Shifting From Concept to Practice: The Co-adaptation of Tailored Health Education Training for Truck Drivers

OBJECTIVE: To co-adapt the SHIFT-UK program into a scalable, accredited, health-focused training module for truck drivers. METHODS: Using a participatory co-creation framework, workshops were held with truck drivers, trainers, and managers. Discussions were transcribed verbatim, pseudo-anonymized, and analyzed using content analysis. Following accreditation and implementation of the co-adapted training module, post-session driver feedback was obtained via an online questionnaire. RESULTS: The SHIFT-UK program was adapted into an accredited 7-hour driver training module and 1-hour "Short-SHIFT" module component, in partnership with 18 co-adaptors. Short-SHIFT was subsequently delivered to 5500 truck drivers (2023--2024) within their mandatory training. Feedback from 283 drivers revealed that 77% intended to make healthier lifestyle changes after experiencing Short-SHIFT. CONCLUSIONS: This study demonstrates how participatory co-adaptation can effectively adapt and scale evidence-informed health promotion programs within commercial driver training systems, positively impacting drivers' health literacy.