Youth-developed recommendations on public health planning for future pandemics or public health emergencies: a national Delphi study.

Objectives: To generate concrete, youth-derived recommendations for government, policymakers, and service planners to support public health planning for the next pandemic or public health emergency.

Methods: Using a virtual, modified Delphi, Youth Delphi Expert Panel Members rated recommendation items over three rounds, with the option to create their own recommendations items. 'Consensus' was defined a priori if ≥ 70% of the entire group, or subgroups of youth (e.g., age, race/ethnicity, gender and sexual identities), rated items at a 6 or 7 (on a 7-point Likert scale). Items that did not achieve consensus were dropped. Content analysis was used for qualitative responses in Rounds 1 and 2. Youth were engaged as members of an expert advisory committee throughout the design, implementation, and interpretation of findings.

Results: A total of n = 40 youth participated in Round 1 with good retention (> 95%) in subsequent rounds. Youth endorsed eleven recommendations to support public health planning for future pandemics or public health emergencies. Youth prioritized easily accessible and understandable information about pandemics; equitably and efficiently distributed vaccines; increased awareness of timely and accessible mental health and substance use services in schools, workplaces, and communities; and greater investment in free or inexpensive MHSU services.

Conclusions: For Canada to move forward in a relevant, efficient, and ethically sound manner, decisions must be guided by the population that these decisions affect. These recommendations can be used to guide Canada's strategies and policies to prepare for future public health emergencies and pandemics, prioritizing the needs of youth, families/caregivers, and communities.