CCashman December 2006

GUT BUSTERS

Anne Farrell,

Workplace Health Promotion Officer, CIE Group

Gut busters-unique pilot !

The Dublin Bus company in-house health promotion pilot project for a healthier lifestyle in bus drivers and other staff.

Background

The National Taskforce on Obesity in Ireland:

“ The public sector, the private sector and the community and voluntary sectors should work in partnership to promote healthy

eating and active living to address overweight/obesity.”

Aims

Develop a pilot health promotion intervention to support healthy lifestyle and weight management in Dublin Bus drivers and staff.

Quantify the resultsProvide feedback

Methods

Coordinator: Anne Farrell & Gut Buster team

Health Promotion, Exercise & Fitness Students ,Waterford Institute of Technology

Support – management, safety, unions, CIE medical department

Methods

Units of study – 8 depots, 330 voluntary participants from total target 3000 employees

IncentivesCompetition between depotsAchievement of personal goalsManagement Awards night presentation

Methods

Management support in-house programme Personnel & targeted resources Specific for active participants 50% weight watchers

joining fee .Mgt paid other half

Incentives Competition between depots-weight loss league Achievement of personal goals Management Awards night presentation

Methods

Implementation of physical health intervention Information campaign Consent voluntary participants Measurements

Pre-intervention Mid-intervention Afterwards

Outcome - visibility

Questionnaire

Confidential to Health Promotion OfficerContact informationGender/birth datePhysical health activity readiness-par qHealth habits: exercise, smoking, dietPersonal goalConsent

Measurements

Height / weightBMIWaist circumferenceBlood pressureCholesterolPeak flow

Tools

Information leaflets Questionnaire Diary personal data Digital images Film footage Walking challenge Gym challenge Dance challenge

WALKING CHALLENGE !

Gym Challenge !

Dance challenge

Intervention

Pre-intervention information leafletSelection of voluntary participants

Total n=33050 % response rateactive participants (cases n=76) non-active participants (controls n=72)

Abnormal health findings – GP letter

Intervention

8 week programme (active participants)Physical health intervention

2km walk test (before & after) Slí na Sláinte Introduction to depot gym –personal trainingPersonal fitness programme: diaryDaily activity scoring

Weight watchers weekly programme

Intervention

For all Dublin Bus staff Free health & lifestyle lectures in all the depots:

Motivation to change Smoking cessation Nutrition Drugs & Alcohol Stress management Ergonomics Shaping up Cancer prevention

Baseline

82% male72% ‘none’ or ‘mild’ exercise 67% goals health/weight reduction 25% smoke cigarettes

Gender

82%

18%

Male Female

Exercise Habits

60%20%

9%11%

Mild Exercise Occasional Vigerous Exercise

Regular Vigerous Exercise Sedentary

Results: Cholesterol (mmol/l)

Cases ControlsPre Post

2.0 - - 2.5 - - 3.0 - 1 3.5 4 7 4.0 4 8 4.5 11 19 5.0 15 16 5.5 13 10 6.0 18 8 6.5 5 4 7.0 5 2 7.5 1 1 8.0 - -

76 76

Pre Post2.0 - - 2.5 - - 3.0 - - 3.5 - - 4.0 5 10 4.5 12 9 5.0 15 21 5.5 15 14 6.0 13 8 6.5 6 4 7.0 6 5 7.5 - 1 8.0 - -

72 72

Results: Waist measure (inches)

Cases Controls

CM Pre Post30 - 1 35 6 8 40 22 37 45 35 25 50 12 5 55 1 - 60 - -

76 76

CM Pre Post30 1 2 35 6 6 40 26 33 45 33 26 50 6 5 55 - - 60 - -

72 72

Results: Weight (Kg)

Cases Controls

Kgm Pre Post60 - 2 65 2 2 70 4 5 75 4 5 80 8 6 85 8 12 90 9 18 95 17 8

100 8 6 105 1 3 110 7 5 115 3 1 120 4 3 125 - - 130 1 -

76 76

Kgm Pre Post60 2 3 65 3 2 70 3 3 75 2 2 80 12 12 85 8 12 90 5 7 95 13 8

100 14 11 105 4 7 110 2 3 115 3 1 120 - - 125 1 1 130 - -

72 72

Results: BP (Diastolic)

Cases Controls

Pre Post45 - 1 50 - - 55 - - 60 - - 65 1 2 70 6 6 75 4 6 80 22 15 85 12 13 90 14 21 95 11 8

100 3 4 105 2 - 110 - - 115 1 -

76 76

Pre Post45 - - 50 - - 55 - - 60 4 1 65 1 3 70 5 3 75 6 9 80 21 12 85 16 15 90 12 19 95 3 9

100 4 - 105 - - 110 - 1 115 - -

72 72

Results

GP referrals generated prior to onset Quantified trend towards reduction in weight,

waist circumference, cholesterol, diastolic BP Positive feedback from participants/families Positive response from active participants to

agree to take part in dance challenge Dance challenge presented at awards night –

positive feedback 2nd night requested Overall depot winner: Clontarf

Post Measurements

Winning Team -Clontarf

Out comes

Documentary Positive Publicity Gut Buster conference Qualitative and quantitative results Research health promotion paper Some people gave up smoking Referrals to GPs Some employees off medication for diabetes and heart disease. Mentoring facility for students GYM safety audit Medical department new approach Improvement in company wellbeing-stones were lost (Clontarf -

13 stone)

POSITIVE PUBLICITY

Conclusions

Successful short term resultsPositive feedbackLimitations: 50% response, time,

resources, resistance, WW fee,Difficulties with communicationsGP concernsLead in time too short .

November 14th 2006

The Future

Feedback audit sent to participants Gym safety audit Post intervention measurements 6 months Consideration of extension of pilot

Presentation to management Lead time period needed to structure

communications

Self-funding potential What are others doing?

Collaborations

Management/safety department Marketing dept CIE Medical Department Pfizer Irish Cancer Society Irish Heart Foundation Waterford Institute of Technology Private collaborations: Coisceim, Weight Watchers,

Afresh, iadt