WelcomeCoventry Healthy Lifestyle Conversations

Health Development ServiceOctober 2011

To increase the number of brief interventions offered to patients, families and communities in Coventry.

By attending this course participants will have an opportunity to:

• Gain information about seven healthy lifestyle topics.

• Obtain the Healthy Conversation Cards and review how to use the cards in day to day contact with individuals and families.

Aims and Objectives

• To review their current approach to helping patients, families and communities to consider their lifestyle.

• Identify the evidence that supports offering brief advice.

• Practice the basic skills of raising the issue.

• Reflect on what they may do as a result of this training.

Aims and Objectives

“To make the most of the millions of encounters that the NHS and other frontline workers have with people every week and ensure that all staff have training and support to embed health improvement in their day-to-day work with patients.”

DOH, 2004

Policy Context

Health and Well-beingin Coventry

“Many inequalities in health are a preventable consequence of the lives people lead, the behaviours and lifestyles that cause ill health, many of which show stark relationship with social-economic factors.”

Health Inequalities

Department of Health (2008) Health Inequalities:Progress and Next Steps.

Coventry Ward Map on Postcode Map

CheylesmoreWainbody

Westwood Earlsdon Binley and Willenhall

St Michael’sWyken

Bablake

Lower Stoke

Upper Stoke

Woodlands

Henley

Holbrook Longford

Foleshill

Radford

Whoberley

Sherbourne

Coventry % of Smoking33.3 to 44.0

27.8 to 33.2

22.9 to 27.7

19.7 to 22.9

11.0 to 19.6

Coventry % Binge Drinking22.0 to 29.9

19.5 to 19.9

18.0 to 19.4

16.1 to 17.9

11.9 to 16.0

Coventry % of Obesity28.3 to 32.0

27.2 to 28.2

25.6 to 27.1

23.8 to 25.5

16.1 to 23.7

Coventry % Pop on 5+ Fruit & Veg26.9 to 36.8

24.6 to 26.8

23.3 to 24.5

20.1 to 23.2

16.8 to 20.0

There is overwhelming evidence that changing people’s health-related behaviour can have a major impact on some of the largest causes of mortality and morbidity.

NICE (2007)

Why A Behavioural Approach?

For every eight people who receive simple alcohol advice, one will reduce their drinking to within lower-risk levels.

(Moyer et al. 2002)

The Evidence

The Quiz !

Public Health Messages

• Adults should eat no more than 6g of salt a day. Children should have even less.

• Most of the salt we eat is already in everyday foods such as bread, breakfast cereal, pasta sauce and soups.

• Multiply Sodium by 2.5 to find out salt level.

Salt Intake

• Eat a wide variety of fruit and vegetables.

• Aim for at least five portions a day. • If you eat one or two portions with each

meal and have the occasional fruit snack you might be surprised at how easy it is to eat five-a-day.

Fruit and Vegetables

• Base your meals on starchy foods• Eat lots of fruit and Vegetables• Eat more fish• Cut down on saturated fats and sugars• Try to eat less salt – no more than 6g per day• Get active and try to be a healthy weight• Drink plenty of water• Don’t skip breakfast

8 Tips for eating well

• It's not a good idea to be either underweight or overweight.

• Eating too much and being inactive can lead to weight gain, which increase a person’s chance of developing heart disease, high blood pressure, some cancers and type II diabetes.

Healthy Weight

HDC Health Development Consultancy 19

Physical Activity

At least 30 minutes moderate activity 5 days a week.

This often gets

forgotten.

Hmm… What does this mean?

Does that include washing

my car?

I do one episode of 10 mins and

one of 20 mins!

So there is no point as I can only do my

exercise at weekends!

Smoking

Low-birth weight baby

Cervical cancer

Bladder cancer

Ulcer

Pancreatic cancer

Lung cancer

Chronic obstructivepulmonary disease

Coronary heart disease

Cancers of the larynx

Cancers of the mouth,throat and oesophagus

Stroke

Peripheral vascular disease

• Women can drink up to 2 to 3 units of alcohol a day and men up to 3 to 4 units a day, without significant risk to their health.

• Avoid binge drinking. • If you have drunk too much, you should

avoid alcohol for at least 48 hours to give your body a chance to recover.

Alcohol

Try to • connect with others • be active • take notice of your surroundings • keep learning • give to neighbours and communities

5 Tips for Positive mental health

Many of us take risks with our health – it’s a normal part of human behaviour.Many risky behaviours meet needs.

For example

• smoking reduces stress• chocolate is a comfort • alcohol increases confidence

Our view of risk is influenced by our knowledge, past experiences, beliefs and attitudes.

Why do we take Risks?

Traditional (Educational) Approach

Information

Understanding

Change

We should aim to be:N

on judgemental

Supportive

Empathetic

Genuine

How then should we approach healthy lifestyles?

Brief Advice pro-actively raises awareness of and explores a person’s willingness to engage in further discussion about healthy lifestyles.

It is opportunistic and lasts around 3 minutes and involves actively listening to a person’s needs and concerns.

NICE, 2007

Brief Advice

Raising the Issue without building resistanceThe context

Why you are speaking about healthy lifestyles.Ask permission

This begins the client centred approach:Would you mind if we talked about your smoking for a couple of minutes?

Use open questions to explore the issue:Have you ever tried to stop smoking or have you

never really thought about it?Reflect back

So you have been thinking about it?

If you get a Negative response? W

hat do you do next?

If a person responds positively. W

hat can you do next?

In your pairs label yourselves A and B

• ‘A’ your task is to find out if

‘B’ eats a healthy Diet (2 minutes)

• ‘B’ your task is to find out if ‘A’ is active!

(2 minutes)

Let’s Try It!

Using the cards Using the cards with families, andwith families, and community groups!community groups!

Thank you for listening and taking part.

Any questions?