Evidence map›Paper›PMID 42604442›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2026

Laying the Foundations for Co-Design: A Micro-Community Engagement Approach to Patient and Public Involvement in Rural Health Research.

Louise K Wiles, Aaron Davis, Ian Gwilt, Hayley B Leake, Ashley R Grant, Katrina Martin, Kate Gunn, Sarah B Wallwork, David Wearing, Emma Young and 5 more

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Laying the Foundations for Co-Design: A Micro-Community Engagement Approach to Patient and Public Involvement in Rural Health Research.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
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

15 authors.

Louise K WilesIIMPACT in Health, Allied Health and Human Performance, College of Health, Adelaide University, Kaurna Country, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-6557-6196
Aaron DavisCollege of Creative Arts, Design and Humanities, Adelaide University, Kaurna Country, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-1477-7406
Ian GwiltCollege of Creative Arts, Design and Humanities, Adelaide University, Kaurna Country, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-3759-3423
Hayley B LeakeIIMPACT in Health, Allied Health and Human Performance, College of Health, Adelaide University, Kaurna Country, Adelaide, South Australia, Australia.
Ashley R GrantIIMPACT in Health, Allied Health and Human Performance, College of Health, Adelaide University, Kaurna Country, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-6071-8979
Katrina MartinWestern Victoria Primary Health Network, Geelong, Victoria, Australia.ORCID https://orcid.org/0009-0004-1017-2399
Kate GunnIIMPACT in Health, Allied Health and Human Performance, College of Health, Adelaide University, Kaurna Country, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-0837-6814
Sarah B WallworkIIMPACT in Health, Allied Health and Human Performance, College of Health, Adelaide University, Kaurna Country, Adelaide, South Australia, Australia.
David WearingOffice of the Commissioner for Public Sector Employment, Adelaide, South Australia, Australia.ORCID https://orcid.org/0009-0005-0648-9710
Emma YoungCountry SA Primary Health Network, Nuriootpa, South Australia, Australia.
Julie Di RitoCountry SA Primary Health Network, Nuriootpa, South Australia, Australia.
Ian McKayOffice of the Provost and DVC Mount Gambier, Adelaide University, Boandik Country, Mount Gambier, South Australia, Australia.ORCID https://orcid.org/0009-0007-0932-369X
Jared SimesLawson Risk, Adelaide, South Australia, Australia.
G Lorimer MoseleyIIMPACT in Health, Allied Health and Human Performance, College of Health, Adelaide University, Kaurna Country, Adelaide, South Australia, Australia.
EQUiPP Group

Funding

Medical Research Future Fund MRF2032007National Health and Medical Research Council 1178444
6 · The paper itself

Abstract

backgroundRural communities face barriers to accessing, sharing and trusting health information, which can limit the relevance and impact of health education initiatives. Early engagement to understand local communication networks is critical for designing effective, community-grounded co-design processes.

objectiveTo explore, with community members, how health information is accessed, shared and trusted within rural towns to inform a subsequent co-design process.

designFormative participatory engagement study using qualitative methods, including participatory mapping, semi-structured interviews and field notes conducted within existing community awareness events.

settingSeven rural towns in South Australia (SA) and Victoria (VIC), across Modified Monash Model (MMM) categories: 3 (Horsham, Mount Gambier), 4 (Ararat, Hamilton, Naracoorte and Stawell) and 5 (Millicent).

participantsAdults who attended the events, local healthcare professionals (HCPs) and/or community interest-holders.

interventionPatient and public involvement and engagement (PPIE), hereafter referred to as community engagement, comprised participatory mapping activities, informal 'stall-side' discussions and semi-structured interviews conducted during community awareness events. The maps, interview transcripts and field notes generated through these activities constituted the study data.

main outcome measuresEngagement activities generated three forms of data: participant-generated map locations, interview audio-recordings with consenting participants and researcher field notes.

resultsA total of 205 members of the public and interest-holders and 59 HCPs participated; 300 community connection and information-seeking points were identified through 282 stickers placed on town maps. Interviews were completed by 35 participants. Formal information-seeking and communication networks varied across communities but included sporting clubs; HCPs and health services; council amenities and venues, and community clubs and associations. Informal networks included special interest groups, eateries, hotels/pubs and community events. Interview data provided additional context about how these networks operate and which populations they most effectively reach. DISCUSSION AND

conclusionsFuture co-design and public messaging efforts should reflect both shared regional pathways and locally specific communication networks, incorporating region-wide and community-specific engagement strategies to support meaningful community participation.

Indexed as

Community ParticipationPatient ParticipationRural HealthRural PopulationAdultCommunity-Based Participatory ResearchFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSouth AustraliaVictoriachronic painco‐designcommunity engagementcommunity networkspatient and public involvement (PPI)rural health

Identifiers

PMID42604442
PMCPMC13477605

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.