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Lay Health Trainers Supporting Self-Management amongst Those with Low Heath Literacy and Diabetes: Lessons from a Mixed Methods Pilot, Feasibility Study

Lookup NU author(s): Professor Gill Rowlands



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


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

Publication metadata

Author(s): Bartlam B, Rathod T, Rowlands G, Protheroe J

Publication type: Article

Publication status: Published

Journal: Journal of Diabetes Research

Year: 2016

Volume: 2016


Online publication date: 19/09/2016

Acceptance date: 19/09/2016

Date deposited: 30/11/2016

ISSN (print): 2314-6745

ISSN (electronic): 1687-5303

Publisher: Hindawi Publishing Corporation


DOI: 10.1155/2016/4723636


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