Health Promoter-Led Intervention

Patients and volunteers met weekly for at least one hour over nine months, either face-to-face or remotely. Intervention participants will receive four monthly face-to-face educational sessions lasting 2 hours each. The study will not include a process evaluation and will instead test possible effectiveness and feasibility in a low-resource context. A volunteer coordinator and the research team provided ongoing individual and group support to volunteers throughout the programme. Volunteers were encouraged to draw on their personal life experience rather than acting as health or clinical experts. Trained health promoters will deliver the intervention using health literacy, motivational interviewing and educational materials. Fidelity will be supported through supervision, audio recordings and a checklist. Volunteer training included DBS checks, safeguarding training, and a two-hour online session covering the mind-body relationship, role expectations, and boundary setting. Health promoters facilitating motivational interviews will receive a 2-day training course. The intervention will be developed from qualitative findings, interviews, focus groups, quantitative indicators, clinica…