{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T22:49:07Z","timestamp":1785797347730,"version":"3.56.0"},"reference-count":40,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"unspecified","delay-in-days":166,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S146342362510011X_as1\">\n\t    <jats:title>Aim:<\/jats:title>\n\t    <jats:p>To synthesize evidence on approaches used in the co-design of maternal and early childhood primary care interventions with structurally marginalized populations.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S146342362510011X_as2\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>Involving end-users when developing health interventions can enhance outcomes. There is limited knowledge on how to effectively engage structurally marginalized populations (i.e., groups that are affected by structural inequities resulting in a disproportionate burden of social exclusion and poor health) when co-designing maternal child primary care interventions.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S146342362510011X_as3\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>A rapid scoping review was conducted by searching EMBASE and CINAHL for studies indexed between January 2010 and December 2024. Peer-reviewed studies describing co-designed health interventions or services tailored to structurally marginalized populations during prenatal, postpartum, or early childhood periods were included if they reported on one or multiple steps of a co-design process in community-based primary care practices in high-income countries.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S146342362510011X_as5\">\n\t    <jats:title>Findings:<\/jats:title>\n\t    <jats:p>Of the 5970 records that were screened, nine studies met the inclusion criteria. The co-designed interventions included three eHealth tools, a health- and social-care hub, a mental health service, a health literacy program, an antenatal care uptake intervention, an inventory of parenting support strategies, and a fetal alcohol spectrum disorder\u00a0prevention campaign. Women, mothers, fathers, and health- and social-service providers contributed to the co-design process by participating in workshops, focus groups, individual interviews, or surveys. They provided feedback on intervention prototypes, existing\u00a0resources, and new intervention designs or practice models. Ethical and practical considerations related to the population and context (e.g., marginalization) were not consistently addressed.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S146342362510011X_as4\">\n\t    <jats:title>Conclusion:<\/jats:title>\n\t    <jats:p>This synthesis on intervention co-design approaches with structurally marginalized populations can provide guidance for primary care organizations that\u00a0are considering maternal child health intervention co-design with this clientele. Future work should include a critical reflection on the ethical and practical considerations for co-design with structurally marginalized populations in the context of maternal and early child care.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s146342362510011x","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T08:36:30Z","timestamp":1750062990000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Co-design of interventions and services with structurally marginalized populations in the context of maternal and early childhood primary care: a rapid scoping review"],"prefix":"10.1017","volume":"26","author":[{"given":"Lucie","family":"Vicat-Blanc","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Merry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Christine","family":"Harguind\u00e9guy-Lincourt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6479-2623","authenticated-orcid":false,"given":"Yujia","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5743-4876","authenticated-orcid":false,"given":"Andraea","family":"Van Hulst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"S146342362510011X_ref43","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2016.11.006"},{"key":"S146342362510011X_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/nin.12268"},{"key":"S146342362510011X_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/hex.14051"},{"key":"S146342362510011X_ref2","doi-asserted-by":"publisher","DOI":"10.1080\/01900692.2021.1912089"},{"key":"S146342362510011X_ref24","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12864"},{"key":"S146342362510011X_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-021-01579-z"},{"key":"S146342362510011X_ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2021.12.005"},{"key":"S146342362510011X_ref34","doi-asserted-by":"publisher","DOI":"10.1089\/heq.2020.0051"},{"key":"S146342362510011X_ref30","first-page":"141","article-title":"Guidance for conducting systematic scoping reviews","volume":"13","author":"Peters","year":"2015","journal-title":"JBI Evid. 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