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MEND – Mind, Exercise, Nutrition…Do it! (a national perspective)

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

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MEND – Mind, Exercise, Nutrition…Do it! (a national perspective)

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  1. MEND – Mind, Exercise, Nutrition…Do it! (a national perspective) Suzi Woolcock MEND Sustainable Outcomes Manager, MEND Central

  2. Get involved – referral opportunity What do we do when we identify a child that is overweight or obese?

  3. Agenda • Overview of MEND • The MEND 7-13s • Evidence • Programme outline • Get involved • Referral opportunity • Delivery • Follow up support

  4. 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

  5. Evidence-based age & stage-specific family weight management services MEND Teens Maternity MEND 0-1 MEND Lite MEND Resources Move It! MEND 5-7 MEND 2-4 MEND 7 - 13 Obese TREAT Over weight PREVENT Healthy weight Leader training One day child obesity awareness training TRAIN

  6. Agenda • Overview of MEND • The MEND 7-13s • Evidence • Programme outline • Get involved • Referral opportunity • Delivery • Follow up support

  7. 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

  8. 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

  9. 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

  10. Indicative RCT results UCL Institute of Child Health

  11. 12 month findings Sacher, et al, Obesity, 2007:15,A92 www.mendcentral.org UCL Institute of Child Health

  12. MEND 7-13s outline 20 x 2-hour sessions (10 weeks) Introduction Pre Measurement 8 Mind and 8 Nutrition theory sessions Post- Measurement Farewell

  13. Land and water-based exercise

  14. Supermarket tour

  15. Who wants to be a Healthionaire?

  16. Fruit & vegetable tasting

  17. Agenda • Overview of MEND • The MEND 7-13s • Evidence • Programme outline • Get involved • Referral opportunity • Delivery • Follow up support

  18. Get involved – referral opportunity What do we do when we identify a child that is overweight or obese?

  19. 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

  20. www.mend Refer online

  21. 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

  22. Delivery of Programme Theory leader 2 day training Best practice conferences Online learning Kit – includes: Manuals Posters Programme handouts Children’s packs

  23. 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

  24. 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

  25. Setting up a MEND Programme • Contact us • www.mendcentral.org

  26. Major partners NHS Direct CGOU Change4Life

  27. Delivery partners

  28. Thank you! www.mendprogramme.org

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