The Challenge of Implementing Peer-Led Interventions in a Professionalized Health Service: A Case Study of the National Health Trainers Service in England

摘要

ContextIn 2004, the English Public Health White Paper Choosing Health introduced health trainers as new members of the National Health Service (NHS) workforce. Health trainers would offer one-to-one peer-support to anyone who wished to adopt and maintain a healthier lifestyle. Choosing Health implicitly envisaged health trainers working in community settings in order to engage hard-to-reach individuals and other groups who often have the poorest health but who engage the least with traditional health promotion and other NHS services.