Service Provider and User Transcripts Exploring the Acceptability of Brief Health Conversations Such as Making Every Contact Count Within the Third and Social Economy Sector, 2022-2023

Objectives: The Making Every Contact Count (MECC) initiative encourages brief, opportunistic conversations around health and wellbeing. Funding and training roll-out has facilitated MECC within the Third and Social Economy (TSE) sector (groups or organisations operating independently to family and government with social justice as the primary aim), yet minimal research exists. The current study aimed to explore the acceptability of health and wellbeing conversations such as MECC within the TSE, including their existence without MECC training. Methods: A qualitative design, utilising semi-structured, one-to-one interviews. Service providers (n=15) and users (n=5) across a variety of TSE settings including charities and religious settings were interviewed, most of whom had not received MECC training. Transcripts explore the acceptability of brief health conversations such as Making Every Contact Count (MECC) within the Third and Social Economy (TSE) sector. Health behaviours explored include smoking, alcohol consumption, diet, and physical activity. Interviews also explore conversations around the social determinants of health including housing, finance, and employment, and whether conversations around health and wellbeing occurred within these settings already. The beginning of each interview also explores the participants role and experience within the TSE setting. Reflexive thematic analysis was applied using Nvivo.

研究目标：「每一次接触都有意义」（Making Every Contact Count，简称MECC）倡议旨在推动围绕健康与福祉开展简短的即兴对话。当前已有资助与培训推广计划在第三部门与社会经济（Third and Social Economy，简称TSE）领域——即以社会正义为核心目标、独立于家庭与政府运作的团体或组织——落地MECC，但相关研究仍较为匮乏。本研究旨在探究MECC这类健康与福祉对话在TSE领域的可接受性，包括未接受MECC培训的情况下这类对话的开展情况。
研究方法：本研究采用质性研究设计，运用半结构化一对一访谈法。研究对象为来自慈善机构、宗教场所等多种TSE场景的15名服务提供者与5名服务使用者，其中多数未接受过MECC培训。访谈转录文本聚焦分析MECC这类简短健康对话在TSE领域的可接受性，所涉及的健康行为包括吸烟、饮酒、饮食与身体活动。此外，访谈还探讨了健康社会决定因素相关话题，如住房、财务与就业状况，以及此类场景中是否已存在健康与福祉相关对话。每段访谈开篇均会询问参与者在TSE场景中的角色与从业经验。本研究采用Nvivo软件开展反思性主题分析。