wow-inequalities/02-data/intermediate/wos_sample/4f95a8ab27347215f21ef028b9b42aaf-carr-s.-m.-and-lhus/info.yaml

abstract: 'Background: There is a need to identify and analyse the range of models

  developed to date for delivering health-related lifestyle advice (HRLA),

  or training, for effectiveness and cost-effectiveness in improving the

  health and well-being of individuals and communities in the UK, with

  particular reference to the reduction of inequalities.

  Objectives: To identify the component intervention techniques of

  lifestyle advisors (LAs) in the UK and similar contexts, and the

  outcomes of HRLA interventions.

  Data sources: Stakeholder views, secondary analysis of the National

  Survey of Health Trainer Activity, telephone survey of health trainer

  leads/coordinators. A search of a range of electronic databases was

  undertaken {[}including the Applied Social Sciences Index and Abstracts

  (ASSIA), EMBASE, NHS Economic Evaluation Database (NHS EED), MEDLINE,

  Psyc INFO, etc.], as well searching relevant journals and reference

  lists, conducted from inception to September 2008.

  Review methods: Identified studies were scanned by two reviewers and

  those meeting the following criteria were included: studies carrying out

  an evaluation of HRLA; those taking place in developed countries similar

  to the UK context; those looking at adult groups; interventions with the

  explicit aim of health improvement; interventions that involved paid or

  voluntary work with an individual or group of peers acting in an

  advisory role; advice delivered by post, online or electronically;

  training, support or counselling delivered to patients, communities or

  members of the public. After quality assessment, studies were selected

  for inclusion in the review. Data were abstracted from each study

  according to an agreed procedure and narrative, and realist and economic

  approaches were used to synthesise the data. Cost-effectiveness analysis

  of interventions was undertaken.

  Results: In total, 269 studies were identified but 243 were excluded.

  The 26 included studies addressing chronic care, mental health,

  breastfeeding, smoking, diet and physical activity, screening and human

  immunodeficiency virus (HIV) infection prevention. Overall, there was

  insufficient evidence to either support or refute the use of LAs to

  promote health and improve quality of life (QoL), and thus uncertainty

  about the interventions'' cost-effectiveness. However, the economic

  analysis showed that LA interventions were cost-effective in chronic

  care and smoking cessation, inconclusive for breastfeeding and mental

  health and not cost-effective for screening uptake and diet/physical

  activity. LA interventions for HIV prevention were cost-effective, but

  not in a UK context.

  Limitations: The wide variety of LA models, delivery settings and target

  populations prevented the reviewers from establishing firm causal

  relationships between intervention mode and study outcomes.

  Conclusions: Evidence was variable, giving only limited support to LAs

  having a positive impact on health knowledge, behaviours and outcomes.

  Levels of acceptability appeared to be high. LAs acted as translational

  agents, sometimes removing barriers to prescribed behaviour or helping

  to create facilitative social environments. Reporting of processes of

  accessing or capitalising on indigenous knowledge was limited. Ambiguity

  was apparent with respect to the role and impact of lay and peer

  characteristics of the interventions. A future programme of research on

  HRLA could benefit from further emphasis on identification of needs, the

  broadening of population focus and intervention aims, the measurement of

  outcomes and the reviewing of evidence.'
affiliation: 'Carr, SM (Corresponding Author), Northumbria Univ, Newcastle Upon Tyne
  NE1 8ST, Tyne \& Wear, England.

  Carr, S. M.; Lhussier, M.; Forster, N.; Geddes, L.; Visram, S.; Hildreth, A., Northumbria
  Univ, Newcastle Upon Tyne NE1 8ST, Tyne \& Wear, England.

  Deane, K.; Pennington, M.; White, M.; Donaldson, C., Newcastle Univ, Newcastle Upon
  Tyne NE1 7RU, Tyne \& Wear, England.

  Deane, K., Univ E Anglia, Norwich NR4 7TJ, Norfolk, England.

  Michie, S., UCL, London, England.'
author: Carr, S. M. and Lhussier, M. and Forster, N. and Geddes, L. and Deane, K.
  and Pennington, M. and Visram, S. and White, M. and Michie, S. and Donaldson, C.
  and Hildreth, A.
author_list:
- family: Carr
  given: S. M.
- family: Lhussier
  given: M.
- family: Forster
  given: N.
- family: Geddes
  given: L.
- family: Deane
  given: K.
- family: Pennington
  given: M.
- family: Visram
  given: S.
- family: White
  given: M.
- family: Michie
  given: S.
- family: Donaldson
  given: C.
- family: Hildreth
  given: A.
da: '2023-09-28'
doi: 10.3310/hta15090
eissn: 2046-4924
files: []
issn: 1366-5278
journal: HEALTH TECHNOLOGY ASSESSMENT
keywords-plus: 'RANDOMIZED CONTROLLED-TRIAL; AFRICAN-AMERICAN WOMEN; DISEASE

  SELF-MANAGEMENT; SMOKING TREATMENT SERVICES; PSYCHIATRIC SYMPTOM INDEX;

  BREAST-FEEDING PRACTICES; HIV PREVENTION; PUBLIC-HEALTH; LOW-INCOME;

  PHYSICAL-ACTIVITY'
language: English
month: FEB
number: '9'
number-of-cited-references: '394'
orcid-numbers: 'Deane, Katherine/0000-0002-0805-2708

  Pennington, Mark/0000-0002-1392-8700

  Lhussier, Monique/0000-0001-9383-2356

  Carr, Susan/0000-0003-4722-985X

  Michie, Susan/0000-0003-0063-6378

  Donaldson, Cam/0000-0003-4670-5340

  Visram, Shelina/0000-0001-9576-2689

  Forster, Natalie/0000-0001-8039-7017'
pages: 1+
papis_id: a2c6d6a9d433cff30fcd3f855edd168e
ref: Carr2011evidencesynthesis
researcherid-numbers: 'White, Martin J. R./G-2410-2010

  Deane, Katherine/E-4030-2010

  Pennington, Mark/AAS-9946-2020

  Michie, Susan/A-1745-2010

  '
times-cited: '44'
title: An evidence synthesis of qualitative and quantitative research on component
  intervention techniques, effectiveness, cost-effectiveness, equity and acceptability
  of different versions of health-related lifestyle advisor role in improving health
type: article
unique-id: WOS:000289592700001
usage-count-last-180-days: '0'
usage-count-since-2013: '51'
volume: '15'
web-of-science-categories: Health Care Sciences \& Services
year: '2011'