Community weight management programmes

There are a number of weight management programmes being delivered in community settings in the UK. We talked to people who had attended SHINE (Self Help Independence Nutrition and Exercise), MEND (Mind, Exercise, NutritionDo it! Programme), and WATCH IT; a programme delivered by Leeds Primary Care Trust, and other programmes like the Transformed programme and Teen Academy. Community programmes for young people vary in what they offer but have the advantage that they always involve the opportunity to:

Sessions may be held on Saturdays or in the evenings after school. The people that we talked to had got involved in the schemes in a number of ways such as:

  • Being referred by a doctor
  • Being invited for an assessment at school
  • Seeing an advert in a local paper
  • Hearing about it from a friend, teacher or their parents had found out about it for them

Emily was assessed by SHINE at school. They sent a letter to her parents telling them that she was overweight.

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When the SHINE bus came to Alex’s school she didn’t want to be weighed at first. ( Animated clip).

Age at interview 14

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Emma’s ‘head of year’ suggested she attend SHINE. At first she didn’t want to go, but felt better over time.

Age at interview 19

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What happens?

Programmes generally involve a wide array of activities including acting and dancing as well as sports and role play. The SHINE programme aims to boost confidence and help the young people who take part to deal with aggression and bullying. No-one is forced to take part in any activity – they can sit it out if they prefer. Some said that they had chosen to ‘sit it out’ for several weeks before they finally joined in.

At first Chelsea lacked the confidence to get involved in the SHINE program, but things got better once she started talking to people.

Age at interview 17

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Bella enjoyed the activities at her Saturday club because everyone was friendly and she didn’t feel she was being forced to do anything.

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What helped?

The programmes offer buddying and peer support which people liked because they were being advised by someone who had recently been through the programme themselves. People who had problems at school or at home were able to see a programme counsellor and everyone took part in role play that helped them to understand how to remain calm in difficult situations and resist bullying through displaying confidence. One girl said that attending her course was a bit like ‘High School Musical’ because it is young people who go and everyone is in the same boat with no bullies or name calling.

The SHINE programme has helped Naz and Anaan to feel calmer and be less aggressive.

Age at interview 18

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People also liked being given practical help with healthy eating and props including a ‘portion plate’ or a portion divided lunchbox. Those who had puzzled over why their brother or sister didn’t seem to put on weight whatever they ate were pleased to have found an explanation when they learnt about ‘metabolism’ on the course. But the real benefit of the programme seems to be in how much more motivated young people feel when they are not trying to go it alone.

Alex eats less using the portion plate that she was given at SHINE. (Animated…

Age at interview 14

Gender Female

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Daniel had been to see a dietitian a few times but found the SHINE programme much more motivating

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Naz and Anaan explain why they joined the SHINE programme.

Age at interview 17

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What didn’t help?

These programmes didn’t suit everyone. Gemma went to a ‘Watch It’ course and very much liked the young woman who worked with her, but she didn’t think the programme had helped her much – not least because the diet sheets included too many things that she did not enjoy eating.

Mary’s son wasn’t keen to go to the MEND programme because the kids all had to wear a group T-shirt.

Age at interview 49

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Dee’s daughter enjoyed some aspects of the ‘Transformed’ programme, and learnt to cook new foods, but didn’t manage to stick to the changes after a holiday.

Age at interview 47

Gender Female

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Successes

The young people we talked to thought that SHINE had been really successful in building their confidence and self-esteem. They had made lots of new friends and found that they could really enjoy sports, swimming and activities in an environment where they didn’t feel that people judged their size and appearance.

Some of the success stories are quite dramatic, for example Chelsea lost 6.5 stone (42 kg) over 2 years through gradual and steady weight loss. Like many other young people we spoke to, she stayed involved with the programme helping out with new members. Chelsea has talked about the programme at conferences, something she never would have imagined doing before.