HENRY: Health, Exercise, Nutrition for the Really Young Mary Dawson - - PowerPoint PPT Presentation

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Dec 07, 2022 304 likes •506 views

HENRY: Health, Exercise, Nutrition for the Really Young Mary Dawson Regional Manager (North) Getting the message across Practitioners Lack of confidence: 74% not comfortable discussing obesity 86.5% did not consider themselves

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HENRY: Health, Exercise, Nutrition for the Really Young Mary Dawson Regional Manager (North)

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Practitioners

Lack of confidence: 74% not

comfortable discussing

besity
86.5% did not consider

themselves effective

Inability to identify obesity

Edmunds L Arch Dis Child 2007 Perrin E Obesity Research 2005 Redsell SA Mat Child Nut 2012

Getting the message across

Parents reported

Concerns were dismissed
Feeling judged or criticised

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Effective practice

Qualities: Non- judgemental Partnership Modelling Skills: Relationship Empathy Raising the issue Strengths Solution- focused Knowledge: Risk factors Whole family healthy lifestyle Healthy start

2 day training

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Aspects of Course Regularly, Often, All the Time Value of empathy 76% (276) Key parenting skills 72% (261) Healthy nutrition 71% (256) Working in partnership 70% (250) Solution-focused support 70% (251) How emotions effect behaviour 70% (251) Eating patterns and habits 67% (240) Physical activity 65% (238)

Changes to practice up to 4 years later

Brown et al, Community Practitioner 2013

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0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 1 2 3 4 5 < 12 months > 12 months

Confidence in working with families

Very little impact Significantly improved

85% < 12 months 91% > 12 months e-survey up to 4 years later; n=354

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Positive changes in

practitioners’ lifestyles

Enhanced confidence to

approach and discuss lifestyle issues with families

Healthier meals, snacks and

portion sizes

Persistent change and impact
n the culture and practice of

the wider team

I think they’re more confident in tackling & bringing up things … I’ve noticed that people are talking about lifestyle more, and are concerned about it

Practice and policy in children’s centres

Willis et al, J Hum Nutr Diet 2012

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Research into practice: the HENRY approach

8 week programme
Delivered in children’s centres
Group or 1-to-1
Over 8,000 parents
37 local authorities
Experiential and interactive
Average retention rate of 81%
RCT based on implementation
ptimisation underway

I’ve realised I need to eat with him and eat healthier foods – who else is he going to copy?

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Research into practice: activity

Parent Champions setting up activities for

parents including

– Zumba classes – Buggy walks – Parachute balls – Music & movement – Picnics in the park – Indoor Olympics – Flying a kite

‘Being a new mum and having all the flabby bits and meeting new people at this group you feel a bit like everyone is going to be looking at you, but the instructor and everyone were very nice, I got on really well with them.’

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A statistically significant and sustained impact on:

parenting efficacy and confidence to make changes
family activity levels
family mealtimes and feeding behaviour
what the whole family eats:

– increased consumption of fruit and vegetables – decreased consumption of energy dense foods

Willis et al, Pediatric Obesity, 2014
Willis et al, Public Health, 2016

Impact & outcomes of the HENRY programme

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5 a day

44% children in

families completing HENRY programme eat 5 a day

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Parental self-agency

Dumka 1996

2 4 6 8 10 12 14 16 18 Parental self-agency Setting limits Mean score Pre-course Post-course Follow-up

*P<0.001 *P<0.001

Sure of self Doing a good job Perseverance Problem solving Mealtimes TV/computer Active play Bedtime General

Willis et al, Pediatric Obesity July 2013

*P<0.001 *P<0.001

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Eating behaviour

Golan 1998

2 4 6 8 10 12 14 16 Family eating behaviour Children eating with adults Structured mealtimes Parental eating behaviour Mean score Pre-course Post-course Follow-up

*P<0.001 *P<0.001 *P<0.001 *P<0.005

Lower scores indicate desired behaviours

Eating together TV off for meals Home cooked food Take away food

Willis et al, Pediatric Obesity July 2013

*P<0.001 *P<0.001 *P<0.001 *P<0.005

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Effective local partnership: Redcar and Cleveland

Commissioned group of HENRY Training for

delivery across area including

– Core training x 6 – Group Facilitation Training x 1 – Advanced Training x 1

Group programme delivery starting in

Autumn term

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Effective local partnership: a local case study

7-year partnership with Public Health

Department (originally PCT)

City Council working in partnership with

CCGs

All health visitors and children’s staff

HENRY trained – over 1,200 staff

Local staff trained to deliver practitioner

training, family group programme and 1-to- 1 intervention

Now training childcare workforce
Volunteer Parent Champions supporting

healthy local communities

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Embedding prevention in local obesity strategy

HENRY implemented as part of city-wide

besity strategy

7.5 8 8.5 9 9.5 10 10.5 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 Obesity Prevalence in reception (%) Year Leeds England

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Reducing health inequalities

2 4 6 8 10 12 14 16 2009/10 2010/11 2011/12 2012/13 2013/14 Least deprived Most deprived

Leeds City Council NCMP data

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Research and evidence

The Impact of HENRY on Parenting and Family Lifestyle: a

national service evaluation of a pre-school obesity prevention

programme. Willis TA, Roberts KPJ, Berry TM, Bryant M, and

Rudolf MCJ Published Public Health 2016

Combating child obesity: impact of HENRY on parenting and

family lifestyle. Willis TA, George J, Hunt C, Roberts KPJ, Evans CEL, Brown RE and Rudolf MCJ Published Pediatric Obesity 2014 http://www.henry.org.uk/homepage/why-henry/evidence- base/clinical-studies/

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