Community Co-Design

Co-design helps households accept, maintain, and replicate health-promoting features. The article presents co-design as a practical determinant of whether health outcomes are achieved. Appathon events allow community members to author intervention content directly using CIAS. A Community Advisory Board from Flint and rural Northern Michigan guides intervention content, resources, and design. MI MOM content is developed through a community-partnered approach using three mechanisms. The app is refined using feedback from community advisors, pregnant patients, support persons, and providers before launch. Interventions imposed without community involvement risk poor uptake, cultural mismatch, or local impracticality. Housing-based health interventions need community co-design to realize their potential at scale.