Presented by: Chris Topping and Marc Harris

Presentation Aims: Beat the Street ProgrammePresentation Aims: Beat the Street Programme

1 To provide a brief overview of Beat the Street in Dumfries and1. To provide a brief overview of Beat the Street in Dumfries andGalloway

2. To provide information on how Beat the Street was delivered

3. To provide high level results on Beat the Street

What is Beat the StreetWhat is Beat the Street• Innovative approach encouraging

daily physical activitydaily physical activity

• A real life walking/cycling gameg y g gaccessible to the wholecommunity

• A collective community challengeto walk round the worldto walk round the world

• A cross-sector partnershipA cross sector partnershipbetween Intelligent Health andDumfries and Galloway

Evidence for Beat the StreetEvidence for Beat the Street

A commitment to evidenced based practice including:

• Community mass participation (typically 14% of whole community engaged)

• Engagement across the life-course and associated health and wellbeing benefitsg

• Sustained behaviour change in physical activity

• Behaviour change towards active travel. Strategically placingBeat Boxes across communities encouraging active travelBeat Boxes across communities encouraging active traveljourneys

Beat the Street in Dumfries and Galloway - RationaleBeat the Street in Dumfries and Galloway - Rationale

• High levels of inactivity across• High levels of inactivity across population

• Growing older adult population

• Increasing number of people living with 2+ long term conditions (LTC)( )

• Supporting inactive people to be active will bring significant health and economic gains most easily delivered throughhealth and economic gains most easily delivered through walking

Aims and ObjectivesAims and Objectives

Beat the Street – Set UpBeat the Street – Set Up

2 t id tifi d f B t th St t• 2 towns identified for Beat the Street o Annan (9,000) / Dalbeattie (4,200)

B th t h d it f i i h i l• Both towns had a community focus on improving physical activity opportunities/levels

• Local project manager appointed leading community• Local project manager appointed leading community engagement and enhance partnership working

• 6 week game: 1st September-Monday 12th October 2015

• 20 boxes Annan / 18 boxes Dalbeattie

The Community Engagement ApproachThe Community Engagement Approach

• Cross sector working• Cross sector working

• Engagement reached all areas of theEngagement reached all areas of the community

• Community events

The MethodologyThe Methodology• BTS employed quantitative and qualitative evaluation data.

• Quantitative– Data was recorded from ‘Beat Boxes’ recording taps speedsData was recorded from Beat Boxes recording taps, speeds

between boxes by individual/team

– A self-report questionnaire (SRQ) was issued pre-game, immediately post game then after 6 months

– Survey evaluation was carried out by independent evaluatorsevaluators

The MethodologyThe Methodology• Qualitative

Data from social media– Data from social media and event feedback was collated

• Physical Activity Return on Investment– Data taken from the

SRQ was applied toSRQ was applied to measure changes in physical activity

Beat Box Scanners: IntelligenceBeat Box Scanners: Intelligence

Results: ‘Beat Box’ ScannersResults: Beat Box Scanners

% Registered Annan DalbeattieTotal town engaged 39% 36%Total participants 3,145 1,552% 50+ years 18% 25%Registered participants l d i ti

14% 18% Reaching the classed as inactiveTrips by inactive participants

46% 42%

gmost inactive

p p% LTC 13% 14%Total swipes 330,894 158,361

Results: Self Report Questionnaire – Response ratesResults: Self Report Questionnaire – Response rates

Town Baseline(n)

Post Game (n) 6 months (n)

Annan 2,096 45 100

Dalbeattie 1,144 50 83

Increase Physical ActivityIncrease Physical ActivityAnnan Dalbeattie

Pre Post 6 Month Pre Post 6 Month

Change in proportion meetingPA recommendations 41% 51%* 54% 37% 43% 41%

Change in proportion ofinactivity 14% 8% 5% 18% 11% 12%

Change in number days walked15+ minutes 5+ over past week 59% 61% 65% 52% 63% 62%

Change in people reportingcycling once a week 28% 42%* x 29% 42%* x

Changes were equally likely by gender, age and long-term condition• *   = statistically significant• PA = Physical Activity 

Enhanced Community CohesionEnhanced Community Cohesion• 64% Annan and 80% Dalbeattie reported ‘feeling part of the

community’ was a main benefit of Beat the Streetcommunity was a main benefit of Beat the Street

“I am a volunteerbefriender and did Beatbefriender and did Beatthe Street with myyoung person. It reallyy g p yhelped us to bond,giving us a fun activityto do together ”to do together.

Annan ParticipantAnnan Participant

Connecting People to the Local EnvironmentConnecting People to the Local Environment

“It got my wife and I out walking as we are 73 years old itIt got my wife and I out walking as we are 73 years old itkeeps you moving and motivated. Plus the people youmeet and speak to all helps to keep it interesting. Also wehave a different view of Dalbeattie now. It is a veryinteresting town, very clean, tidy houses and gardens. Ithas all been worthwhile”has all been worthwhile

Dalbeattie participant

Physical Activity Return on InvestmentPhysical Activity Return on Investment

• 26 years of quality of life were gained across Annan/Dalbeattie. y q y g• The cost per QALY was approximately £2,600, well below the

£20,000 per QALY threshold for a drug to be deemed cost effective.

For every £1 spent on BTS, after 2 years the following savings are generated:

Physical Inactivity and Poor Mental WellbeingPhysical Inactivity and Poor Mental WellbeingWEMWBS SCORE BY SELF REPORTED DAYS OF

ACTIVITY AT THE START OF BTS STRANRAER

54 85356.401

60.000

ACTIVITY AT THE START OF BTS STRANRAER

0 Days 1 Day 2 Days 3 Days 4 Days 5 Days 6 Days 7 Days

47.06548.727 49.398

50.97553.081

54.853

45 000

50.000

55.000

35.000

40.000

45.000

27.667

25.000

30.000

S l 849 0 D 42 1 D 31 2 D 77 3 D 108 4 D 118 5 D 124 6 D 75 7 D 274Sample 849: 0 Days: 42; 1 Day: 31; 2 Days: 77; 3 Days: 108; 4 Days: 118; 5 Days: 124; 6 Days: 75; 7 Days: 274

0 Days statistically lower than all other days (P < 0.01)1, 2 and 3 Days statistically lower than 6 and 7 (P < 0.05; 0.01)4 Days statistically lower than 7 days (P < 0.01)

StatisticalTests:

ConclusionConclusionBeat the Street encouraged mass community participation in a health and wellbeing interventionhealth and wellbeing intervention

• Beat the Street captured the imagination of two towns• Connections within communities at every level• Health and wellbeing of communities improved with evidence of

sustained effect after 6 months specifically:sustained effect after 6 months, specifically: – BTS reached the most inactive – Physical activity levels increased / Car usage decreasedPhysical activity levels increased / Car usage decreased – Communities more connected with their environment

• The programme provides a positive return on investment and is p g p pcost effective