{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:18:58Z","timestamp":1787797138897,"version":"build-2784847793"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"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":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Consumer and community involvement (CCI) can enhance research and healthcare outcomes. However, orientation processes, including mandatory training, can pose barriers when not designed for consumers, particularly those with diverse communication, language, and literacy needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To (1) explore consumer and staff experiences of hospital\u2010based orientation, including existing infection control training materials; and (2) co\u2010design an accessible infection control mandatory training resource for consumers who partner with the hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study using semi\u2010structured interviews (consumers and staff) and a series of three co\u2010design workshops (consumers, staff, researchers).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Participants<\/jats:title>\n                    <jats:p>The study was conducted at a metropolitan rehabilitation hospital in Australia in 2025. Participants included consumers, staff and researchers with knowledge in consumer partnering, infection control and orientation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Variables Studied<\/jats:title>\n                    <jats:p>Experiences of consumer orientation, including infection\u2010control training and priorities for the design, content, accessibility and acceptability of a co\u2010designed infection\u2010control training for consumers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes Measured<\/jats:title>\n                    <jats:p>Qualitative themes relating to barriers and enablers in consumer orientation and characteristics of the co\u2010designed training resource.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine participants completed an interview, and 14 contributed to co\u2010design workshops. Consumers described orientation as inflexible, insufficiently tailored and sometimes inaccessible, particularly for people with diverse needs. They valued orientation as an opportunity to build relationships, ask questions and understand their role. Staff highlighted that processes lacked the flexibility needed for person\u2010centred partnering and described challenges in tailoring information for consumer audiences. Interview findings informed co\u2010design workshops in which consumers, staff and researchers developed and refined an infection control training resource for consumers in a hospital setting. Key design features included plain language, visual supports, concise content, opportunities for questions and accessible formatting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Consumer orientation is an important but underexamined stage of healthcare partnering. Accessible, flexible and consumer\u2010centred processes may support inclusive and meaningful involvement. Contributions from staff and consumers were valuable in ensuring that the end product was fit for purpose from organisational and end\u2010user perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Orientation and mandatory training may create barriers when not tailored to consumers' needs. Co\u2010designing accessible training resources offers a practical approach to improving consumer orientation and understanding of infection control principles, supporting more inclusive partnerships with health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lived Experience or Public Contribution<\/jats:title>\n                    <jats:p>This study was initiated in response to feedback from a consumer network at a metropolitan hospital in Queensland, Australia. Consumers contributed as interview participants and co\u2010designers in developing the training resource.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70792","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T16:45:55Z","timestamp":1785257155000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving the Accessibility of Consumer Orientation: Co\u2010Designing Infection Control Training for Consumers Partnering With Health Services"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0452-2588","authenticated-orcid":false,"given":"Clare","family":"Soeters","sequence":"first","affiliation":[{"name":"Faculty of Health, Medicine and Behavioural Sciences, School of Health and Rehabilitation Sciences The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7020-053X","authenticated-orcid":false,"given":"Emmah","family":"Doig","sequence":"additional","affiliation":[{"name":"Faculty of Health, Medicine and Behavioural Sciences, School of Health and Rehabilitation Sciences The University of Queensland Brisbane Queensland Australia"},{"name":"Surgical Treatment and Rehabilitation Service (STARS) Education and Research Alliance The University of Queensland and Metro North Health Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7679-5709","authenticated-orcid":false,"given":"Hannah","family":"Olufson","sequence":"additional","affiliation":[{"name":"Surgical Treatment and Rehabilitation Service (STARS) Education and Research Alliance The University of Queensland and Metro North Health Brisbane Queensland Australia"},{"name":"Dietetics &amp; Food Services, STARS, Metro North Health, Queensland Health Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5180-1455","authenticated-orcid":false,"given":"Kimberley A.","family":"Baxter","sequence":"additional","affiliation":[{"name":"Surgical Treatment and Rehabilitation Service (STARS) Education and Research Alliance The University of Queensland and Metro North Health Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"King","sequence":"additional","affiliation":[{"name":"Surgical Treatment and Rehabilitation Service (STARS), Metro North Health Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Sarri","sequence":"additional","affiliation":[{"name":"Surgical Treatment and Rehabilitation Service (STARS), Metro North Health Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Sherring","sequence":"additional","affiliation":[{"name":"Surgical Treatment and Rehabilitation Service (STARS), Metro North Health Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7410-4652","authenticated-orcid":false,"given":"Lisa","family":"Anemaat","sequence":"additional","affiliation":[{"name":"Faculty of Health, Medicine and Behavioural Sciences, School of Health and Rehabilitation Sciences The University of Queensland Brisbane Queensland Australia"},{"name":"Surgical Treatment and Rehabilitation Service (STARS) Education and Research Alliance The University of Queensland and Metro North Health Brisbane Queensland Australia"},{"name":"Queensland Aphasia Research Centre The University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2012.00795.x"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12704"},{"issue":"2","key":"e_1_2_13_4_1","first-page":"CD013274","article-title":"Consumers and Health Providers Working in Partnership for the Promotion of Person\u2010Centred Health Services: A Co\u2010Produced Qualitative Evidence Synthesis","volume":"2019","author":"Merner B.","year":"2019","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13040"},{"key":"e_1_2_13_6_1","unstructured":"National Health and Medical Research Council (NHMRC). \u201cStatement on Consumer and Community Involvement in Health and Medical Research \u201d2026."},{"key":"e_1_2_13_7_1","unstructured":"\u201cNational Safety and Quality Health Service Standards \u201d 2nd ed. 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