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Health Sciences
Health Sciences 1001A/B
Shauna Burke

A LIFESTYLE INTERVENTION FOR OBESE CHILDREN AND THEIR FAMILIES  Taught about a healthy lifestyle  Team based program  It wasn’t like a boot camp like the one Joseph went to, this one wasn’t focused on the teens  Many parents feel guilty about what the state that their children are in therefore you need healthy parenting where they aren’t focusing on what they are doing wrong but just helping the child get better  Children aid- was needed because there was abuse that was going on in these families COMMUNITY PARTNERSHIPS  Canadian Centre for Activity & Aging  YMCA of Western Ontario o Large portion of the camp was held here o Gave the families discounted rates so that they would continue  Middlesex-London Health Unit  Children’s Hospital of Western Ontario o Regular check-ups  Family Service Thames Valley  Thames Valley Family Practice Research Network  London Anti-Bullying Coalition o Some obese children are the bullies and not the ones being bullied  Western Campus Community Police Service  Field Trip Partners  London Knights Hockey  CCH Secondary School  UWO Football THE ISSUE OF CHILDHOOD OBESITY  Refer to powerpoint  Direct link between the camp and type two obesity  The children were not allowed to have type two obesity if they wanted to join the camp  Type two diabetes was known as adult onset but it is not known as that anymore because so many children are getting it, get as young as two years old are getting it  Double diabetes- the child has both types of diabetes  Kids are very adaptable and they will take new changes and go with them, and they are openminded therefore they will carry on their ‘healthy’ changes throughout life PROJECT DESCRIPTION  2-year pilot project funded by The Lawson Foundation (Diabetes Funding Opportunity)  One hundred and fifty thousand dollars were given to run the two year camp  First year the camp was run on campus  Second year it was carried out in the YMCA in downtown PROJECT DESCRIPTION  GENERAL PURPOSE o To develop, implement, and assess the effectiveness of a 4-week lifestyle intervention for obese children (ages 10-12) at risk for type II diabetes and their families o There was more smaller specific objectives  SPECIFIC OBJECTIVES o Primary Objective: To increase physical activity behaviour during and following the intervention o To improve physiological and psychological outcomes, as well as dietary patterns and self- efficacy PROJECT DESCRIPTION  Participants o Year 1 (2008) – 15 children (8 females, 7 males), ages 8-14 o Year 2 (2009) – 25 children initially than (12 females, 7 males), ages 10-12 th o BMI >95 percentile for age and sex  Over ninety fifth was meant that you are obese not overweight  Measure of height and weight  Greater of equal to ninety five percent children their age and sex  Intervention o 4 week group-based Lifestyle intervention (August 2008 & 2009)  Used collectives as agents of change  When in a group, easier to facilitate change o Monday – Friday 9am-4pm (children) o Saturday family sessions 10am-2pm (guardians)  If the families didn’t sign up for the family sessions then the kids couldn’t sign up  The kids were not involved in this part of the porgram o Monthly post-intervention support – “Booster Sessions”  Brought all the kids back for entire day- potlucks, professional speakers, activities  Once a month for a year after program o Follow-up assessments – 6-12 months post-intervention o Food was not included in the program  Wanted to teach them how to eat properly on their own  If they were given the food in proper portions they wouldn’t have learnt how to eat after they left the camp  They took the families to cooking classes and gave supermarket tours with nutritionists  There was two weeks to round up the kids  Some of the kids dropped out because of ethical problems, they need ethical approval first  Forty families but only fifteen kids after criteria INTERVENTION COMPONENTS:  Group-based physical activity for children o The kids were put into teams and they had logos and t-shirts o They had cheers for their groups o This allowed for physical activity o They had a basketball coach come in but some of the kids used to not participate in gym before so now they had to, they still got a choice they could sit out If they wanted but they would have to go like sit ups and pushups so that was a reinforcement, they rather play the game  Group-based educational sessions related to nutrition, physical activity, and behaviour modification  Weekly family training sessions for guardians o The kids were separate from their parents for most of the stuff that they did  Post-intervention support for children and families GROUP-BASED INTERVENTION COMPONENTS  Group names, logos, cheers, flags  Sacrifice behaviour (older campers pairing with and helping younger ones) o Hard to find things that the younger and the older kids enjoy therefore the older ones just helped the little ones o Made the older ones feel like they were in control and they were helping someone  CHAMP Road Trip Across Ontario – team goal setting o They would monitor how much physical activity they performed in the evening then they went home o Parents had to sign and check it o The team with the most points for physical activity would win  Daily completion of “passports” with sections devoted to enhancing cohesion during program and social support after program ends o Example- stating the f
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