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ACSM’s Behavioral Aspects of Physical Activity and Exercise
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Executive summary What is a Health Trainer? A Health Trainer is a non-clinical NHS role that will provide health information to members of the public in a bid to increase people’s knowledge of health risks and actions that can be taken to deal with these risks (Department of Health, 2004). In the instance of these Health Trainers due to financial constraints on Bristol PCT their roles were limited to a smoking cessation advisor. How do Bristol PCT and the University of the West of England (UWE) fit together? Nationally the project was segregated into hubs that would oversee the implementation of the Health Trainer role in predetermined geographical areas. Bristol PCT was the lead for the South West hub, which consists of the counties of Cornwall, Devon, Somerset, Gloucestershire and Wiltshire. Bristol PCT in partnership with UWE developed the bid to be an early implementer site of the Health Trainer role. Bristol PCT was the employer and manager of the Health Trainers, whilst UWE trained the Health Trainers and led on the evaluation of the implementation of the role. How was the implementation of the Health Trainer role evaluated? The evaluation had several levels based within the framework of health psychology. UWE and the PCT each led on specific aspects of the evaluation. The UWE evaluation consisted of a mixed methodology approach employing both qualitative and quantitative analysis to evaluate the implementation of the Health Trainer role. UWE gathered feedback from clients as they disengaged from the support of the Health Trainers, as well as feedback from the Health Trainers, the Mentors and the Stakeholders of the project. The PCT evaluation used quantitative techniques to monitor the impacts of the Health Trainer role in practice, which has been presented in a separate report written by the PCT. What was found from the evaluation? Clients that had had contact with the Health Trainers could not praise the help they had received enough. Clients felt that the way the Health Trainers interacted with them was more positive than other health care professionals as Health Trainers had more time to dedicate to their needs. Health Trainers reported how they had relished the opportunity to have on-the-job training and had enjoyed working with clients. Mentors had been disappointed that the Health Trainer role had been limited to smoking cessation, which they felt had left little room for mentoring, as the role was very prescribed. Stakeholders views varied from some feeling that this was just another smoking cessation person to those who felt the approach of the Health Trainers to smoking cessation was very valuable in working with clients. Overall the Health Trainer role was successfully implemented as the individuals who had been appointed were dedicated and committed to their roles. The data collected by the PCT showed that 73% of clients made some progress towards stopping smoking between visits to their Health Trainer. Most clients managed to stop smoking as a result of seeing the Health Trainer. More information This evaluation was funded by the Department of Health. The views expressed are those of the authors and not necessarily those of the Department of Health or Bristol PCT. The authors of this report all work for The University of the West of England, Bristol. For further information about this evaluation please contact the evaluation lead, Dr Marianne Morris (e-mail: Marianne.Morris@uwe.ac.uk)
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International Journal of …
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