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