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Prototyping in public health practice: Demonstrating a streamlined implementation process with a community based weight management programme (Momenta)

Dodd-Reynolds, Caroline; Nevens, Lisa; Finch, Tracy; Oliver, Emily; Hanson, Coral

Authors

Caroline Dodd-Reynolds

Lisa Nevens

Tracy Finch

Emily Oliver



Abstract

Background: While stakeholder co-production may reduce the ‘implementation gap’ in design of public health programmes, it can be time consuming and costly. Prototyping offers a potential solution; we tested its value using a 3-month weight-management programme ‘Momenta’, in a deprived area with poor health indices, in Northumberland.
Evaluation Framework: Following pragmatic stakeholder consultation, a mixed methods evaluation framework was developed. Three referral groups (BMI ≥ 25 kg/m2 ) were compared: Momenta (M, n = 59), Momenta and fitness membership (MF, n = 58), fitness membership (F, n = 65). Effectiveness was examined at 3 and 12 months. Implementation and prototyping was evaluated through interviews with referring professionals (n = 5), programme participant focus groups (n = 13), and researcher reflection.
Results: Uptake and 12-week adherence respectively, were higher for
M (84.7%, 45.8%) and MF (93.1%, 60.3%) versus F (75.4%, 24.6%). 12-week weight loss [median, (IQR)] was M -2.9 (-5.0 to -2.0) and MF -2.9
(-5.1 to -1.6) p < 0.001, compared to F 0.0 (-3.2 to 1.0) p = 0.379. BMI and waist circumference showed similar trends. 12-month follow-up data suggested persistence of weight loss for MF. 3-month change was positive for mental wellbeing, depression and anxiety in M and MF, remaining at 12 months (p < 0.05). Prototyping did not detrimentally impact on participants’ reported experiences. Refinements included broadening inclusion criteria, with implementation gaps apparent around referral process and practitioner knowledge.
Conclusions: Momenta was effective for weight loss, particularly with
fitness facility access. Prototyping aided implementation and we recommend this providing: a strong theoretical and empirical underpinning of the intervention, and co-production methods shape iterative refinement of implementation.

Citation

Dodd-Reynolds, C., Nevens, L., Finch, T., Oliver, E., & Hanson, C. (2018, October). Prototyping in public health practice: Demonstrating a streamlined implementation process with a community based weight management programme (Momenta). Poster presented at 7th International Society for Physical Activity and Health Congress, London, UK

Presentation Conference Type Poster
Conference Name 7th International Society for Physical Activity and Health Congress
Start Date Oct 15, 2018
End Date Oct 17, 2018
Deposit Date Mar 3, 2021
DOI https://doi.org/10.1123/jpah.2018-0535
Public URL http://researchrepository.napier.ac.uk/Output/2748845
Publisher URL https://journals.humankinetics.com/view/journals/jpah/jpah-overview.xml