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Recommendation 2 (PH17) is acknowledgement of how important physical
activity just is, a strategy NICE suggest is having other physical activity
partnerships involving which involve schools, families and communities.
Therefore linking to the MEND programme where afterward all sessions completed
each family gets a directory of resources which can carry on the programme with
afterschool clubs, follow-up measurements and other opportunities for the
children to carry on what they have done in the 7 – 13 program.

A similarity between NICE and MEND would be recommendations 1 and 2 from
(PH47) in the introduction of the intervention it states how the studies could
suggest that having an intervention which is aimed at children but also family based
may help and therefore resulting in a moderate reductions of BMI. REF NICE AND MEND

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 A recommendation from physical
activity for children and young people (PH17) is recommendation 1 ‘national
campaign’ where the target population is children and young people aged 18 and
under, their families and carers which links to ‘MENDS’ 7 – 13 programmes.
Recommendation 2 is key linking to the intervention as it is about raising
awareness of the importance of physical activity. This links to many national
campaign just like ‘Lets get active Leeds’, the whole purpose of this campaign
is to encourage and help support people who don’t do any or very little physical
activity and to get them either starting or increasing the amount they already
.  Also just like ‘Everybody
active, every day’ by Public Health England. They want to improve the nations
wellbeing and health.
 Again, ‘Lets get moving’, a
campaign raising the awareness about important of physical activity can have.



Behaviour change
(PH6) principle 2 ‘assessing social context’ with the target audience being for
communities, disadvantaged or excluded groups. Positive change being the most
important so making sure no environmental, financial, and social barriers
aren’t in the way of this. Also principle 4 ‘individual – level interventions and programmes’ is
linked as recommend action is hoping for behaviour to change if they are within
social contexts, a reason why the 7 – 13 group meet twice a week with a family
member and where the second hour session is based just for the children.


Some recommendations from ‘NICE’ which have been used in ‘MEND’
intervention is recommendation 1 and 2 from weight management (PH47)
‘commissioning lifestyle weight management programmes for children and you
people’ and ‘planning lifestyle weight management services for children and
young people’. Both of these explain how engagement through the community,
involving local families and ensuring family based sessions happen it can help
towards their children starting a healthier lifestyle. For
recommendation 2 an action to take is making sure that for weight management programmes,
such as MEND, have took into account the views of children and young people and
highly qualified team members such as a behaviour change experts and physical activity
specialist to help out and visits different intervention groups.


The National Institute for Health and Care Excellence (NICE) has been
set up to help and improve social care and health by providing national
guidance and advice. It is an independent organisation to promote prevention of
illnesses and to promote good health. Public health professionals also get help
and guidance from NICE to achieve targets set. NICE use a cost – effective threshold,
they have a big responsibility with the task of working how cost effectiveness of
treatments followed by producing recommendations for the UK NHS. Mccabe, C
(2008) There are also information services for health, social care and public
health. The role of NICE is for the best outcome for people using the NHS and
other similar services. The national institute for health and care excellence
guidance’s that ‘Mind, Exercise, Nutrition, Do it’ (MEND) intervention is
closely linked to is 1. Diet, nutrition and obesity. 2. behaviour change. 3. physical
activity and 4. weight management for young people. MEND REF


These evaluation methods have
been chosen because the whole program is based around engaging families when it
comes to their children being involved in weight management. The three main
points addressed are education, skills training, and motivational enhancement
and these are necessary for individual behaviour change EXPLAIN BEHAVIOUR CHANGE. 


Each session involved a wide
range and large amount of information, Bauman, Owen and Marshall (2004) states
that  an intervention containing a lot of
information for their participants are known for the aim being to impact
awareness and knowledge.  The nutrition session involved advice
for healthy eating, healthy eating tips and directed customized eating advice
for obese children. The families got to take part in a guided supermarket tour,
to go through a healthy shop, get to learn new recipes to try at home.
Behaviour change sessions involved goal setting, reinforcement and stimulus
control for both parents and children. 
Last of all the exercise sessions, they were fun and safe for the
children, multi-skills activities took place on land and water. The group took
part in non competitive group exercise. The evaluation of sessions
needed to be safe and effective for weight management in obese children that’s
why only land and water – bases multi – skills sessions focusing on non –
competitive group play was chosen. WHY NON COMPETIVIVE??

The different
methods and procedures of this evaluation has been used to assess the impact of
proposed intervention. This was a randomized controlled trial designed to see
the effectiveness of a 6 month intervention containing of the 9 week program??? The
children involved were enlisted from 5 different UK sites wh


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