Can Health Trainers Make a Difference With Difficult-to-Engage Clients? A Multisite Case Study

Health Promotion Practice
Di Bailey, Lianne Kerlin

Abstract

A political attempt in the United Kingdom to address health inequalities in the past decade has been the government's initiative to employ local health trainers (HTs) or health trainer champions (HTCs) to support disadvantaged individuals with aspects of their health-related behaviors. HT/HTCs provide health-related information and support to individuals with healthy eating, physical activity, and smoking cessation. They undertake community engagement and direct individuals to relevant health services. They differ in that HTs are trained to provide health interventions to individuals or groups and to make referrals to specialist health care services when necessary. This article provides an evaluation of HT/HTCs interventions across three sites, including one prison, one probation service (three teams), and one mental health center. An evaluation framework combining process and outcome measures was employed that used mixed methods to capture data relating to the implementation of the service, including the context of the HT/HTCs interventions, the reactions of their clients, and the outcomes reported. It was found that HT/HTCs interventions were more effective in the prison and mental health center compared with the probation si...Continue Reading

References

Mar 5, 2005·Psychiatric Services : a Journal of the American Psychiatric Association·Caroline R RichardsonJohn D Piette
Feb 20, 2007·Bulletin of the World Health Organization·Narcis B KabatereineAlan Fenwick
Nov 1, 2007·The Journal of the Royal Society for the Promotion of Health·Jane SouthDiane Lowcock
Nov 14, 2008·Journal of Health Services Research & Policy·Susan Michie
Mar 23, 2013·Perspectives in Public Health·Em Rahman, Jane Wills
Jul 9, 2013·Perspectives in Public Health·Judy WhiteJane South

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