Fit Fans: Football Health and Older Men
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Transcript of Fit Fans: Football Health and Older Men
Evaluation of Extra Time | Wednesday 12 January 2011
Daniel Parnell, University of DerbyDaniel Bingham, Liverpool John Moores University; Roger Jones, Age UK & Dave Richardson, Liverpool John Moores University
Fit Fans: Understanding the Effectiveness of an Intervention to Promote Positive Behaviour Change in Older Men
Evaluation of Extra Time | Wednesday 12 January 2011
• Background of Football in the Community
• Setting the Scene: The Partnership
• Overview of Methods
• The Project
• Reflections
• Ways Forward
The plan for today
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
• Football in Community programmes started in 1986 to build greater links between clubs and communities
(Brown, Crabbe and Mellor, 2006).
• Initially focused on traditional football coaching with young children
(Mellor, 2008)
• However, FitC schemes are beginning to tackle major social agendas (i.e., social inclusion, obesity, mental health)
(Watson, 2000; Parnell, 2013)
Historical Development
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
• Sport has often been heralded as a way to create social change.
• Sport and specifically Football, can be utilised to help reach the
most ‘at risk’ people/children through community interventions,
tackling issues including health, social inclusion, and social
regeneration. (DOH, 2004).
Why have community programmes been linked to Professional Football Clubs?
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
‘Football for Health’ (FIFA, 2008) stated that not only can playing football help tackle obesity, diabetes and hypertension it states:
‘And why not tap the full potential full potential of this unique tool to spread
simple but effective messages on how to protect oneself from the
most devastating infectious diseases such as HIV, tuberculosis
and malaria? Because these 'big three' are responsible for about
three million deaths in Africa every year, the FIFA World Cup 2010
South Africa will be an invaluable opportunity to reach those most
heavily threatened by them’.
The Power of Football as a Vehicle for Social Change
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
The Power of Football as a Vehicle for Social Change
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
• 20 Premier League FitC schemes
(often independent organisations i.e., charities)
http://www.premierleague.com/page/CommunityPL
Premier League Health is a £1.63 million project funded by the New Football Pools aimed specifically at men.
•84m invested in community projects•2,431 community projects funded•316 educational projects funded
(2011)
http://www.footballfoundation.org.uk/
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
Culture of Liverpool:
What images do you visualise when you think about the city of
Liverpool?
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
Everton F.C
Liverpool houses some of the most deprived people and areas in England
Health related issues tend to be most prevalent in areas (typically) described ‘deprived’
Evaluation of Extra Time | Wednesday 12 January 2011
Everton FC & Community Engagement
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Most deprived local authority in England 2004-2007 (LCC, 2007).
Vision: “To motivate, educate and inspire by harnessing the power of football and sport to change lives within our community”
Evaluation of Extra Time | Wednesday 12 January 2011
Everton Active Family Centre (EAFC)
In 2008, the joint venture between Everton in the Community and Liverpool John Moores University, School of Sport and Exercise Sciences, saw the development of the Everton Active Family Centre (EAFC) which is a unique fitness facility based within the grounds of Goodison Park.
Evaluation of Extra Time | Wednesday 12 January 2011
The birth of Fit Fans
Fit as a Fiddle (FaaF) is part of Age UK and funded by the Big Lottery.
Their work has been presented by Roger Jones during the conference, who leads the strand for older men.
At the time we had work in place for men 18-34, but no provision for older men – we wanted to change this!
Therefore work began with FaaF, Age UK and local Age Concerns to help develop Fit Fans.
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
Overview of methods
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
• 7 men aged 45>
• 1 hr weekly sessions
• Betwen Oct 2011 – May 2012 (8 months)
• Personalised programme
• Physiological measurement’s included (BMI, RBP & AG)
Evaluation of Extra Time | Wednesday 12 January 2011
EAFC Seminar:
• Engagement with all local stakeholders
• Grassroots and strategic
• Platform to disseminate, share (and
plenty of food!)
Results: how did ‘we pick the men up’?
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
• Referrals through NHS &
word of mouth
Evaluation of Extra Time | Wednesday 12 January 2011
Unexpectedly the cohort
exhibited a range of serious
diagnosed illnesses that
challenged the
practitioner’s skill base and
experience in delivery on
the health agenda.
Results
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
Robert, 63•Physical Disability/chronic pain (spinal injury); Obesity; Hypertension (M); High Cholesterol (M); Osteoarthritis
Ant, 62•Obesity; Gout; Hypertension (M); High Cholesterol (M); Osteoarthritis
Nigel, 64•Diabetes Mellitus (Type II) ; Obesity; Hypertension (M); Osteoarthritis
Mick, 56•Depression (M); Anxiety (M); Obesity
Results: health demographics
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Mick, 56•Depression (M); Anxiety (M); Obesity
Lee, 47•Depression (M); Anxiety (M); Addiction (Alcohol and Substance)
Ryan, 62•Bowl Cancer (within 12 month remission)
Ben, 59•Post-polio syndrome (M)
Evaluation of Extra Time | Wednesday 12 January 2011
• The results show no significant changes within the physiological
measures; however results evidence positive BMI changes in 3 men and
weight management across the cohort.
Results: physiological measures
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
• The men did make a range of
more subtle bespoke goals that
impacted their day-to-day
existence significantly
For example:
- ability to walk short distances,
- reduction in alcohol intake
...which made them ‘feel better’.
Results: goal setting
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
• Men stated that the practitioners played a critical role n their continued participation in the programme
“You always hear that runners get a high or something, but I just always felt knackered lad. You know what I mean? But what I will say is, having a bit of banter with Dan, and having him keep banging on about getting out there and doing a little bit extra...well really he is right. I look back and I felt knackered walking around, but now no problem, easy!” (Nigel)
“Coming here once a week and me starting to go the gym in my own time, has really improved my confidence, I was putting weight on, but advice given has really made me believe I can get rid of this weight and get back into work.” (Mick)
Results: the role of the practitioner
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
I haven’t lost weight Dan (practitioner) but I tell you what I feel on top of the world! After sweating it out on that treadmill. I mean...I get down (emotionally) a fair bit especially living by myself, not working (i.e., not in employment) no more and our kid (brother) being ill and living in that care home. And just coming here talking to you about all this health and fitness stuff - you just feel fitter and better just talking about it (Nigel)
Results: the role of the practitioner
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
“As a health and exercise practitioner (with a degree in Sport and Exercise Science) I was aiming to get these fellas, off the couch and out there. Walking more, going to the gym, cycling, swimming all those types of activities. I believed that age was only a number and when you are retired and have plenty of time to keep healthy and active. There is no reason why you can’t reach 30 minutes of moderate exercise, or even an hour !?
Results: the practitioners reflections
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
“The men looked at me in shock when I suggested that they jogged on the treadmill, or even asking them to aim for the goal of walking 30 minutes every day “...what walk 30 minutes it ain’t happening lad - simple”.
I asked Robert if could try and do an extra two reps on the chest press (he had only done 4). He replied clearly without the slightest hesitation “I will do what I can do lad, have you forgot I am not 21 like yourself”. I replied “well how about aiming higher it’s my job to try and increase intensity in order to achieve your health goals, and its only two reps.”
Robert replied “Well two reps f*#king hurt lad.”
Evaluation of Extra Time | Wednesday 12 January 2011
Results: the role of the practitioner
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
A caring, informed, multi-skilled practitioner (i.e., data collection, health, exercise, psychology, counselling skill & knowledge of special populations and behaviour change) was essential in:
•Maintaining engagement
•Providing a service in the heart of an area of multiple deprivation
•Deploying evidence based practice
•Collating evidence of impact
Evaluation of Extra Time | Wednesday 12 January 2011
Results: the football clubs role
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
“You give me a choice of going to some boring shitty community health club with people hogging the equipment, or coming here having a gym at Goodinson Park to myself, with free health support aint real, me mates laugh at me when I tell them”. (Nigel).
“Its local, its round the corner, and its Everton, it’s a top club so to have stuff like this is surprising.” (Ryan).
“I still get excited coming here every week, coming to Everton to get fit is as near to a kids dream of coming to Goodison to play football. It’s just the best” (Mick).
Evaluation of Extra Time | Wednesday 12 January 2011
All participants reported the FC playing a role in making the prospect of
engaging in behaviour change and exercise ‘more appealing’ than
mainstream National Health
Service support.
In essence coming to the football
club to train had a greater
‘pull’ than anything else available.
Results: the football clubs role
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
• Practitioners have to be accustomed of subjective subtle goal
setting that is appropriate to each individual and their daily life;
and not engaging in the typical nature of just following national
guidance.
• Whilst also be able to effectively deal with the complex needs of
older men (i.e., a range of serious illness's).
• The involvement of the FC appeared to contribute favourably to
maintenance in the intervention.
Discussion points
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
The notion of a caring practitioner is noted by Hillsdon (1998)… the knowledge base of the practitioners was central in gaining trust and co-operation. Furthermore, Bogdan-Lovis et al. (2006), noted that co-operation and trust enhanced adherence and sustained life changes.
The empathic nature of the practitioners and their ability to take on the client’s personal challenges be they physical, emotional or social in a fun, enjoyable, non-threatening and safe environment is an essential component of their success…
(placement student’s consultancy report conclusion)
Thoughts moving forward
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
Engagement is more productive than preaching…
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
Evaluation of Extra Time | Wednesday 12 January 2011
Extended thank to all of the “Gents” that took part in the program and also to all of the volunteers during the intervention for their input, dedication and passion.
The authors would also like to acknowledge and
dedicate this work to Ray (“Ryan”) who sadly passed away in the spring of 2012 to a reoccurrence of Cancer. Such a brilliant and wonderful person and a joy to work
with and get to know.
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing
30.
Title of PPT show | Monday, April 10, 2023
Thank you for listening.
Dan Parnell School of Science University of Derby t: 07538500348e: [email protected]: www.derby.ac.uk
twitter: @parnell_daniel blog: TheCommunityFootballBlog
Fit Fans | Friday 17th August 2012, World Congress on Active Ageing Football Clubs as a Vehicle for Promoting Health in Older People | Friday 17th August 2012, WCAA