Health Champions and Their Circles of Influence as a Communication Mechanism for Health Promotion

• Authors: Louise Warwick-Booth , Ruth Cross , James Woodall , Rhiannon Day , Jane South
• Languages of publication: EN

Abstracts

EN

Health Champions are a growing component within the British public health workforce and their roles are now emphasised within the coalition’s Government’s public health strategy. However, there is the need for further exploration of the way in which Health Champions use interpersonal communication within their roles. This paper reports on the findings from a mixed method evaluation of one Health Champion programme in North East England. A key finding was the way in which Health Champions used circles of influence to communicate health knowledge and to try to achieve behaviour change, starting with themselves in the centre of their circle and then moving outwards to influence others such as family, friends and colleagues through their social networks. The paper argues that health champions act as healthy role models within their own circles of influence to successfully communicate health knowledge to those around them.

Keywords

EN

Health champions; communication; empathy; role models; peer education

• Publisher: Sciendo
• Journal: International Review of Social Research
• Year: 2013
• Volume: 3
• Issue: 2
• Pages: 113-129

Dates

published

2013-06-01

online

2015-05-06

Contributors

author

Louise Warwick-Booth

• Centre for Health Promotion Research, Leeds Metropolitan University

author

Ruth Cross

• Centre for Health Promotion Research, Leeds Metropolitan University

author

James Woodall

• Centre for Health Promotion Research, Leeds Metropolitan University

author

Rhiannon Day

• Centre for Health Promotion Research, Leeds Metropolitan University

author

Jane South

• Centre for Health Promotion Research, Leeds Metropolitan University

References

• American Association of Diabetes Educators (2003) ‘Diabetes community health workers.’ The Diabetes Educator, 29(5): 818, 821-814.
• Bandura, A. (1986) Social Foundations of Thought and Action. Englewood Cliffs, NJ: Prentice-Hall.
• Brown, T., Boyle, M., Williams, B., Molloy, A., Palermo, C., McKenna, L. and Molloy, L. (2011) ‘Predictors of empathy in health science students.’Journal of Allied Health, 40 (3): 143-149.
• Christakis, N. A. and Fowler, J. H. (2007) ‘The spread of obesity in a large social network over 32 years’ The New England Journal of Medicine 357 (4): 370-379.[WoS]
• Clarke, A. (1999) ‘Changing attitudes through persuasive communication’ Nursing Standard 13, (30): 45-47.[PubMed]
• Connell, J. P. and A. C. Kubisch (1988) ‘Applying a Theory of Change approach to the evaluation of Comprehensive Community Initiatives: progress, prospects and problems. New approaches to evaluating community initiatives.’ In K. Fulbright-Anderson, A. Kubisch and J. Connell (eds) Theory, measurement and analysis.Washington D. C: The Aspen Institute.
• Corcoran, N. (2007) Communicating Health, Strategies for Health Promotion. London: Sage.
• Cross, R., O’Neil, I. and Dixey, R. (2013) ‘Communicating Health’. In: R. Dixey. (eds.) Health Promotion: Global Principles and Practice. Wallingford: CABI.
• Finn, P. (1981) ‘Teaching students to be lifelong peer educators’. Health Education, September/October, 13-16.
• Furedi, F. (2008) Medicalisation in a therapy culture. In: Wainwright, D. (eds.) A Sociology of Health. London: Sage, pp. 97-114.
• Green, J. and South, J. (2006) Evaluation Buckingham: Open University Press.
• Green, J. and Tones, K. (2010) Health promotion. Planning and strategies. London: Sage.
• Harden, A., Weston, R. and Oakley, A. (1999) A review of the effectiveness and appropriateness of peer-delivered health promotion interventions for young people. London, EEPI-Centre, Institute of Education: University of London.
• Hunter, G. and R. Power (2002) ‘Involving Big Issue vendors in a peer education initiative to reduce drug-related harm: a feasibility study.’Drugs: Education, Prevention & Policy 9(1): 57-69.
• Ion, V. (2011) ‘Making every contact count: a simple yet effective idea’. Perspectives in Public Health, 131: 69-70.[WoS]
• Kreuter, M. W. and McClure, S. M. (2004) ‘The Role of Culture in Health Communication.’ Annual Review of Public Health, 25: 439-455.
• Letwin, S. A., S. M. Babigumira, et al. (2006) Lay Health Workers in Primary and Community Health Care: A Systematic Review of Trials available at (accessed 5th March 2013).
• McDonald, J. and Grove, J. (2003) Youth for Youth: Piecing together the Peer Education Jigsaw. NCETA, Drug and Alcohol Services, Council of South Australia.
• McQuiston, C., S. Choi-Hevel, et al. (2001) ‘Protegiendo Nuestra Comunidad: empowerment participatory education for HIV prevention.’Journal of Transcultural Nursing 12(4): 275-283.[Crossref]
• National Institute for Health and Clinical Effectiveness (2008) Community engagement to improve health.NICE public health guidance 9. London: NICE.
• NHS Confederation and Altogether Better (2012) Community Health Champions: creating new relationships with patients and communities. London: NHS Confederation.
• O’Keefe, D. J. (1990) Persuasion Newbury Park, CA: Sage.
• Open Society Foundations (2011) Roma Health Mediators: Successes and Challenges. New York: Open Society Foundations.
• Perez-Escamilla, R., A. Hromi-Fiedler, et al. (2008) ‘Impact of peer nutrition education on dietary behaviors and health outcomes among Latinos: a systematic literature review.’Journal of Nutrition Education and Behavior 40(4): 208-225.
• Rhodes, S. D., K. L. Foley, et al. (2007) ‘Lay health advisor interventions among hispanics/latinos a qualitative systematic review.’American Journal of Preventive Medicine 33(5): 418-427.[WoS][Crossref]
• Robinson, M., South, J. and Kinsella, K. (2010) Altogether Better Thematic Evaluation-Mental Health and Employment Projects.Leeds: Centre for Health Promotion Research, Leeds Metropolitan University.
• Secretary of State for Health. (2010) Healthy Lives, Healthy People: Our Strategy for Public Health in England. London: Stationary Office.
• South, J., Meah, A., Bagnall, A. -M., Kinsella, K., Branney, P., White, J. and Gamsu, M. (2010a) People in Public Health – a study of approaches to develop and support people in public health roles. Final report. London: NIHR Service Delivery and Organisation programme.
• South, J., White, J. and Woodall, J. (2010b) Altogether Better – Community Health Champion role and empowerment. Thematic evaluation summary. Leeds: Centre for Health Promotion Research, Leeds Metropolitan University.
• South, J., P. Branney, et al. (2011) ‘Citizens bridging the gap? Interpretations of volunteering roles in two public health projects.’Voluntary Sector Review 2(3): 297-315.
• Stevens, P. E. (1994) ‘HIV prevention education for lesbians and bisexual women: a cultural analysis of a community intervention.’Social Science and Medicine 39(11): 1565-1578.[Crossref]
• Sunderland Data Annex–NHS South of Tyne and Wear and Sunderland City Council (2011) Chapter 4: Life Expectancy And Mortality And Ill Health From All Causes in Sunderland Joint Strategic Needs Assessment 2011, Data Annex. Version 4QAd, 229-260.
• Svenson, G.R. (1998) European guidelines for youth AIDS peer education. Sweden, European Commission.
• Thompson, N. (2011) Effective Communication: A Guide for the People Professions. 2nd Ed. Maidenhead, Palgrave MacMillan.
• Warwick-Booth, Woodall, J, South, J. et al. (2012) An Evaluation of Sunderland Health Champions Programme. Leeds: Centre for Health Promotion Research, Leeds Metropolitan University.
• Weeks, S. (1995) Health education: learning the techniques of persuasion’ Professional Care of Mother and Child, 5, (2): 53-55.[PubMed]
• Weiss, C. H. (1995) ‘Nothing as Practical as Good Theory: Exploring Theory-based Evaluation for Comprehensive Community Initiatives for Children and Families.’ In J. Connell et al.(eds) New Approaches to Evaluating Community Initiatives: Concepts, Methods, and Contexts, Washington, DC: Aspen Institute.
• White, J., South, J., Woodall, J. and Kinsella, K. (2010) Altogether Better thematic evaluation - community health champions and empowerment. Leeds: Centre for Health Promotion Research, Leeds Metropolitan University.
• Windahl, S., Signitzer, B. and Olson, J. T. (2008) Using Communication Theory. London, Sage.
• Woodall, J., Kinsella, K., South, J. and White, J. (2012) Older volunteers in health and well-being: a review of the evidence. Leeds: Centre for Health Promotion Research, Leeds Metropolitan University.
• Woodall, J., White, J. and South, J. (2012) ‘Improving health and well-being through community health champions: a thematic evaluation of a programme in Yorkshire and Humber.’Perspectives in Public Health. Published online 13th August 2012 DOI: 10.1177/1757913912453669.[Crossref]

Identifiers

DOI

10.1515/irsr-2013-0013