ArticlePloS one2014
Making and maintaining lifestyle changes with the support of a lay health advisor: longitudinal qualitative study of health trainer services in northern England.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Pilot Social Network Weight Loss Intervention With Two Immigrant Populations During the COVID-19 Pandemic.American journal of health promotion : AJHP · 2022Trial
- Can Motivational Interviewing Make a Difference in Supporting Employees to Deal with Elevated Blood Pressure? A Feasibility Study at the Workplace.International journal of environmental research and public health · 2021Trial
- Lifestyle Matters Randomized Controlled Trial of a Preventive Health Intervention for Older People: Qualitative Sub Study with Participants and Intervention Facilitators.Clinical interventions in aging · 2020Trial
- Lay Health Trainers Supporting Self-Management amongst Those with Low Heath Literacy and Diabetes: Lessons from a Mixed Methods Pilot, Feasibility Study.Journal of diabetes research · 2016Trial
- Empowering communities to use healthy lifestyle centres: an implementation research from Sri Lanka.BMJ open · 2024Article
- Health behavior interventions among people with lower socio-economic position: a scoping review of behavior change techniques and effectiveness.Health psychology and behavioral medicine · 2024Article
- Article
- "It was the whole picture" a mixed methods study of successful components in an integrated wellness service in North East England.BMC health services research · 2018Article
- Experiences of patients and healthcare professionals of NHS cardiovascular health checks: a qualitative study.Journal of public health (Oxford, England) · 2016Article
- The provision of NHS health checks in a community setting: an ethnographic account.BMC health services research · 2015Article
- Can lay health trainers increase uptake of NHS Health Checks in hard-to-reach populations? A mixed-method pilot evaluation.Journal of public health (Oxford, England) · 2015Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo explore and document the experiences of those receiving support from a lay health trainer, in order to inform the optimisation and evaluation of such interventions.
designLongitudinal qualitative study with up to four serial interviews conducted over 12 months. Interviews were transcribed and analysed using the constant comparative approach associated with grounded theory.
participants13 health trainers, 5 managers and 26 clients.
settingThree health trainer services targeting disadvantaged communities in northern England.
resultsThe final dataset comprised 116 interviews (88 with clients and 28 with staff). Discussions with health trainers and managers revealed a high degree of heterogeneity between the local services in terms of their primary aims and activities. However, these were found to converge over time. There was agreement that health trainer interventions are generally 'person-centred' in terms of being tailored to the needs of individual clients. This led to a range of self-reported outcomes, including behaviour changes, physical health improvements and increased social activity. Factors impacting on the maintenance of lifestyle changes included the cost and timing of health-promoting activities, ill-health or low mood. Participants perceived a need for ongoing access to low cost facilities to ensure that any lifestyle changes can be maintained in the longer term.
conclusionsHealth trainers may be successful in terms of supporting people from socio-economically disadvantaged communities to make positive lifestyle changes, as well as achieving other health-related outcomes. This is not a 'one-size-fits-all' approach; commissioners and providers should select the intervention models that best meet the needs of their local populations. By delivering holistic interventions that address multiple lifestyle risks and incorporate relapse prevention strategies, health trainers could potentially have a significant impact on health inequalities. However, rigorous, formal outcome and economic evaluation of the range of health trainer delivery models is needed.
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