Table 1.

Stages of stakeholder involvement and codevelopment.

Stages of development	Roles and involvement in the development process	Purpose of the development activities
About 2 concept development workshops	Research team plus stakeholder group members from the CF Trust Research team with 6 members of the stakeholder group (3 from NHS England, 1 pediatrician, and 1 pediatric nurse)	Determine the scope of the system and decisions to enable via the system Define stakeholder requirements for the system Highlight any challenging concepts that may need support with additional information
Initial ideas and content development	Research team activity	Based on the scope defined in the workshops, the academic team selected suitable interviews to illustrate the scenarios and form vignettes
Development of the site structure	Research and technical team activity Workshop session with academic team	Refine system requirements Develop the structure of the system on paper Test structure with the research team
Script and workbook development	Research and video production team	Iteratively developed vignettes into scripts Develop supporting workbook content to provide additional information Review and revise the full draft of scripts and workbook by the research and production team Further drafts reviewed through 1:1 meetings with pediatric nurses and meetings with National Health Service - England
Script and website structure review	Research team and stakeholder group (2 National Health Service - England, pediatric consultant, pediatric nurses, and 3 academic specialists)	Review the script in advance of a facilitated workshop session to identify issues, refine the messaging, and add contextual details
Script and workbook finalized and signed off	The research and production team revised the script based on the feedback Script signed off by the stakeholder group	Final script reviewed by a wider stakeholder group by email and agreement sought that filming could commence
Filming	Research and production team A health care professional (child nurse) was present to guide the accuracy of the clinical experience and interactions	Actors receive the scripts Around 4 days before recording, a read through was held via an online meeting The scenes were recorded with professional actors in health and home simulation facilities
Film production	Production team	Films were recorded, edited, and produced Films were edited following feedback from the research team
Development of the digital tool and interactive activity	Technical team	Creation of structure of the digital tool within WordPress Developed interactive workbook Several iterations based on feedback from the research team to improve structure and usability Test sheets logged the usability issues and agreed actions to resolve
Oversight group review of the films	Workshop with stakeholder group	Review of the videos to ensure clinical accuracy and appropriate representation within an NHS context via a workshop Revisions to the videos based on the feedback Videos inserted into the digital tool
Final review of the digital tool and interactive activity	Stakeholder consultation	Stakeholder group reviewed the digital tool, particularly the questions being asked via the polls or survey element
Launch of the digital tool	Technical team	Digital tool and interactive activity made available as open access
Review of digital tool accessibility	Research team with testers as potential users	Readability and acceptability testing by potential users to improve accessibility