Co-creating recommendations to redesign and promote strength and balance service provision

Calum Leask, Nick Colledge, Robert M.E. Laventure, Deborah McCann, Dawn Skelton

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
68 Downloads (Pure)


Background: Awareness of physical activity guidelines are low, particularly the “forgotten
guidelines” of strength and balance. Increasing awareness of guidelines, but also of appropriate local
services that can be utilised, is an important step towards active ageing. Co-creation can inform
tailored service provision to potentially increase uptake and adherence. The aim was to co-create
recommendations to redesign and promote local leisure services, emphasising strength and balance
activity provision. Method: Twenty-four ageing and older adults engaged in 10 co-creation workshops.
Workshops consisted of interactive tasks, and fieldwork tasks were undertaken externally. Data
were collected using field notes, worksheet tasks and facilitator reflections and were analysed using
qualitative content analysis. Results: Retention and adherence rates were 92% and 85%. Co-creators
cited group cohesion, scientific input fromexperts and perceived knowledge development as enjoyable
elements of the process. Four key themes emerged from analysis: (1) localised strategies for awareness
raising, (2) recruitment of volunteer champions to increase uptake and maintenance, (3) accessibility
of activities, including what they are and when they are, and (4) evaluation of impact. Conclusion:
This has been the first study, to our knowledge, to utilise co-creation for informed leisure service
provision improvement. Future work should aim to implement these recommendations to ascertain
what impact these themes might make.
Original languageEnglish
JournalInternational Journal of Environmental Research and Public Health
Publication statusPublished - 30 Aug 2019


  • co-creation
  • participatory approaches
  • strength
  • balance
  • Health Promotion
  • Older adults


Dive into the research topics of 'Co-creating recommendations to redesign and promote strength and balance service provision'. Together they form a unique fingerprint.

Cite this