Co-Designing a Community-Based Health Literacy Programme for Individuals With Prehypertension: An Application of Ophelia (Optimise Health Literacy and Access) Process.

A co-design workshop with 13 participants generated action ideas that were prioritized using an Impact-Effort Matrix to identify feasible interventions for prehypertension prevention.

• Participants included consumers, healthcare providers, and community leaders recruited through purposive sampling based on recommendations from the health service advisory group.
• Thirteen individuals total participated in the co-design workshop.
• Action ideas were generated using Problem-Tree Analysis and the Rose, Thorn, Bud technique.
• Interventions falling in the 'quick wins' (do now) quadrant of the Impact-Effort Matrix were selected for further development.

Three health literacy interventions were identified as priority 'quick wins' for hypertension prevention in a rural Thai community.

• The three interventions were: (1) a community-based educational project on hypertension; (2) a blood pressure monitoring system for individuals with prehypertension; and (3) public relations activities to raise community awareness.
• Interventions were designed to address varying levels of literacy and barriers to behaviour change.
• The interventions were intended to be culturally appropriate for a rural Thai community.
• Data were analysed using descriptive and content analysis.

The study applied steps 3 to 5 of the Ophelia (Optimising Health Literacy and Access) framework to guide the co-design of a hypertension prevention programme.

• The Ophelia framework was specifically used to structure the co-design process for developing evidence-based resources.
• The framework was applied in the context of hypertension prevention targeting individuals with prehypertension.
• The study focused on a rural Thai community setting.
• The co-design process involved engaging community leaders, healthcare providers, individuals with hypertension or prehypertension, and their family members throughout the research process.

Co-design using the Ophelia framework was found to enable development of tailored, culturally appropriate health literacy interventions addressing diverse real-world needs of rural communities.

• The approach engaged stakeholders and consumers in exploring and developing a culturally appropriate intervention.
• The co-design process addressed barriers to behaviour change specific to the rural Thai community.
• Interventions were described as addressing 'the diverse, real-world needs of rural communities.'
• The process was designed to improve health outcomes and access to services.