Building Active Communities

Transcription

1 Building Active Communities intelligenthealth.co.uk Intellıgent Health

2 Beat the Street the Mass Participation Physical Activity Intervention Beat the Street is an evidence based intervention to increase physical activity levels across a community. The programme connects individuals with their local environment and supports long term behaviour change by creating a social norm around getting active. For the resident, it is fun, free and connects them to their community. Beat the Street, turns a town into a game where people earn points as they walk, cycle and run around. Beat the Street energises a community via a comprehensive, high profile marketing, communication and engagement programme. 2 3

3 How it works Beat the Street turns a town into a game where people earn points as they walk, cycle and run around. Beat Box sensors are placed on lamp posts around the town for players to tap their card against, scoring points for the distance they walk, cycle or scoot. Beat the Street takes a community approach to behaviour change through the gamification of an entire area. Working with schools, GPs, local authorities, community organisations and local media, the game unites the whole community in a highly visible fun way. A detailed content plan and incentives keep the game engaging and fun for the residents. And it s successful: 175,000 people played in 2015 in 21 different areas. Over 200,000 have already taken part in the intervention in A quarter of these over 53,000 people provided crucial data on their health and activity levels which shows an increase in the following: Reaching the inactive: At the beginning of Beat the Street, on average 13% of people said that they did 0 or 1 day per week of physical activity. This had reduced to 4% by the end (p<0.01). Meeting the Department of Health 150 minute adult activity guidelines: the proportion of adults meeting the physical activity guidelines increased from 46% to 57%. Switching travel behaviour: At the beginning of Beat the Street 47% of adults reported walking on 5 7 days per week. This had increased to 61% at the end of the Experience phase. 4 5

4 The intervention is measured in four ways: Survey analysis Survey analysis from participant registration, self-reported feedback and two stages of follow up data collection 6 months post game. Cost benefit analysis generated using the NICE Return on Investment calculator for physical activity interventions. Activity data analysis from the Beat the Street Experience Phase using real time location and time stamps from across the area. Engagement method review measuring reach across multiple-platforms and activity in the community across the targeted audiences. Findings are presented at the end of the live Experience phase and six months later, with real-time data dashboards available on secure client websites. The programme final evaluation reviews evidence on sustained change. Example Reading Using data from the 3 year intervention in Reading, the overall trend is for a reduced proportion of inactive each year and an increased proportion of participants meeting the Department of Health physical activity guidelines every year. In 2016 the proportion of people who were active on only 0 or 1 day per week reduced from 15% to 5% by the end of Beat the Street (p<0.05). Percentage of people meeting CMO physical activity guidelines over a 3-year follow-up 60% 50% 40% 30% 34% 42% 41% 46% 36% 53% 20% 10% 0% 2014 registration 2014 follow-up 2015 registration 2015 follow-up 2016 registration 2016 follow-up All adults 6 7

5 Activity data analysis Beat Box data can be analysed based on client requirements. This can include identifying patterns of activity, the proportion of participants from each Lower Super Output Area (LSOA) and how a town is used by residents. The Beat the Street programme reduces health costs for the funder by delivering a sustained increase in physical activity levels. There are many additional positive outcomes such as tackling health inequalities and connecting people to place. Dr William Bird MBE Example Tackling Health Inequalities Wolverhampton analysis showing excellent levels of participation in some of the more central LSOAs that have high deprivation scores. Analysis by LSOA Wolverhampton (South of Centre) Cost benefit analysis A cost benefit analysis is conducted pre and post intervention identifying the impact of any changes Beat the Street creates on healthcare costs with increase in modal shift to walking and cycling and productivity. NICE has developed a Return on Investment calculator for physical activity interventions. Intelligent Health has estimated the Return on Investment for Beat the Street, with an estimated 15,000 adult participants and 10% of those people moving from inactive to moderately active and 12% from no to low activity. An accurate Return on Investment is calculated for each programme. Example Return on Investment For every 1 spent Productivity Transport Healthcare ROI over 2 years ROI over 5 years Beat the Street would, on average, result in in a gain of 103 and 104 QALYs over 2 and 5 years. QALYS are a measure of the state of health of a person or group in which the benefits, in terms of length of life, are adjusted to reflect the quality of life. Schools are shown as yellow polygons to assist analysis. Excellent levels of participation are seen in some of the more central LSOAs that have high deprivation scores (red). The picture is generally well balanced with similar participation levels in areas of high or low deprivation. 8 9

6 Engagement method review This includes social media and website measurement, programme reach for specific target groups and how residents were kept engaged. It is the social nature of the intervention that makes it so effective. Residents are keen to share stories and feel part of an event in their town which leads to much interaction and positive reinforcement of the intervention. Case study Beat the Street Wolverhampton Eileen McKen is a 59 year old mother who took part in Beat the Street in Wolverhampton. Over the six-week game, Eileen travelled more than 600 miles and lost over a stone in weight. Quantitative and qualitative feedback is presented. For the participant the reported main benefits are typically having fun spending time with family and friends, feeling healthier and exploring the local area. Example Tendring Social Media conclusions Beat the Street Tendring Facebook page had 916 likes, with 91.2% of the audience being women aged There were, on average, 840 impressions per post with 3,918 engagements overall. The audience were very engaged with the page, interacting with posts and sharing feedback. Tendring Facebook demographics People reached by age As a family we felt closer to the community as all the kids and family in our neighbourhood were also doing Beat the Street. As parents we bonded with the kids and had a purpose while walking and the kids enjoyed it big time. Hounslow, February 2016 We lead busy lives as working parents and this made our family time very valuable as we were together without the distractions. i.e TV and consoles. Nottingham, June 2016 Beat the Street was a fun, exhilarating, very creative and well organised challenge which helped me achieve my desired outcomes of weight loss and feeling healthier. I lost over a stone in weight as a result of extra walking... I enjoyed the fun element of finding the boxes, some of which are quite tricky, and seeing children and adults out and about enjoying the challenge of finding the boxes. The walking kept me active and positive during a time of family health issues and bereavement % % % % 65+ 1% People engaged by gender 41.6% 42.5% I have just been diagnosed with Diabetes Type 2 and have found it hard to adjust. I also have trouble exercising as I get tired very quickly. Doing Beat the Street with my children has encouraged me to get out more, walking further than I normally do, and spending quality time with my children. It has helped me to lose some extra weight, which has helped me with my diabetes and inspired me to exercise more. Tendring, Essex, July % 91.2% Female Male 10 11

7 How Beat the Street works Beat the Street delivers clear, measurable outcomes through: Understanding our audience working across communities including the hardest to reach Delivering an evidence based programme Creating an engaging high profile campaign across multiple platforms Prepare 3 months Experience 2 months Sustain 7 months Participant entrance route Participant exit route Schools Local Businesses Community Organisations Local Authority GP / NHS Local Media Enter into programme Mass Community Participation Support into long term activity Sport and Leisure Health Programmes Nature and Outdoor Spaces Culture and Arts Active Travel Community Preparation Action Maintenance Precontemplation Contemplation The transtheoretical model of behaviour change underpins Beat the Street 12 13

8 Beat the Street Wolverhampton Sandwell Birmingham Isleworth St. Pölten and Weiner Neustadt Nottingham Rhondda Cynon Taf North Lanarkshire Reading Tendring, Essex Liverpool South and North Waltham Forest Newham Tower Hamlets Hackney Stranraer 22 Sudbury and Great Cornard, Suffolk Terni Hounslow Southall Salford Belfast If we want to improve the health and wellbeing of the country we need to be ambitious, provide a clear narrative to get people active and support them on their journey. Physical activity has more health benefits than any other single intervention and is the means to a healthy community. Dr William Bird MBE Intelligent Health awards Winner

9 Contact Business Development for more information Designed by cream-design.co.uk +44 (0) intelligenthealth.co.uk Reading Enterprise Centre University of Reading Earley Gate Whiteknights Road Reading RG6 September 2016 Intellıgent Health