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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