Peer advocacy and access to healthcare for people who are homeless in London, UK: a mixed method impact, economic and process evaluation protocol

Introduction People who are homeless experience higher morbidity and mortality than the general population. These outcomes are exacerbated by inequitable access to healthcare. Emerging evidence suggests a role for peer advocates—that is, trained volunteers with lived experience—to support people who...

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Main Authors: Robert W Aldridge, Alec Miners, Dee Menezes, Serena Luchenski, Andrew Hayward, Alistair Story, Lucy Platt, Elizabeth Williamson, Sujit D Rathod, Andrew Guise, PJ Annand, Paniz Hosseini, Kate Bowgett, Martin Burrows
Format: Article
Language:English
Published: BMJ Publishing Group 2021-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/6/e050717.full
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author Robert W Aldridge
Alec Miners
Dee Menezes
Serena Luchenski
Andrew Hayward
Alistair Story
Lucy Platt
Elizabeth Williamson
Sujit D Rathod
Andrew Guise
PJ Annand
Paniz Hosseini
Kate Bowgett
Martin Burrows
author_facet Robert W Aldridge
Alec Miners
Dee Menezes
Serena Luchenski
Andrew Hayward
Alistair Story
Lucy Platt
Elizabeth Williamson
Sujit D Rathod
Andrew Guise
PJ Annand
Paniz Hosseini
Kate Bowgett
Martin Burrows
author_sort Robert W Aldridge
collection DOAJ
description Introduction People who are homeless experience higher morbidity and mortality than the general population. These outcomes are exacerbated by inequitable access to healthcare. Emerging evidence suggests a role for peer advocates—that is, trained volunteers with lived experience—to support people who are homeless to access healthcare.Methods and analysis We plan to conduct a mixed methods evaluation to assess the effects (qualitative, cohort and economic studies); processes and contexts (qualitative study); fidelity; and acceptability and reach (process study) of Peer Advocacy on people who are homeless and on peers themselves in London, UK. People with lived experience of homelessness are partners in the design, execution, analysis and dissemination of the evaluation.Ethics and dissemination Ethics approval for all study designs has been granted by the National Health Service London—Dulwich Research Ethics Committee (UK) and the London School of Hygiene and Tropical Medicine’s Ethics Committee (UK). We plan to disseminate study progress and outputs via a website, conference presentations, community meetings and peer-reviewed journal articles.
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institution Kabale University
issn 2044-6055
language English
publishDate 2021-06-01
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series BMJ Open
spelling doaj-art-636d679922e04821bfdffda48669b87f2024-11-19T03:55:09ZengBMJ Publishing GroupBMJ Open2044-60552021-06-0111610.1136/bmjopen-2021-050717Peer advocacy and access to healthcare for people who are homeless in London, UK: a mixed method impact, economic and process evaluation protocolRobert W Aldridge0Alec Miners1Dee Menezes2Serena Luchenski3Andrew Hayward4Alistair Story5Lucy Platt6Elizabeth Williamson7Sujit D Rathod8Andrew Guise9PJ Annand10Paniz Hosseini11Kate Bowgett12Martin Burrows133 UCL Public Health Data Science Research Group, Institute of Health Informatics, University College London, London, UK7 Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UKUCL Farr Institute of Health Informatics Research, University College London, London, UKCollaborative Centre for Inclusion Health, Institute of Epidemiology & Health Care, University College London, London, UKDepartment of Epidemiology and Public Health, UCL Institute of Epidemiology and Health Care, London, UKFind&Treat, University College London Hospitals NHS Foundation Trust, London, UKDepartment of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UKDepartment of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UKDepartment of Population Health, London School of Hygiene & Tropical Medicine, London, UKSchool of Life Course and Population Sciences, King’s College London, London, UKSchool of Life Course and Population Sciences, King’s College London, London, UKFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UKGroundswell, London, UK2 Inclusive Insights, Bournemouth, UKIntroduction People who are homeless experience higher morbidity and mortality than the general population. These outcomes are exacerbated by inequitable access to healthcare. Emerging evidence suggests a role for peer advocates—that is, trained volunteers with lived experience—to support people who are homeless to access healthcare.Methods and analysis We plan to conduct a mixed methods evaluation to assess the effects (qualitative, cohort and economic studies); processes and contexts (qualitative study); fidelity; and acceptability and reach (process study) of Peer Advocacy on people who are homeless and on peers themselves in London, UK. People with lived experience of homelessness are partners in the design, execution, analysis and dissemination of the evaluation.Ethics and dissemination Ethics approval for all study designs has been granted by the National Health Service London—Dulwich Research Ethics Committee (UK) and the London School of Hygiene and Tropical Medicine’s Ethics Committee (UK). We plan to disseminate study progress and outputs via a website, conference presentations, community meetings and peer-reviewed journal articles.https://bmjopen.bmj.com/content/11/6/e050717.full
spellingShingle Robert W Aldridge
Alec Miners
Dee Menezes
Serena Luchenski
Andrew Hayward
Alistair Story
Lucy Platt
Elizabeth Williamson
Sujit D Rathod
Andrew Guise
PJ Annand
Paniz Hosseini
Kate Bowgett
Martin Burrows
Peer advocacy and access to healthcare for people who are homeless in London, UK: a mixed method impact, economic and process evaluation protocol
BMJ Open
title Peer advocacy and access to healthcare for people who are homeless in London, UK: a mixed method impact, economic and process evaluation protocol
title_full Peer advocacy and access to healthcare for people who are homeless in London, UK: a mixed method impact, economic and process evaluation protocol
title_fullStr Peer advocacy and access to healthcare for people who are homeless in London, UK: a mixed method impact, economic and process evaluation protocol
title_full_unstemmed Peer advocacy and access to healthcare for people who are homeless in London, UK: a mixed method impact, economic and process evaluation protocol
title_short Peer advocacy and access to healthcare for people who are homeless in London, UK: a mixed method impact, economic and process evaluation protocol
title_sort peer advocacy and access to healthcare for people who are homeless in london uk a mixed method impact economic and process evaluation protocol
url https://bmjopen.bmj.com/content/11/6/e050717.full
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