Table 2 Reports of what facilitated progress at individual, community and organisational levels
Individual level | Community level | Organisational level |
|---|---|---|
Facilitators Holistic focus on mental and physical health and emotional wellbeing Clear communications and marketing of wellness offer Free / minimal cost Smooth, efficient, confidential access and assessment process Skills, knowledge and non-judgemental approach of wellness coaches Behaviour change techniques, including personal plan, goal setting, diary keeping, motivation, self reporting and feedback Choice of gender of coach Coaches who take time, do not push, or pressurise but offer informed, personalised, tailor-made advice and guidance Non-stigmatising, discrete services in safe, appropriate accessible local venues, available evenings and weekends Service promotes independence, builds confidence, self-esteem, self-efficacy and sense of purpose Service provides opportunities to grow and develop as individuals, and to progress Volunteering, buddying and mentoring opportunities are offered Support is offered to change old habits and overcome setbacks | Facilitators Resourcefulness and encouragement; finding out about local services, support to access different activities Informal, social interaction with peers in groups, making friends, reducing social isolation Meeting up and doing activities with partners and others in community Building strong, inclusive local networks and social connections with people Promoting inclusive, mutual support and assistance through caring positive relationships including with those facing additional barriers Sharing experiences, learning together and from one another Making plans collectively and as a community Feeling part of something Taking control, promoting local activism Developing new skills, trying new things Giving and sharing e.g. food, cooking skills, recipes, experiences Increasing resilience Support to access long term funding opportunities Good inter-organisational links, including with LA, voluntary organisations and primary health care staff in GP practices | Facilitators Shared understanding and acceptance of theory and ownership of principles underpinning integrated wellness model Senior level endorsement, strong, positive leadership Solid, mature, trusting working relationships Working environment which is secure, satisfying and rewarding for staff Commitment to genuine partnership and respectful collaboration Joined up connections between different elements of service Provision of funding and resources for VCS Clear data management and reporting systems Performance monitoring data used to inform service planning and delivery Robust systems in place for staff and service user feedback, which informs service developments Joint accountability and shared responsibility for outcomes Clear support and supervision structures and training opportunities in place for staff Successes celebrated and lessons learnt and shared |