Evidence map›Paper›PMID 38062532›Full record

ArticleResearch involvement and engagement2023

Striking the right balance: co-designing the Health4Me healthy lifestyle digital health intervention with adolescents.

Rebecca Raeside, Allyson Todd, Sara Wardak, Lauren Gardner, Katrina E Champion, Melissa Kang, Seema Mihrshahi, Katharine Steinbeck, Julie Redfern, Stephanie R Partridge and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Research involvement and engagement, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Building the Capacity of Adolescents as Researchers: The Co-Creation of the Health Hive Online Course.Health expectations : an international journal of public participation in health care and health policy · 2026
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  7. Co-Designing a Framework for Social Media Health Communication to Young People: A Participatory Research Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  8. Retrospective analysis of regional and metropolitan school food environments using Google Street View: A case study in New South Wales, Australia with youth consultation.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Rebecca RaesideEngagement and Co-design Research Hub, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia. rebecca.raeside@sydney.edu.au.
Allyson ToddEngagement and Co-design Research Hub, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Sara WardakEngagement and Co-design Research Hub, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Lauren GardnerThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, Australia.
Katrina E ChampionThe Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, Australia.
Melissa KangGeneral Practice Clinical School, Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Seema MihrshahiDepartment of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.
Katharine SteinbeckSpecialty of Child and Adolescent Health, Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Westmead, NSW, Australia.
Julie RedfernEngagement and Co-design Research Hub, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Stephanie R PartridgeEngagement and Co-design Research Hub, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Health Advisory Panel for Youth at the University of Sydney (HAPYUS)
Health4Me Team

Funding

Australian Government Department of Health Medical Research Future Fund Primary Care Grant 2006315National Health and Medical Research Council and National Heart Foundation Early Career Fellowship APP1157438NHMRC Investigator Grant (Leadership) GNT2007946NHMRC SOLVE-CHD Primary and Supplementary Research Scholarship GNT1182301
6 · The paper itself

Abstract

backgroundAdolescents are navigating a period of rapid growth and development within an era of digitalization. Mobile phone ownership among adolescents is nearly ubiquitous, and this provides an opportunity to harness text messaging to promote a healthy lifestyle and reduce chronic disease risk factors. Inclusion of adolescents throughout the design process has been recognized as essential for engagement and future implementation of such interventions. This study aimed to co-design a bank of text messages to promote a healthy lifestyle which are useful, acceptable, and engaging for adolescents aged 12-18 years old.

methodsIterative, mixed-methods design with consumer partnership. Co-design occurred over three stages: text message development, text message review and final refinement and testing. The text message development included literature searches and consumer partnership with an established youth advisory group (n = 16). Participants who gave e-consent participated in text message review. Demographic characteristics were collected, and quantitative surveys were distributed to adolescents (n = up to 50) and health professionals (n = up to 30), who rated text message content for understanding, usefulness and appropriateness (total score out of 15). Final refinement was completed by the research team to edit or remove messages which had low scores and to assess readability and interactivity of the text messages.

resultsThe Heath Advisory Panel for Youth at the University of Sydney (HAPYUS) identified the top six lifestyle health issues for young people today in relation to chronic disease prevention, which became the key content areas for the text message bank and drafted new text messages. Following text message development, 218 messages were available for review. Adolescents (n = 18, mean age 16.3 [SD 1.4]) and healthcare professionals (n = 16) reviewed the text messages. On average, all reviewers found that the text messages were easy to understand (mean = 13.4/15) and useful (mean = 12.7/15). Based on scoring and open ended-feedback, 91 text messages were edited and 42 deleted. The final text message bank included 131 text messages. The overall program is suitable for a seventh-grade reading level, and interactive.

conclusionsThis study describes the process of effectively engaging adolescents to co-design a text message bank intervention, which are useful, acceptable and engaging for an adolescent audience. The effectiveness of the co-designed text message bank is currently being tested in the Health4Me RCT.

Indexed as

AdolescentBehavior changeCo-designDigital healthInterventionPreventionText-message

Identifiers

PMID38062532
PMCPMC10702116

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.