Can health trainers make a difference with difficult-to-engage clients? A multisite case study

Bailey, D. ORCID: 0000-0001-5823-7746 and Kerlin, L., 2015. Can health trainers make a difference with difficult-to-engage clients? A multisite case study. Health Promotion Practice. ISSN 1524-8399


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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 site largely as a result of contextual factors.

Item Type: Journal article
Publication Title: Health Promotion Practice
Creators: Bailey, D. and Kerlin, L.
Date: 2015
ISSN: 1524-8399
Divisions: Schools > School of Social Sciences
Record created by: EPrints Services
Date Added: 09 Oct 2015 09:49
Last Modified: 28 Jan 2019 13:58

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