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

Email:-                                                     Laura.pryce@wolvespct.nhs.uk

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

How?

    •    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
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         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
         monies.

Which Organisations/Partners are Involved?
   Local Authority (day centre staff, council leisure facilities staff,
     education/colleges)
   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.

How?
   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
      control.
   • After completion of pilot project, day centres continue to run weekly healthy
      lifestyle group sessions.
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Strategic developments:
    Development of a healthy lifestyles steering group comprising mainstream health
      services
    Project was incorporated into the public health agenda
    Health Facilitator joining the wider pct HEPA (Healthy Eating Physical Activity)
      group.
    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
      sectors.

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
         resources

Date Initiative/Activity Began
April 2009

Finish Date (where applicable)
March 2010

For Further Information Please Contact (if different to above)

Laura Pryce (Laura.pryce@wolvespct.nhs.uk) 01902 572 572
Diane Webb (Diane.Webb@wolvespct.nhs.uk) 01902 572 572
Ivan Burchess (Ivan.Burchess@wolvespct.nhs.uk) 01902 445 715