Lay Health Trainers Supporting Self-Management amongst Those with Low Heath Literacy and Diabetes: Lessons from a Mixed Methods Pilot, Feasibility Study
This article reports a mixed methods process evaluation of a pilot feasibility randomised controlled trial comparing a Lay Health Trainer (LHT) intervention and usual care for those with poorly controlled Type 2 Diabetes Melitus (T2DM). Set in a deprived area in the UK, this research explores patien...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2016/4723636 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832561329028726784 |
|---|---|
| author | Bernadette Bartlam Trishna Rathod Gillian Rowlands Joanne Protheroe |
| author_facet | Bernadette Bartlam Trishna Rathod Gillian Rowlands Joanne Protheroe |
| author_sort | Bernadette Bartlam |
| collection | DOAJ |
| description | This article reports a mixed methods process evaluation of a pilot feasibility randomised controlled trial comparing a Lay Health Trainer (LHT) intervention and usual care for those with poorly controlled Type 2 Diabetes Melitus (T2DM). Set in a deprived area in the UK, this research explores patient and health care practitioner (HCP) views on whether a structured interview between a patient and a Lay Health Trainer (LHT), for the purpose of developing a tailored self-management plan for patients, is acceptable and likely to change health behaviours. In doing so, it considers the implications for a future, randomised controlled trial (RCT). Participants were patients, LHTs delivering the intervention, service managers, and practice nurses recruiting patients to the study. Patients were purposively sampled on their responses to a baseline survey, and semistructured interviews were conducted within an exploratory thematic analysis framework. Findings indicate that the intervention is acceptable to patients and HCPs. However, LHTs found it challenging to work with older patients with long-term and/or complex conditions. In order to address this, given an ageing population and concomitant increases in those with such health needs, LHT training should develop skills working with these populations. The design of any future RCT intervention should take account of this. |
| format | Article |
| id | doaj-art-f6006c9c0bd04c5ca2942de3d08b90cf |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-f6006c9c0bd04c5ca2942de3d08b90cf2025-02-03T01:25:29ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/47236364723636Lay Health Trainers Supporting Self-Management amongst Those with Low Heath Literacy and Diabetes: Lessons from a Mixed Methods Pilot, Feasibility StudyBernadette Bartlam0Trishna Rathod1Gillian Rowlands2Joanne Protheroe3Research Institute for Primary Care & Health Sciences, Keele University, Keele, UKResearch Institute for Primary Care & Health Sciences, Keele University, Keele, UKInstitute of Public Health, Aarhus University, Aarhus, DenmarkResearch Institute for Primary Care & Health Sciences, Keele University, Keele, UKThis article reports a mixed methods process evaluation of a pilot feasibility randomised controlled trial comparing a Lay Health Trainer (LHT) intervention and usual care for those with poorly controlled Type 2 Diabetes Melitus (T2DM). Set in a deprived area in the UK, this research explores patient and health care practitioner (HCP) views on whether a structured interview between a patient and a Lay Health Trainer (LHT), for the purpose of developing a tailored self-management plan for patients, is acceptable and likely to change health behaviours. In doing so, it considers the implications for a future, randomised controlled trial (RCT). Participants were patients, LHTs delivering the intervention, service managers, and practice nurses recruiting patients to the study. Patients were purposively sampled on their responses to a baseline survey, and semistructured interviews were conducted within an exploratory thematic analysis framework. Findings indicate that the intervention is acceptable to patients and HCPs. However, LHTs found it challenging to work with older patients with long-term and/or complex conditions. In order to address this, given an ageing population and concomitant increases in those with such health needs, LHT training should develop skills working with these populations. The design of any future RCT intervention should take account of this.http://dx.doi.org/10.1155/2016/4723636 |
| spellingShingle | Bernadette Bartlam Trishna Rathod Gillian Rowlands Joanne Protheroe 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 |
| title | Lay Health Trainers Supporting Self-Management amongst Those with Low Heath Literacy and Diabetes: Lessons from a Mixed Methods Pilot, Feasibility Study |
| title_full | Lay Health Trainers Supporting Self-Management amongst Those with Low Heath Literacy and Diabetes: Lessons from a Mixed Methods Pilot, Feasibility Study |
| title_fullStr | Lay Health Trainers Supporting Self-Management amongst Those with Low Heath Literacy and Diabetes: Lessons from a Mixed Methods Pilot, Feasibility Study |
| title_full_unstemmed | Lay Health Trainers Supporting Self-Management amongst Those with Low Heath Literacy and Diabetes: Lessons from a Mixed Methods Pilot, Feasibility Study |
| title_short | Lay Health Trainers Supporting Self-Management amongst Those with Low Heath Literacy and Diabetes: Lessons from a Mixed Methods Pilot, Feasibility Study |
| title_sort | lay health trainers supporting self management amongst those with low heath literacy and diabetes lessons from a mixed methods pilot feasibility study |
| url | http://dx.doi.org/10.1155/2016/4723636 |
| work_keys_str_mv | AT bernadettebartlam layhealthtrainerssupportingselfmanagementamongstthosewithlowheathliteracyanddiabeteslessonsfromamixedmethodspilotfeasibilitystudy AT trishnarathod layhealthtrainerssupportingselfmanagementamongstthosewithlowheathliteracyanddiabeteslessonsfromamixedmethodspilotfeasibilitystudy AT gillianrowlands layhealthtrainerssupportingselfmanagementamongstthosewithlowheathliteracyanddiabeteslessonsfromamixedmethodspilotfeasibilitystudy AT joanneprotheroe layhealthtrainerssupportingselfmanagementamongstthosewithlowheathliteracyanddiabeteslessonsfromamixedmethodspilotfeasibilitystudy |