Kathryn Curran Liverpool John Moores University, School of Sport and Exercise Sciences

Transcription

1 Encouraging positive lifestyle changes among hard-to-reach men through a Football in the Community programme at an English Premier League Football Club Kathryn Curran Liverpool John Moores University, School of Sport and Exercise Sciences

2 THE OUTLINE PROBLEM Introduction The Problem - Men s Health in the UK & Liverpool A Solution? - English Premier League (EPL) Football Clubs Premier League Health - Everton Football Club Healthy Hearts Project What worked? and what didn t! Summary

3 THE PROBLEM THE PROBLEM

4 THE PROBLEM The UK has a major problem with the poor state of men s health Men have a lower life expectancy than women More men than woman are overweight or obese Men have a higher incidence rate for cancers, heart conditions and suicide More then 120,000 men in the UK die prematurely each year (DH, 2002) Men s Health Forum (2010) report that only 40% of men in the UK are achieving the recommended levels of moderate intensity physical activity (150 minutes per week (CMO, 2011).

5 Heart Health in Liverpool Male life expectancy in Liverpool is the third lowest in England 46.3% of men (16+) in Liverpool are classed as overweight (Liverpool PCT, 2007) Men in Merseyside have a higher prevalence of cardiovascular disease in comparison with the rest of England: 14.6% v 13.6% (Heart of Mersey, Annual Report )

6 THE PROBLEM Reluctance for men to engage with traditional health services Men in England visit their doctor less frequently than women and are also much less likely to use other health services (MHF, 2010).

7 Hard to reach?

8 THE PROBLEM A SOLUTION?

9 FOOTBALL

10 RATIONALE Football is an important part of many people s lives and it provides great opportunities to get across key messages about living healthy, active lives. ( Football for Health manifesto DH, 2005)

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12 Liverpool

13 Dynamic charity that uses the influential brand of Everton Football Club to motivate, educate and inspire diverse communities in the North West of England and North Wales. Aim: to engage our communities in positive activities that will make a lasting impact on their lives, bring people from different backgrounds closer, whilst helping them to achieve their full potential.

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15 Funding 89k over 3 years: August

16 Alcohol and Substance Misuse Cancer Awareness Mental Health Physical activity, Obesity & Nutrition Sexual Health Smoking Cessation Education and Employment

17 29,622.89: August ,760.26: August

18 Our Healthy Hearts Project

19 The aim of the project is to use the powerful brand of Everton Football Club as a vehicle to motivate and inspire otherwise hard-toreach males in Liverpool, to make positive, healthy lifestyle choices.

20 In order for men to engage in health issues they need to be on their own territory, where they are comfortable and feel unthreatened (Pete Westwood 2007)

21 A joint venture between Everton in the Community and Liverpool John Moores University, School of Sport and Exercise Sciences, saw the development of the Everton Active Family Centre (EAFC) which was a unique fitness facility based within the grounds of Goodison Park.

22 Aims Overall positive impact on heart health: Engage with men who have a lack of engagement with traditional health services Engage with men who are overweight/obese/at risk of heart disease Greater awareness and dissemination of heart health messages Reduction in resting heart rate Improved blood pressure Improved fitness Improvement in cardiac function

23 SO WHAT WORKED? AND WHAT DIDN T?

24 AIMS Overall positive impact on heart health: Engage with men who have a lack of engagement with traditional health services Engage with men who are overweight/obese/at risk of heart disease Greater awareness and dissemination of heart health messages Reduction in resting heart rate Improved blood pressure Improved fitness Improvement in cardiac function

25 THE FOOTBALL CLUB BRAND

26 THE FOOTBALL CLUB BRAND Men come to the sessions regardless of colour allegiance, so we have both Everton and Liverpool supporters. However, what comes up again and again is that being able to say: I train at Goodison Park is something that they boast about with their mates.

27 WEEKLY PHYSICAL ACTIVITY SESSIONS Fitness sessions per week: 1. Football (Monday PM) 2. Circuit Training (Tuesday PM) 3. Boxing (Thursday PM) Capacity of participants per session On going for duration of the project If I didn t come here, I wouldn t go anywhere, see anyone or do anything

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32 MEASUREMENT ISSUES Body Mass Index Resting Heart Rate Blood Pressure Waist/Hip Issues.

33 The realities of working with HTR populations: learning from the ECG story

34 AIMS Overall positive impact on heart health: Engage with men who have a lack of engagement with traditional health services Engage with men who are overweight/obese/at risk of heart disease Greater awareness and dissemination of heart health messages Reduction in resting heart rate Improved blood pressure Improved fitness Improvement in cardiac function

35 THE PROGRAMME 12 week fitness programme led by fitness and health professionals from Everton in the Community and Liverpool John Moores University, School of Sport and Exercise Sciences targeting men at high risk of heart disease Two, 2 hour, fitness sessions per week: Tuesday: Football Thursday: Football & specific fitness training Testing pre and post intervention to identify changes in health and fitness and health screening throughout Drop in talks and engagement sessions from partner health services

36 RECRUITMENT Letters to GP s and hospitals Match day programme Social Media Website Issues recruiting target populations Recruitment of other HTR or difficult to engage populations - Men recently released from prison - Men living in homeless shelters - Men recovering from drug and alcohol misuse

37 MEASUREMENTS Yo-Yo 20m Sprint 30m Sprint T-agility Body Mass Index Resting Heart Rate Blood Pressure LDL & HDL Cholesterol Lean Mass Fat Mass % Fat Electrocardiograph (ECG) Screening

38 PHYSIOLOGICAL RESULTS PRE-POST Bone Mineral Content (grams/cm 2 ) Similar story for No significance (P = 0.066) Fat Mass (grams) No significance (P = 0.244) Lean Mass (grams) No significance (P = 0.317) Percentage Body Fat (%) No significance (P = 0.687) RHR BP Cholesterol Exercise administered not efficient in promoting significant physiological health changes Irregular attendance issues n=4 pre-post testing

39 Reasons given for irregular and/or non attendance commonly alluded to the fact that regular engagement and adherence posed a real challenge for the participants Three dominant themes emerged which explained this irregular and/or non attendance... Economic Environmental Social

40 OVERLAPPING CHALLENGES SOCIAL ENVIRONMENTAL ECONOMIC

41 IMPLICATIONS A bottom up programme design and management strategy is likely to reduce the challenges facing HTR participants when attempting to engage in regular sport and physical activity and thus result in greater adherence and positive outcomes!!

42 PSYCHOSOCIAL RESULTS Positive developments observed and reported in: Social Capital Structure Reducing barriers to accessing to health services Identity Self esteem Fitness & overall wellbeing Etc..

43 AIMS Overall positive impact on heart health: Engage with men who have a lack of engagement with traditional health services Engage with men who are overweight/obese/at risk of heart disease Greater awareness and dissemination of heart health messages Reduction in resting heart rate Improved blood pressure Improved fitness Improvement in cardiac function

44 MARKETING & PROMOTION Heart health messages- potential to reach 40,000+ people through: Match day programme Awareness events Website Social Media

45 AIMS Overall positive impact on heart health: Engage with men who have a lack of engagement with traditional health services Engage with men who are overweight/obese/at risk of heart disease Greater awareness and dissemination of heart health messages Reduction in resting heart rate Improved blood pressure Improved fitness Improvement in cardiac function

46 Case Study- Tony Tony* joined the Look After Your Heart, Look After Your Soul programme in early January 2012 (at the beginning of the 12 week intervention). Tony is a taxi driver and joined the programme as he felt his health was suffering from working long days and nights in his taxi. Tony didn t like going to the gym as he felt intimated and also couldn t afford the fees but as he is a huge Everton Football Club fan and enjoys recreational football he thought that this project would be perfect for him. Tony engaged in the programme on a weekly basis and took part in all of the lab screening which he described as fascinating. During an interview with the project co-ordinator Tony stated that his favourite things about the project where the new friends he had made but also how it had made him become less embarrassed about caring about his health;

47 Continued I know I ve got too much weight on me, and I always used to make jokes about it with my mates because I thought I couldn t be seen to care, do you know what I mean, but really, it was a cover up, it s not funny, and now I m doing something about it I m not embarrassed anymore. During the course Tony felt that he has been become fitter, healthier and more outgoing. Following the 12 week intervention, Tony has gone on to regularly attend the evening physical activity sessions.

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49 PROJECT EXPOSURE The International Sport and Culture Association- case study on our project requested and submitted The University of Western Australia- web page on our project as an example of best practice Several men s health practitioners (globally) have been in contact to ask for advice and examples of best practice European Association of Sports Management Congress- - New Researcher Award- runner up

50 CONCLUDING REMARKS Poor health of men in UK, poor heart health of men in Liverpool Appeal to engage men in health through EPL football clubs community schemes Using the power of the FC brand is a useful tool Our Healthy Hearts Project- what worked and what didn t Community health programmes need to operate through shared practice in order to make an positive impact and produce sustainable programmes Make every penny count

51 SUGGESTED READINGS Dunn, K., Drust, B. and Richardson, D. I just want to watch the match! A reflective account of men s health themed match day events at an English Premier League Football Club. Journal of Men s Health, 2010, 7 (3): 323. Dunn, K., Drust, B., Flower, D. and Richardson, D. Kicking the habit; a biopsychosocial account of engaging men recovering from drug misuse in regular recreational football. Journal of Men s Health, 2011, vol. 8 (2), 233. Parnell D, Stratton, G, Drust B, Richardson D. Football in the Community Schemes: exploring the Effectiveness of an Intervention in Promoting Healthful Behaviour Change. Soccer & Society, 2013, vol. 14(1). Pringle, A., White, A., Smith, A., Zwolinsky, S., McKenna, J., and Robertson, S. (2011) The pre-adoption demographic and health profiles of men participating in a programme of men s health delivered in English Premier League football clubs. Public Health, 125, 7, Pringle, A., Zwolinsky, S., McKenna, J., Smith, A., Robertson, S., White, A. (2012) Effect of a national programme of men's health delivered in English Premier League Football Clubs. Public Health, doi.org/ /j.puhe Zwolinsky, S., Pringle, A., White, A, Smith, A., & McKenna, J (2012) Optimizing lifestyles for men regarded as hard-to-reach through top-flight football/soccer clubs. Health Education Research, doi: /her/cys108

52 Resource Unit cost Number of units Total cost Sessional worker/instructor Circuit Training 8.24 per hour 2 hours per week 50 weeks per year 824 Sessional worker/instructor Football Sessional worker/instructor Boxing Instructor Boxing Venue hire Weekly Football Sessional worker/instructor Football with targeted population 8.24 per hour 1 hour per week 50 weeks per year 8.24 per hour 1 hour per week 50 weeks per year per hour 1 hour per week 50 weeks per year per hour 1 hour per week 50 weeks per year 8.24 per hour 4.5 hours per week 12 weeks ,250 1, Venue Hire Football with targeted population 35 per hour 4 hours per week 12 week programme 1,680 ECG 35 each 30 people Pre and Post exercise intervention 2,100 10% Admin fee TOTAL

53 THANK YOU FOR LISTENING Kathryn Curran MSc Research Institute for Sport & Exercise Sciences Liverpool John Moores University Tom Reilly Building Byrom Street Liverpool L3 3AF e: w: