{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T10:56:56Z","timestamp":1792321016982,"version":"4.4.0"},"reference-count":53,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,3,9]],"date-time":"2024-03-09T00:00:00Z","timestamp":1709942400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Auckland, Graduate Student Research Funding","award":["89114"],"award-info":[{"award-number":["89114"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Social media platforms may be promising intervention tools to address the nutrition literacy and associated health behaviours of young women. We aimed to co-design a lifestyle intervention on social media targeting eating, physical activity, and social wellbeing that is evidence-based, acceptable, and engaging for young women aged 18\u201324 years. The study used a participatory design framework and previously published iterative mixed methods approach to intervention development. Matrices for workshop objectives were constructed using expert discussions and insights were sought from young women in participatory workshops. A 10-step qualitative data analysis process resulted in relevant themes, which guided intervention development. The resulting intervention, the Daily Health Coach, uses multiple features of Instagram to disseminate health information. Co-created nutrition content considers themes such as holism, food relationships, and food neutrality and acknowledges commonly experienced barriers associated with social media use such as nutrition confusion, body image concerns, and harmful comparison. This study may guide other researchers or health professionals seeking to engage young women in the co-design of women\u2019s health promotion or intervention content on social media.<\/jats:p>","DOI":"10.3390\/nu16060780","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T07:25:32Z","timestamp":1710141932000},"page":"780","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Empowering Young Women: A Qualitative Co-Design Study of a Social Media Health Promotion Programme"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5569-1019","authenticated-orcid":false,"given":"Jessica A.","family":"Malloy","sequence":"first","affiliation":[{"name":"Discipline of Nutrition and Dietetics, School of Medical Sciences, Faculty of Medical and Health Sciences, University of Auckland, 85 Park Road Grafton, Auckland 1011, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joya A.","family":"Kemper","sequence":"additional","affiliation":[{"name":"Management, Marketing, and Tourism, University of Canterbury, Christchurch 8041, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5390-3922","authenticated-orcid":false,"given":"Stephanie R.","family":"Partridge","sequence":"additional","affiliation":[{"name":"Charles Perkins Centre, The University of Sydney, Camperdown, NSW 2050, Australia"},{"name":"Discipline of Nutrition and Dietetics, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2050, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7939-1790","authenticated-orcid":false,"given":"Rajshri","family":"Roy","sequence":"additional","affiliation":[{"name":"Discipline of Nutrition and Dietetics, School of Medical Sciences, Faculty of Medical and Health Sciences, University of Auckland, 85 Park Road Grafton, Auckland 1011, New Zealand"},{"name":"Charles Perkins Centre, The University of Sydney, Camperdown, NSW 2050, Australia"},{"name":"Discipline of Nutrition and Dietetics, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2050, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,9]]},"reference":[{"key":"ref_1","unstructured":"Global Web Index (GWI) (2023, November 01). Social Media behind the Scenes. Available online: https:\/\/www.gwi.com\/webinars\/social-media-behind-the-screens."},{"key":"ref_2","first-page":"878076","article-title":"The effectiveness of a social media intervention for reducing portion sizes in young adults and adolescents","volume":"5","author":"Sharps","year":"2019","journal-title":"Digit. Health"},{"key":"ref_3","first-page":"219117","article-title":"Co-design of digital health interventions with young people: A scoping review","volume":"9","author":"Malloy","year":"2023","journal-title":"Digit. Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e1586","DOI":"10.1002\/nvsm.1586","article-title":"What is Contagious? Exploring why content goes viral on Twitter: A case study of the ALS Ice Bucket Challenge","volume":"23","author":"Pressgrove","year":"2017","journal-title":"Int. J. Nonprofit Volunt. Sect. Mark."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e25","DOI":"10.2196\/jmir.2334","article-title":"Queer as F**k: Reaching and engaging gay men in sexual health promotion through social networking sites","volume":"15","author":"Pedrana","year":"2013","journal-title":"J. Med. Internet Res."},{"key":"ref_6","unstructured":"Ministy of Health New Zealand (2023, December 01). Annual Data Explorer 2021\/2022: New Zealand Health Survey [Data File], Available online: https:\/\/www.health.govt.nz\/publication\/annual-update-key-results-2021-22-new-zealand-health-survey."},{"key":"ref_7","unstructured":"Ministry of Health New Zealand (2023, December 01). Eating and Activity Guidelines for New Zealand Adults: Updated 2020, Available online: https:\/\/www.health.govt.nz\/publication\/eating-and-activity-guidelines-new-zealand-adults."},{"key":"ref_8","first-page":"942070","article-title":"Health Lifestyles and the Transition to Adulthood","volume":"6","author":"Lawrence","year":"2020","journal-title":"Socius Sociol. Res. Dyn. World"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1017\/S1368980023000873","article-title":"Quality and accuracy of online nutrition-related information: A systematic review of content analysis studies","volume":"26","author":"Denniss","year":"2023","journal-title":"Public Health Nutr."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Aparicio-Martinez, P., Perea-Moreno, A.-J., Martinez-Jimenez, M.P., Redel-Mac\u00edas, M.D., Pagliari, C., and Vaquero-Abellan, M. (2019). Social Media, Thin-Ideal, Body Dissatisfaction and Disordered Eating Attitudes: An Exploratory Analysis. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16214177"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e12244","DOI":"10.2196\/12244","article-title":"The Use of Social Networking Sites in Mental Health Interventions for Young People: Systematic Review","volume":"20","author":"Ridout","year":"2018","journal-title":"J. Med. Internet Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"100578","DOI":"10.1016\/j.invent.2022.100578","article-title":"Social media-based interventions for adolescent and young adult mental health: A scoping review","volume":"30","author":"Kruzan","year":"2022","journal-title":"Internet Interv."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.ijmedinf.2018.10.001","article-title":"The use of social media in nutrition interventions for adolescents and young adults\u2014A systematic review","volume":"120","author":"Chau","year":"2018","journal-title":"Int. J. Med. Inform."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e206","DOI":"10.2196\/jmir.3304","article-title":"Online and Social Networking Interventions for the Treatment of Depression in Young People: A Systematic Review","volume":"16","author":"Rice","year":"2014","journal-title":"J. Med. Internet Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1186\/s12966-021-01138-3","article-title":"The effect of social media interventions on physical activity and dietary behaviours in young people and adults: A systematic review","volume":"18","author":"Goodyear","year":"2021","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e38635","DOI":"10.2196\/38635","article-title":"Co-Design of Digital Health Interventions for Young Adults: Protocol for a Scoping Review","volume":"11","author":"Malloy","year":"2022","journal-title":"JMIR Res. Protoc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2","DOI":"10.17061\/phrp3222211","article-title":"Co-creation, co-design, co-production for public health\u2014A perspective on definitions and distinctions","volume":"32","author":"Vargas","year":"2022","journal-title":"Pub. Health Res. Pract."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40900-023-00524-4","article-title":"Striking the right balance: Co-designing the Health4Me healthy lifestyle digital health intervention with adolescents","volume":"9","author":"Raeside","year":"2023","journal-title":"Res. Involv. Engagem."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"789535","DOI":"10.3389\/fpubh.2021.789535","article-title":"Shifting from Tokenism to Meaningful Adolescent Participation in Research for Obesity Prevention: A Systematic Scoping Review","volume":"9","author":"Mandoh","year":"2021","journal-title":"Front. Public Health"},{"key":"ref_20","unstructured":"Bishan Swarup, G. (2023). Health Promotion, IntechOpen. Chapter 6."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e15449","DOI":"10.2196\/15449","article-title":"User-centered design of a mobile health intervention to enhance exacerbation-related self-management in patients with chronic obstructive pulmonary disease (Copilot): Mixed methods study","volume":"22","author":"Korpershoek","year":"2020","journal-title":"J. Med. Internet Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/j.amepre.2013.07.008","article-title":"A content analysis of popular smartphone apps for smoking cessation","volume":"45","author":"Abroms","year":"2013","journal-title":"Am. J. Prev. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e11068","DOI":"10.2196\/11068","article-title":"An app that incorporates gamification, mini-games, and social connection to improve men\u2019s mental health and well-being (MindMax): Participatory design process","volume":"5","author":"Cheng","year":"2018","journal-title":"JMIR Ment. Health"},{"key":"ref_24","unstructured":"Man, M., Abrams, T., and McLeod, R. (2021, October 01). Implementing and Evaluating Co-Design: A Step-by-Step Toolkit. Available online: https:\/\/www.thinknpc.org\/wp-content\/uploads\/2019\/07\/Co-design-guidance-July-2019.pdf."},{"key":"ref_25","unstructured":"Health Cascade Network (2023, November 01). Training and Tools. Available online: https:\/\/healthcascade.eu\/."},{"key":"ref_26","unstructured":"Hagen, P., Collin, P., Metcalf, A., Nicholas, M., Rahilly, K., and Swainston, N. (2012). Participatory Design of Evidence-Based Online Youth Mental Health Promotion, Intervention and Treatment, Young and Well Cooperative Research Centre. Available online: https:\/\/www.westernsydney.edu.au\/__data\/assets\/pdf_file\/0005\/476330\/Young_and_Well_CRC_IM_PD_Guide.pdf."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for inter-views and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/16094069241230413","article-title":"Co-designing a social media health promotion program for young women: A study protocol","volume":"23","author":"Malloy","year":"2024","journal-title":"Int. J. Qual. Method"},{"key":"ref_29","unstructured":"Zoom Video Communications, Inc. (2023, June 25). Version: 514610 (25689). Software Program. Available online: https:\/\/zoom.us\/."},{"key":"ref_30","unstructured":"Braun, V., and Clarke, V. (2021). Thematic Analysis: A Practical Guide, SAGE Publications Ltd."},{"key":"ref_31","unstructured":"Krueger, R., and Casey, M. (2014). Focus Groups: A Practical Guide for Applied Research, SAGE Publications Ltd."},{"key":"ref_32","unstructured":"Lumivero (2018). NVivo Qualitative Data Analysis Software, Lumivero Ltd.. version 12."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.2466\/pms.1977.45.3f.1035","article-title":"Social Aspects of Body Image: Perception of normalcy of weight and affect of college undergraduates","volume":"45","author":"Gray","year":"1977","journal-title":"Percept. Mot. Ski."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/1479-5868-6-41","article-title":"Three factor eating questionnaire-R18 as a measure of cognitive restraint, uncontrolled eating and emotional eating in a sample of young Finnish females","volume":"6","author":"Engblom","year":"2009","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_35","unstructured":"West, R., and Michie, S. (2023, December 01). A Brief Introduction to the COM-B Model of Behaviour and the PRIME Theory of Motivation. Available online: https:\/\/www.qeios.com\/read\/WW04E6."},{"key":"ref_36","unstructured":"Ministry of Health New Zealand (2023, December 01). M\u0101ori Health Models, Available online: https:\/\/www.health.govt.nz\/our-work\/populations\/maori-health\/maori-health-models."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e37337","DOI":"10.2196\/37337","article-title":"Development of Principles for Health-Related Information on Social Media: Delphi Study","volume":"24","author":"Denniss","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref_38","unstructured":"Wix (2022, August 01). Wix Website Editor. Available online: https:\/\/www.wix.com\/."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1089\/apc.2018.0060","article-title":"Preliminary Impact of the weCare Social Media Intervention to Support Health for Young Men Who Have Sex with Men and Transgender Women with HIV","volume":"32","author":"Tanner","year":"2018","journal-title":"AIDS Patient Care STDs"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e45234","DOI":"10.2196\/45234","article-title":"Promoting Engagement with Smartphone Apps for Suicidal Ideation in Young People: Development of an Adjunctive Strategy Using a Lived Experience Participatory Design Approach","volume":"7","author":"Gan","year":"2023","journal-title":"JMIR Form. Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e15018","DOI":"10.2196\/15018","article-title":"Use of the chatbot \u201cvivibot\u201d to deliver positive psychology skills and promote well-being among young people after cancer treatment: Randomized controlled feasibility trial","volume":"7","author":"Greer","year":"2019","journal-title":"JMIR mHealth uHealth"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"2986","DOI":"10.1007\/s10461-013-0499-8","article-title":"Developing an online health intervention for young gay and bisexual men","volume":"17","author":"Pachankis","year":"2013","journal-title":"AIDS Behav."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.1111\/hex.13507","article-title":"What\u2019s up with Everyone? A qualitative study on young people\u2019s perceptions of cocreated online animations to promote mental health literacy","volume":"25","author":"Curran","year":"2022","journal-title":"Health Expect."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1930","DOI":"10.1111\/hex.13550","article-title":"Using cocreated visually informed community mental health education in low- and middle-income countries: A case study of youth substance misuse in Assam, India","volume":"25","author":"Duara","year":"2022","journal-title":"Health Expect."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1145\/2513179","article-title":"Moderated online social therapy: Designing and evaluating technology for mental health","volume":"21","author":"Lederman","year":"2014","journal-title":"ACM Trans. Comput.-Hum. Interact."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s41256-023-00290-6","article-title":"Potentials and challenges of using co-design in health services research in low- and middle-income countries","volume":"8","author":"Singh","year":"2023","journal-title":"Glob. Health Res. Policy"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12889-023-17283-2","article-title":"Evaluating the effect of a 12-month youth advisory group on adolescent\u2019s leadership skills and perceptions related to chronic disease prevention research: A mixed-methods study","volume":"23","author":"Mandoh","year":"2023","journal-title":"BMC Public Health"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s12961-020-0528-9","article-title":"Research co-design in health: A rapid overview of reviews","volume":"18","author":"Slattery","year":"2020","journal-title":"Health Res. Policy Syst."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"333","DOI":"10.2147\/CEOR.S403243","article-title":"Co-Design as Enabling Factor for Patient-Centred Healthcare: A Bibliometric Literature Review","volume":"15","author":"Silvola","year":"2023","journal-title":"Clin. Outcomes Res."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"971168","DOI":"10.1177\/2235042X20971168","article-title":"The inequity of morbidity: Disparities in the prevalence of morbidity between ethnic groups in New Zealand","volume":"10","author":"Gurney","year":"2020","journal-title":"J. Comorbidity"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1137428","DOI":"10.3389\/fpubh.2023.1137428","article-title":"Because its power remains naturalized: Introducing the settler colonial determinants of health","volume":"11","author":"Wispelwey","year":"2023","journal-title":"Front. Public Health"},{"key":"ref_52","unstructured":"Berghan, G., Came, H., Coupe, N., Doole, C., Fay, J., McCreaner, T., and Simpson, T. (2017). Te Tiriti o Waitangi-Based Practice in Health Promotion, STIR, Stop Institutional Racism. Available online: https:\/\/trc.org.nz\/treaty-waitangi-based-practice-health-promotion."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1111\/hex.13308","article-title":"Mitigating unintended consequences of co-design in health care","volume":"24","author":"Harrison","year":"2021","journal-title":"Health Expect."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/6\/780\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:11:16Z","timestamp":1760105476000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/6\/780"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,9]]},"references-count":53,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["nu16060780"],"URL":"https:\/\/doi.org\/10.3390\/nu16060780","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,9]]}}}