Mind Exercise Nutrition Do It! MEND

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Mind Exercise Nutrition Do It!MEND

• Elaine Tabony
• School Health Team Leader (Hillingdon Community
  Health)
• Professional Lead Childhood Obesity Care Pathway
  (Public Health)
• MSc Health Promotion and Public Health
• BSc(Hons) Community Health
• Specialist Practitioner Community Health School
  Nursing
• RN RSCN CPT(Level M)

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What is MEND?

• Lifestyle behaviour change programme
• Improving health behaviour,
• and NOT a rapid weight loss programme
• Designed child obesity experts
• Delivered health, education fitness
  professionals
• Community-based
• 1st line treatment NICE Guidance, ADA
• Report, Canadian Clinical Practice Guidelines

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Why Lifestyle Behaviour Change ? Influences on
Childhood Overweight and Obesity

• National factors - eg. Transport, media, vending
  machines, manufactured imported goods,
• Community/Local - eg. School buses, Safety,
  awareness/attitudes, parks, Community level
  education
• School - eg. Teacher knowledge/attitudes, snack
  shop, activity time/ curriculum content
• Home - eg. Family diet, family activity patterns,
  Child care, parental knowledge/attitudes
• Individual - eg. TV in childs room, childs diet
  and activity outside school,
  
  
• International factors - eg. Globalisation,
  marketing, convenience foods, childrens spending
  power
• (Doak et al. 2006)

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MMind

• Based on behavioural models of change social
  learning theory
• Goal reward system
• Self-esteem confidence
• Role modeling
• Triggers - hunger vs. craving
• Problem solving
• Positive parenting e.g. bullying, sleep etc
• (5 / 8 sessions parents only)

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EExercise

• Multi-skills
• Group play
• Non-competitive
• Graded activities
• Increased self-esteem dance, voice
• drama
• Land water based
• FUN!!!

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NNutrition

• Not a diet healthy eating customised
• No foods are forbidden
• 16 Nutrition Targets
• Educating and empowering families
• (All sessions - parents children)

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How is MEND delivered?

• 20 x 2-hour group sessions over 10 weeks
• Introduction and farewell
• Holistic pre-assessment and post assessment
• (Opportunity for Hillingdon to become part of
  a research project including quality of life
  assessment)
• 8 Mind sessions
• 8 Nutrition sessions
• 18 Exercise sessions

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Who delivers MEND in Hillingdon?

• Multi-agency approach
• School Nurses deliver Nutrition and Mind
  theory sessions
• PE Teachers and Personal Trainers deliver
  exercise sessions
• Programme supported by Health Care Assistants
• Support services Hillingdon Sport and Leisure
  Services
• Hillingdon Sport and Leisure Complex
• Highgrove Pool
• Hayes Pool
• Barnhill Community School, Harlington Community
  School, Harefield Academy, Ruislip High School,
  Stockley Academy

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Why do we need this programme in Hillingdon?

• The NCMP data for the last the years shows the
  following percentages

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Healthy Weight, Healthy Lives A Cross
Government Strategy for England.

• Published in January 2008 this set out the first
  steps to meeting the challenge of excess weight
  in the population.
• Nationally, success in meeting the ambition and
  the Child Health Public Service Agreement (PSA)
  will be measured using Health Survey for England
  data for prevalence of overweight and obesity in
  children.
• Locally, PCTs and local authorities use NCMP data
  to set local goals, agree them with SHAs and
  Government Offices and monitor performance.

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The future

• Further interventions in development
• MEND Graduates Fit-Teens 13 programme
• Different age groups
• MEND 5-7 years responding to NCMP programme
• Mini-MEND age 2-4 years
• Achieving Healthy Weight Group in Hillingdon
• Special needs
• GP-delivery platform
• International adaptation evaluation (e.g.
• Denmark, Finland, Greece, Australia USA)

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Parents views about MEND

• I knew my child was overweight and I thought MEND
  was a great opportunity to help my child. I
  learnt a lot in terms of nutrition and how to
  take action and changed my childs diet. My child
  found it very fun and encouraging and was not
  forced. My childs diet has completely changed.
  My childs confidence has grown
• Before I came I thought it would be a waste of
  time but I was worried about my childs weight. I
  found out it was not so much what he had to eat
  but that I was overfeeding him. He found
  confidence in his ability that he had never had.
  Before he came he was quiet and unconfident and
  did not much like what he looked like. He was
  bullied at school and did not stick up for
  himself. The most important thing was my child
  grew in confidence and as a bonus he lost weight
  - we both learned a lot
• He needed an incentive to lose weight. I learnt
  lots of new ways to feed my whole family
• My child did not like what they looked like or
  fit clothes. She made friends and looked forward
  to coming. Because the school knew about MEND,
  the school took the bullying issues seriously

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Six Hillingdon MEND 7-13 sites How to contact
MEND in Hillingdon

• Monday and Wednesday 4-6pm
• Land based exercise - Stockley Academy
• Water-based exercise- Yiewsley Pool
• Monday and Friday 5-7pm
• Water based exercise- Highgrove Pool
• Land based exercise- 5.15-7.15pm Ruislip High
• Monday 4-6pm and Saturday 9.30-11.30am
• Land based exercise- Hillingdon Sports and
  Leisure Complex
• Water-based exercise- Hillingdon Sports and
  Leisure Complex
• Tuesday 4-6pm and Saturday 10am-12pm
• Land based exercise- Harlington Community School
• Water-based exercise- Hayes Pool
• Wednesday 3-45pm and Saturday 9am-11am
• Land based exercise- Barnhill Community School
• Water-based exercise- Hayes Pool
• Thursday 4pm-6pm and Saturday 9.30am-11.30am
• Land based exercise- Harefield Academy
• Water-based exercise- Hillingdon Sports and
  Leisure Complex

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