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. 2024 Mar 12;14(3):e078545. doi: 10.1136/bmjopen-2023-078545

Table 1.

Aims and anticipated outcomes from AEBCD workshops and informing concepts

Workshop Primary aim Secondary aim Outcomes Informing concepts
1 To share lived experience and data insights from and about young people’s ACEs and trauma (from Attune) to prompt reflection on organisational change. Establish collaboration, model a trauma-informed way of working, promote youth voice, understand the readiness and needs of organisations from youth and professional perspectives to act on new knowledge. Learning what the data means to diverse sectors and where organisations recognise need, motivation and opportunity to operationalise a TIA. Linkage*
Communication & Influence*
Absorptive capacity for new knowledge*
System readiness*
Methods Presenting Attune artworks, films, key themes from Attune WS1 (lived experience extracts) and WS2 (outcomes of national dataset analyses). Enquiry activities about participants’ views of this, the level of resonance/divergence and what it directs attention to for public sector settings. Pre-workshops communications and meetings to understand and build readiness and collaborative intention; being clear about the day’s structure, content and purpose; dedicating safe spaces in the workshop and a trauma-informed facilitator to support young people; careful orientation (ice-breakers) opportunities; workshop activities based on play and arts (suitable for all ages) and multiple ways of contributing (drawing, writing, hand signals).
After workshop 1: Synthesise outcomes across regions ready for sharing at workshop 2.
If appropriate, share existing organisational TI principles and toolkits as stimulus.
2 To identify priority, modifiable ways of working to become trauma-informed and identify the nature of a resource to be created. To strengthen partnerships, to understand where youth and organisational perspectives on the nature of a TIA align and where they do not; and to understand the values and motivations of organisations for change, and what they need from a resource to help them do this, some expected outcomes for evaluation Learning what organisations need from a resource, the most modifiable aspects of their ways of working, and likely benefit to them and young people. Linkage*
The innovation*
Adopter*
System readiness*
Methods Exploration of a select number of existing tools; imagination tasks for co-design; consensus-reaching activities (nominal group technique; bullseye tasks); co-design activities Invigorating (through words) project ambition and potential through partnership; relationship building activities; activities exploring differences and similarities in adolescent and professionals’ priorities; play building activities to explore opportunities and challenges in co-design
After workshop 2: Synthesise outcomes and share.
Produce toolkit prototypes, and draft implementation and evaluation plans
3 To select and refine core components of the final resource prototype Decide on implementation options for the next phase and establish priorities for the evaluation. Prototype resources and recommendations for implementation and evaluation. Linkage*
Implementation process*
Methods Goal agreement; nominal group technique; priority rating activities for outcomes Activities to explore aspects of NPT with professionals and (separately) to explore pros and cons of implementation options with young people; implementation roadmap design
After workshop 3: Refine prototype resource, implementation plan and evaluation protocol.
4 To review findings from the implementation and evaluation phase and improvements needed to the resource To capture implementation experiences and recommendations for an improved implementation protocol; to understand lessons learnt and ambitions of youth and organisation for TIA in the future Understanding how to improve the resource, and its implementation and evaluation, ready for future testing. NPT domains of evaluation: coherence, cognitive participation, collective action, reflexive monitoring†
Methods Arts-based activities to capture experience; case discussions; comparative outcomes to expectations Priority rankings for learning and development; creating key message banners

*From Greenhalgh et al 32 conceptual model of the determinants of diffusion, dissemination and implementation of innovations in health service delivery and organisation.

†NPT (Murray et al 48).