MEND – Mind, Exercise, Nutrition…Do it! (a national perspective) Suzi Woolcock MEND Sustainable...
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Transcript of MEND – Mind, Exercise, Nutrition…Do it! (a national perspective) Suzi Woolcock MEND Sustainable...
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
TREAT
PREVENT
TRAINOne day child obesity
awareness trainingLeader training
Obese
Over weight
Healthy weight
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 Feasibility 2002-3
(Sacher et al, 2005) Pilot 2004-5
(Sacher et al, 2006)
Phase 1 UK RCT 2005-7(Sacher et al, 2007)
UK Roll-out (June 2007–June 2008)
Phase 2 UK RCT(2008-2012)
International RCTs (2009-2013)– USA– Australia
UK Research team
Dr Paul Chadwick
Prof. Tim Cole
Maria Kolotourou
Dr Margaret Lawson
Prof. Alan Lucas
Paul Sacher
Prof. Atul Singhal
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
UCL Institute of Child Health
Indicative RCT results
UCL Institute of Child Health
12 month findings
www.mendcentral.org
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MEND 7-13s outline20 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
www.mend
Refer online
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 uswww.mendcentral.org
Major partners
CGOU Change4LifeNHS Direct
Delivery partners
Thank you!
www.mendprogramme.org