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GUT BUSTERS. Anne Farrell, Workplace Health Promotion Officer, CIE Group. Gut busters-unique pilot !. The Dublin Bus company in-house health promotion pilot project for a healthier lifestyle in bus drivers and other staff. Background. The National Taskforce on Obesity in Ireland:
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GUT BUSTERS Anne Farrell, Workplace Health Promotion Officer, CIE Group CCashman December 2006
Gut busters-unique pilot ! The Dublin Bus company in-house health promotion pilot project for a healthier lifestyle in bus drivers and other staff.
Background The National Taskforce on Obesity in Ireland: “ The public sector, the private sector andthe community and voluntary sectors should work in partnership to promote healthy eating and active living to address overweight/obesity.”
Aims • Develop a pilot health promotion intervention to support healthy lifestyle and weight management in Dublin Bus drivers and staff. • Quantify the results • Provide feedback
Methods • Coordinator: Anne Farrell & Gut Buster team • Health Promotion, Exercise & Fitness Students ,Waterford Institute of Technology • Support – management, safety, unions, CIE medical department
Methods • Units of study – 8 depots, 330 voluntary participants from total target 3000 employees • Incentives • Competition between depots • Achievement of personal goals • Management Awards night presentation
Methods • Management support in-house programme • Personnel & targeted resources • Specific for active participants 50% weight watchers joining fee .Mgt paid other half • Incentives • Competition between depots-weight loss league • Achievement of personal goals • Management Awards night presentation
Methods • Implementation of physical health intervention • Information campaign • Consent voluntary participants • Measurements • Pre-intervention • Mid-intervention • Afterwards • Outcome - visibility
Questionnaire • Confidential to Health Promotion Officer • Contact information • Gender/birth date • Physical health activity readiness-par q • Health habits: exercise, smoking, diet • Personal goal • Consent
Measurements • Height / weight • BMI • Waist circumference • Blood pressure • Cholesterol • Peak flow
Tools • Information leaflets • Questionnaire • Diary personal data • Digital images • Film footage • Walking challenge • Gym challenge • Dance challenge
Intervention • Pre-intervention information leaflet • Selection of voluntary participants • Total n=330 • 50 % response rate • active participants (cases n=76) • non-active participants (controls n=72) • Abnormal health findings – GP letter
Intervention • 8 week programme (active participants) • Physical health intervention • 2km walk test (before & after) Slí na Sláinte • Introduction to depot gym –personal training • Personal fitness programme: diary • Daily activity scoring • Weight watchers weekly programme
Intervention • For all Dublin Bus staff • Free health & lifestyle lectures in all the depots: • Motivation to change • Smoking cessation • Nutrition • Drugs & Alcohol • Stress management • Ergonomics • Shaping up • Cancer prevention
Baseline • 82% male • 72% ‘none’ or ‘mild’ exercise • 67% goals health/weight reduction • 25% smoke cigarettes
Results: Cholesterol (mmol/l) Cases Controls
Results: Waist measure (inches) Cases Controls
Results: Weight (Kg) Cases Controls
Results: BP (Diastolic) Cases Controls
Results • GP referrals generated prior to onset • Quantified trend towards reduction in weight, waist circumference, cholesterol, diastolic BP • Positive feedback from participants/families • Positive response from active participants to agree to take part in dance challenge • Dance challenge presented at awards night – positive feedback 2nd night requested • Overall depot winner: Clontarf
Out comes • Documentary • Positive Publicity • Gut Buster conference • Qualitative and quantitative results • Research health promotion paper • Some people gave up smoking • Referrals to GPs • Some employees off medication for diabetes and heart disease. • Mentoring facility for students • GYM safety audit • Medical department new approach • Improvement in company wellbeing-stones were lost (Clontarf -13 stone)
Conclusions • Successful short term results • Positive feedback • Limitations: 50% response, time, resources, resistance, WW fee, • Difficulties with communications • GP concerns • Lead in time too short .
The Future • Feedback audit sent to participants • Gym safety audit • Post intervention measurements 6 months • Consideration of extension of pilot • Presentation to management • Lead time period needed to structure communications • Self-funding potential • What are others doing?
Collaborations • Management/safety department • Marketing dept • CIE Medical Department • Pfizer • Irish Cancer Society • Irish Heart Foundation • Waterford Institute of Technology • Private collaborations: Coisceim, Weight Watchers, Afresh, • iadt