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Presented by Maryann Falkiner

Empowering services to provide healthy eating and physical activity assistance to disadvantaged families. Presented by Maryann Falkiner Prepared by Maryann Falkiner, Luke Wolfenden, Nicole Nathan, Lynn Francis, Shelley Rowe and Colin Bell HNE Population Health ACWA Conference – August 2010 .

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Presented by Maryann Falkiner

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  1. Empowering services to provide healthy eating and physical activity assistance to disadvantaged families Presented by Maryann Falkiner Prepared by Maryann Falkiner, Luke Wolfenden, Nicole Nathan, Lynn Francis, Shelley Rowe and Colin Bell HNE Population Health ACWA Conference – August 2010

  2. Overview of Presentation • “Healthy Living for Families” strategy • Good for Kids program • Overweight/ obesity and disadvantage • Strategic position of Human Service Organisations • Evaluation & results of the “Healthy Living for Families” strategy • Conclusions

  3. The Good for Kids Program is Australia’s largest childhood obesity prevention program

  4. Schools Childrens Services Health system Aboriginal health Media Sporting clubs Multi-strategic program working across multiple settings • Services providing home visitations to vulnerable families with young children

  5. Effects of Obesity are chronic and acute Ref: Wolfenden et al (2010)

  6. Obesity Socioeconomic Disadvantage Obesity can contribute to a vicious cycle of disempowerment & disadvantage for vulnerable families.

  7. The importance of the home environment

  8. Strategic position of Human Service Organisations Services are well placed to assist families create healthier home & family environments: • Support provided for a large number of families over a long period of time • Opportunity to identify unhealthy aspects of the families lifestyle and provide assistance • Primary prevention focus & understand the difficulties families are experiencing • Are experienced in supporting and building skills, knowledge and capacity of families

  9. Survey of Managers Managers agreed that: • Families would find it beneficial (100%) and acceptable (85%) to receive healthy eating and physical activity assistance from their service • Healthy eating and adequate physical activity are important for the health and wellbeing of children (100%) • supporting families to lead healthy lifestyles was part of their organisational role (97% )

  10. Healthy Living for Families strategy Included components found to be effective in improving organisational practices: • Organisational policy and procedures. • Staff training • Telephone support calls • Organisational Resources • Performance feedback

  11. SUPPORT FOR STAFF 1. Training workshop conducted 2. Resources provided 3. Two support calls Healthy Living for Families strategy

  12. Healthy Living for Families strategy SUPPORT FOR MANAGERS Support calls & performance feedback Policy Template Resources

  13. Evaluation • Pre-Post study design • Eligible managers and staff were invited to participate • Gathered information about: • Provision of healthy eating and physical activity support provided in the past 3 months • Acceptability of the intervention

  14. Results All results are statistically significant (p<0.01)

  15. Results All results are statistically significant (p<0.01)

  16. Staff Results- Acceptability • Majority of staff found all components of the strategy useful • telephone support calls (93%) • training (100%) • Resources (100%) • All staff (100%) said they would recommend the training, resources, and telephone support to other Human Service organisations

  17. Manager Results- Acceptability • 97% of managers agreed that: • Staff benefited from the training & resources • Families accessing their service benefited from their involvement in the strategy • All managers (100%) agreed that they would recommend the training, resources, and telephone support to other Human Service organisational managers

  18. Limitations • A number of limitations exist: • Utilisation of an uncontrolled trial design • Possibility that staff felt compelled to report positively • However magnitude of change suggests that an intervention effect did occur

  19. Healthy Living for Families Ticks all the Boxes Feasible Acceptable to managers & staff Makes a difference to staff practices Uses a best practice model for sustained organisational change Innovative Has the potential to make a difference to the development of healthy behaviours

  20. Quotes from Staff “Some great information and things that I’m looking at implementing” “A great incentive and good practical ideas to help assist families with good nutrition” “Very relevant to the families I’m working with- excellent- great information that refreshed some older ideas and made me more aware”

  21. Next Steps… • Good for Kids website www.goodforkids.nsw.gov.au • Collaboration with FamS • Thank you

  22. Acknowledgements Participating services across HNEAHS Vulnerable Families Advisory Group Good for Kids team

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