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Erschienen in: Journal of Community Health 4/2009

01.08.2009 | Original Paper

Development of the Volunteer Peer Educator Role in a Community Cardiovascular Health Awareness Program (CHAP): A Process Evaluation in Two Communities

verfasst von: Tina Karwalajtys, Beatrice McDonough, Heather Hall, Manal Guirguis-Younger, Larry W. Chambers, Janusz Kaczorowski, Lynne Lohfeld, Brian Hutchison

Erschienen in: Journal of Community Health | Ausgabe 4/2009

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Abstract

Volunteers can support the delivery and sustainability of programs promoting chronic disease awareness to improve health at the community level. This paper describes the development of the peer education component of the Cardiovascular Health Awareness Program (CHAP) and assessment of the volunteer peer educator role in a community-wide demonstration project in two mid-sized Ontario communities. A case study approach was used incorporating process learning, a volunteer survey and debriefing discussions with volunteers. A post-program questionnaire was administered to 48 volunteers. Five debriefing discussions were conducted with 27 volunteers using a semi-structured interview guide. Discussions were audio-recorded and transcribed. Analysis used an editing approach to identify themes, taking into account the community-specific context. Volunteers reported an overall positive experience and identified rewarding aspects of their involvement. They felt well prepared but appreciated ongoing training and support and requested more refresher training. Understanding of program objectives increased volunteer satisfaction. Volunteers continued to develop their role during the program; however, organizational and logistical factors sometimes limited skill acquisition and contributions. The prospect of greater involvement in providing tailored health education resources addressing modifiable risk factors was acceptable to most volunteers. Continued refinement of strategies to recruit, train, retain and support volunteers strengthened the peer education component of CHAP. The experience and contributions of volunteers were influenced by the wider context of program delivery. Process evaluation allowed program planners to anticipate challenges, strengthen support for volunteer activities, and expand the peer educator role. This learning can inform similar peer-led health promotion initiatives.
Literatur
1.
Zurück zum Zitat Schneider, E. C., Altpeter, M., & Whitelaw, N. (2007). An innovative approach for building health promotion program capacity: A generic volunteer training curriculum. The Gerontologist, 47(3), 398–403.PubMed Schneider, E. C., Altpeter, M., & Whitelaw, N. (2007). An innovative approach for building health promotion program capacity: A generic volunteer training curriculum. The Gerontologist, 47(3), 398–403.PubMed
2.
Zurück zum Zitat Davis, C., Leveille, S., Favaro, S., & LoGerfo, M. (1998). Benefits to volunteers in a community-based health promotion and chronic illness self-management program for the elderly. Journal of Gerontological Nursing, 24, 16–23.PubMed Davis, C., Leveille, S., Favaro, S., & LoGerfo, M. (1998). Benefits to volunteers in a community-based health promotion and chronic illness self-management program for the elderly. Journal of Gerontological Nursing, 24, 16–23.PubMed
3.
Zurück zum Zitat Glanz, K., Marger, S., & Meehan, E. (1986). Evaluation of a peer educator stroke education program for the elderly. Health Education Research, 1(2), 121–129.CrossRef Glanz, K., Marger, S., & Meehan, E. (1986). Evaluation of a peer educator stroke education program for the elderly. Health Education Research, 1(2), 121–129.CrossRef
4.
Zurück zum Zitat Rose, M. A. (1992). Evaluation of a peer-education program on heart disease prevention with older adults. Public Health Nursing, 9, 242–247.PubMedCrossRef Rose, M. A. (1992). Evaluation of a peer-education program on heart disease prevention with older adults. Public Health Nursing, 9, 242–247.PubMedCrossRef
5.
Zurück zum Zitat Taylor, T., Serrano, E., & Anderson, J. (2001). Management issues related to effectively implementing a nutrition education program using peer educators. Journal of Nutritional Education, 33, 284–292.CrossRef Taylor, T., Serrano, E., & Anderson, J. (2001). Management issues related to effectively implementing a nutrition education program using peer educators. Journal of Nutritional Education, 33, 284–292.CrossRef
6.
Zurück zum Zitat Jandorf, L., Fatone, A., Borker, P. V., Levin, M., Esmond, W. A., Brenner, B., et al. (2006). Creating alliances to improve cancer prevention and detection among urban medically underserved minority groups. The East Harlem partnership for cancer awareness. Cancer, 107(8 Suppl), 2043–2051.PubMedCrossRef Jandorf, L., Fatone, A., Borker, P. V., Levin, M., Esmond, W. A., Brenner, B., et al. (2006). Creating alliances to improve cancer prevention and detection among urban medically underserved minority groups. The East Harlem partnership for cancer awareness. Cancer, 107(8 Suppl), 2043–2051.PubMedCrossRef
7.
Zurück zum Zitat Hale, W. D., Bennett, R. G., Oslos, N. R., Cochran, C. D., & Burton, J. R. (1997). Project REACH: A program to train community-based lay health educators. The Gerontologist, 37(5), 683–687.PubMed Hale, W. D., Bennett, R. G., Oslos, N. R., Cochran, C. D., & Burton, J. R. (1997). Project REACH: A program to train community-based lay health educators. The Gerontologist, 37(5), 683–687.PubMed
8.
Zurück zum Zitat Posavac, E. J., Kattapong, K. R., & Dew, D. E. J. (1999). Peer-based interventions to influence health-related behaviors and attitudes: A meta-analysis. Psychological Reports, 85, 1179–1194.PubMedCrossRef Posavac, E. J., Kattapong, K. R., & Dew, D. E. J. (1999). Peer-based interventions to influence health-related behaviors and attitudes: A meta-analysis. Psychological Reports, 85, 1179–1194.PubMedCrossRef
9.
Zurück zum Zitat Graff, L. L. (1991). Volunteer for the health of it. Report of the findings from a health promotion grant funded by the Ontario Ministry of Health. Ottawa, ON: Volunteer Ontario Publications. Graff, L. L. (1991). Volunteer for the health of it. Report of the findings from a health promotion grant funded by the Ontario Ministry of Health. Ottawa, ON: Volunteer Ontario Publications.
10.
Zurück zum Zitat Caro, F. G., & Bass, S. A. (1997). Receptivity to volunteering in the immediate postretirement period. Journal of Applied Gerontology, 16(4), 427–441.CrossRef Caro, F. G., & Bass, S. A. (1997). Receptivity to volunteering in the immediate postretirement period. Journal of Applied Gerontology, 16(4), 427–441.CrossRef
11.
Zurück zum Zitat Hoffman, S. B. (1983). Peer counselor training with the elderly. Gerontologist, 23, 358–360.PubMed Hoffman, S. B. (1983). Peer counselor training with the elderly. Gerontologist, 23, 358–360.PubMed
12.
Zurück zum Zitat Foster, G., Taylor, S. J. C., Eldridge, S. E., Ramsay, J., & Griffiths, C. J. (2007). Self-management education programmes by lay leaders for people with chronic conditions. Cochrane database of systematic reviews (4; Art. No: CD005108. doi: 10.1002/14651858.CD005108.pub2). Foster, G., Taylor, S. J. C., Eldridge, S. E., Ramsay, J., & Griffiths, C. J. (2007). Self-management education programmes by lay leaders for people with chronic conditions. Cochrane database of systematic reviews (4; Art. No: CD005108. doi: 10.​1002/​14651858.​CD005108.​pub2).
13.
Zurück zum Zitat Coull, A. J., Taylor, V. H., Elton, R., Murdoch, P. S., & Hargreaves, A. D. (2004). A randomised controlled trial of senior lay health mentoring in older people with ishaemic heart disease: The Braveheart Project. Age and Aging, 33, 348–354.CrossRef Coull, A. J., Taylor, V. H., Elton, R., Murdoch, P. S., & Hargreaves, A. D. (2004). A randomised controlled trial of senior lay health mentoring in older people with ishaemic heart disease: The Braveheart Project. Age and Aging, 33, 348–354.CrossRef
15.
Zurück zum Zitat Chambers, L. W., Kaczorowski, J., Levitt, C., Karwalajtys, T., McDonough, B., & Lewis, J. (2002). Blood pressure self-monitoring in pharmacies: Building on existing resources. Canadian Family Physician, 48, 1594–1595.PubMed Chambers, L. W., Kaczorowski, J., Levitt, C., Karwalajtys, T., McDonough, B., & Lewis, J. (2002). Blood pressure self-monitoring in pharmacies: Building on existing resources. Canadian Family Physician, 48, 1594–1595.PubMed
16.
Zurück zum Zitat Shea, S., & Basch, C. E. (2006). A review of five major community-based cardiovascular disease prevention programs. Part II: Intervention strategies, evaluation methods, and results. American Journal of Health Promotion, 4(4), 279–287. Shea, S., & Basch, C. E. (2006). A review of five major community-based cardiovascular disease prevention programs. Part II: Intervention strategies, evaluation methods, and results. American Journal of Health Promotion, 4(4), 279–287.
17.
Zurück zum Zitat Bracht, N., Kingsury, L., & Rissel, C. (1999). A five-stage community organization model for health promotion. In N. Bracht (Ed.), Health promotion at the community level 2: New advances (pp. 83–118). Thousand Oaks: Sage Publications. Bracht, N., Kingsury, L., & Rissel, C. (1999). A five-stage community organization model for health promotion. In N. Bracht (Ed.), Health promotion at the community level 2: New advances (pp. 83–118). Thousand Oaks: Sage Publications.
18.
Zurück zum Zitat Chambers, L. W., Kaczorowski, J., Dolovich, L., Karwalajtys, T., Hall, H., & McDonough, B. (2005). A community-based program for cardiovascular health awareness. Canadian Journal of Public Health, 96(4), 294–298. Chambers, L. W., Kaczorowski, J., Dolovich, L., Karwalajtys, T., Hall, H., & McDonough, B. (2005). A community-based program for cardiovascular health awareness. Canadian Journal of Public Health, 96(4), 294–298.
19.
Zurück zum Zitat Karwalajtys, T., Kaczorowski, J., Chambers, L., Levitt, C., Dolovich, L., McDonough, B., et al. (2005). A randomized trial of mail vs. telephone invitation to a community-based cardiovascular health awareness program for older family practice patients. BMC Family Practice, 6, 35.PubMedCrossRef Karwalajtys, T., Kaczorowski, J., Chambers, L., Levitt, C., Dolovich, L., McDonough, B., et al. (2005). A randomized trial of mail vs. telephone invitation to a community-based cardiovascular health awareness program for older family practice patients. BMC Family Practice, 6, 35.PubMedCrossRef
20.
Zurück zum Zitat Pora, V. V., Farrell, B., Dolovich, L., Kaczorowski, J., & Chambers, L. (2005). Promoting cardiovascular health among older adults: A pilot study with community pharmacists. Canadian Pharmacists Journal, 138, 50–55. Pora, V. V., Farrell, B., Dolovich, L., Kaczorowski, J., & Chambers, L. (2005). Promoting cardiovascular health among older adults: A pilot study with community pharmacists. Canadian Pharmacists Journal, 138, 50–55.
21.
Zurück zum Zitat Broomfield, J., Schieda, N., Sullivan, S. M., Chambers, L. W., Kaczorowski, J., & Karwalajtys, T. (2008). Recording blood pressure readings in elderly patients’ charts. What patient and physician characteristics make it more likely? Canadian Family Physician, 54, 230–231, e1–e6. Broomfield, J., Schieda, N., Sullivan, S. M., Chambers, L. W., Kaczorowski, J., & Karwalajtys, T. (2008). Recording blood pressure readings in elderly patients’ charts. What patient and physician characteristics make it more likely? Canadian Family Physician, 54, 230–231, e1–e6.
22.
Zurück zum Zitat Bandura, A. (1977). Social learning theory. New Jersey: Prentice-Hall. Bandura, A. (1977). Social learning theory. New Jersey: Prentice-Hall.
23.
Zurück zum Zitat Musick, M. A., Herzog, A. R., & House, J. S. (1999). Volunteering and mortality among older adults: Findings from a national sample. Journal of Gerontology: Social Sciences, 54B, S173–S180. Musick, M. A., Herzog, A. R., & House, J. S. (1999). Volunteering and mortality among older adults: Findings from a national sample. Journal of Gerontology: Social Sciences, 54B, S173–S180.
24.
Zurück zum Zitat Tomás Sancho, A., Kennedy, L., & Colomer Revuelta, C. (1998). Volunteerism and the reorientation of health services. Atencion Primaria, 22(7), 450–456.PubMed Tomás Sancho, A., Kennedy, L., & Colomer Revuelta, C. (1998). Volunteerism and the reorientation of health services. Atencion Primaria, 22(7), 450–456.PubMed
25.
Zurück zum Zitat Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38–48.PubMed Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38–48.PubMed
26.
Zurück zum Zitat Stake, R. (1995). The art of case study research. Thousand Oaks, CA: Sage. Stake, R. (1995). The art of case study research. Thousand Oaks, CA: Sage.
27.
Zurück zum Zitat Patton, M. Q. (1996). A world larger than formative and summative. American Journal of Evaluation, 17(2), 131–144.CrossRef Patton, M. Q. (1996). A world larger than formative and summative. American Journal of Evaluation, 17(2), 131–144.CrossRef
28.
Zurück zum Zitat Guba, E., & Lincoln, Y. (1989). Fourth generation evaluation. Newburg Park, CA: Sage. Guba, E., & Lincoln, Y. (1989). Fourth generation evaluation. Newburg Park, CA: Sage.
29.
Zurück zum Zitat Patton, M. Q. (2002). Qualitative evaluation and research methods (3rd ed.). Newbury Park, CA: Sage Publications. Patton, M. Q. (2002). Qualitative evaluation and research methods (3rd ed.). Newbury Park, CA: Sage Publications.
30.
Zurück zum Zitat Addison, R. B. (1999). A grounded hermeneutic editing approach (chapter 8). In B. F. Crabtree & W. L. Miller (Eds.), Doing qualitative research (2nd ed., pp. 145–161). Thousand Oaks, CA: Sage. Addison, R. B. (1999). A grounded hermeneutic editing approach (chapter 8). In B. F. Crabtree & W. L. Miller (Eds.), Doing qualitative research (2nd ed., pp. 145–161). Thousand Oaks, CA: Sage.
31.
Zurück zum Zitat Sandelowski, M. (1986). The problem of rigour in qualitative research. Advances in Nursing Science, 8(3), 27–37.PubMed Sandelowski, M. (1986). The problem of rigour in qualitative research. Advances in Nursing Science, 8(3), 27–37.PubMed
32.
Zurück zum Zitat Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine Publishing Company. Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine Publishing Company.
33.
Zurück zum Zitat Krueger, R. A. (1997). Analyzing and reporting focus group results (Vol. 6). Thousand Oaks: Sage. Focus Group Kit. Krueger, R. A. (1997). Analyzing and reporting focus group results (Vol. 6). Thousand Oaks: Sage. Focus Group Kit.
34.
Zurück zum Zitat Barlow, J. H., Bancroft, G. V., & Turner, A. P. (2005). Volunteer, lay tutors’ experiences of the chronic disease self-management course: Being valued and adding value. Health Education Research, 20(2), 128–136. Epub 2004 Aug 16.PubMedCrossRef Barlow, J. H., Bancroft, G. V., & Turner, A. P. (2005). Volunteer, lay tutors’ experiences of the chronic disease self-management course: Being valued and adding value. Health Education Research, 20(2), 128–136. Epub 2004 Aug 16.PubMedCrossRef
35.
Zurück zum Zitat Morrow-Howell, N., Hinterlong, J., Rozario, P. A., & Tang, F. (2003). Effects of volunteering on the well-being of older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58(3), S137–S145. Morrow-Howell, N., Hinterlong, J., Rozario, P. A., & Tang, F. (2003). Effects of volunteering on the well-being of older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58(3), S137–S145.
36.
Zurück zum Zitat Van Willigen, M. (2000). Differential benefits of volunteering across the life course. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55(5), S308–S318. Van Willigen, M. (2000). Differential benefits of volunteering across the life course. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55(5), S308–S318.
37.
Zurück zum Zitat Greenfield, E., & Marks, N. (2004). Formal volunteering as a protective factor for older adults’ psychological well-being. Journal of Gerontology: Social Sciences, 59B, S258–S264. Greenfield, E., & Marks, N. (2004). Formal volunteering as a protective factor for older adults’ psychological well-being. Journal of Gerontology: Social Sciences, 59B, S258–S264.
38.
Zurück zum Zitat Fried, P., Carson, M., Freedman, M., Frick, K., Glass, T., Hill, J., et al. (2004). A social model for health promotion for an aging population. Journal of Urban Health, 81(1), 64–78.PubMed Fried, P., Carson, M., Freedman, M., Frick, K., Glass, T., Hill, J., et al. (2004). A social model for health promotion for an aging population. Journal of Urban Health, 81(1), 64–78.PubMed
39.
Zurück zum Zitat Giblin, P. (1989). Effective utilization and evaluation of indigenous health care workers. Public Health Reports, 104, 361–368.PubMed Giblin, P. (1989). Effective utilization and evaluation of indigenous health care workers. Public Health Reports, 104, 361–368.PubMed
40.
Zurück zum Zitat Kobetz, E., Vatalaro, K., Moore, A., & Earp, J. A. (2005). Taking the transtheoretical model into the field: A curriculum for lay health advisors. Health Promotion Practice, 6(3), 329–337.PubMedCrossRef Kobetz, E., Vatalaro, K., Moore, A., & Earp, J. A. (2005). Taking the transtheoretical model into the field: A curriculum for lay health advisors. Health Promotion Practice, 6(3), 329–337.PubMedCrossRef
41.
Zurück zum Zitat Walker, S. A., & Avis, M. (1999). Common reasons why peer education fails. Journal of Adolescence, 22(4), 573–577.PubMedCrossRef Walker, S. A., & Avis, M. (1999). Common reasons why peer education fails. Journal of Adolescence, 22(4), 573–577.PubMedCrossRef
Metadaten
Titel
Development of the Volunteer Peer Educator Role in a Community Cardiovascular Health Awareness Program (CHAP): A Process Evaluation in Two Communities
verfasst von
Tina Karwalajtys
Beatrice McDonough
Heather Hall
Manal Guirguis-Younger
Larry W. Chambers
Janusz Kaczorowski
Lynne Lohfeld
Brian Hutchison
Publikationsdatum
01.08.2009
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 4/2009
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-009-9149-5

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