1. Bez, project manager

2. Background Funded by RBKC A consortium of BME organisations led by DT African Refugee Project (ARP) The Venture Centre Iraqi Women’s League (IWL) Ethiopian Women’s Empowerment Group (EWEG) St Antonio’s Eritrean Refugee Women’s Group Al Hasaniya Moroccan Women’s Group African Women’s Group (AWC)

3. Aims & Objectives Use community development approach to: Provide practical support and enable those individuals who actively wish to improve their own health and wellbeing; Create opportunities and/or promote activities and services that maintain and enhance health and wellbeing; Improve access to mainstream health and wellbeing services; Develop community capacity to address common health problems together

4. Rationale behind the consortium BME communities and deprived areas – less well off Marmot review 2010 – Fair society, Healthy lives (health/social inequalities) Community empowerment and development theory – Participatory approach is effective in embedding change Co-production – Service users know better - AND SIMILARLY COMMUNITIES

5. The interventions/programmes Diet and nutrition workshop Lose weight, feel great activity Physical activity sessions Chronic disease awareness workshop Wellbeing workshop Information and signposting Health conferences and events Capacity building -Training and development

6. The approaches Motivational + Practical E.g. Lose weight, feel great (Combined Healthy eating and PA) Target – Those with multiple lifestyle/social factors (e.g. weight/inactive /lack confidence etc) and would like to make changes to their lifestyle. Activities - Hands-on Six-week healthy eating/physical activity for 10-12 individuals 1 hour motivational talks and tips on eating healthily and creating a SMART gls 1 hour physical activity of their choice (Zumba or Aerobic or cycling etc) Final session - How to maintain changes – Signposting and/or forming self-help group

7. Data collection: Outputs/outcomes Demographics (age, sex etc) Activities (photo, feedback, testimony/case studies) Wellbeing (pre/post) – WEMBS Self-efficacy (pre/post) – GSE Scale Weight loss (pre/post) – Questionnaire PA increase (pre/post) – Questionnaire Attitude change (pre/post) – questionnaire

8. Data analysis + Presentation SPSS - data management and statistical analysis tool with versatile data processing capability.  Electronically storing questionnaire data  Generating routine descriptive statistical data for question responses  Creating graphical presentations of questionnaire data for reporting  Exploring relationships between responses to different questions

9. Activities/Outputs Data (Snapshot of demographics = 205 ind)

10. Activities/Outputs Data (Snapshot of Ethnicity = 223)

11. Activities/Outputs Data (Snapshot of self-reported risk factors = 138 ind)

12. Activities/Outputs Data - photos

13. Activities/Outputs Data - photos cont.

14. Activities/Outputs Data – photos cont.

17. Community engagement/promotion

18. Outcomes Indicators Sample Count (size)Before (mean)After (mean)Change (%) +/- Level of physical activity 25 1.32.2 69 Increase Fruit and vegetables intake 23 2.914.95 70 Increase Fried, fat and sugary food/drinks intake 23 0.900.60 33 Decrease BMI 12 30.029.2 3 Decrease Total sample size 83 Physical activity behaviour - Most individuals involved in physical activity also reported increased their level of physical activity from 1.3 times per week to 2.2 times per week, which is a 69% increase against baseline. This indicates that physical activity level of participants has improved over the course of the intervention. Fruit and vegetables consumption - Service users with dietary goals experienced considerable gains in their fruit and vegetable portions, increasing on average from just 2.90 portions to 4.95 (over 70% increase against the baseline) and is just under the recommended 5 a day. Fried, fat and sugary food/drinks - Service users also reduced their fried, fat and sugary food/drinks intake from 0.90 portions per day to 0.60, over 33% reductions against baseline. Change in BMI - On average, BMI dropped from 30.0 to 29.2 that is about 3% reduction against baseline.

19. Outcomes Monitoring tools/Indicators Sample Count (size)Before (mean)After (mean)Change (%) +/- Self Efficacy (GSE) 26 30.434.7 14 Increase Wellbeing (WEMWBS) 37 52.662.1 18 Increase Total sample size 63 On average, general self confidence (self-efficacy) increased from 30.4 to 34.7 that is over 14% increase against baseline. This demonstrates that beliefs that individuals have in their own ability and motivation to complete/achieve their goal have improved over the course of the intervention. On average, wellbeing (feelings and thoughts) increased from 52.6 to 62.1 that is about 18% increase against baseline. This demonstrates that that mental wellbeing of participants has improved at group level over the course of the intervention

20. Feedback 83% of service users said they are extremely satisfied and 2.4% said not satisfied at all. Similarly, 88 % of service users said they are more likely to recommend the service to a friend. Most importantly, 85% of service users said they are more likely use the information/experience they gained in their future life.

21. Referral pathways Self Cross-partners Externals orgs and health professionals Contacts Bez, Tel: 0208 969 6300 or Email: bez@dalgarnotrust.org.uk bez@dalgarnotrust.org.uk Website - http://www.dalgarnotrust.org.uk/http://www.dalgarnotrust.org.uk/ Partners and CDWs

22. Thank you