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Supporting the self-management of obesity: The role of
information and communication technology
Presentation at SIHI conference
University of Portsmouth, September 18, 2009
Research and policy context
Policy Research Programme at DH:The role of technology in supporting chronic
disease management, self care and healthy living
ICT as ‘a key technology in enabling the engagement of the public and patients in their own care’
The Net.Weight project• Investigating the potential for increased,
innovative and effective uses of ICTs in the self-management of obesity (weight management)
• Local focus – Brighton & Hove; action-oriented approach; strong input from local partners in health and HI fields
• What information and support do people know about, find accessible, useable and useful for weight management?
• How does this fit with the resources that are provided by the local health and HI providers?
• What role do ICTs currently have and what further applications can be identified in this context?
Provider mapping• Mapping local information
providers• PCT and city council’s Active
for Life:• Relevant info but hard to find
• Prototype web-based directory of local information providers + resources relating to weight management
• A tool for the workshops – engaging people in an evaluation of information provided
• Web 2.0 features – discussion groups; blogs; creating, commenting and rating content
User mapping• Survey–overweight people in B&H actively
managing weight;distribution throughout community, 400 responses Older (majority over 45) female (83%)
respondents 40% with one or more chronic condition Most think being o/weight has negative
impact on their lives People self-care rather than going to
doctor/practice nurse Poor experiences with HPs in past but
still want them to care High internet access (80%) Most report confidence in information
skills Information sources diverse (slimming
groups, magazines, food labelling) Very little use of online weight loss
programmes Very little use of online support for WM Lack of awareness of local sources of
information and support for WM
Participatory learning workshops• Input from provider mapping,
survey, focus groups and community planning meeting
• Survey respondents were asked to participate in learning workshops – and to help design them
• Interests and needs – Support + advice for people
with specific health needs Information about local
activities – as opposed to general HL information
Information from trustworthy, non-commercial sources
Improved food labelling Local support networks Information for men
39 participants, 3 groups, series of 4 workshops per group:1.Information guided tour2.Sharing and community3.In our own words4.Making the future
In the local communityParticipatoryPeer-supported learningCritical engagement with information and technologies
Posted June 23rd, 2008 by Alexanderhttp://maps.google.co.uk/maps?
****************************************Above is a link to my walk to work which takes me about 40 minutes and I burn
224 calories. I do vary it thou depending on my mood.--------------------------------------------------------------------------------
distance duration calories burnt cost carbon footprint 2.36 miles
4748 steps3.80 km224 calories£ 0
Attached is a picture of my gradient of my walk to work
Motivation and support?
Local support groups, local activities, tailored to meet specific needs
Users or designers?
Re-designing a local website
•More interactivity and opportunity to ‘talk back’•Like interactive features of BBC and NHS Choices but want ‘local flavour’•Want something more welcoming to older people
What’s been learned? Information is a necessary but not sufficient condition for
self care – support and motivation are bigger issues Self care is difficult in this area as causes and
consequences of condition are beyond scope of individual action alone
Need for broader, more collective approach to WM which can enhance confidence and effect change in environment
Local activity and action is easy to stimulate and build on Internet-based tools can be used to support a ‘blended’
approach to WM in the community (on- and off-line) Greater need to build on expertise of those engaged in
WM when planning information and ICT design, developments and interventions
Engage public as citizens not patients- new forms of governance not just choice
There is further potential in linking health, digital inclusion and community engagement agendas
Further informationNet.Weight Project Team:At the University of Brighton • Professor Flis Henwood, Project Director• Ms Audrey Marshall, Dr Elizabeth Guy, Senior Research Fellows• Ms Tanja Sinozic, Research Officer (User Survey Report)• Ms Laura Bottomley and Mr Ian Hockaday, Project Administrators • At the Brighton and Sussex Medical School• Professor Helen Smith• Dr Leslie Carlin, Research Fellow • In the community• Mr Mark Walker, Sussex Community Internet Project (SCIP)
• http://research.cmis.brighton.ac.uk/netweight/