Over the past decade, there has been an increased emphasis on tailoring men's health promotion programs. To optimize outcomes, participatory action research that involves and elicits feedback from end-users has been highlighted as important to creating gender-responsive interventions. In this scoping review, we examine (a) how participatory action research has been used to design health promotion interventions for men and (b) what constitutes a gender-responsive intervention design. Following a comprehensive search, 53 articles were included in the review, reporting on 35 men's health promotion programs. Our findings suggest that participatory action methods harness varying degrees of end-user involvement, with a large majority limited to post-intervention evaluations rather than co-design and consumer collaboration. In addition, there are inconsistencies for applying gender-responsive approaches within programs, particularly regarding how interventions are targeted, tailored, and promoted to men. We conclude that participatory action research methods translate to varying degrees of gender responsiveness in men's health promotion programs. That said, involving end-users at various stages of intervention design, implementation, and evaluation may increase the likelihood that programs are more attuned to masculinities and better engage participants in promoting healthy behavior change. Efforts to advance gender-responsive designs can benefit from inductively deriving and incorporating men's masculine values.
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