2 – Theory of change mapped against the evidence collected within the evaluation Programme Objectives Mechanisms Assumptions Evidence of change - Quantitative findings Evidence of change - Qualitative findings Step 1 Build a training program to develop Health Champions in Sunderland who are responsive to local needs by November 2010, utilising third sector providers where possible. Training programme built to develop Health Champions Training programme will prepare people for role N/A Training provider evaluation: Training programme developed and evaluated well. Step 2 Recruit and train a minimum of 500 Engagement – recruit and Recruitment of people willing and able to By December 2011, were 603 trainees in the Health Variety of routes – some individuals had actively sought the Health
Sunderland Health Champions (250 250 by March 2013, focusing on front-line workers or volunteers in contact with people in disadvantaged communities (geographical or communities of interest). minimum of 500 health champions take on role Reach into organisations and communities where health inequalities exist Champions programme and 155 fully trained health champions. Wide range of organisations with health champions – spread across statutory and third sector, including many organisations working with disadvantaged communities (geographical and communities Champion training and were highly enthusiastic about participating and taking on the role. Others had been asked by their line managers to take part and were often less excited by the programme. Qualities needed to be a health champion include social skills and enthusiasm/ commitment to make a difference.
the health of themselves and others through shared knowledge, active brief intervention and signposting by completion of all five training modules. role. Participants will be able and ready to do role following training Champions, ranging from 86% finding the Emotional Health and Resilience module very relevant through to 62% for the Financial Capability course. Participation in training had an influence on the respondents’ health awareness. 83% of survey respondents felt more confident to make changes to improve their own health, with particularly relevant Some evidence of learning and raised awareness about determinants of health and healthy lifestyles. Health Champions recognised the boundaries of their role and understood where their expertise ended and where professional
Step 4 Foster an ongoing feeling of shared responsibility and identification amongst Health Champions for improving the health of the local population and addressing health inequalities. Staff & volunteers who are health champions will use knowledge and skills to influence clients, family etc. At same time local organisations embed health champion model Health champions are able to engage clients and other community members. Able to share knowledge, deliver brief interventions and signpost. Training a difference to the extent to which they Over two thirds of survey respondents had used the training to try to improve the health of people they saw at work. 82% felt confident or very confident to apply what they had learned to improve the health of clients, customers or service users, and 70% found it easy or very easy to create Health Champions worked effectively within their ‘circles of influence’ and were able to provide information on health issues and signpost people effectively to services. Heath champions talking informally to friends and family – promoting positive lifestyle choices but less evidence of signposting.
into routine work ‘make every contact count’. organisations will offer the right type of support and encouragement to allow health champions to work effectively. opportunities to do this. Respondents reported that they were actively signposting to other services: 47% of survey respondents had signposted colleagues and 67% had signposted client, customers or service users to other services in the last 2 weeks. Champion approach raising awareness of health issues in communities & workplaces. Champions working with members of the public actively signposting to other services. Champions able to engage people – clients reportedly more comfortable