MEND: Community-based weight management and the
Health & Fitness sector
Prepared for: FIA Flame Conference
10th June 2009
MEND
Mind
Exercise
Nutrition
Do it!
Mission: To enable a significant,
measurable and sustained reduction
in overweight and obesity.
Programme philosophy• Design
• Obesity and delivery channel specialists• Conform to all relevant guidance e.g. NICE, NOO• Scalable, replicable, measurable, cost-effective
• Delivery• Trained non-specialists working in communities e.g. health,
education, health & fitness, childcare• Setting
• In the community• Participants
• Referral and self-referral• Referral
• GPs, dietitians and (practice / school) nurses
TREAT
PREVENT
TRAIN
Obese
Over weight
Healthy weight
Talking to Families About WeightLeader trainingOne day child obesity
awareness training
Portfolio of services
Research programme
• Feasibility 2002-3 (Sacher et al, 2005)
• Pilot 2004-5 (Sacher et al, 2006)
• 1st UK RCT 2005-7 (Sacher et al, 2007)
• UK Rollout (Jan –Dec 2008)
• 2nd UK RCT (2008-2012)
• International RCTs (2009-2013)o USAo Australia
UK Research team
Dr Paul Chadwick
Prof. Tim Cole
Maria Kolotourou
Dr Margaret Lawson
Prof. Alan Lucas
Paul Sacher
Prof. Atul Singhal
US Research team
Dr. Sarah Barlow
Dr. Nancy Butte
Dr. Eric Finkelstein
Dr. Deanna Hoelscher
Dr. Steven Kelder
Dr. Stephen Pont
Dr. Elizabeth Vandewater
Strong evidence base and research team
UK research results: A foundation for healthy living
n=104-82, 57% girls, 52% Caucasian, mean age 10.1, mean BMI z-score 2.8, 63.5% manual / unemployed
Outcomes sustained at 12 months
3.0
2.3
P<0.001
Start 12m
0.5
3.0
2.3
P<0.001
Start 12m
0.5
2.8
2.4
Start 12m
P<0.001
0.2
2.8
2.4
Start 12m
P<0.001
0.2
Waist circumference z-score BMI z-score
Recovery heart rate (bpm) Self-esteem score (out of 24)115
95
P=0.01
Start 12m
12
115
95
P=0.01
Start 12m
12
19
16.7
P=0.026
Start 12m
19
16.7
P=0.026
Start 12m
Turnkey solutions
Solution in a box: MEND kit Children’s resources
Standardisation: Manuals
Also:• Physical activity kit• Operations Management & Monitoring System
(OMMS)• Central support team• Quality Assurance• Media & Comms team
Major partners
Representative local partners
National reachA growing national network with over 300 programmes across the UK
MEND today
20 year research
partnership with Great Ormond
Street Hospital for Children & the UCL
Institute of Child Health
5 countries
230,000 families will benefit from
Move-it! our new national physical activity campaign
10,000families supported to date
£20mUK public-private
funding to run free programs
65 PCTs
35+ LAs
1% of overweight& obese children
Vision: Game changing opportunity for Health & Fitness sector
• Healthcare trends
• Policy
• Politics
• Practice
• Concept proven
• Strong FIA lead e.g. MoreActive4Life• Outcomes, quality & discipline are critical
• Target: 2012 Olympics & Legacy
• From competition for 12 – 20% of the population to a new market and funding opportunities
• MEND is seeking delivery partners
Entire sector can benefit from delivery of the health agenda
• Programming • Engaging families and
inactive (80%)• Membership / casual
income• Useage• Benefits to staff• Partnership working• New revenue streams
Operators
• Equipment suppliers• Support required • New needs
• Service providers• New systems needs• Links to health
• Training • Frontline staff• New programmes
Other FIA members
MEND and the leisure sector - ‘pilot’ results to date
•£2.1 m to end 2010, £1.3 m to date• 13 organisations • 350 leisure sector staff trained, but ~1,100 total staff trained
•Physical activity provided by:• FitPro, Bromley MyTime, Youth Sports Trust
•Good results – in line with healthcare sector• E.g. -1.0 BMI, -2.5 cm WC, -13 bpm post step test, -6.7 hrs
sedentary activity, nutrition score +25%, sub-par data gathering •Case study: DC Leisure
• 26 sites delivering MEND’s programmes• Big Lottery Fund (17), Sainsbury’s (3), PCTs & LAs (6)
•We are currently establishing delivery partnerships • Large organisations, FIA
Challenges
• Cultural change
• Training
• Evidence-based, not marketing-led, programmes
• Build credibility with healthcare professionals
• Partnership working
• Demonstrate ‘value for money’
MEND and the FIA
• Standards, child safety
• Healthcare delivery through FIA members
• Promoting role of leisure sector in public health & sharing evidence of success
• Demonstrating value for money
• Exciting joint projects, initially focused on MoreActive4Life
Unusually, a true win-win scenario seems possible
• Health & Fitness industry• New market: More members and revenue streams• Improved skills • Making a difference in a strategic way
• Department of Health (and Government and taxpayers)• Better value for money• Reach targets sooner• Capitalise on Change4Life
• MEND• Make more of a difference, faster
• Public• Fitter, healthier, happier – a real Olympic legacy
Thank you for your [email protected]
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