1348 13 presentaion poster v3 5-final

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  • Strong well established relationships existed between Camden Active Health Team and NHS Camden due to a history of joint working. Contact was established with:

    The Assistant Director of public health

    The Assistant Director of primary care

    A newly assigned project manager

    NHS health trainers Health check professionals GPs.

    Challenges encountered centred on:1. The development of the

    software package for the health check

    2. Venues for health checks and programme

    3. The focus on the priority wards

    Thus the challenges were not in any way related to engaging the primary care professionals; the key challenge was to engage the public in health checks as a pathway to referral to the programme.

    To address this, working with the project manager, we

    expanded the criteria to include participants from across the borough rather than just the four wards, and included those with a less than 10% risk of developing cardio vascular disease. This helped to engage groups of people who would not normally have accessed our existing service.

    Future benefits of this programme will be a closer working relationship with:

    1. Healthy eating team

    2. Smoking cessation team

    3. Public health and alcohol team

    4. Health promotions team

    Recommendations

    1. Establish a relationship with your local NHS service provider to link with the various services they provide i.e. healthy eating, smoking cessation, public heath and alcohol, obesity etc, as these are a good sources for your referrals.

    2. Be flexible with referral sources and engage with your local exercise on referral scheme.

    3. Run evening and weekend courses for those with work commitments and also try to choose venues that are easily accessible to participants.

    I Can Change ProgrammeCamden Active Health Team

    Description:A six week self management course consisting of one two hour session per week including: one hour discussion (brainstorming) one hour physical activity tailored to the participants

    abilities and venues facilities.

    Subjects in discussion include:1. Self management and physical activity

    2. Goal setting and managing relapses

    3. Overcoming barriers to physical activity

    4. Barriers to healthy eating and solutions

    5. Stress management.

    Inclusion criteria:1. Adults aged 40-74 years old (or 30-74 years if South Asian)

    2. Residence in four priority wards in the borough of Camden (determined by health deprivation levels e.g. high mortality rate).

    3. Judgement that the individual is at 10-20% CVD risk (Framingham). Participants were engaged either via NHS Camdens vascular health checks or a specific GP referral.

    Objective:Deliver an accessible, high quality and evidence based self management physical activity programme flexible to the need and interests of the participants.

    Outcomes:1. An understanding of the variety of physical activity options.

    2. More physically active on completion and long term incorporation into their lifestyle.

    3. Some participants take advantage of the reduced gym membership offer.

    So far 94 participants have been referred, of which 58 (61.8%) of these started and 48 (81%) completed. EOR (2009/10)1908 referred, 1330(70%) started and of these 788(59%) completed.

    Partnerships with primary careOutline of Project:

    Aim: Initiate a lifestyle change in individuals at risk of developing cardiovascular disease (CVD), using a physical activity and behaviour change intervention.

    Evaluation

    I Can Change compared to Exercise on Referral

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    Referred Starters Completers

    Status

    EORICC

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    age

    The project was contracted by NHS Camden for two years

    We used two methods to evaluate the programme:

    1. An accelerometer. Data was collected two weeks prior and during the six weeks of the programme.

    2. A case report form: 44 tick box questions categorised into medical history, diet and physical activity over the last four weeks. These were completed pre, post and nine months (by telephone) after the programme.

    The project has engaged new groups of residents in the borough who might not have accessed other physical activity opportunities.

    At nine months, 70% of the participants are maintaining the Chief Medical Officers recommendation of at least 5 x 30 minutes of moderate physical activity weekly.

    Lessons learned include:-

    1. Using an accelerometer is excellent for motivation and provides an accurate measurement of physical activity. Information collected is displayed as either a bar chart or a graph so participants can see how they are doing.

    2. However, there is an uncertainty to working with online resources especially if the equipment used relies on internet access for the presentation of data.

    3. Goal setting and behaviour change sessions work well as:

    Participants gain an understanding about setting SMART goals and the difference between short, intermediate and long term goals.

    Participants can change behaviour to incorporate physical activity as part of their lifestyle. This is

    demonstrated by the high percentage of individuals managing 5 X 30 minutes of physical activity weekly at nine month follow up.

    4. Involving GPs in identifying suitable clients from their databases and referring them is important.

    5. The programme targeted only medium to high risk clients in the four priority wards and some clients at lower risk in other wards of Camden could have benefited. Broader inclusion criteria could increase uptake.

    6. Many in the target group have work commitments and were unable to attend regular sessions. A more flexible programme might be able to meet the needs of this group more effectively.