Table 1 Theory of change-modified items from Stakeholder Workshops in bold
Inputs/resources | Facilitators/barriers | Actions/activities | Outcomes | Impacts |
|---|---|---|---|---|
Project staff SLaM volunteer manager Health Champions Volunteer Coordinator Service user and carer steering group Volunteers SLaM staff and infrastructure Participants Carers Local community organisations e.g.: tba Training and supervision for health champions Small amount of funding for activities during the intervention | Facilitators: Large number of existing volunteers within SLaM Knowledge and experience of project team Support from SLaM Skills and experience of Health Champions Barriers: Ability to recruit enough health champions New role—needs to be clearly explained Poverty and housing issues for participants | Recruit Health Champions Recruit participants and ensure they have full details of the intervention Training of Health Champions including on how to build relationships and coaching skills Support and supervision for Health Champions during the intervention Effective matching of Health Champions and participants Mapping of voluntary and community sector organisations Role of Health Champions Help to set goals • To give light-touch education and information to patients to promote healthy lifestyles Specific activities for patient-Health Champion pairs to do together may include: • Encouraging participation and engagement in healthy hobbies and activities in the community—for instance, swimming, walking, use of gyms/exercise facilities (e.g. park gyms, and local authority sports centres) • Taking part in group activities and exercise—building social networks, self-esteem and confidence • Providing tips and guidance around nutrition, healthy cooking and eating (including food shopping and food traffic light systems), and cooking together • Helping patients attend follow up GP or outpatient appointments for physical health issues Groups for Health Champions only and Health Champions and participants to meet and discuss intervention/progress/share ideas Possible teaching sessions for Health Champions and participants on areas of interest | For participants Increased confidence in dealing with physical health including ability to attend physical health appointments Increased knowledge of how to deal with physical health concerns and problems Increase in doing things to improve physical health-e.g. being more physically active, change in diet Increase in enjoyable activities Reduced levels of social isolation Increase in level of health screenings Improved mental health For Health Champions Improved health Learning new skills Ability to give back For SLaM services Support with the participants they work with Better knowledge of local community organisations | Improved quality of life Improved physical health of patients Improved patient experience and engagement Improved links with the voluntary and community sector to address physical and mental health Increased awareness and understanding amongst volunteers, patients and carers of physical health and its interaction with mental health, and how to promote healthy lifestyles Increased awareness and understanding of the types of services (and who would most benefit) provided by the voluntary and community sector |