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BeSmarter – Be Bodywise ‘Basics for healthy kids’

BeSmarter – Be Bodywise ‘Basics for healthy kids’. Natalie Parkes – Clinical Psychologist Natalie.parkes@waikatodhb.health.nz Bodywise Team Helen Stockman, Dietitian Soroya McGall, Active Families Dr Donna Woolerton - Medical Physician. Bodywise.

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BeSmarter – Be Bodywise ‘Basics for healthy kids’

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  1. BeSmarter – Be Bodywise ‘Basics for healthy kids’ Natalie Parkes – Clinical Psychologist Natalie.parkes@waikatodhb.health.nz Bodywise Team Helen Stockman, Dietitian Soroya McGall, Active Families Dr Donna Woolerton - Medical Physician

  2. Bodywise • Family focussed group treatment programme for child obesity • Multidisciplinary team • Based in Hamilton • Initially 5 weeks with 2 contacts each week • 1 hour activity session • 3 hours skills building • Follow-up 18 months

  3. Obesity Issue • NZ is third fattest of OECD countries (behind United States and Mexico) • Approximately 30% of New Zealand children are overweight or obese • Childhood obesity continues to rise in NZ ( whereas plateaued in Australia ,UK and even US) • It can be a sensitive topic to discuss with parents

  4. Factors that affect weight Ethnicity (higher rate of childhood obesity in Maori/Pacific children) Poor nutrition/eating habits (high fat/high sugar intake) Other health issues (asthma, Rheumatic Fever) Family behaviour patterns (eating and activity) Parental Obesity Genetic factors Low socio economic status

  5. Health/Wellbeing Risk Factors There is an increased risk of associated medical problems: diabetes, heart disease, liver disease, obstructive sleep apnoea, musculoskeletal disorders, cancer and fertility issues Obese children are more likely to become Obese adults Obesity/overweight can affect self-esteem, self image and cause a variety of other psychological issues Social and economic disadvantage (friends/employment)

  6. What’s the Problem ? Childhood obesity can be easily overlooked • Often presents secondary to another diagnosis • Unidentified and misconceptions (puppy fat and they will grow out of it) • Difficult to bring up with parents • Social & society change • Time-consuming to unravel the muddle and ultimately decide on a plan for goal setting • Often overwhelmingly confusing

  7. The Brief WANTED Need identified and request from Health professionals for a resource Stand alone / quick and easy to use Provide prompts for risk factor assessment Enable engagement around weight issue and child health Parent/kid friendly with take home messages

  8. Started development September 2012 Team attended and presented at ANZOS Obesity conference (ANZOS) October 2012 * Gathered ideas and momentum * Jan – Sept 2013 ongoing development and review Colour design and layout by designer Sport Waikato 1st draft August 2013 – Introducing ‘BeSmarter’ Printed Oct 2013 Released November 2013 – feedback Modified with Maori & pacific designs – Feb 2014 Online launch to Waikato DHB & primary health – early 2014 Resource – timeline Oct 2013 Early 2014 Sept 2012 Jan-Sept 2013 Oct 2012 Aug 2013 BeSmarter Nov 2013

  9. BeSmarter Reviewed by BW team Dietitian Active Families Clinical Psychologist Medical Physician Group reviews by dietitians public health nurses, and other health professionals and feedback from cross cultural perspective First draft review - Aug 2013

  10. 2nd draft review • Comments collected: • paediatricians psychologists, nurses, energizers • Pre-tested by Dietitians, psychologist, nurses, Bodywise physician, active families sport waikato

  11. BeSmarter - Ready to use

  12. Flip side

  13. Modified BeSmarter – Feb 2014

  14. Where to from here? • Online launch – early 2014 • Develop training resource to support BeSmarter pads • BeSmarter used through out Waikato • Further feedback • Evaluate use of BeSmarter • Any final modifications prior to next print

  15. Summary • Resource developed by Bodywise team to address demand for tool to support weight management • Practical easy to use resource to initiate a conversation and change with a family • Applicable across many settings • A helpful resource that promotes positive health messages for all children • Minimal training required • Cost effective resource “I orea ate tuatara ka patu ki waho” “A problem is solved by continuing to find solutions”

  16. References Ministry of Health (2002). Food and nutritional guidelines for healthy children aged 2-12 years Ministry of Health (2009). Clinical Guidelines for Weight Management in New Zealand Children and Young People. http://weightmanagement.hiirc.org.nz Ministry of Health. (2012). The health of New Zealand children: Key findings of the New Zealand Health Survey 2011/12. Wellington, New Zealand. Ministry of Health. (2012). Food and nutritional guidelines for healthy children aged 2-12 years. Wellington, New Zealand Council of Australia . (2006) . Nutritional reference values (NRVs) for New Zealand and Australia. www.moh.govt.nz/publications Nieuwenhuijsen, E.R.,, Zemper, E, Miner, K.R., & Epstein, M. (2006). Health behaviour change models and theories: contributions to rehabilitation. Disability and Rehabilitation, 28, 245-256. Sparc (2006). New Zealand physical Activity Guidelines for children and Young People (5-18 years). www.sparc.org.nz Rollnic, S., Miller, W.R., Butler, C.C. (2008). Motivational Interviewing in Health Care: Helping patients change behavior. NY: Guilford Press

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