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Health trainer-led motivational intervention plus usual care for people under community supervision compared with usual care alone: a study protocol for a parallel-group pilot randomised controlled trial (STRENGTHEN)

Health trainer-led motivational intervention plus usual care for people under community supervision compared with usual care alone: a study protocol for a parallel-group pilot randomised controlled trial (STRENGTHEN)
Health trainer-led motivational intervention plus usual care for people under community supervision compared with usual care alone: a study protocol for a parallel-group pilot randomised controlled trial (STRENGTHEN)

Introduction People with experience of the criminal justice system typically have worse physical and mental health, lower levels of mental well-being and have less healthy lifestyles than the general population. Health trainers have worked with offenders in the community to provide support for lifestyle change, enhance mental well-being and signpost to appropriate services. There has been no rigorous evaluation of the effectiveness and cost-effectiveness of providing such community support. This study aims to determine the feasibility and acceptability of conducting a randomised trial and delivering a health trainer intervention to people receiving community supervision in the UK. Methods and analysis A multicentre, parallel, two-group randomised controlled trial recruiting 120 participants with 1:1 individual allocation to receive support from a health trainer and usual care or usual care alone, with mixed methods process evaluation. Participants receive community supervision from an offender manager in either a Community Rehabilitation Company or the National Probation Service. If they have served a custodial sentence, then they have to have been released for at least 2 months. The supervision period must have at least 7 months left at recruitment. Participants are interested in receiving support to change diet, physical activity, alcohol use and smoking and/or improve mental well-being. The primary outcome is mental well-being with secondary outcomes related to smoking, physical activity, alcohol consumption and diet. The primary outcome will inform sample size calculations for a definitive trial. Ethics and dissemination The study has been approved by the Health and Care Research Wales Ethics Committee (REC reference 16/WA/0171). Dissemination will include publication of the intervention development process and findings for the stated outcomes, parallel process evaluation and economic evaluation in peer-reviewed journals. Results will also be disseminated to stakeholders and trial participants. Trial registration numbers ISRCTN80475744; Pre-results.

2044-6055
Thompson, Tom P.
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Callaghan, Lynne
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Hazeldine, Emma
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Quinn, Cath
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Walker, Samantha
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Byng, Richard
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Wallace, Gary
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Creanor, Siobhan
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Green, Colin
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Hawton, Annie
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Annison, Jill
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Sinclair, Julia
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Senior, Jane
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Taylor, Adrian H.
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Thompson, Tom P.
f78fb592-b81b-46f3-96be-ddc60bc4a39d
Callaghan, Lynne
cbe36510-25b7-42e8-8e8c-0b71d15aba37
Hazeldine, Emma
1b5e7817-08bf-4764-86c0-ba35724b885d
Quinn, Cath
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Walker, Samantha
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Byng, Richard
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Wallace, Gary
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Creanor, Siobhan
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Green, Colin
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Hawton, Annie
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Annison, Jill
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Sinclair, Julia
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Senior, Jane
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Taylor, Adrian H.
c7d629e0-c052-46d6-88d8-f61f6c4d8e7d

Thompson, Tom P., Callaghan, Lynne, Hazeldine, Emma, Quinn, Cath, Walker, Samantha, Byng, Richard, Wallace, Gary, Creanor, Siobhan, Green, Colin, Hawton, Annie, Annison, Jill, Sinclair, Julia, Senior, Jane and Taylor, Adrian H. (2018) Health trainer-led motivational intervention plus usual care for people under community supervision compared with usual care alone: a study protocol for a parallel-group pilot randomised controlled trial (STRENGTHEN). BMJ Open, 8 (6), [e023123]. (doi:10.1136/bmjopen-2018-023123).

Record type: Article

Abstract

Introduction People with experience of the criminal justice system typically have worse physical and mental health, lower levels of mental well-being and have less healthy lifestyles than the general population. Health trainers have worked with offenders in the community to provide support for lifestyle change, enhance mental well-being and signpost to appropriate services. There has been no rigorous evaluation of the effectiveness and cost-effectiveness of providing such community support. This study aims to determine the feasibility and acceptability of conducting a randomised trial and delivering a health trainer intervention to people receiving community supervision in the UK. Methods and analysis A multicentre, parallel, two-group randomised controlled trial recruiting 120 participants with 1:1 individual allocation to receive support from a health trainer and usual care or usual care alone, with mixed methods process evaluation. Participants receive community supervision from an offender manager in either a Community Rehabilitation Company or the National Probation Service. If they have served a custodial sentence, then they have to have been released for at least 2 months. The supervision period must have at least 7 months left at recruitment. Participants are interested in receiving support to change diet, physical activity, alcohol use and smoking and/or improve mental well-being. The primary outcome is mental well-being with secondary outcomes related to smoking, physical activity, alcohol consumption and diet. The primary outcome will inform sample size calculations for a definitive trial. Ethics and dissemination The study has been approved by the Health and Care Research Wales Ethics Committee (REC reference 16/WA/0171). Dissemination will include publication of the intervention development process and findings for the stated outcomes, parallel process evaluation and economic evaluation in peer-reviewed journals. Results will also be disseminated to stakeholders and trial participants. Trial registration numbers ISRCTN80475744; Pre-results.

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Accepted/In Press date: 3 May 2018
e-pub ahead of print date: 4 June 2018

Identifiers

Local EPrints ID: 423495
URI: http://eprints.soton.ac.uk/id/eprint/423495
ISSN: 2044-6055
PURE UUID: 09413758-3bb4-4adc-87c4-d2a57322651b
ORCID for Julia Sinclair: ORCID iD orcid.org/0000-0002-1905-2025

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Date deposited: 25 Sep 2018 16:30
Last modified: 07 Oct 2020 01:40

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Contributors

Author: Tom P. Thompson
Author: Lynne Callaghan
Author: Emma Hazeldine
Author: Cath Quinn
Author: Samantha Walker
Author: Richard Byng
Author: Gary Wallace
Author: Siobhan Creanor
Author: Colin Green
Author: Annie Hawton
Author: Jill Annison
Author: Julia Sinclair ORCID iD
Author: Jane Senior
Author: Adrian H. Taylor

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