Bez, project manager

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 (%)

Activities/Outputs Data - photos

Activities/Outputs Data - photos cont.

Activities/Outputs Data – photos cont.

Activities/Outputs Data – photos cont.

Activities/Outputs Data – photos cont.

Community engagement/promotion

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:

bez@dalgarnotrust.org.uk • Website - http://www.dalgarnotrust.org.uk/ • Partners and CDWs

Thank you