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Raising the Issue of Weight as part of a Brief Intervention - 'Why Wait to Talk About Weight?'

Title
Raising the Issue of Weight as part of a Brief Intervention - 'Why Wait to Talk About Weight?'
Source/publisher
Nutrinsight
Contact email address
info@nutrinsight.co.uk
Publication year 2013
Date entered into repository26 June 2013
Introduction
This report describes the successful delivery of 44 Brief Intervention training sessions Raising the issue of weight for professionals working with children and families. The project ran throughout October 2012 to March 2013. The full report contains a description of all stages of the project, including feedback from the evaluations undertaken with delegates directly after delivery and 3 months after delivery. The report also contains recommendations for commissioners for future planning and delivery of a cohesive weight management service in light of discussion with the wider workforce.
What did you do? Briefly describe what was involved in your case study
Aim: Nutrinsight was commissioned by NHS Sussex to provide training to staff - both health professionals and the wider childhood workforce - with the aim of helping staff to maximise their brief interventions making every contact count - to make a long-term change to reduce current obesity levels in West Sussex in line with their care pathway. Objectives: Specific Objectives included: Supporting staff to recognise overweight children where others don't and respond to it. Challenge preconceptions of childhood weight and take on responsibility to help. Use Brief Interventions to their maximum effect - eliciting healthy lifestyle messages to achieve a balanced diet, more quality activity and motivating clients for the prevention of obesity. Model best practice when raising the issue of weight with children and parents. The training, ethos and rationale: We proposed the question - So 'Why Wait to Talk About Weight?' Well if we don't then who will? Excess childhood weight is a problem that people tend not to want to talk about, but if no one steps up to do that, then children and families will never get the opportunity to make changes to improve their health and wellbeing!'Why Wait to Talk About Weight?' is an focussed 6 hour workshop for people working with children and families. It aims to help make raising the issue of weight easier, more focused and more effective for those who have to do it as part of their job role or for people who are considering how they could ever do it. 
How to raise the issue of weight without conflict. Fun, interactive workshops that help delegates practice sharing essential physical activity and nutrition messages with families. A basic introduction to Motivational Interviewing, practising techniques to help families and young people set their own SMART Goals.The training aims to help delegates encourage family led changes to eating and activity, building a commitment and motivation to change. 
Has an evaluation of the project occurred?
Delegates undertook an extensive evaluation of the day's learning directly after finishing the day's training and a secondary evaluation 3 months post attendance. It aimed to define a summative assessment of the learning in line with the practical learning objectives. We also were keen to instil formative assessment into the course though feedback, question and answers and the various workshops and trainer engagement.Evaluation by delegates from the day: Delegates were asked to rank their confidence to use a basic Motivational Interviewing technique and raise the issue of weight on a scale of 1 to 10 (1-not at all confident, 10-completely confident) after a description of the days aims and objectives, but before the training session started and again at the evaluation section of the day after the training had ended so as to compare change in confidence.When asked: How confident do you feel to use a basic brief intervention technique when helping clients make changes?• Before training had commenced, collectively delegates ranked themselves on average 5 / 10.• After training had commenced, collectively delegates ranked themselves on average 7 / 10.• After training, 84.4% (n346) of delegates felt more confident to use a basic brief intervention technique to help clients make changes.This result shows how effective the learning was on the day and proves that the basic technique of MI has been transferred to a vast majority of delegates. This gives them the basics of an effective technique to deliver Brief Interventions. Importantly some delegates entered the training describing themselves as reasonably confident but this was only approx. 5% rating themselves at 9 or 10 before training. A vast majority rated themselves below 5/10 before training and moved to above 5/10 after training.When asked: How confident do you currently feel to raise the issue of weight with your clients? Before training had commenced, collectively delegates ranked themselves on average 5 / 10 After training had commenced, collectively delegates ranked themselves on average 7 / 10 After training, 83.7% (n343) felt more confident to raise the issue of weight with clients.Again, the vast majority felt more confident to raise the issue of weight with clients. This is absolutely key to opening up a leading conversation, both to ascertain their client's position of change and creating a foundation for MI to lead to change.
More informationwww.nutrinsight.co.uk
Topic
  • Intervention/treatment
  • Obesity
What audience is your case study relevant to?
  • Health Professional
  • Local government
  • Voluntary/Community Sector