{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T15:15:13Z","timestamp":1783264513730,"version":"3.54.6"},"reference-count":72,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Co\u2010design is increasingly used to partner with key stakeholders to facilitate user\u2010driven improvements to health and social care services. Successful co\u2010design relies upon stakeholder partnerships that promote empowerment and value diverse perspectives\u2014which can be challenging when stakeholders are from diverse or marginalised backgrounds. Within this context, our research aimed to co\u2010design a research and translation action plan to enhance non\u2010stigmatising care for mothers experiencing adversities during pregnancy or their children's early years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Theoretical frameworks (social constructionism, knowledge translation and experience based co\u2010design) and local guidelines (ethical and consumer participation) informed successful co\u2010design with stakeholder groups with power differentials and experiences of marginalisation. We developed the novel MEdiated Trauma\u2010Informed Co\u2010design (METIC) model remain sensitive to power differentials and experiences of trauma by embedding trauma\u2010informed approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We engaged two stakeholder groups (professionals and service users) to promote equity and enable safe spaces for discussions using the METIC approach. The METIC approach includes five steps: (1) building relationships and triangulating evidence, (2) recruitment and data collection, (3) data analysis and feedback, (4) sharing outcomes and (5) ongoing engagement. Key learnings included the importance of taking time to build trusting relationships and using communication strategies tailored to diverse audiences, such as easy\u2010read visual summaries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Success was demonstrated through the co\u2010design of an accessible research and translation action plan, which received overwhelmingly positive participant feedback. Key methodological challenges for future consideration include how researchers should respond to broader and systemic factors that impact equitable engagement in co\u2010design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Members of the public contributed to the conceptualisation of this research as described in detail within the manuscript.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      Not applicable.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70711","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:15:08Z","timestamp":1780377308000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Co\u2010Design With Mothers and Professionals to Enhance Care for Mothers Experiencing Adversity: Development of the METIC Model"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2603-6960","authenticated-orcid":false,"given":"Lauren Elizabeth","family":"Lines","sequence":"first","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia G.","family":"Scott","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Conroy","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences Flinders University  Adelaide South Australia Australia"},{"name":"Southern Adelaide Local Health Network Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Hunter","sequence":"additional","affiliation":[{"name":"Caring Futures Institute, College of Nursing and Health Sciences Flinders University  Adelaide South Australia Australia"},{"name":"Preventative Health SA Government of South Australia Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13470"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-022-00392-4"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-024-00573-3"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdad046"},{"key":"e_1_2_14_6_1","volume-title":"A Guide to Build Co\u2010Design Capability","author":"Agency for Clinical Innovation","year":"2019"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/su16062360"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/14719037.2019.1619810"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13934"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1108\/JSTP-02-2016-0036"},{"key":"e_1_2_14_11_1","unstructured":"Australian Healthcare and Hospitals Association Experience Based Co\u2010Design Toolkit Canberra Australia 2017 https:\/\/ahha.asn.au\/resource\/experience-based-co-design-toolkit\/."},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2017.06.009"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-05858-6_20"},{"key":"e_1_2_14_14_1","volume-title":"Re\u2010Visioning Public Health Approaches for Protecting Children. 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