Guys and St Thomas Charity Future Thinking: Obesity

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Guys and St Thomas Charity Future Thinking
Obesity

• July 8th 2008

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Caroline Swain, Media and Communications
Manager, MEND programme
Potential approaches to tackling obesity
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MEND - Mind, Exercise, NutritionDo it!
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MENDs mission

• To enable a significant, measurable and sustained
  reduction in childhood and family overweight and
  obesity

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Introduction to MEND

• Brief overview
• MEND Programme
• Mini-MEND
• Other Programmes in development
• Inviting referrals

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Introduction to MEND

• Brief overview
• MEND Programme
• Mini-MEND
• Other Programmes in development
• Inviting referrals

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Multi-pronged approach to obesity Range of
products and services
Obese
TREAT
Mini- MEND
MEND Programme
Overweight
PREVENT
Healthy weight
Healthy Living Communications
TRAIN
Leader training
Obesity awareness training
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Partnerships across sectors
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Introduction to MEND

• Brief overview
• MEND Programme
• Mini-MEND
• Additional services in development

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The MEND Programme

• Targeted obesity prevention and treatment
  programme
• Designed for overweight and obese 7-13 year old
  children and their parents / carers
• Intensive education and behaviour change 10
  weeks, 2 x 2 hr sessions / week, for both
  children and parents
• Underpinned by a successful multi-site Randomised
  Controlled Trial (RCT) at Institute of Child
  Health, University College London and Great
  Ormond Street Hospital
• Significant improvements in multiple health
  indicators incl. BMI, waist circumference,
  fitness, self-esteem
• Very high attendance and retention
• RCT 97 retention and 86 attendance

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Standardised replicable MEND Kit is literally
a Solution-in-a-box
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Content Mind
Applying social learning theory behaviour
modification techniques

• Goal rewards
• Role modelling
• Stimulus control - hunger vs. craving
• Self-esteem confidence building
• Positive parenting e.g. bullying, sleep

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Internal triggers
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Content - Exercise

• Land and water-based
• Group play
• Non-competitive
• Graded activities
• increasing self-esteem (dance, voice drama)
• Having fun

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Land-based games
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Water-based games
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Content - Nutrition

• Label reading
• Portion sizes
• Types of fats and sugars
• Supermarket tour
• Recipe tasting

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Supermarket tour
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Fruit vegetable tasting
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Do it! Who wants to be a Healthionaire?
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Ongoing support
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Contents

• Brief overview
• MEND Programme
• Mini-MEND
• Other Programmes in development
• Inviting referrals

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The Mini-MEND Programme

• Primary prevention for all 2 to 4 year old
  children of all weights and their parents/carers
• 10 x 1.5 hour sessions over 10 weeks
• Active play, snack time and parent
  discussion/toddler creche with story time
• Food without fuss, modelling, problem solving,
  fun with food

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Active Play
Feedback from Parents I have totally cut down
the amount of TV my 2 year-old watches. We play
games together instead I really enjoyed doing
sporty things together and it was good to see how
easily we can do these activities at home too
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Snack-time
Feedback from Parents We loved the fun with
food session and now make smiley faces at home
mealtimes are so much more enjoyable
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Parent/carer feedback

• After attending Mini-MEND
• My childs confidence has improved (78)
• My relationship with my child has improved (78)
• I feel more confident about being able to bring
  my child up to be healthy (82)

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Contents

• Brief overview
• MEND Programme
• Mini-MEND
• Other Programmes in development
• Inviting referrals

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Continuous Improvement process
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New Programme Development

• Maternity MEND
• Developed with leading Consultant Obstetrician
  and Midwives
• MEND Resources
• Healthy living educational resources for schools
• Linked to National Curriculum
• MEND Lite
• Less intensive programme for delivery through
  leisure centres
• MEND for Special Educational Needs (MSEN)
• Other Healthy Living Communications, recipe book

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Contents

• Brief overview
• MEND Programme
• Mini-MEND
• Other Programmes in development
• Inviting referrals

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Inviting referrals

• Over 5,000 children and their parents have
  already completed the MEND Programme
• We have funding for over 27,000 children and
  their parents to attend the Programme by the end
  of 2009
• 310 sites are due to commence in Sept-Oct 2008
  (45 are in London)
• each accepts 12-15 children and parents
• At least 10 Mini-MEND sites are starting too -
  with more in Jan 2009
• We accept self-referrals and referrals from
  health professionals
• Visit www.mendprogramme.org or call 020 7231 7225
  to register

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Thank you! www.mendprogramme.org