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

Sayyah, Mohsen; King, James A; Johnson, Vicki; Hull, Louise; Edwardson, Charlotte L; Clemes, Stacy A · J Occup Environ Med · 2026

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Abstract

To co-adapt the SHIFT-UK program into a scalable, accredited, health-focused training module for truck drivers. 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. 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. 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.

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