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Comparing perspectives of volunteers and patients on the Health Champions intervention in secondary mental health care: a qualitative study

Comparing perspectives of volunteers and patients on the Health Champions intervention in secondary mental health care: a qualitative study
Comparing perspectives of volunteers and patients on the Health Champions intervention in secondary mental health care: a qualitative study
Background: people with serious mental illness (SMI) can experience significant physical health challenges. The Health Champions intervention was developed to support their physical health through using trained volunteers. However, volunteer and patient perspectives on the impact and implementation of this intervention have yet to be understood.

Aims: to compare the views of patients and volunteers on the Health Champions intervention.

Design and setting: a qualitative thematic analysis was conducted on interviews with 29 study participants. Interviews were carried out either face-to-face, via Microsoft Teams, or by telephone and included 12 patients (6 men and 6 women) and 17 volunteers (the Health Champions) (5 men and 12 women).

Results: four overarching themes were identified, highlighting both similarities and differences between stakeholders’ perspectives: (1) supporting goal setting; (2) impact on positive lifestyle; (3) experiences and perception of the programme and (4) navigating challenges during the programme. Both groups found the programme to be largely successful, by motivating patients to work towards their physical health goals and facilitating successful matching of patients with volunteers. Volunteers and patients valued good communication with the research team. Though both groups shared some views on the challenges with scheduling and a lack of face-to-face contact during the COVID-19 pandemic, their perceptions on how patients incorporated their health changes during and after the programme, as well as other administrative concerns such as views on the efficacy of journaling and breakdown of roles, differed.

Conclusions: the Health Champions intervention was perceived as useful to improve the physical health of patients with SMI. Differences in the views between the two stakeholders may result from their distinct experiences and expectations. Future volunteering programmes should further support the diverse physical health needs of patients with SMI.
Behavior, Capacity Building, Clinical Trial, Exercise, Health, Physical Fitness
2044-6055
Costa, Mariana Pinto da
7198aa11-c839-418b-b426-4c5b2d4574ca
Chang, Wen Ching Andrea
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Wu, Yuxin
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Spence, Scarlett
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Cho, Hyeon Jeong
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Sadler, Euan
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McGrath, Raymond
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Tredget, Gracie
dd4c597f-752c-449c-a14e-338d1905579b
Mdudu, Isobel
004a4518-d54a-4f52-b69c-5d7387ec0439
Gaughran, Fiona
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Sevdalis, Nick
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Bakolis, Ioannis
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Williams, Julie
dfe1a3b6-27bc-40bf-9cae-5d7cba1cb5ec
Costa, Mariana Pinto da
7198aa11-c839-418b-b426-4c5b2d4574ca
Chang, Wen Ching Andrea
4f48ef1b-1c5a-4c84-8612-9703d6d608f9
Wu, Yuxin
d2f33c13-6c64-48d7-9ccf-d2676e70ffc1
Spence, Scarlett
69f56840-d867-4444-b3e3-0aa341cb352a
Cho, Hyeon Jeong
3d9b5f79-2b0b-4ad8-af9b-53aa62c00d6a
Sadler, Euan
e5891abe-c97b-4e74-b9b3-6d7c43435360
McGrath, Raymond
d860f5ac-c8aa-4a26-bde6-94ef8041593a
Tredget, Gracie
dd4c597f-752c-449c-a14e-338d1905579b
Mdudu, Isobel
004a4518-d54a-4f52-b69c-5d7387ec0439
Gaughran, Fiona
85cea28a-18ac-48fc-a0be-3c2984f93afc
Sevdalis, Nick
b1283c35-c185-4b0c-a769-c7afbf6bc1c4
Bakolis, Ioannis
54e6f0bd-a46a-4e17-8874-da1caeb63cbd
Williams, Julie
dfe1a3b6-27bc-40bf-9cae-5d7cba1cb5ec

Costa, Mariana Pinto da, Chang, Wen Ching Andrea, Wu, Yuxin, Spence, Scarlett, Cho, Hyeon Jeong, Sadler, Euan, McGrath, Raymond, Tredget, Gracie, Mdudu, Isobel, Gaughran, Fiona, Sevdalis, Nick, Bakolis, Ioannis and Williams, Julie (2026) Comparing perspectives of volunteers and patients on the Health Champions intervention in secondary mental health care: a qualitative study. BMJ Open, 16 (2), [e110760]. (doi:10.1136/bmjopen-2025-110760).

Record type: Article

Abstract

Background: people with serious mental illness (SMI) can experience significant physical health challenges. The Health Champions intervention was developed to support their physical health through using trained volunteers. However, volunteer and patient perspectives on the impact and implementation of this intervention have yet to be understood.

Aims: to compare the views of patients and volunteers on the Health Champions intervention.

Design and setting: a qualitative thematic analysis was conducted on interviews with 29 study participants. Interviews were carried out either face-to-face, via Microsoft Teams, or by telephone and included 12 patients (6 men and 6 women) and 17 volunteers (the Health Champions) (5 men and 12 women).

Results: four overarching themes were identified, highlighting both similarities and differences between stakeholders’ perspectives: (1) supporting goal setting; (2) impact on positive lifestyle; (3) experiences and perception of the programme and (4) navigating challenges during the programme. Both groups found the programme to be largely successful, by motivating patients to work towards their physical health goals and facilitating successful matching of patients with volunteers. Volunteers and patients valued good communication with the research team. Though both groups shared some views on the challenges with scheduling and a lack of face-to-face contact during the COVID-19 pandemic, their perceptions on how patients incorporated their health changes during and after the programme, as well as other administrative concerns such as views on the efficacy of journaling and breakdown of roles, differed.

Conclusions: the Health Champions intervention was perceived as useful to improve the physical health of patients with SMI. Differences in the views between the two stakeholders may result from their distinct experiences and expectations. Future volunteering programmes should further support the diverse physical health needs of patients with SMI.

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More information

Accepted/In Press date: 5 January 2026
Published date: February 2026
Keywords: Behavior, Capacity Building, Clinical Trial, Exercise, Health, Physical Fitness

Identifiers

Local EPrints ID: 509491
URI: http://eprints.soton.ac.uk/id/eprint/509491
ISSN: 2044-6055
PURE UUID: 8474c837-47f6-4017-a281-72cceda4f5a4
ORCID for Euan Sadler: ORCID iD orcid.org/0000-0003-3827-224X

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Date deposited: 24 Feb 2026 17:45
Last modified: 07 Mar 2026 04:00

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Contributors

Author: Mariana Pinto da Costa
Author: Wen Ching Andrea Chang
Author: Yuxin Wu
Author: Scarlett Spence
Author: Hyeon Jeong Cho
Author: Euan Sadler ORCID iD
Author: Raymond McGrath
Author: Gracie Tredget
Author: Isobel Mdudu
Author: Fiona Gaughran
Author: Nick Sevdalis
Author: Ioannis Bakolis
Author: Julie Williams

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