9.50 zafar iqbal national obesity conference
DESCRIPTION
Obesity and Related Conditions 25 March 2014TRANSCRIPT
stoke.gov.uk
Obesity – The role individual support interventions
Prof Zafar Iqbal Stoke on Trent City Council
Role of individualised support • What is the rationale ?• Chances of success ?• Value for money ?• Reach ?• Will it alter the obesity profile ?• Mobile texting service• What is the role of LA?
www.healthwatchbury.co.uk 4
http://www.thenutritionpost.com/eatright/do-fast-food-customers-read-the-calorie-charts.html
Food consumption
Food facts
BMI estimates* for Stoke-on-Trent in 2012 (adults 16 and over)
* Based on the 2012 Health Survey for England
Health and Social Care Information Centre 2013
Need
• 66.5% of adult population either overweight or obese
• Current interventions not affordable at scale
– Bariatric surgery; £10,000 per intervention– Commercial weight loss service; £77 per intervention– Text4change; £20 per intervention
Do weight management interventions work?
• At 3 months ?
• At one year ?
• Bring weight down to normal range ?
What is text4change?• 12 week m-health intervention• Primary outcome: weight loss• Uses “gain-framed messages” based on
behaviour insight • Free to users with minimal opportunity
cost• Messages are tailored to clients progress• 12p per interaction
“Lifestyle coach in your pocket”
Building the evidence base
• Text4change to be launched April 2014 • Feasibility study of 500 residents to be carried
out by Staffordshire University• Findings to be disseminated via learning
networks• City-wide roll out in January 2015
Conclusions
• Individualised support makes sense for high risk• Reach – no • Change profile – no• LA role as facilitator - yes• LA role in prevention – yes • Once overweight then v difficult and expensive to
change
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DPH Annual Report