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

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2023-09-28 14:46:10 +00:00
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
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
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'