{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:19:08Z","timestamp":1787797148432,"version":"build-2784847793"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1178444"],"award-info":[{"award-number":["1178444"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"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>Rural communities face barriers to accessing, sharing and trusting health information, which can limit the relevance and impact of health education initiatives. Early engagement to understand local communication networks is critical for designing effective, community\u2010grounded co\u2010design processes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore, with community members, how health information is accessed, shared and trusted within rural towns to inform a subsequent co\u2010design process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Formative participatory engagement study using qualitative methods, including participatory mapping, semi\u2010structured interviews and field notes conducted within existing community awareness events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Seven rural towns in South Australia (SA) and Victoria (VIC), across Modified Monash Model (MMM) categories: 3 (Horsham, Mount Gambier), 4 (Ararat, Hamilton, Naracoorte and Stawell) and 5 (Millicent).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adults who attended the events, local healthcare professionals (HCPs) and\/or community interest\u2010holders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Patient and public involvement and engagement (PPIE), hereafter referred to as community engagement, comprised participatory mapping activities, informal \u2018stall\u2010side\u2019 discussions and semi\u2010structured interviews conducted during community awareness events. The maps, interview transcripts and field notes generated through these activities constituted the study data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Engagement activities generated three forms of data: participant\u2010generated map locations, interview audio\u2010recordings with consenting participants and researcher field notes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 205 members of the public and interest\u2010holders and 59 HCPs participated; 300 community connection and information\u2010seeking points were identified through 282 stickers placed on town maps. Interviews were completed by 35 participants. Formal information\u2010seeking and communication networks varied across communities but included sporting clubs; HCPs and health services; council amenities and venues, and community clubs and associations. Informal networks included special interest groups, eateries, hotels\/pubs and community events. Interview data provided additional context about how these networks operate and which populations they most effectively reach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Future co\u2010design and public messaging efforts should reflect both shared regional pathways and locally specific communication networks, incorporating region\u2010wide and community\u2010specific engagement strategies to support meaningful community participation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70816","type":"journal-article","created":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T12:05:32Z","timestamp":1786881932000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Laying the Foundations for Co\u2010Design: A Micro\u2010Community Engagement Approach to Patient and Public Involvement in Rural Health Research"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6557-6196","authenticated-orcid":false,"given":"Louise K.","family":"Wiles","sequence":"first","affiliation":[{"name":"IIMPACT in Health, Allied Health and Human Performance, College of Health Adelaide University, Kaurna Country Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1477-7406","authenticated-orcid":false,"given":"Aaron","family":"Davis","sequence":"additional","affiliation":[{"name":"College of Creative Arts, Design and Humanities Adelaide University, Kaurna Country Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3759-3423","authenticated-orcid":false,"given":"Ian","family":"Gwilt","sequence":"additional","affiliation":[{"name":"College of Creative Arts, Design and Humanities Adelaide 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