The delivery of a peer-led health trainer programme in a Wiltshire Prison
PHE ePoster Library. Maddern S. 09/12/19; 274370; 175
Mr. Steve Maddern
Mr. Steve Maddern
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Abstract Background
Those in detained settings are at higher risk of health inequality. The health trainer programme (HTP) at HMP Erlestoke prison in Wiltshire has been running since 2009. The health trainers (HTs) are male offenders who are trained to support their peers to make healthy lifestyle changes.
In 2017* HTs supported over 50 clients. Those aged 18-34 accounted for the most assessments (34%), followed the 35-44 age range (32%), males aged 45-59 accounted for 23% and 9% were 60 and over. The primary reason for visiting a HT was to increase physical activity levels (36%); healthy eating and weight management (34%) and to remain smokefree (15%). Over 90% of clients who accessed support completed the programme. 87% of clients who completed either achieved (67%) or part-achieved (20%) their main goal. Individuals who accessed support for weight management lost on average 1.3 BMI points. Those that accessed the service for dietary support increased their fruit and vegetable consumption by 1.4 portions, which is a positive change of 27%. *2018 data is current being analysed.
The HTP directly and indirectly challenges health inequalities within the prison setting. Engaging with a HT can lead to positive changes in health behaviour also improved health literacy, increased personal resilience and reduce isolation, all of which support the reduction of health inequalities, promoting a whole-prison approach to health and wellbeing. External funding details N/A
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