Department of Health West Midlands

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                                Department of Health West Midlands

                                            Obesity Programme

          Examples of Good Practice/Case Study – Template for Submission

Name:-                                                      Laura Pryce

Job Title:-                                                 Assistant Psychologist

Organisation:-                                              Wolverhampton PCT


Contact Tel No:-                                            01902 572 572

Initiative/Activity Title
‘Healthy lifestyles for adults with Learning disabilities: The Why Weight? Get Fit Project’

Aims & Objectives (approx 100 words)
• To support people to move towards more healthy lifestyles by developing realistic
   and achievable goals.
• To work collaboratively with carers and staff teams
• To consider and intervene with other systemic influences on the health of
   people using the day centres (menu options, ‘tuck shops’, access to community
   leisure facilities’
Where Does the Initiative/Activity Take Place
Three main day centres in Wolverhampton for adults with learning disabilities


    •    Recent audit of people accessing the three day centres within Wolverhampton
         revealed that 76% adults with learning disabilities were overweight, with 46%
         clinically obese.
    •    Steering group set up, comprising of professionals from psychology, health
         facilitation, community nursing, occupational therapy and day centre staff.
         Project aims identified for 12 month pilot intervention project.
    •    Assistant psychologist appointed through campus monies to deliver project.
    •    34 adults in total were participants in the project. Participants made up varied
         sample in terms of age, gender, level of LD, ethnicity and living arrangements.
    •    Baseline and program completion assessments of healthy knowledge and
         awareness quiz, psychological assessments (self –esteem, self-efficacy) and
         participant and carer satisfaction questionnaires. Weekly assessments of BMI.
    •    Individualised goal planning sessions each week with the assistant psychologist.
         Set small, measurable, achievable, realistic and timely (SMART) goals in areas

         of exercise, healthy eating and independence. Weekly completed food diaries
         aid this goal setting process.
    •    Weekly group sessions ran by the assistant psychologist with support of an
         identified co-facilitator at each of the day centres. Group activities involve food
         tasting, healthier cooking, menu-planning, exercise sessions, going to the gym,
         accessing Wolverhampton’s ‘walking for health’ scheme, using the Nintendo wii-
         fit console, healthier shopping and interactive teaching games.
    •    Accessible information used to educate around healthy eating and exercise.
    •    Free gym memberships provided for all participants for duration of the project
    •    Nintendo wii-fit consoles, smoothie makers and educational resources and
         pedometers, supplied to each of the three day centres through pct campus

Which Organisations/Partners are Involved?
   Local Authority (day centre staff, council leisure facilities staff,
   Health professionals from psychology, community nursing, Occupational therapy
     and health facilitation.
   Public health
   Project received support from pct partnership board.
   Coventry and Warwick PCT provided advice and resources from their health
     promotion project.

   Multi-disciplinary project steering group comprising of PCT and Local Authority
     staff members.
   Local Authority staff form leisure facilities in Wolverhampton provided free gym
     memberships and assistance to participants accessing the leisure facilities.
   Each day centre had a co-facilitator (day centre member of staff), identified
     through the project steering group, who provided assistance with running group
     sessions and also acted as a ‘health champion’ within the day centre, promoting
     advice and encouragement on leading a healthy lifestyle and helping participants
     to achieve their set goals.
   Linked in with colleges running similar health promotion projects to share
     ideas/resources and develop a consistent approach.
   Incorporated this work into public health weight management strategy,

What Has Been Achieved?
For participants:
   • 79% (n=27) participants lost weight, average weight loss of 3.5kg.
   • Highest reported weight loss is 12.5kg (27.5lb)
   • 21% (n=7) participants maintained weight
   • (Obesity guidelines suggest that even modest weight loss of 5% of someone’s
      initial body weight is associated with significant health benefits.)
   • 100% participants scored higher on the healthy knowledge quiz than in the
      baseline assessment.
   • Increased self-esteem, self-efficacy, independence and sense of personal
   • After completion of pilot project, day centres continue to run weekly healthy
      lifestyle group sessions.

Strategic developments:
    Development of a healthy lifestyles steering group comprising mainstream health
    Project was incorporated into the public health agenda
    Health Facilitator joining the wider pct HEPA (Healthy Eating Physical Activity)
    Led to successful bid for dedicated health check advisors (health check UK)
    Involvement from Telehealth care to promote use of assistive technology for
      management of long term conditions (e.g. diabetes)
    Influenced the main theme of our annual health events fayre throughout learning
      disabilities week.
    Strengthened multi-disciplinary and multi-agency working relationships across all

Learning Points: How You Can Do It

        Report to be published
        Raise profile of these issues within own PCT’s
        Contact project leads (details below) to discuss project in more detail and share

Date Initiative/Activity Began
April 2009

Finish Date (where applicable)
March 2010

For Further Information Please Contact (if different to above)

Laura Pryce ( 01902 572 572
Diane Webb ( 01902 572 572
Ivan Burchess ( 01902 445 715