Post on 23-Mar-2016
description
The effectiveness of local child weight management
programmes: an audit study
Charlotte Taylor, Rosie Erol, Penney Upton & Dominic Upton 23rd October 2013
Context: Why commission an evaluation of CWM programmes?
Obesity in children and adolescents increasing in the UK;
Particular challenge in the West Midlands region (HSE, 2007; The Health and Social Care Information Centre, 2009)
Many different programmes for family based weight management are available; limited evidence of the long term effectiveness of these models.
Measures used in evaluation are inconsistent and make cross-programme comparison difficult.
Need for a standardised approach to evaluation.
Evaluation aims Benefits to participating (a) children and (b) families in terms of health improvement and behaviour change;Barriers to change for (a) children and (b) families undertaking treatment programmes; Short and longer term support available for programme participants;Cost effectiveness of each intervention.
‘Does the programme work and at what cost?’
Interventions
1. Carnegie Fun for Life: Walsall
2. Fitter Families: Stoke on Trent
3. Goals: Sandwell
4. MEND
5. One Body One Life: Coventry
6. Watch It!: Birmingham
7. YW8?: Telford and Wrekin
MethodsReview of programmes:
the target group;Theoretical rationalerecruitment and retention rates;method of programme delivery;structure (including routine practice for ongoing support for participants)
Assessment of physical and psychosocial benefits to programme participantsEconomic evaluation
Results: SEF auditNo programme collected all of the essential or desirable SEF criteria;
19 criteria collected by all interventions– Weight and height for BMI;
Physical activity and dietary measures were collected by the majority of programmes (N=6 and 5 respectively)
Range of measures used for physical activity and diet.
Results: Health Improvement - BMI
Results: Behaviour change
Results: Benefits to families
Health ImprovementLimited/no data for parents or other family membersAnecdotal data suggests some impact
Behaviour ChangeData is also limited
Results: Economic evaluation
What are the costs?
Costs calculated based on numbers recruited/retained during the evaluation period:
Highest cost per child: Watch IT! = £798-£2,424Lowest cost per child: OBOL = £321-408
ConclusionsAll programmes have some strengths;SEF criteria enabled comparison between different interventions BUT:Highlighted lack of consistency between programmes
types of data recordedevaluation methods used
Key data should be chosen based on what can be collected as well as what is desirable;Behaviour change, e.g. food intake and exercise should be measured in a systematic and standardised way
Impact on people, policy and practice?
Our impact…Enabled Primary Care Trusts to improve measurement, data collection and evaluation;
Reassured PCTs that they were commissioning effective programmes;
PCTs adopted the SEF to evaluate child weight measurement programmes when making future commissioning decisions;
One PCT specified that the SEF and the UoW evaluation tools and findings must be used by service providers.
Saunders, Baker & Davis (2011)
For more information…Upton, P., Taylor, C. E., Peters, D. M., Erol, R. and Upton, D. (2013). The effectiveness of local child weight management programmes: an audit study. Child: Care, Health and Development, 39(1), 125-133. DOI: 10.1111/j.1365-2214.2012.01378.x
Upton, P., Taylor, C., Beddows, S., & Upton, D. (2010). Weighing up the SEF: An assessment of the use of the NOO Standard Evaluation Framework across family-based weight management interventions in one region. Community Practitioner, 83(7), 34-35.
Upton, D., & Upton, P. (2009). Weight management programmes for children and families: A toolkit for measuring behaviour change, psychosocial wellbeing and participant satisfaction. Available at http://www.foodwm.org.uk/resources/CWM_-_Revised_toolkit_final_20_04_2010.pdf
Upton, P., & Upton, D. (2009). Recommendations for Commissioners of Weight Management Programmes for Children and Families. Available at: http://www.obesitywm.org.uk/resources/Recs_of_Commissioners_of_CWM_Progs.doc
Any questions?