informants. (3) Design of an intervention protocol. (4) Protocol refinement. RESULTS AND REFLECTIONS: The four stages of intervention development involved an 11-member co-production team and 32 knowledge user informants. Challenges faced included balancing conflicting demands of different knowledge user informant groups, achieving shared power and collaborative decision making, and optimising knowledge user input. Components incorporated into the telehealth-delivered exercise program through working with knowledge user informants included: increased training for intervention therapists; increased options to tailor the intervention to participant's needs and preferences; and re-naming of the program. Key practical tips include ways to minimise the power differential between researchers and consumers, and ensure adequate preparation of the co-production team.
conclusionCareful planning and a structured process can facilitate co-production of complex interventions ready for clinical trial.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.