Dr Linda Solbrig Specialist Health Improvement Practitioner LWS; Research fellow University of Plymouth
SLIDE TITLE PUBLIC HEALTH ENGLAND In March 2016 PHE launched the National One YOU campaign PHE invested in a widespread communications and marketing campaign
Livewell Southwest have localised the PHE campaign to provide: SLIDE TITLE ONE YOU PLYMOUTH, FOCUSING ON 6 KEY AREAS
FREE COMMUNITY BASED WEIGHT SLIDE TITLE MANAGEMENT • Until March 2019- info giving/advice, goal-setting, self-monitoring • New Eatwell programme launches in April 2019. • Focus on motivation&confidence to make healthy changes. • 6 weeks, 1x 1.5 hour weekly sessions + 6 weeks of fortnightly booster calls. • Will provide online access to all hand outs and extra video materials. • Individual 15 minute weigh-in appointments with a practitioner- already happening- 24 months .
Why motivation and self-efficacy? WHY MOTIVATION AND BUILDING CONFIDENCE IN BEING ABLE In weight management and physical activity : TO ACHIEVE A CERTAIN GOAL (SELF-EFFICACY)? High self-efficacy (SE ) associated with successful adherence to dietary changes & weight maintenance and other addictive and lifestyle behaviour changes (Dennis & Goldberg, 1996; Dutton, Martin, Rhode, & Brantley, 2004; Linde, Rothman, Baldwin, & Jeffery, 2006; DePue, Clark, Ruggiero, Medeiros, & Pera, 1995; Elfhag & Rössner, 2005) …associated with expending more calories through exercise (King et al., 2010) …mediates effects of interventions on behaviour change (Darker, French, Eves, & Sniehotta, 2010) Motivation predicts long-term weight loss ( Elfhag & Rössner 2005; Silva et al., 2011; Teixeira et al., 2004) …predicts dietary regulation/physical activity in 12 -month weight loss trial (Mata et al., 2009) …predicts engagement with and success on a very low calorie weight loss programme over 23 months… (Williams et al., 1996) …and weight loss outcomes over three years (Silva et al., 2011)
WHY MOTIVATION?: INFORMATION ALONE SLIDE TITLE DOES NOT CHANGE BEHAVIOUR! 7 focus group discussions - thematic analysis: All groups raised the issue of wanting motivational support for losing weight and helping to maintaining weight loss. Help with behavioural elements, setting, reviewing goals. Disliked fitness/diet apps that required constant self-monitoring/calorie counting. Nutritional advise was never requested/in focus!
WHAT HAPPENS WHEN FOCUS IS ON BOOSTING MOTIVATION IN WEIGHT LOSS IN ABSENCE OF INFO GIVING SLIDE TITLE 2 groups, 114 people from Plymouth Public 41 out of 58 in FIT group lost 5% or more of body weight 27 lost 10% or more Average weight loss 12 months: 6.4Kg 4 hours motivational support (mostly by phone) over 6 months only
WHAT ELSE HAPPENS WHEN WE ADDRESS SLIDE TITLE MOTIVATION FOR WEIGHT LOSS? ‘I will use this for other areas of my life where I am struggling; to get me out of this black hole I have been in recently…’ ‘And because it is all positive my depressed mood has really improved over the past months.’ ‘It is all about changing one’s mind set – isn’t it? I feel so positive and motivated because I never looked at it like this before….’ ‘I don’t know if you hypnotised me or what you have done, but the positive reinforcement, it really makes me feel good about being in this for the long-haul. I enjoy the path and I am not deprived like when I was on all these diets before…’
HEALTHY EATING WORKSHOP- WITH FUTURE SLIDE TITLE SCOPE TO TRAIN ORGANISATIONS TO DELIVER IT THEMSELVES! • Monthly course run at Livewell Southwest Academy. • Can also be tailored to your job place. • We can come to you and include info on child nutrition • and/or info on how to have motivational conversations around healthy eating with adults/and or children • Length flexible: 2-4hrs depending on content choice
SLIDE TITLE TRAINING PROGRAMME - 2018-19 https://www.livewellswacademy.co.uk/courses
SLIDE TITLE Thank you for listening ! One YOU Plymouth 01752 437177 Email: oneyou.plymouth@nhs.net
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