Background
• Funded by RBKC• A consortium of BME organisations led by DT
• African Refugee Project (ARP) • The Venture Centre • Iraqi Women’s League (IWL) • Ethiopian Women’s Empowerment Group (EWEG) • St Antonio’s Eritrean Refugee Women’s Group • Al Hasaniya Moroccan Women’s Group • African Women’s Group (AWC)
Aims & Objectives Use community development approach to: • Provide practical support and enable those individuals who
actively wish to improve their own health and wellbeing;• Create opportunities and/or promote activities and
services that maintain and enhance health and wellbeing;• Improve access to mainstream health and wellbeing
services; • Develop community capacity to address common health
problems together
Rationale behind the consortium
• BME communities and deprived areas – less well off
• Marmot review 2010 – Fair society, Healthy lives (health/social inequalities)
• Community empowerment and development theory – Participatory approach is effective in embedding change
• Co-production – Service users know better - AND SIMILARLY COMMUNITIES
The interventions/programmes
• Diet and nutrition workshop • Lose weight, feel great activity • Physical activity sessions • Chronic disease awareness workshop • Wellbeing workshop• Information and signposting • Health conferences and events • Capacity building -Training and development
The approaches • Motivational + Practical • E.g. Lose weight, feel great (Combined Healthy eating and PA)
Target – Those with multiple lifestyle/social factors (e.g. weight/inactive /lack confidence etc) and would like to make changes to their lifestyle.
Activities - Hands-on Six-week healthy eating/physical activity for 10-12 individuals 1 hour motivational talks and tips on eating healthily and creating a SMART gls1 hour physical activity of their choice (Zumba or Aerobic or cycling etc)
Final session - How to maintain changes – Signposting and/or forming self-help group
Data collection: Outputs/outcomes
• Demographics (age, sex etc) • Activities (photo, feedback, testimony/case studies)• Wellbeing (pre/post) – WEMBS • Self-efficacy (pre/post) – GSE Scale • Weight loss (pre/post) – Questionnaire • PA increase (pre/post) – Questionnaire• Attitude change (pre/post) – questionnaire
Data analysis + Presentation • SPSS - data management and statistical analysis tool with versatile
data processing capability.
Electronically storing questionnaire dataGenerating routine descriptive statistical data for
question responsesCreating graphical presentations of questionnaire data
for reportingExploring relationships between responses to
different questions
Activities/Outputs Data(Snapshot of demographics = 205 ind)
Under 18 18 - 25 26 - 35 36 - 45 46 - 55 56 - 65 66 - 75 Over 750
10
20
30
40
50
60
0 13 3 3 2
0 11
7
24
58 (28%)
37
40 (20%)
22
3
Male (6%)Female (94%)
Activities/Outputs Data(Snapshot of Ethnicity = 223)
White Background Mixed race Asian background Black African/Caribbean Arabs Not Stated0
10
20
30
40
50
60
70
80
16 17
7
7678
29
7 8
3
34 35
13
FrequencyPercent (%)
Activities/Outputs Data(Snapshot of self-reported risk factors = 138 ind)
Smoke
Weig
ht/physi
cally
inactive
Chronic i
ssues
(HBP, H
C, HSL,
asthma e
tc)
Well
being (
Loneli
ness, La
ck of c
onfidence
etc)
Multiple ris
ks (w
ellbein
g/life
style)
Other so
cial fa
ctors
(train
ing/employm
ent/w
elfare
etc)
0
5
10
15
20
25
30
35
40
5
19
26
32
37
19
4
14
19
23
27
14
Frequency Percent (%)
Outcomes Indicators Sample Count (size) Before (mean) After (mean) Change (%) +/-
Level of physical activity 25 1.3 2.2 69 Increase
Fruit and vegetables intake 23 2.91 4.95 70 Increase
Fried, fat and sugary food/drinks intake
23 0.90 0.60 33 Decrease
BMI 12 30.0 29.2 3 Decrease
Total sample size 83
Physical activity behaviour - Most individuals involved in physical activity also reported increased their level of physical activity from 1.3 times per week to 2.2 times per week, which is a 69% increase against baseline. This indicates that physical activity level of participants has improved over the course of the intervention. Fruit and vegetables consumption - Service users with dietary goals experienced considerable gains in their fruit and vegetable portions, increasing on average from just 2.90 portions to 4.95 (over 70% increase against the baseline) and is just under the recommended 5 a day. Fried, fat and sugary food/drinks - Service users also reduced their fried, fat and sugary food/drinks intake from 0.90 portions per day to 0.60, over 33% reductions against baseline. Change in BMI - On average, BMI dropped from 30.0 to 29.2 that is about 3% reduction against baseline.
Outcomes Monitoring tools/Indicators Sample Count (size) Before (mean) After (mean) Change (%) +/-
Self Efficacy (GSE) 26 30.4 34.7 14 Increase
Wellbeing (WEMWBS) 37 52.6 62.1 18 Increase
Total sample size 63
On average, general self confidence (self-efficacy) increased from 30.4 to 34.7 that is over 14% increase against baseline. This demonstrates that beliefs that individuals have in their own ability and motivation to complete/achieve their goal have improved over the course of the intervention. On average, wellbeing (feelings and thoughts) increased from 52.6 to 62.1 that is about 18% increase against baseline. This demonstrates that that mental wellbeing of participants has improved at group level over the course of the intervention
Feedback
• 83% of service users said they are extremely satisfied and 2.4% said not satisfied at all.
• Similarly, 88 % of service users said they are more likely to recommend the service to a friend.
• Most importantly, 85% of service users said they are more likely use the information/experience they gained in their future life.
Referral pathways
• Self• Cross-partners • Externals orgs and health professionals
• Contacts • Bez, Tel: 0208 969 6300 or Email:
[email protected] • Website - http://www.dalgarnotrust.org.uk/ • Partners and CDWs