{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:33:04Z","timestamp":1763497984606,"version":"3.45.0"},"reference-count":16,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"vor","delay-in-days":41,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24AI143471, R01AI158826, R01CA271033, UG1HD113156-01"],"award-info":[{"award-number":["K24AI143471, R01AI158826, R01CA271033, UG1HD113156-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,13]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although youth engagement has long been explored in civic and political domains, it has only recently become a focus in global health. Traditional youth advisory approaches often suffer from unbalanced power dynamics, where adolescents and young adults are involved peripherally and tokenistically. This limits the relevance and impact of health interventions targeting young people, especially in low- and middle-income countries (LMICs). There is a need for practical, context-appropriate strategies that promote equity and power-sharing in youth engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed and piloted a mini-designathon model \u2013 a condensed, in-person, design-thinking-based participatory approach that integrates the principles of youth participatory action research. This model was implemented as part of a broader engagement activity co-created with the Adolescent HIV Prevention and Treatment Implementation Science Alliance (AHISA)\u00a0Youth Advisory Board. Teams of youth and adult researchers collaboratively produced creative outputs around the theme of youth engagement. The structure, implementation considerations, and participant feedback were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mini-designathon created a low-cost opportunity for youth and adult researchers to interact as peers in a structured, time-limited setting. Teams collaboratively produced creative outputs \u2013 including poems, dances, and illustrations \u2013 centred on youth engagement. Post-event feedback suggested that the activity was enjoyable, fostered discussion across age groups, and helped highlight the value of diverse perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mini-designathons offer a practical, scalable tool to advance meaningful youth engagement in global health research. By embedding principles of equity and co-creation into participatory design, this model helps shift power dynamics and amplify youth voices, particularly in LMIC contexts. Further application and refinement of this approach can strengthen youth\u2013adult partnerships and improve the design of interventions that affect young people\u2019s health and wellbeing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh25025","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:30:13Z","timestamp":1757377813000},"source":"Crossref","is-referenced-by-count":0,"title":["Shifting power dynamics in global health through youth engagement: a participatory mini-designathon"],"prefix":"10.1071","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0271-5160","authenticated-orcid":true,"given":"P. K.","family":"Chima","sequence":"first","affiliation":[{"name":"ANuffield Department of Medicine, University of Oxford, Oxford, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9183-8233","authenticated-orcid":true,"given":"Y.","family":"Babatunde","sequence":"additional","affiliation":[{"name":"BFaculty of Pharmaceutical Sciences, University of Ilorin, Ilorin, Nigeria."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Vorkoper","sequence":"additional","affiliation":[{"name":"CFogarty International Center, National Institutes of Health, Bethesda, MD, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Durham","sequence":"additional","affiliation":[{"name":"CFogarty International Center, National Institutes of Health, Bethesda, MD, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Goi","sequence":"additional","affiliation":[{"name":"DKilimanjaro Christian Medical University College, Moshi, Tanzania."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Iwelunmor","sequence":"additional","affiliation":[{"name":"EJohn T. Milliken Department of Medicine, Division of Infectious Diseases, Washington University School of Medicine in St Louis, MO, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2804-1181","authenticated-orcid":true,"given":"J. D.","family":"Tucker","sequence":"additional","affiliation":[{"name":"FInstitute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA."},{"name":"GClinical Research Department, London School of Hygiene and Tropical Medicine, London, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"issue":"1","key":"2025111815285215800_R1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13975","article-title":"A systematic review of theories, models and frameworks used for youth engagement in health research.","volume":"27","author":"Sanchez","year":"2024","journal-title":"Health Expect"},{"issue":"2","key":"2025111815285215800_R2","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1089\/lgbt.2022.0213","article-title":"Recruiting, facilitating, and retaining a youth community advisory board to inform an HIV prevention research project with sexual and gender minority youth.","volume":"10","author":"Geffen","year":"2023","journal-title":"LGBT Health"},{"issue":"1","key":"2025111815285215800_R3","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-023-00404-8","article-title":"Tracking adaptation strategies of an HIV prevention intervention among youth in Nigeria: a theoretically informed case study analysis of the 4 Youth by Youth Project.","volume":"4","author":"Iwelunmor","year":"2023","journal-title":"Implement Sci Commun"},{"key":"2025111815285215800_R4","unstructured":"WHO. Crowdsourcing in health and health research: a practical guide; 2018. Available at https:\/\/wkc.who.int\/resources\/publications\/i\/item\/2018-07-11-crowdsourcing-in-health-and-health-research-a-practical-guide [cited 16 June 2025]"},{"key":"2025111815285215800_R5","doi-asserted-by":"publisher","DOI":"10.2196\/46945","article-title":"Expanding youth-friendly HIV self-testing services during the COVID-19 pandemic: qualitative analysis of a crowdsourcing open call in Nigeria.","volume":"8","author":"Anikamadu","year":"2024","journal-title":"JMIR Form Res"},{"issue":"3","key":"2025111815285215800_R6","doi-asserted-by":"publisher","DOI":"10.1071\/SH24175","article-title":"#TheHealthYouthWant: a qualitative analysis of a global crowdsourcing open call for innovative ideas to promote adolescent health and well-being in countries with a high HIV burden.","volume":"22","author":"Hlatshwako","year":"2025","journal-title":"Sex Health"},{"key":"2025111815285215800_R7","unstructured":"PMNCH. Global consensus statement on meaningful adolescent and youth engagement; 2020. Available at https:\/\/pmnch.who.int\/resources\/publications\/m\/item\/global-consensus-statement-on-meaningful-adolescent-and-youth-engagement [cited 25 August 2024]"},{"issue":"2","key":"2025111815285215800_R8","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1093\/hsw\/hlu008","article-title":"Addressing mental health stigma among young adolescents: evaluation of a youth-led approach.","volume":"39","author":"Bulanda","year":"2014","journal-title":"Health Soc Work"},{"key":"2025111815285215800_R9","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1016\/S2352-4642(24)00111-1","article-title":"Come and learn: an invitation from Zvandiri Youth Advocates.","volume":"8","author":"Maturu","year":"2024","journal-title":"Lancet Child Adolesc Health"},{"key":"2025111815285215800_R10"},{"issue":"3","key":"2025111815285215800_R11","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2023-013961","article-title":"Designathons in health research: a global systematic review.","volume":"9","author":"Tieosapjaroen","year":"2024","journal-title":"BMJ Glob Health"},{"key":"2025111815285215800_R12","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1111\/cdep.12228","article-title":"Youth-led participatory action research: overview and potential for enhancing adolescent development.","volume":"11","author":"Ozer","year":"2017","journal-title":"Child Dev Perspect"},{"issue":"3\u20134","key":"2025111815285215800_R13","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1002\/ajcp.12451","article-title":"Youth participatory approaches and health equity: conceptualization and integrative review.","volume":"66","author":"Ozer","year":"2020","journal-title":"Am J Community Psychol"},{"key":"2025111815285215800_R14","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102989","article-title":"HIV interventions across the care continuum for adolescents in high-burden countries: a systematic review and meta-analysis.","volume":"78","author":"Tao","year":"2024","journal-title":"eClinicalMedicine"},{"issue":"11","key":"2025111815285215800_R15","doi-asserted-by":"publisher","first-page":"1540","DOI":"10.1177\/1049732315570125","article-title":"Youth perspectives on sexual health workshops: informing future practice.","volume":"25","author":"Ashdown","year":"2015","journal-title":"Qual Health Res"},{"issue":"123","key":"2025111815285215800_R16","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1002\/yd.312","article-title":"From voice to agency: guiding principles for participatory action research with youth.","volume":"2009","author":"Rodr\u00edguez","year":"2009","journal-title":"New Dir Youth Dev"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH25025\/1638604\/sh25025.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH25025\/1638604\/sh25025.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:28:58Z","timestamp":1763497738000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/22\/5\/SH25025\/238228\/Shifting-power-dynamics-in-global-health-through"}},"subtitle":[],"editor":[{"given":"Alissa","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,9,9]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10,13]]}},"URL":"https:\/\/doi.org\/10.1071\/sh25025","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"type":"print","value":"1448-5028"},{"type":"electronic","value":"1449-8987"}],"subject":[],"published":{"date-parts":[[2025,9,9]]},"article-number":"SH25025"}}