{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T00:08:59Z","timestamp":1793059739276,"version":"4.5.0"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000236","name":"Ontario Trillium Foundation","doi-asserted-by":"publisher","award":["\u00a0"],"award-info":[{"award-number":["\u00a0"]}],"id":[{"id":"10.13039\/501100000236","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabil. Sci."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Possibilities Project Plus (PPPlus) is a free assistive device (AD) marketplace and research platform for persons with disabilities. The overall aim of PPPlus is to increase access to ADs through an integration of service, research and education. To maximize positive outcomes and reflect community needs a co-design approach informed by guiding principles of Integrated Knowledge Translation (IKT) was adopted, with examination of methods related to Experience Based Co-design. The integrated nature of PPPlus benefits from the use of specific engagement strategies that align with IKT principles to meet project objectives. The extent to which partnership and engagement strategies are specified in the rehabilitation research literature vary greatly and studies that provide information on specific strategies used to operationalize principles are limited. The objective of this manuscript is to provide a description of the co-design approach and the specific strategies that strive to achieve meaningful user engagement. By reflecting on these processes we also report on limitations and strategies for improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The co-design approach is highlighted through specific project activities including a representative governance structure, ongoing environmental scan and iterative Health Equity Impact Assessments (HEIA). The inherent engagement strategies that align with IKT and co-design principles are described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The most impactful engagement strategies included early engagement of partners throughout all phases, ensuring project relevance across partners through alignment of objectives with complementary aims, using HEIAs to promote equitable outcomes from diverse stakeholders, the representative governance structure beyond individuals with disabilities and caregivers, and the use of experiences and stories to inform development.<\/jats:p><\/jats:sec><jats:sec><jats:title>Next steps<\/jats:title><jats:p>This examination of specific strategies related to co-design focused on partnership engagement and informed targets for enhancement of the PPPlus initiative. These include being more intentional in developing a more rigorous process for evaluation that includes an assessment of strategies and their impact\u2014especially as related to partner engagement. In addition, ongoing and enhanced efforts will focus on developing knowledge products that bring to life the most salient experience-based user stories emerging from the environmental scan with these being used to drive distinct co-creation events as well as serve other knowledge mobilization purposes (i.e., supporting policy change).<\/jats:p><\/jats:sec>","DOI":"10.3389\/fresc.2024.1364016","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T05:10:43Z","timestamp":1721711443000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Identifying strategies and related principles supporting a co-design approach in an assistive device service delivery and research platform"],"prefix":"10.3389","volume":"5","author":[{"given":"Thuvaraha","family":"Jeyakumaran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Eggiman-Ketter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abby","family":"Spadzinski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalton L.","family":"Wolfe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1080\/17483107.2019.1648571","article-title":"Psychosocial impact of mobility assistive technology on people with neurological conditions","volume":"16","author":"Jim\u00e9nez Arberas","year":"2021","journal-title":"Disabil Rehabil Assist Technol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"468","DOI":"10.3109\/17483107.2015.1027295","article-title":"The impact of mobility assistive technology devices on participation for individuals with disabilities","volume":"11","author":"Carver","year":"2016","journal-title":"Disabil Rehabil Assist Technol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"851","DOI":"10.1080\/17483107.2020.1741703","article-title":"Assistive technology use and unmet need in Canada","volume":"16","author":"Berardi","year":"2021","journal-title":"Disabil Rehabil Assist Technol"},{"key":"B4","volume-title":"Global Report on Assistive Technology","year":"2022"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1536","DOI":"10.1016\/j.healthpol.2021.09.014","article-title":"Comparison of outpatient coverage in Canada: assistive and medical devices","volume":"125","author":"Peckham","year":"2021","journal-title":"Health Policy"},{"key":"B6","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1016\/j.ijnurstu.2017.01.002","article-title":"Using experience-based co-design with older patients, their families and staff to improve palliative care experiences in the emergency department: a reflective critique on the process and outcomes","volume":"68","author":"Blackwell","year":"2017","journal-title":"Int J Nurs Stud"},{"key":"B7","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1111\/1468-0009.12197","article-title":"Achieving research impact through co-creation in community-based health services: literature review and case study","volume":"94","author":"Greenhalgh","year":"2016","journal-title":"Milbank Quarterly"},{"key":"B8","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1136\/qshc.2005.016527","article-title":"Experience-based design: from redesigning the system around the patient to co-designing services with the patient","volume":"15","author":"Bate","year":"2006","journal-title":"Qual Saf Health Care"},{"key":"B9","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1186\/s12961-020-0539-6","article-title":"How does integrated knowledge translation (IKT) compare to other collaborative research approaches to generating and translating knowledge? Learning from experts in the field","volume":"18","author":"Nguyen","year":"2020","journal-title":"Health Res Policy Syst"},{"key":"B10","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1186\/s13012-017-0696-3","article-title":"Community-based participatory research and integrated knowledge translation: advancing the co-creation of knowledge","volume":"12","author":"Jull","year":"2017","journal-title":"Implement Sci"},{"key":"B11","doi-asserted-by":"publisher","first-page":"7269","DOI":"10.1080\/09638288.2021.1985635","article-title":"Principles to guide spinal cord injury research partnerships: a delphi consensus study","volume":"44","author":"Gainforth","year":"2022","journal-title":"Disabil Rehabil"},{"key":"B12","doi-asserted-by":"publisher","first-page":"656","DOI":"10.1016\/j.apmr.2020.09.393","article-title":"Integrated knowledge translation guiding principles for conducting and disseminating spinal cord injury research in partnership","volume":"102","author":"Gainforth","year":"2021","journal-title":"Arch Phys Med Rehabil"},{"key":"B13","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1080\/10790268.2022.2033578","article-title":"Systematic overviews of partnership principles and strategies identified from health research about spinal cord injury and related health conditions: a scoping review","volume":"46","author":"Hoekstra","year":"2023","journal-title":"J Spinal Cord Med"},{"key":"B14","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1186\/s12961-020-0544-9","article-title":"A review of reviews on principles, strategies, outcomes and impacts of research partnerships approaches: a first step in synthesising the research partnership literature","volume":"18","author":"Hoekstra","year":"2020","journal-title":"Health Res Policy Syst"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1390","DOI":"10.3109\/09638288.2014.963705","article-title":"Engaging stakeholders in rehabilitation research: a scoping review of strategies used in partnerships and evaluation of impacts","volume":"37","author":"Camden","year":"2015","journal-title":"Disabil Rehabil"},{"key":"B16","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1007\/s11926-017-0666-4","article-title":"Framework for advancing the reporting of patient engagement in rheumatology research projects","volume":"19","author":"Hamilton","year":"2017","journal-title":"Curr Rheumatol Rep"},{"key":"B17","volume-title":"Health Equity Impact Assessment (HEIA) Tool","year":"2023"},{"key":"B18","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1332\/174426421X16161715996124","article-title":"Principles and related strategies for spinal cord injury research partnership approaches: a qualitative study","volume":"18","author":"Hoekstra","year":"2022","journal-title":"Evid Policy"},{"key":"B19","doi-asserted-by":"publisher","first-page":"1322","DOI":"10.2105\/AJPH.89.9.1322","article-title":"Evaluating the public health impact of health promotion interventions: the RE-AIM framework","volume":"89","author":"Glasgow","year":"1999","journal-title":"Am J Public Health"},{"key":"B20","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1136\/bmj.g7714","article-title":"Patients and staff as codesigners of healthcare services","author":"Robert","year":"2015","journal-title":"BMJ (Online)"},{"key":"B21","doi-asserted-by":"publisher","first-page":"739","DOI":"10.1007\/s00520-019-04877-z","article-title":"Using experience-based co-design to improve the pre-treatment care pathway for people diagnosed with head and neck cancer","volume":"28","author":"Brady","year":"2020","journal-title":"Support Care Cancer"},{"key":"B22","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1186\/s13012-016-0383-9","article-title":"Collaborative research and the co-production of knowledge for practice: an illustrative case study","volume":"11","author":"Heaton","year":"2016","journal-title":"Implement Sci"}],"container-title":["Frontiers in Rehabilitation Sciences"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fresc.2024.1364016\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T05:10:48Z","timestamp":1721711448000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fresc.2024.1364016\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,23]]},"references-count":22,"alternative-id":["10.3389\/fresc.2024.1364016"],"URL":"https:\/\/doi.org\/10.3389\/fresc.2024.1364016","relation":{},"ISSN":["2673-6861"],"issn-type":[{"value":"2673-6861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,23]]},"article-number":"1364016"}}