MEND � Mind, Exercise, Nutrition�Do it! (a national perspective) by q97T73d

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									 MEND – Mind, Exercise,
Nutrition…Do it! (a national
        perspective)

        Suzi Woolcock
   MEND Sustainable Outcomes
     Manager, MEND Central
Get involved – referral opportunity


     What do we do when
     we identify a child that
     is overweight or
     obese?
Agenda

     Overview of MEND
     The MEND 7-13s
         Evidence
         Programme outline
     Get involved
         Referral opportunity
         Delivery
         Follow up support
What is MEND?

MEND is a child obesity organisation that
provides:
– Evidence-based, family-oriented programmes to
prevent and treat child obesity
– Training to frontline staff to build local capacity
and skills
 Evidence-based age & stage-specific
 family weight management services


   Obese
                                                                                                                           TREAT




                                                        MEND 7 - 13




                                                                                                  MEND Teens
                                             MEND 5-7
             Maternity MEND 0-1




                                                                      MEND Resources
                                  MEND 2-4




                                                                                                               MEND Lite
 Over




                                                                                       Move It!
 weight




Healthy                                                                                                                    PREVENT
weight




                                                                                       One day child obesity
           Leader training                                                              awareness training
                                                                                                                           TRAIN
Agenda

     Overview of MEND
     The MEND 7-13s
         Evidence
         Programme outline
     Get involved
         Referral opportunity
         Delivery
         Follow up support
The MEND Programme
   Designed for overweight and obese 7-13 year
    old children and their parents / carers
   Targeted prevention and treatment programme
   Intensive education and behaviour change: 10
    weeks, 2 x 2 hr sessions / week, for both
    children and parents
   Not a diet
   Fun and interactive
    MEND Programme
    evidence base
Research programme                   UK Research team
   Feasibility 2002-3
    (Sacher et al, 2005)
                                     Dr Paul Chadwick
   Pilot 2004-5                     Prof. Tim Cole
    (Sacher et al, 2006)

   Phase 1 UK RCT 2005-7            Maria Kolotourou
    (Sacher et al, 2007)
                                     Dr Margaret Lawson
   UK Roll-out
    (June 2007–June 2008)            Prof. Alan Lucas
   Phase 2 UK RCT
    (2008-2012)                      Paul Sacher
   International RCTs (2009-2013)
      –   USA                        Prof. Atul Singhal
      –   Australia
The MEND Programme
   Successful multi-site Randomised Controlled
    Trial (RCT) at Institute of Child Health,
    University College London and Great Ormond
    Street Hospital
   Results
    –   Very high attendance and retention
            RCT: 97% retention and 86% attendance
    –   Significant improvements in multiple health
        indicators
    –   No significant difference in outcomes across socio-
        economic indicators
Indicative RCT results




                         UCL Institute of Child Health
12 month findings




                                                      Sacher, et al, Obesity, 2007:15,A92
www.mendcentral.org
                      UCL Institute of Child Health
MEND 7-13s outline
20 x 2-hour sessions (10 weeks)
    Introduction
    Pre Measurement
    8 Mind and 8 Nutrition theory
     sessions
    Post- Measurement
    Farewell
Land and water-based exercise
Supermarket tour
Who wants to be a Healthionaire?
Fruit & vegetable tasting
Agenda

     Overview of MEND
     The MEND 7-13s
         Evidence
         Programme outline
     Get involved
         Referral opportunity
         Delivery
         Follow up support
Get involved – referral opportunity


     What do we do when
      we identify a child
      that is overweight or
      obese?
Get involved – How to refer


   Health Professional referral
    –   Local care pathways for children’s weight management
        services

   Promotion for self-referral
    –   Flyers in school newsletters
    –   Flyers during consultation
    –   Media
    –   Letters to families
Refer online




               www.mend
Family registration

Register families
   • www.ommsonline.org/register.html
   • Call 0800 230 0263
   • Local registration


 NB: MEND Programmes
 are not appropriate for
 children with serious
 medical, developmental,
 psychiatric or physical
 conditions
Delivery of Programme


   Theory leader
    –   2 day training
    –   Best practice conferences
    –   Online learning
    –


   Kit – includes:
    –   Manuals
    –   Posters
    –   Programme handouts
    –   Children’s packs
Get involved
- Post- Programme support
   Central
    –   Membership, password protected website and
        magazines, behaviour change tools


   Local
    –   Weekly exercise sessions
    –   Transition to community health and activity
        programmes
    –   Getting support
    –   Follow up measurements
            6,9,12, 18 and 24 months
            BMI and waist circumference
MEND 5-7 years

    What do we do when
    we identify a child that
    is overweight or obese
    aged 5-7 years?

    MEND 5-7s
Setting up a MEND
Programme


    Contact us

    www.mendcentral.org
Major partners




                     NHS Direct
  CGOU Change4Life
Delivery partners
Thank you!


www.mendprogramme.org

								
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