Aims: The positive effect of physical activity and nutritional diet on cancer survivors’ quality of life are well-documented, yet many cancer survivors do not meet the recommendations for a healthy lifestyle. Online platforms are emerging as a promising delivery modality to support cancer survivors’ healthy lifestyle, however, low uptake and attrition are frequently reported. Co-design of interventions with consumers, is one methodological strategy that may overcome these challenges. The aim of the present study was to co-design Healthy Living after Cancer Online (HLaC Online), an online intervention supporting cancer survivors set and meet their healthy living goals.
Methods: Wireframes (PDF black and white mock-ups) of the proposed online program were presented to our stakeholder group, which consisted of cancer survivors, oncology health care professionals, and representatives from cancer support organisations, in a series of focus groups and interviews. Participants were prompted for feedback on each aspect of the wireframe and given end-user scenarios to encourage deeper engagement with the co-design process.
Results: 27 participants took part in one of eight focus groups or 10 interviews. Key feedback included the use of information that is specific to the impact of cancer and cancer treatment, guidance videos to help the user navigate and engage with the program, examples within activities, links to further information and resources, and information about how to access other services (e.g., psychologist or exercise physiologist). Feedback has been integrated into the HLaC Online prototype.
Discussion: Involving end-users in the co-design process has ensured the intervention is relevant and specific to the needs of cancer survivors. Next steps include feasibility testing the prototype, prior to commencing a national Randomised Control Trial.