People discussed what lay assessing is, why they want to do it, skills and support needed and if training was wanted. Meetings were held between interested public and staff from research organisations. This paper reports on setting up a training programme for lay assessors. This is where people, drawing upon personal and general life experience, comment on material, such as grant applications and patient information, to highlight strengths and weaknesses and to suggest improvements. Members of the public share their views with researchers to improve health and social care research. Horobin, Adele Brown, George Higton, Fred Vanhegan, Stevie Wragg, Andrew Wray, Paula Walker, Dawn-Marie Uptake of this recommendation could expand HIV testing to more people globally.Ĭo-producing public involvement training with members of the public and research organisations in the East Midlands: creating, delivering and evaluating the lay assessor training programme. Based on evidence supporting using trained lay providers, a WHO expert panel recommended lay providers be allowed to conduct HTS using HIV RDTs. Values and preferences studies generally found support for lay providers conducting HTS, particularly in non-hypothetical scenarios. Studies from Cambodia, Malawi, and South Africa comparing testing quality between lay providers and laboratory staff found little discordance and high sensitivity and specificity (≥98%). 27%, percent difference: 30, 95% confidence interval: 27-32, p lay providers. One US-based randomized trial found patients' uptake of HTS doubled with lay providers (57% vs. Of 6113 unique citations identified, 5 studies were included in the effectiveness review and 6 in the values and preferences review. Screening and data abstraction were conducted in duplicate using systematic methods. Searching was conducted through 10 online databases, reviewing reference lists, and contacting experts. We also reviewed data on end-users' values and preferences around lay providers preforming HTS. Peer-reviewed articles were included if they compared HTS using RDTs performed by trained lay providers to HTS by health professionals, or to no intervention. We conducted a systematic review of studies evaluating HTS by lay providers using rapid diagnostic tests (RDTs). Task-sharing HTS to trained lay providers may alleviate health worker shortages and better reach target groups. New strategies for HIV testing services (HTS) are needed to achieve UN 90-90-90 targets, including diagnosis of 90% of people living with HIV. Kennedy, C E Yeh, P T Johnson, C Baggaley, R Should trained lay providers perform HIV testing? A systematic review to inform World Health Organization guidelines. The approach used for TFT-TFS could be disseminable in multiple low- and middle-income country contexts through train-the-trainer programs targeted to teachers. Teachers have been neglected as lay interventionists for tobacco cessation despite the fact that they tend to be highly respected and credible. Although we cannot isolate the precise contribution of the lay interventionists to the successful TFT-TFS intervention, the abstinence findings in favor of the intervention at follow up are highly encouraging. We focused on the importance of respecting teachers as individuals and identifying locally relevant methods of cessation. We also stressed that neither the health educators nor lead teachers were being trained as counselors or as cessation experts. We emphasized encouraging and supporting teachers to quit tobacco use and engaging both tobacco users and nonusers to create a supportive environment for cessation. The lay interventionists included health educators and lead teachers, both of whom were selected based on formative research, underwent extensive training and received continuing support. This school-based program included multiple components, with lay interventionists having a crucial role. The purpose of this paper is to provide a case study example of how lay interventionists may be trained and supported to facilitate tobacco use cessation, based on the successful Tobacco Free Teachers-Tobacco Free Society program (TFT-TFS) implemented in Bihar, India. This is true despite low-cost methods that have potential for widespread dissemination. Training Lay Interventionists to Support Tobacco Cessation among Teachers in India.Īghi, Mira Nagler, Eve Lando, Harry Pednekar, Mangesh Gupta, Prakash Sorensen, Glorianĭespite the rapidly increasing burden of tobacco-related morbidity and mortality in low- and middle-income countries, tobacco control initiatives - especially cessation - receive little emphasis.
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