stoke.gov.uk

Obesity – The role individual support interventions

Prof Zafar Iqbal Stoke on Trent City Council

Role of individualised support • What is the rationale ?• Chances of success ?• Value for money ?• Reach ?• Will it alter the obesity profile ?• Mobile texting service• What is the role of LA?

www.healthwatchbury.co.uk 4

http://www.thenutritionpost.com/eatright/do-fast-food-customers-read-the-calorie-charts.html

Food consumption

Food facts

BMI estimates* for Stoke-on-Trent in 2012 (adults 16 and over)

* Based on the 2012 Health Survey for England

Health and Social Care Information Centre 2013

Need

• 66.5% of adult population either overweight or obese

• Current interventions not affordable at scale

– Bariatric surgery; £10,000 per intervention– Commercial weight loss service; £77 per intervention– Text4change; £20 per intervention

Do weight management interventions work?

• At 3 months ?

• At one year ?

• Bring weight down to normal range ?

What is text4change?• 12 week m-health intervention• Primary outcome: weight loss• Uses “gain-framed messages” based on

behaviour insight • Free to users with minimal opportunity

cost• Messages are tailored to clients progress• 12p per interaction

“Lifestyle coach in your pocket”

Building the evidence base

• Text4change to be launched April 2014 • Feasibility study of 500 residents to be carried

out by Staffordshire University• Findings to be disseminated via learning

networks• City-wide roll out in January 2015

Conclusions

• Individualised support makes sense for high risk• Reach – no • Change profile – no• LA role as facilitator - yes• LA role in prevention – yes • Once overweight then v difficult and expensive to

change

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DPH Annual Report