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Analysis revealed the value of community assets (community engagement workers, churches, and community centres) to publicise the event and engage community members.
Ex-offenders are being employed as engagement workers by the London Probation Trust to help reach reluctant service users.
(Attendee 3, male, 49 years, low risk score) This study highlights the value of community assets - local community centres, church, engagement workers, informal networks and local radio - and their role in facilitating uptake at NHS Health Check outreach events.
In this sense, the outreach event which employed local engagement workers were viewed by many attendees as trusted and respected members of the local community who played a pivotal role in influencing people's decision to attend a NHS Health Check.
The engagement workers for event one and two, specifically the male engagement worker capitalised on his standing in the local community to encourage his peers to attend the NHS Health Check event by phoning individuals known to him within his social network.
Prior to each outreach event, two engagement workers from the Afro-Caribbean community were employed to undertake pre-engagement activities such as door-to-door leafleting, contacting peers and other community members, publicising the event by distributing posters and leaflets at various amenities in the community (community centres, shops, bars, betting shop).
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Participants indicated that it was their respect for and loyalty to the engagement worker which prompted individuals to attend a NHS Health Check: 'Because my very good friend, [male engagement worker], called upon me.
However, despite uptake and interest amongst the peer group of the male engagement worker, this method may have excluded people who were outside of the male engagement worker's social network.
On the day of the outreach event, a member of staff, normally an engagement worker, was stationed outside the venue to meet and greet attendees.
The engagement worker informed attendees about the research on arrival and the researcher provided further information about the study and gained written informed consent.
This was particularly evident in the activity of the male engagement worker who was able to co-ordinate his male peers to attend by capitalising on his status in the community.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com