Health Trainer Champions in a Category A Prison in England: Lessons Learned for Health Improvement of Offenders Di Bailey Nottingham Trent University

Health Trainer Champion Project 6 HTCs recruited in first cohort Role is to offer basic healthy lifestyle advice on a range of health issues Work with other men in the jail on a 1:1 basis Completed a 12 week training course accredited by the Royal Society of Public Health

NTU Evaluation Evaluation strategy tried and tested Draws from two models Includes an evaluation of: ◦Context ◦Inputs ◦HTCs’ reactions to the training they received ◦Modification of attitudes and perceptions ◦Outcomes

Outcome Evaluation Knowledge and skills Change in behaviour and the organisation Benefits for prisoners

Evaluation Questions 1. What is the context in which the Health Trainer Champions (HTCs) initiative is being implemented? 2. How have the HTCs experienced the training? 3. What have the HTCs learned from the training? 4. Have the HTCs changed their views about their own lifestyles?

Evaluation Questions 5. What knowledge and skills have the HTCs gained as a result of the training? 6. What do the men in Frankland think about the HTC role? Have they benefitted and if so how? 7. Has there been any change in in the behaviour of the HTCs and men in Frankland?

Data Collection Documentary analysis Participant observation of training sessions Interviews Focus groups Satisfaction questionnaires STAR tool attitude measure

Figure 2: Before and After Training Scores on the STAR Tool

Frequency of the Top 10 Issue Categories Being Presented to HTCs

Type of Help Wanted from HTCs

Prisoners’ Reactions to HTCs Interventions

Prisoners’ Ratings of Helpfulness of HTCs

Figure 7: Return Visits

Did Prisoners Act on the Advice Given by HTCs?

Summary Extensive planning, strong leadership, good networking and communication Continued involvement from stakeholders HTCs needed to be trusted prisoners and security cleared Role clarity for HTCs and information about their role within the jail HTCs changed their attitudes to a healthy lifestyle Prisoners found HTCs accessible and helpful Good links with healthcare