Table 2.

Four key facilitating factors of co‐created research in the Parenting Plus project

Key facilitating factor	Demonstration in the Parenting Plus project
Local champions	Researchers and Western Sydney Local Health District Child and Family Health staff first came together in 2018 in an initial meeting facilitated by the Hub Director. The Program Lead of Child and Family Health had previous experience working on health literacy projects, advocated for health literacy and agreed to partner in pilot testing the programme across six sites. Initial stages of the project were also enabled through strategic engagement with the Program Lead of Multicultural Health who championed health literacy, the Parenting Plus programme and the co‐creation approach across the District. Our local champions connected us with consumers (new parents) who also became partners in the development and adaptation of the Parenting + materials, ensuring that the programme was developed in consultation with multicultural communities from the health district.
Co‐generated resources	Initial funding for the piloting of the Parenting Plus project in western Sydney was awarded—on a competitive basis—from the Local Health District's Research and Education Network and the Primary Health Network. This funding was strategically allocated to direct research costs related to roll‐out of the pilot programme and the secondment of a Child and Family Health Nurse to work directly in the Health Literacy Hub for the duration of the pilot. Successful piloting informed a larger funding application for a randomized trial of Parenting Plus, awarded in 2021.
Evolving capability and understanding	Evolving capability of researchers and health staff was achieved through the secondment process which enabled health staff and researchers to work directly together on the Parenting Plus project over a 10‐month period. 40 Formal and informal interactions between team members during this time helped us to appreciate one another's worldviews, priorities and ways of working. Health staff were also involved in research capacity building and transferable skills training in data collection and analysis.
Increasing trust and partnership synergy	Increasing partnership synergy was evidenced by modifications to the Parenting Plus programme made postpilot which better reflected the perspectives and priorities of community stakeholders, including the target population (new parents) and health staff. Researchers (n = 2) and health staff (n = 2) worked together to analyse and interpret feasibility study data and identify necessary modifications to programme content which was iteratively reviewed by managerial health staff (n = 3) and patient partners (new parents; n = 3) in a series of workshops and follow‐up correspondence.