White Judy, Bagnall Anne-Marie, Trigwell Joanne
Health Together, Institute for Health & Wellbeing, Leeds Beckett University, Leeds, UK
Institute for Health & Wellbeing, Leeds Beckett University, Leeds, UK.
Perspect Public Health. 2015 May;135(3):130-2. doi: 10.1177/1757913915579131.
This short report explores the key findings from a review(1) of information on health trainers in 2013/2014 which had a particular focus on mental health and wellbeing. After summarising the key findings of the review, it focuses on mental health, briefly exploring the links between mental and physical health before discussing what differences engagement with a health trainer made to people's sense of self-efficacy and wellbeing. Health trainers are a non-clinical workforce introduced in 2004,(2) who receive training in competencies to enable them to support people in disadvantaged communities to improve their health.(3) The population groups or settings that health trainers focus on varies from service to service, but all work one-to-one, most spending at least an hour with a client at their first appointment, supporting and enabling them to decide what they want to do. The emphasis is on the client determining their own priorities and how to achieve them. Generally, health trainers see clients for a total of six sessions, where how to achieve goals and progress towards them is discussed. The Data Collection and Reporting System (DCRS) is used by approximately 60% of Health Trainer Services to record monitoring data. Around 90% of Health Trainer Services using DCRS record ethnographic data on health trainers and clients, plus the issues clients worked on and the progress they made. There is also a wide range of other data which can be recorded, including before and after mental health and wellbeing scores. We were given access to aggregate data in order to conduct an analysis. Descriptive statistics were generated to calculate percentage change pre- to post-intervention. A total of 1,377 (= 919 full time equivalents) health trainers were recorded in the DCRS system as working with 97,248 clients in England during 2013/2014. The health trainer model embodies the principle of lay support,(4) and services aim to recruit a high proportion of their staff from similar backgrounds to their clients. They have been reasonably successful with 32% of health trainers coming from the most deprived areas (Quintile 1),(i) with a further 20% from Quintile 2. In all, 40% percent of health trainers lived in the same areas as their clients.
本简短报告探讨了2013/2014年对健康教练信息进行审查的主要结果，该审查特别关注心理健康与幸福。在总结审查的主要结果后，报告聚焦于心理健康，简要探讨了心理健康与身体健康之间的联系，然后讨论了与健康教练接触对人们自我效能感和幸福感的影响。健康教练是2004年引入的非临床工作人员，他们接受能力培训，以便能够支持弱势群体改善健康状况。健康教练关注的人群或环境因服务而异，但都采用一对一的工作方式，大多数人在首次预约时与客户相处至少一小时，支持并帮助他们决定自己想做什么。重点是让客户确定自己的优先事项以及如何实现这些事项。一般来说，健康教练与客户总共见面六次，讨论如何实现目标以及朝着目标取得的进展。大约60%的健康教练服务机构使用数据收集和报告系统（DCRS）来记录监测数据。使用DCRS的健康教练服务机构中，约90%记录了关于健康教练和客户的人种志数据，以及客户处理的问题和取得的进展。还有一系列其他数据可以记录，包括心理健康和幸福得分的前后对比。我们获得了汇总数据以便进行分析。生成描述性统计数据以计算干预前后的百分比变化。2013/2014年期间，DCRS系统记录了总共1377名（相当于919个全职人员）健康教练在英格兰与97248名客户合作。健康教练模式体现了非专业支持的原则，服务机构旨在从与客户背景相似的人群中招聘高比例的工作人员。他们取得了一定的成功，32%的健康教练来自最贫困地区（第一五分位数），另有20%来自第二五分位数。总体而言，40%的健康教练与客户居住在同一地区。
