{
  "abstract": "Background High sodium intake is a complex public health concern driven by an interplay of factors, ranging from individual to community-level influences, necessitating tailored interventions for each community. Co-creation features a collaborative approach that shows promise in localising these interventions. However, it is crucial to understand the barriers and facilitators of co-creation in diverse global settings and how best to optimise its effectiveness and time-efficiency.Methods The Supporting Household heAlth through familY-led Promotion (SHAYP) intervention addresses Singapore’s sodium intake crisis with a 6-week video-based educational programme for young adults and their families. Through formative research and application of a four-stage co-creation framework: (1) planning (eg, recruiting academic and young adult co-creators through purposeful sampling), (2) conducting (eg, iterative workshops with shared co-creator responsibilities), (3) evaluation/reporting (eg, consistent feedback, member checks, collaborative evaluation and participation in dissemination activities and scaled-up evaluation plans).Results The SHAYP co-creation panel, consisting of four content experts (researchers and dieticians specialising in public health nutrition, family-led health promotion and programme evaluation) and 8 Singaporean young adults (mean age 26.4, 50% female, family size 2–8), developed the co-created intervention to be piloted with a future sample of young adults and their family members. Facilitators reported include leveraging friend networks for recruitment to foster intracoalition trust and a flexible workshop structure allowing virtual and small-group meetings for time efficiency. Challenges documented include a weaker collective group identity and articulating co-creator’s responsibilities to young adults comprehensively and concisely.Conclusion This study demonstrated the feasibility of applying a co-creation framework to develop a dietary intervention in Asia, providing an actionable blueprint for public health professionals seeking to rigorously yet efficiently explore co-creation methods. Incorporation of enhanced virtual technologies and consistent communication to both cultivate interpersonal relationships and define the scope of co-creator responsibilities serves as recommendations for future studies aiming to employ co-creation methods.",
  "authors": [
    {
      "affiliations": [
        "Saw Swee Hock School of Public Health, National University Singapore, Singapore"
      ],
      "name": "Kimberly Mei Yi Low"
    },
    {
      "affiliations": [
        "Saw Swee Hock School of Public Health, National University Singapore, Singapore"
      ],
      "name": "Cindy Mei Jun Chan"
    },
    {
      "affiliations": [
        "Saw Swee Hock School of Public Health, National University Singapore, Singapore"
      ],
      "name": "Mary Foong-Fong Chong"
    },
    {
      "affiliations": [
        "Saw Swee Hock School of Public Health, National University Singapore, Singapore"
      ],
      "name": "Ian Yi Han Ang"
    },
    {
      "affiliations": [
        "Saw Swee Hock School of Public Health, National University Singapore, Singapore"
      ],
      "name": "Felicia Jia Hui Chan"
    },
    {
      "affiliations": [
        "Saw Swee Hock School of Public Health, National University Singapore, Singapore"
      ],
      "name": "Nadiah Isa"
    },
    {
      "affiliations": [
        "Saw Swee Hock School of Public Health, National University Singapore, Singapore"
      ],
      "name": "Jobelle Ying Qi Chia"
    },
    {
      "affiliations": [
        "Saw Swee Hock School of Public Health, National University Singapore, Singapore"
      ],
      "name": "Muhammad Azamuddin Bin Aman"
    },
    {
      "affiliations": [
        "Saw Swee Hock School of Public Health, National University Singapore, Singapore"
      ],
      "name": "Yee Ling Lok"
    },
    {
      "affiliations": [
        "Saw Swee Hock School of Public Health, National University Singapore, Singapore"
      ],
      "name": "Shahmir H Ali"
    }
  ],
  "title": "Applying a co-creation framework to develop an online sodium-reduction intervention in Singapore: applied experiences and strategies to enhance implementation efficiency",
  "uid": "84bf0f28-08aa-5dd8-9526-bf0adeda2f15"
}