HealthForce -Development and feasibility of a peer-led, bodyweight and lifestyle management programme

健康力量方案旨在激励、促进和支持贫困背景的成年人改变生活方式和体重管理，这些成年人正在参加一项新的心血管风险筛查方案（TASCFORCE）。干预的总体目标是实现长期的体重维持，增加当前的身体活动水平，增加水果和蔬菜的摄入量。该计划的实施（最初）将由护士提供，并利用行为理论方法、量身定制的反馈和个性化目标。课程将分三个阶段（活动、饮食和体重控制方法）进行，重点是实现小的改变和提高自我效能感。为了促进生活方式的改变，建议将基于对当地社区购物和活动的了解，以及支持行动的设备（例如计步器）将提供贷款。在完成该方案后，积极的参与者将有资格成为保健部队顾问（同伴教育者），并将获得免费培训和自愿支付的支助工作。评估包括方案实施过程、可接受性和测量、对心理参数的影响以及健康行为和生物标志物的结果测量。这些数据将为特别工作组研究中生活方式部分的设计提供信息。这项研究将为生活方式干预的有效性提供证据，并探索在社区生活方式和体重管理项目中使用同伴教育者的潜力。

The HealthForce programme aims to motivate, facilitate and support changes in lifestyle and weight management in adults from deprived backgrounds who are participating in a novel cardio-vascular risk-screening programme (TASCFORCE). The overall aim of the intervention is to achieve long term weight maintenance, increase current levels of physical activity and to increase fruit and vegetable intakes. The implementation of the programme will (initially) be nurse delivered and utilise behavioural theory approaches, tailored feedback and personalised goals. Delivery will be provided in 3 stages (activity, diet and weight control approaches) emphasising achievement of small changes and improved self-efficacy. To facilitate lifestyle change, advice will be based on knowledge of local community shopping and activity and equipment to support action (e.g. pedometers) will be available for loan. On completetion of the programme, motivated participants will be eligible to become HealthForce counsellor (Peer educators) and will be provided with free training and volunteer payments for support work. Evaluation includes process of programme delivery, acceptability and measurements, impact on psychological parameters and outcome measures of health behaviours and biomarkers. This data will inform the design of a lifestyle arm of the TASCFORCE study.The study will add to the evidence base on the effectiveness of lifestyle interventions and explore the potential to use peer educators in community based lifestyle and weight management programmes.