Presentation Structure Research project overview Evaluation overview Alignment to the ARC HIAT Public Patient Involvement Challenges successes amp opportunities Andrew Riley University of Liverpool ID: 931108
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A mixed-methods comparative case study evaluation of a Community Health Worker pilot in three settings in England
Presentation StructureResearch project overviewEvaluation overviewAlignment to the ARC / HIATPublic Patient InvolvementChallenges, successes & opportunities
Andrew Riley, University of Liverpool
Primary Supervisor:
Nefyn Williams, University of Liverpool
Slide21. Research project overview
Universal community coverage
Integrated in community health systems
Comprehensive life-course approach
Locally recruited
A proactive, place-based population health approach
Knowledgeable
Trusted
A novel Community Health Worker programme
commissioned in 3 sites in England
Slide32. Evaluation overview
Process evaluation of complex interventions: Medical Research Council‘Process evaluations aim to understand the functioning of an intervention, by examining implementation, mechanisms of impact, and contextual factors’Moore et al., 2015
Objectives
To describe the characteristics and impact of the pilots.
To identify the causal mechanisms and the processes that facilitate or limit the implementation.
To understand how pilot sites compare to each other and CHW interventions elsewhere.
Mixed-methods approach
Quantitative data
Routinely published regional sociodemographic data
CHW productivity data: e.g., number of households accessed, duration, issues discussed
Impact/outcome data
Qualitative data
Document analysis
Observation
Interviews
Focus groups
Slide43. Alignment to the ARC / Health Inequalities Assessment Tool
Health and Care Across the Life CourseIntegrating new models of careSupporting people through the life-coursePlace-based Collaborative
Reducing inequalities
CHW model
Universal
Comprehensive
Integrated
HIAT
Providing employment opportunities
? Inverse care law
Slide54. Public Patient Involvement
Engagement with the Public Adviser ForumPresented at the Public Advisor Forum in October 20212. Public Advisers recruitedRecruited one PA – a lay health worker, originally from Brazil
? Trying to recruit a second
3. How Public Advisers have contributed
Helped me think about the project from a servicer user perspective
Provided feedback on the protocol / participant information sheets
Slide65. Challenges, successes & opportunities
ChallengesUncertainties
Whether the pilot would go ahead
COVID > home working
Successes
Opportunities to learn
Learning from pilot sites
Implementation science, population health
Opportunities
Skills and connections
Building on contacts and networks
Developing research skills
Slide7Moore, G.F., Audrey, S., Barker, M., Bond, L.,
Bonell, C., Hardeman, W., Moore, L., O’Cathain, A., Tinati, T., Wight, D. and Baird, J., 2015a. Process evaluation of complex interventions: Medical Research Council guidance. BMJ, 350.