Implementing empowerment-based Lay Health Worker programs: a preliminary study

D'Arcy, Catherine, Taket, Ann and Hanna, Lisa 2018, Implementing empowerment-based Lay Health Worker programs: a preliminary study, Health promotion international, pp. 1-9, doi: 10.1093/heapro/day023.

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Title Implementing empowerment-based Lay Health Worker programs: a preliminary study
Author(s) D'Arcy, Catherine
Taket, AnnORCID iD for Taket, Ann orcid.org/0000-0002-0971-5884
Hanna, LisaORCID iD for Hanna, Lisa orcid.org/0000-0003-3173-3381
Journal name Health promotion international
Start page 1
End page 9
Total pages 9
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2018-04-24
ISSN 1460-2245
Keyword(s) community health promotion
empowerment
evaluation
implementation
Summary Lay Health Worker (LHW) programs have been shown to be effective in engaging community members in health promotion. While successful LHW program implementation requires an understanding of factors influencing program effectiveness, evidence informing such understanding is lacking for empowerment and ecological theory-based LHW programs. This descriptive study explores how enablers and barriers, identified from LHW literature apply (from the LHWs' perspective) in the context of implementing an empowerment and ecological theory-based LHW model in Melbourne, Victoria. A qualitative case study was carried out. Data were collected from participating LHWs (n = 11) via anonymized online activity logs (n = 7) and semi-structured interviews (n = 7). Deductive-inductive thematic analysis was guided by five a priori themes identified from the literature: community relationships; intrinsic traits, values and motivations; capacity building; program design; and work conditions. Data supported the enablers and barriers to program effectiveness and implementation reported by previous research. Subthemes identified the importance of the LHW bridging role; the empowerment model; integrating the program; and program inclusiveness. This research contributes to the growing practice literature regarding how to effectively implement diverse LHW models in diverse settings. It also contributes to social ecological and complex systems-based health promotion practice evidence in suggesting LHWs to be potentially useful elements which may add to the effectiveness of ecologically based health promotion interventions.
Language eng
DOI 10.1093/heapro/day023
Field of Research 1117 Public Health And Health Services
1302 Curriculum And Pedagogy
Copyright notice ©2018, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30108574

Document type: Journal Article
Collections: School of Health and Social Development
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