{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T19:04:42Z","timestamp":1789758282687,"version":"4.0.1"},"reference-count":46,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000085","name":"Ontario HIV Treatment Network","doi-asserted-by":"publisher","award":["NA"],"award-info":[{"award-number":["NA"]}],"id":[{"id":"10.13039\/501100000085","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study aims to synthesize existing literature on co-design and co-creation methodologies that support older adults living with HIV and to identify opportunities and challenges for applying these approaches in geriatric HIV contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A protocol for this scoping review was published elsewhere; we also describe our methods below. The Joanna Briggs Institute (JBI) Manual for scoping reviews guided our approach, including database searching, title\/abstract and full-text screening, data extraction, and analysis. We followed PRISMA recommendations for evidence screening and selection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our search identified 2,734 records from databases and no articles from grey literature. Across included studies, we identified themes describing how co-design and co-creation are used with older adults living with HIV, along with persistent challenges in implementation. Co-designed digital interventions may be less accessible for older adults who have lower digital literacy or limited access to devices or internet, and participants often represent a subset of older adults who are more able to engage in workshops or interviews or who have lower health status. Advisory committee members emphasized the importance of diverse participation and attention to accessibility throughout the process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This review synthesizes evidence on co-design and co-creation for older adults living with HIV and highlights implications for practice and future research participation and engagement in this population. Findings point to the need for clear processes, inclusive recruitment, and attention to digital access and support when implementing co-designed interventions in geriatric HIV care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0358263","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T18:01:31Z","timestamp":1789754491000},"page":"e0358263","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["The role of co-design and co-creation methodologies in research supporting older adults living with HIV: A scoping review"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5854-5028","authenticated-orcid":true,"given":"Esther","family":"Su","sequence":"first","affiliation":[{"name":"Sinai Health System and University Health Network","place":["Toronto, ON, Canada"],"department":["Division of Geriatric Medicine, Department of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luxey","family":"Sirisegaram","sequence":"additional","affiliation":[{"name":"Sinai Health System and University Health Network","place":["Toronto, ON, Canada"],"department":["Division of Geriatric Medicine, Department of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hardeep","family":"Singh","sequence":"additional","affiliation":[{"name":"University of Toronto","place":["Toronto, ON, Canada"],"department":["Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine"]},{"name":"KITE, Toronto Rehabilitation Institute, University Health Network","place":["Toronto, ON, Canada"]},{"name":"Rehabilitation Sciences Institute, University of Toronto","place":["Toronto, ON, Canada"],"department":["Temerty Faculty of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew D.","family":"Eaton","sequence":"additional","affiliation":[{"name":"University of Regina","place":["Regina, SK, Canada"],"department":["Faculty of Social Work \u2013 Saskatoon Campus"]},{"name":"University of Toronto","place":["Toronto, ON, Canada"],"department":["Factor-Inwentash Faculty of Social Work"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E. P.","family":"Munce","sequence":"additional","affiliation":[{"name":"University of Toronto","place":["Toronto, ON, Canada"],"department":["Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine"]},{"name":"KITE, Toronto Rehabilitation Institute, University Health Network","place":["Toronto, ON, Canada"]},{"name":"Rehabilitation Sciences Institute, University of Toronto","place":["Toronto, ON, Canada"],"department":["Temerty Faculty of Medicine"]},{"name":"Institute of Health Policy, Management and Evaluation, University of Toronto","place":["Toronto, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paige","family":"Brown","sequence":"additional","affiliation":[{"name":"Sinai Health System and University Health Network","place":["Toronto, ON, Canada"],"department":["Division of Geriatric Medicine, Department of Medicine"]},{"name":"University of Toronto","place":["Toronto, ON, Canada"],"department":["Undergraduate Medical Education, Temerty Faculty of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4689-4612","authenticated-orcid":true,"given":"Carolina","family":"Navas","sequence":"additional","affiliation":[{"name":"Sinai Health System and University Health Network","place":["Toronto, ON, Canada"],"department":["Division of Geriatric Medicine, Department of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6460-9307","authenticated-orcid":true,"given":"Stuart","family":"McKinlay","sequence":"additional","affiliation":[{"name":"Sinai Health System and University Health Network","place":["Toronto, ON, Canada"],"department":["Division of Geriatric Medicine, Department of Medicine"]},{"name":"University of Toronto","place":["Toronto, ON, Canada"],"department":["Undergraduate Medical Education, Temerty Faculty of 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