|
Training for health and other professionals How1 #370177
| Actions for Health and wellbeing boards, local education and training boards, directors of public health and local public health providers, academic health networks and other academic institutions and professional bodies providing training in weight management, diet or physical activity Local education and training boards and the other groups listed above should ensure health and other relevant professionals are trained to be aware of the health risks of being overweight and obese and the benefits of preventing and managing obesity. This training should include: - understanding the wider determinants of obesity (such as the impact of the local environment or socioeconomic status)
- understanding the local system in relation to the obesity agenda (such as who the key partners are)
- understanding methods for working with local communities
- knowing the appropriate language to use (referring to achieving or maintaining a 'healthy weight' may be more acceptable than 'preventing obesity' for some communities)
- understanding why it can be difficult for some people to avoid weight gain or to achieve and maintain weight loss
- being aware of strategies people can use to address their weight concerns
- being aware of local services that are likely to be effective in helping people maintain a healthy weight
- being aware of local lifestyle weight management services that follow best practice outlined the obesity pathway.
All of the above should ensure training addresses the barriers some professionals may feel they face when initiating conversations about weight issues. For example, they may be overweight themselves, or feel that broaching the subject might damage their relationship with the person they are advising. For information for health professionals on training in advice and care for women who may become pregnant, are pregnant or breastfeeding and a healthy weight for pregnancy see the maternal and child nutrition pathway. For information on weight management before, during and after pregnancy see 'Training health professionals' in the diet pathway. Actions for local health agencies Local health agencies should identify appropriate health professionals and ensure that they receive training in: - the health benefits and the potential effectiveness of interventions to prevent obesity, increase activity levels and improve diet (and reduce energy intake)
- the best practice approaches in delivering such interventions, including tailoring support to meet people's needs over the long term
- the use of motivational and counselling techniques.
Training will need to address barriers to health professionals providing support and advice, particularly concerns about the effectiveness of interventions, people's receptiveness and ability to change and the impact of advice on relationships with patients. See also using community resources and lay and peer workers to tailor interventions and target communities at high risk of type 2 diabetes in the preventing type 2 diabetes pathway. |
+Citaten (3) - CitatenVoeg citaat toeList by: CiterankMapLink[1] Obesity: Guidance on the prevention of overweight and obesity in adults and children
Citerend uit: NICE - CG43 Geciteerd door: David Price 11:13 PM 22 December 2014 GMT
Citerank: (31) 352351Increased risk of Type 2 diabetes Obesity substantially raises the risk of Type 2 diabetes—with excess body fat estimated to underlie almost two-thirds of cases of diabetes in men and three quarters of cases in women—and people at risk of diabetes can cut their chances of getting diabetes by 60% if they lose between 5% and 7% of their body weight. Worldwide, the number of people with diabetes has tripled since 1985. [2]57DE7179, 352718Invest in employee health and wellbeingEncourage organisations to invest employee health and wellbeing; including a health risk assessment and the provision of resources to help employees address the factors that pose the greatest risk to their health and wellness. [1], [2], [3], [4], [5]565CA4D9, 369907NICE Guidance on Diet, Nutrition and ObesityNote: extended excerpts from National Institute for Health and Care Excellence are included and cross-linked here to help explore and understand their intersection with the policy space and their implications. Those seeking specific guidance should refer to the full Guidelines and Pathways directly.565CA4D9, 369908NICE – DietHaving a healthy balanced diet helps prevent obesity, cardiovascular and many other conditions. This pathway covers recommendations for everyone about diet and lifestyle, and recommendations for health professionals on interventions to encourage people to follow a healthy diet.565CA4D9, 369909NICE – Lifestyle weight management for overweight or obese adultsLocal authorities, working with other local service providers, clinical commissioning groups and health and wellbeing boards, should ensure there is an integrated approach to preventing and managing obesity and its associated conditions.565CA4D9, 369912NICE – ObesityGuidelines on preventing and managing obesity.565CA4D9, 369913NICE – Obesity working with local communitiesThis pathway focuses on an overarching approach to overweight and obese adults and overweight and obese children in local communities. It focuses on the importance of integrating action on obesity in other local agendas (such as initiatives to prevent type 2 diabetes, cardiovascular disease and cancers, or initiatives to improve the environment and promote sustainability), and provides an organisational framework for the relevant community-based or individual interventions.565CA4D9, 369921NICE – Keeping track of weightEveryone should aim to maintain or achieve a healthy weight, to improve their health and reduce the risk of diseases associated with being overweight and obese, such as coronary heart disease, type 2 diabetes, osteoarthritis and some cancers. Periodically check your weight, waist measurement or a simple alternative, such as the fit of your clothes.565CA4D9, 369923NICE – Diet to maintain a healthy weightBalancing 'calories in' (from food and drink) and 'calories out' (from being physically active) may help to maintain a healthy weight.565CA4D9, 369924NICE – Activity to maintain a healthy weightBalancing 'calories in' (from food and drink) and 'calories out' (from being physically active) may help to maintain a healthy weight.565CA4D9, 369925 NICE – Additional advice for parents and carersIn addition to the general recommendations on behaviours to maintain a healthy weight, the advice below will help children establish healthy behaviours and maintain or work towards a healthy weight. These strategies may have other benefits – for example, monitoring the amount of time children spend watching television may help reduce their exposure to inappropriate programmes or advertisements.565CA4D9, 369926NICE – Advice for adults who wish to lose weightSee also the NICE guidance on diet and activity to maintain a healthy weight.565CA4D9, 369928NICE – Local authority environmental interventions565CA4D9, 369929NICE – Healthcare professional interventionsInterventions by healthcare professional to address obesity.565CA4D9, 369931NICE – Interventions to support smoking cessation All interventions to support smoking cessation should: ensure people are given information on services that provide advice on prevention and management of obesity if appropriate?, and give people who are concerned about their weight general advice on long-term weight management, in particular encouraging increased physical activity.565CA4D9, 369934NICE – Workplace interventionsAll workplaces, particularly large organisations such as the NHS and local authorities should address the prevention and management of obesity, because of the considerable impact on the health of the workforce and associated costs to industry. 565CA4D9, 369937Local authorities and the NHS as employersLocal authorities and the NHS as employers should set an example in developing public health policies to prevent and manage obesity by following existing guidance and (in England) the local obesity strategy.565CA4D9, 369941NICE – School interventions565CA4D9, 370053Standards for take-aways and other food outletsFood from take-aways and other outlets (the 'informal eating out sector') comprises a significant part of many people's diet. Local planning authorities have powers to control fast-food outlets565CA4D9, 370058Supporting people who are stopping smokingAll interventions to support smoking cessation should: (1) ensure people are given information on services that provide advice on prevention and management of obesity, and (2) if appropriate give people who are concerned about their weight general advice on long-term weight management, in particular encouraging increased physical activity.565CA4D9, 370062Lifestyle advice on diet & physical activity for families and children565CA4D9, 370063Diet in early years education and childcareHelp children and young people to have a healthy diet and lifestyle. This includes helping them to develop positive, life-long habits in relation to food. This can be achieved by ensuring the messages conveyed about food, the food and drink available – and where it is consumed – is conducive to a healthy diet.565CA4D9, 370074Training for programme for lifestyle weight management services staff 565CA4D9, 370163Primary Care565CA4D9, 370164Community based programmes and interventions565CA4D9, 370560Clinical Commissioning GroupsClinical commissioning groups (CCGs) are responsible for commissioning a range of healthcare services for children and adults. This includes specialist obesity services (sometimes called tier 3 services). The groups do not directly commission lifestyle weight management services (sometimes called tier 2 services). Rather, they work with local authorities to coordinate and integrate planning and commissioning through the health and wellbeing board.58D3ABAB, 370918NICE – Interventions to increase physical activity565CA4D9, 370963NICE – Preschool Interventions565CA4D9, 371184NICE – Physical activity in the workplacePhysical activity programmes in the workplace including active travel.565CA4D9, 399548Invest in employee health and wellbeingEncourage organisations to invest employee health and wellbeing; including a health risk assessment and the provision of resources to help employees address the factors that pose the greatest risk to their health and wellness. [1], [2], [3], [4], [5]565CA4D9, 399987Increased risk of Type 2 diabetes Obesity substantially raises the risk of Type 2 diabetes—with excess body fat estimated to underly almost two-thirds of cases of diabetes in men and three quarters of cases in women—and people at risk of diabetes can cut their chances of getting diabetes by 60% if they lose between 5% and 7% of their body weight. Worldwide, the number of people with diabetes has tripled since 1985.57DE7179 URL: |
Link[2] Obesity: working with local communities
Citerend uit: NICE - PH42 Geciteerd door: David Price 11:14 PM 22 December 2014 GMT
Citerank: (23) 369913NICE – Obesity working with local communitiesThis pathway focuses on an overarching approach to overweight and obese adults and overweight and obese children in local communities. It focuses on the importance of integrating action on obesity in other local agendas (such as initiatives to prevent type 2 diabetes, cardiovascular disease and cancers, or initiatives to improve the environment and promote sustainability), and provides an organisational framework for the relevant community-based or individual interventions.565CA4D9, 370155NICE – Integrating Action565CA4D9, 370156NICE – Strategic Partnerships565CA4D9, 370157NICE – Joint strategic needs assessments & health & wellbeing strategyJoint strategic needs assessments and joint health and wellbeing strategy565CA4D9, 370158NICE – Strategic Leadership565CA4D9, 370159NICE – Supporting leadership at all levels565CA4D9, 370160NICE – Local communication and advocacyDirectors of public health and local government communications leads should ensure elected members and all management and staff working with local communities, both within and across partner organisations, are aware of the importance of preventing and managing obesity. 565CA4D9, 370162Public Health Teams565CA4D9, 370165Identifying local issues and actions565CA4D9, 370166Identifying and supporting local champions565CA4D9, 370167Local Advocacy565CA4D9, 370168Involving local businesses and social enterprises565CA4D9, 370169Local authorities and the NHS as exemplars of best practice565CA4D9, 370170NICE – Integrated commissioningFostering an integrated, community-wide approach.565CA4D9, 370172Budget allocation565CA4D9, 370173Contracts565CA4D9, 370174Sustaining and redesigning services565CA4D9, 370176Training for all partners565CA4D9, 370178Local services and resources565CA4D9, 370180Planning systems for monitoring and evaluation565CA4D9, 370181Implementing monitoring and evaluation565CA4D9, 370182Cost effectiveness565CA4D9, 370183Scrutiny and accountability565CA4D9 URL: |
|
|