Innovations and new initiatives to prevent obesity NSW Health Innovation - PowerPoint PPT Presentation

Loading...

PPT – Innovations and new initiatives to prevent obesity NSW Health Innovation PowerPoint presentation | free to download - id: 7ff37b-YzYyZ



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Innovations and new initiatives to prevent obesity NSW Health Innovation

Description:

Innovations and new initiatives to prevent obesity NSW Health Innovation & Health Symposium November 2015 Louise A Baur University of Sydney: Discipline of ... – PowerPoint PPT presentation

Number of Views:106
Avg rating:3.0/5.0
Slides: 30
Provided by: local207
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Innovations and new initiatives to prevent obesity NSW Health Innovation


1
Innovations and new initiatives to prevent
obesityNSW Health Innovation Health Symposium
November 2015
  • Louise A Baur
  • University of Sydney Discipline of Paediatrics
    Child Health, Sydney Medical School, AND Sydney
    School of Public Health
  • The Childrens Hospital at Westmead, Sydney
    Weight Management Services
  • Email louise.baur_at_health.nsw.gov.au

2
How others have described the problem of obesity
  • One of todays most blatantly visible yet most
    neglected public health problems
  • The public health equivalent of climate change
  • The Millennium Disease

WHO www.who.int/nut/obs.htm Laing Rayner,
Obesity Reviews 2007 www.iotf.org
3
  • !!!!

4
With such a complex issue we cant tackle
itby staying in our silos
5
With such a complex issue we cant tackle
itby staying in our silos
6
Obesity and the chronic disease care pyramid
Primary prevention health promotion
7
Obesity and the chronic disease care pyramid
Self-care supported by GPs, other 1o care,
group programs
Level 1 70-80 of people with oweight/obesity Sel
f-care community based care
Primary prevention health promotion
8
Obesity and the chronic disease care pyramid
Level 2 High risk patients Care management
Multidisciplinary teams specialist allied
health group programs
Self-care supported by GPs, other 1o care,
group programs
Level 1 70-80 of people with oweight/obesity Sel
f-care community based care
Primary prevention health promotion
9
Obesity and the chronic disease care pyramid
Tertiary level facilities special obesity
clinics specialist teams key worker case
manages joins up care
Complex patients Case management
Level 3
Level 2 High risk patients Care management
Multidisciplinary teams specialist allied
health group programs
Self-care supported by GPs, other 1o care,
group programs
Level 1 70-80 of people with oweight/obesity Sel
f-care community based care
Primary prevention health promotion
10
But we tend to stay in our silos!
Silo 3 Hospitals
Tertiary level facilities special obesity
clinics specialist teams key worker case
manages joins up care
Complex patients Case management
Level 3
Level 2 High risk patients Care management
Multidisciplinary teams specialist allied
health group programs
Silo 2 Primary care Community care
Self-care supported by GPs, other 1o care,
group programs
Level 1 70-80 of people with oweight/obesity Sel
f-care community based care
Silo 1 Health promotion
Primary prevention health promotion
11
What are some of the new, or newer, strategies in
tackling obesity?
12
Tackling gestational weight gain? Providing a
Get Healthy Coaching Service to pregnant women
affected by obesity
13
Why gestational weight gain?
  • A critical period when future health trajectories
    can be influenced
  • Pregnant women are very open to health messages
    AND they are being seen often frequently - by
    the health system!
  • Excess weight in pregnancy ? influences current
    future maternal health AND offspring health

14
Trial of for women with gestational weight
gain
  • Trial underway using the Get Healthy platform
  • Can we see a future when .
  • all women in early pregnancy who are affected by
    obesity are provided with a high quality,
    accessible intervention to help them avoid excess
    weight gain and have as healthy a pregnancy as
    possible?
  • the Get Healthy Service is used successfully by
    many, many people including young people (i.e.
    prior to pregnancy)?

15
Integrating anticipatory guidance about
breastfeeding and healthy infant/ young child
eating and activity into routine clinical service
delivery? Universal and Targeted home visiting
to mothers of new babies
16
Home visiting programs?
  • Can be effective in improving social and health
    outcomes of disadvantaged parents and children
  • What about weight, eating and activity outcomes?
  • ? The Healthy Beginnings Trial
  • south-western Sydney
  • intervention from 3rd trimester to child age 2y
  • 8 home visits by early childhood nurse,
    developmentally staged

1Olds DL, et al. JAMA 1997, 278673-643.
17
And, Healthy Beginnings led to
  • significant reduction in body mass index at age 2
    y ? the first intervention to decrease child BMI
    in early childhood
  • improvements in some child and mother eating and
    activity/TV behaviours
  • . but the effect didnt persist beyond 2 y -
    when the home visits stopped

Wen LM et al. BMJ 2012 344e3732
18
Home visiting programs to prevent obesity?
  • Trial being planned in Sydney LHD
  • Can we see a future when .
  • Anticipatory guidance about breastfeeding,
    healthy infant/child feeding activity is
    integrated into home visiting programs for
    targeted pregnant women/mothers of young babies?
  • Are there other ways to support large numbers of
    women? What about phone coaching? The Get Healthy
    Service for new mothers?

19
On-line training of clinicians (nurses, allied
health, doctors ) who see children and
adolescents - to monitor weight status, raise the
issue of obesity and provide initial and more
detailed advice? Weight4KIDS training modules
20
Why the interest in training health professionals?
  • Treatment services very limited, poorly
    co-ordinated, across NSW and Australia-wide
  • Most health professionals are poorly trained in
    managing paediatric obesity and its complications
  • ? Development of Weight4KIDS
  • a series of on-line training modules suitable for
    all types of health professionals working with
    children, in any setting
  • well-evaluated in metro and regional NSW settings

21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
(No Transcript)
25
Upskilling of health professionals?
  • Can we see a future when .
  • All clinicians and health promotion staff are
    able to access relevant training as needed and
    feel confident in
  • raising the issue of obesity
  • monitoring the problem
  • helping people find the support they need to
    tackle the issue

26
Some last reflections
27
(No Transcript)
28
Of course we need many other strategies too! BUT
  • Lets be as flexible and innovative as we can
    within our existing budgets
  • How can we avoid being stuck in our different
    craft silos and comfort zones?
  • Where does health promotion end and clinical
    service delivery begin? And vice versa?
  • How can health promotion infiltrate/ embed itself
    - or be integrated - into routine clinical
    service delivery?
  • How can health promotion be integrated across
    many other sectors?

29
Of course we need many other strategies too! BUT
  • Lets be as flexible and innovative as we can
    within our existing budgets
  • How can we avoid being stuck in our different
    craft silos and comfort zones?
  • Where does health promotion end and clinical
    service delivery begin? And vice versa?
  • How can health promotion infiltrate/ embed itself
    - or be integrated - into routine clinical
    service delivery?
  • How can health promotion be integrated across
    many other sectors?
  • Thank you!
About PowerShow.com