HaHP Phase 2: Primary Prevention

Have a Heart Paisley's primary prevention work targets people in Paisley aged 45-60, with the intention of reducing that population's risk of cardiovascular disease.

Quick links on this page:

Overview
Nurse Health Checks
Health Coaching
Health Coaching Induction Programme
Tobacco
Healthy Eating
Physical Activity

Overview

HaHP's primary prevention activities are based around offering a CHD risk assessment health check to all those aged 45-60 in Paisley, and inviting those participants to take part in a "Health Coaching" programme to help them identify the health behaviour changes they wish to make and support them in making these changes.

At the start of Phase 2 of Have a Heart Paisley, a mapping of participatory needs assessment took place to assess the needs of Paisley people in relation to the three main CHD risk factors. In response to this, and using learning from Phase 1 of HaHP, activity has been focused on Tobacco, Healthy Eating and Physical Activity.

Data will be collected at various points during the coaching process to identify changes in health status and also behaviour change achieved pertaining to diet, level of physical activity, smoking status and wellbeing. In response to a mapping and needs assessment exercise, services relating to the three risk factors will also be implemented within Paisley.

Nurse Health Checks

Over the first few months of 2006, every 45-60 year old in Paisley received an invitation to have a free heart health check. The health checks are carried out by Have a Heart Paisley nurses, and take place at the individual’s choice of venue: their home, a local community centre or a primary care facility.

Checks take approximately 40 minutes and the assessment uses criteria such as blood pressure, cholesterol and smoking status to estimate the participant's risk of developing heart disease. The nurse is then able to advise clients on any action they should take to reduce that risk.

Health Coaching

Health coaching for primary prevention is a method being tested with 45-60 year olds at risk of heart disease to provide one-to-one support and individualised guidance for lifestyle changes. It is seen as a set of skills that will be used with a person in order to guide positive health behaviour changes. It will be used specifically in relation to the CHD risk factors of healthy eating, physical activity and tobacco but also incorporates raising confidence and optimism to aid the change process.

Health Coaching Induction Programme

Below are the various training materials which were used during the 'Have a Heart Paisley Health Coach Induction Programme' which took place in May 2006.

The programme was delivered to a team of 'Health Coaches', who offer one-to-one support to people in Paisley at risk of or with established CHD and consisted of training on a number of key topics.

Download – Health Coach Induction Programme Training Timetable
Download – HCIP Resource List
Download – Resource List Pathway Key

Day 1: Introduction

Download Day 1 – Programme
Download Day 1 – Icebreaker – human bingo
Download Day 1 – Training Programme Overview presentation
Download Day 1 – Overview of HaHP Phase 2 presentation
Download Day 1 – Primary Prevention health coach presentation
Download Day 1 – Secondary Prevention health coach presentation
Download Day 1 – Marketing Materials and Resources presentation
Download Day 1 – Evaluation Overview
Download Day 1 – HR Procedures

Day 2: Positive Psychology / Optimism

Download Day 2 – Programme

This topic covered:

Overview of positive psychology
Completion of questionnaires to measure optimism
Concept of Explanatory Style
Research evidence of the importance of optimistic attitudes
Group work exercise on examples of pessimistic/optimistic styles in self and clients
Techniques to counteract pessimism – ABCDE/rapid fire disputing
Individual/group work exercises on using ABCDE

This component was delivered by an external party:

Carol Craig from the Centre for Confidence and Well Being. Details of this topic and contact details can be obtained from the CCW website (external link).

Days 3 and 4: Motivating Behaviour Change

This topic covered:

Behaviour change and health improvement
Behaviour change – Issues we meet
Determinants of health
Influences on health and relevant strategies
Policy context for behaviour change
Client centred approaches and empowerment
Behaviour change theories
Behaviour change in your own life
Risky behaviour
Negotiating behaviour change and evidence for effectiveness
The spirit of negotiating behaviour change
Key concepts and framework
Practising the art
Structures and systems to support this method in practice
Putting learning into practice

This component was delivered by an external party: Liz Cornwallis
Professional Training and Consultancy for Public Health and Health Improvement
Email Liz Cornwallis

Day 5: Health Inequalities and Community Development

Download Day 5 – Programme
Download Day 5 – Detailed Programme with Exercises

This topic was developed using four existing training packages which were:

'Health Issues in the Community' (HIIC) published by HEBS 2002
'Getting Our Act Together' published by the Community Development Foundation (CDF)
'Achieving Better Community Development' (ABCD) published by Scottish Community Development Centre
'LEAP for Health' by NHS Health Scotland

This section was also informed by the National Standards for Community Engagement:

Download National Standards for Community Engagement (external link – 524 KB PDF)

Another useful resource is the Community Led Supporting and Developing Healthy Communities Task Group Report:

Download Community Led Supporting and Developing Healthy Communities Task Group Report

Day 6 – Physical Activity

Much information was adapted from an existing training package 'A Little Physical Activity Means a Lot' available from Greater Glasgow and Clyde Health Board.

Day 7: Tobacco

The Smoking Cessation part of this training was adapted from information from ASH Scotland (external link) and information from the National
Institute for Health and Clinical Excellence (external link) (NICE) 2002

Download Day 7 – Programme
Download Day 7 – Training Outline Document
Download Day 7 – Tobacco Training Overview Presentation
Download Day 7 – NRT Presentation
Download Day 7 – Cannabis and Tobacco Presentation

Day 8: Healthy Eating

Download Day 8 – Programme
Download Day 8 – Training Plan
Download Day 8 – Healthy Eating Presentation
Download Day 8 – Case Studies
Download Day 8 – Case Studies Notes and Answers

Day 9: Dietary Assessment, Angina and Chronic Disease Management and CHD Risk Factors/CVD Risk Modification in Clinical Practice

Download Day 9 – Programme (am only)
Download Day 9 – Training Plan
Download Day 9 – Dietary Assessment and Advice (Primary Prevention) Presentation
Download Day 9 – Dietary Assessment and Advice (Secondary Prevention) Presentation
Download Day 9 – Dietary Assessment Tool
Download Day 9 – Measuring Waist Circumference Handout
Download Day 9 – Achieving Dietary Change Handout
Download Day 9 – Dietary Assessment Case Studies Examples
Download Day 9 – Dietary Assessment Case Studies Answers

Angina and Chronic Disease Management:

Download Day 9 – Detailed Programme (late am only)
Download Day 9 – Chronic Disease Management Presentation

CHD Risk Factors/CVD Risk Modification in Clinical Practice:

Download Day 9 – Risk Factor Management Presentation
Download Day 9 – Risk Factor Quiz Instructions
Download Day 9 – Risk Factor Quiz Slide
Download Day 9 – CVD Risk Modification in Clinical Practice Presentation
Download Day 9 – CHD Risk Factors – HEART Male Slide
Download Day 9 – CHD Risk Factors – HEART Female Slide

Day 10 – Health Behaviour Change Network (HBCN)

Download Day 10 – Training Plan
Download Day 10 – HBCN User Manual
Download Day 10 – HBCN Health Coach Manual

Day 11 – Alcohol Awareness

This component was delivered by an external party:

Renfrewshire Council on Alcohol
Mirren House
Back Sneddon Street
Paisley
Renfrewshire PA3 2AF

Tel: 0141 887 0880
Fax: 0141 887 8063
E-mail: info@renfrewcouncilonalcohol.org.uk

Tobacco

The Tobacco strand of primary prevention work focuses on the following activities:

Give up and get going – An intervention to test out whether incorporating structured physical activity into a smoking cessation programme will increase cessation rates and adherence to programme (quit attempt).
Cutdown2quit – Using a harm reduction approach to reducing cigarette consumption with the final goal to quit.

Healthy Eating

The Healthy Eating strand of primary prevention activity focuses on the following activities:

Cooking on a budget courses – A 4-week course on how to cook healthily on a budget. People are invited to come along to a local college for 4x2.5 hour sessions. Chefs at the college run the classes, up to 15 participants at a time.
Fruit and vegetable home delivery – working with local suppliers to promote/signpost participants to the existing home delivery scheme offering a smaller £2.75 value box in order to enhance attractiveness for people with lower spending power).
Fruit and vegetable discount vouchers – Working with independent retailers and fruiterers within the most deprived ward areas to increase access and availability of fruit and veg via subsidy vouchers from HaHP. Clients receive £2 off fruit and vegetables on a weekly basis.
Weight management support – group and individual support to be offered with dietetic input.

Physical Activity

The Physical Activity strand of primary prevention activity focuses on the following activities:

Physical activity classes in conjunction with Renfrewshire leisure classes
Renfrewshire leisure "Go hard" discounted scheme links
Linking in with phase one community based dance and Tai chi classes
Give up and get Going – An intervention to test out whether incorporating structured physical activity into a smoking cessation programme will increase smoking cessation rates and adherence to programme (quit attempt)

Section navigation:

healthscotland.com