Fit Fans: Football Health and Older Men

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Presentation on Fit Fans, as part of a symposium on Football as a Vehicle for Health Promotion in Older People. Fit Fans is part of the national Fit as a Fiddle project (Age UK). The conference was the World Congress on Active Ageing, Glasgow SECC 2012.

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  • Whilst sport continues to be plauded as a tool for social change. There is very little evidence that football works.
  • Health stats here
  • The notion of support and banter.
  • The notion of support and banter.
  • Do not focus on guidelines, understand the men and their lives, meaningful changes needed. Working with older men is complex, a broad skill base is needed. FC offer a way to engage with older men.
  • To meet the shifting and more complex social agendas; Be able to find and use Evidence based practice, and collect evidence
  • Fit Fans: Football Health and Older Men

    1. 1. Fit Fans: Understanding the Effectiveness of an Intervention to Promote Positive Behaviour Change in Older MenDaniel Parnell, University of DerbyDaniel Bingham, Liverpool John Moores University; Roger Jones, AgeUK & Dave Richardson, 12 January 2011 John Moores University Evaluation of Extra Time | Wednesday Liverpool
    2. 2. The plan for today• Background of Football in the Community• Setting the Scene: The Partnership• Overview of Methods• The Project• Reflections• Ways ForwardEvaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    3. 3. Historical Development• Football in Community programmes started in 1986 to buildgreater links between clubs and communities (Brown, Crabbe and Mellor, 2006).• Initially focused on traditional football coaching with youngchildren (Mellor, 2008)• However, FitC schemes are beginning to tackle major socialagendas (i.e., social inclusion, obesity, mental health) (Watson, 2000; Parnell, 2013)Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    4. 4. Why have community programmes been linked to Professional Football Clubs?• Sport has often been heralded as a way to create social change.• Sport and specifically Football, can be utilised to help reach themost ‘at risk’ people/children through community interventions,tackling issues including health, social inclusion, and socialregeneration. (DOH, 2004).Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    5. 5. The Power of Football as a Vehicle for Social Change‘Football for Health’ (FIFA, 2008) stated that not only can playingfootball help tackle obesity, diabetes and hypertension it states:‘And why not tap the full potential of this unique tool to spreadsimple but effective messages on how to protect oneself from themost devastating infectious diseases such as HIV, tuberculosisand malaria? Because these big three are responsible for aboutthree million deaths in Africa every year, the FIFA World Cup 2010South Africa will be an invaluable opportunity to reach those mostheavily threatened by them’.Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    6. 6. The Power of Football as a Vehicle for Social Change • 20 Premier League FitC schemes (often independent organisations i.e., charities) Premier League Health is a £1.63 million project funded by the New Football Pools aimed specifically at men. http://www.premierleague.com/page/CommunityPL •84m invested in community projects •2,431 community projects funded •316 educational projects funded (2011) http://www.footballfoundation.org.uk/ Fit Fans | Friday 17th August 2012, World Congress on Active AgeingEvaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    7. 7. Culture of Liverpool: What images do you visualise when you think about the city of Liverpool?Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    8. 8. Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    9. 9. Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    10. 10. Everton F.C Health related issues Liverpool houses some tend to be most of the most deprived people and areas in prevalent in areas England (typically) described ‘deprived’Evaluation of Extra Time | Wednesday 12 January 2011
    11. 11. Everton FC & Community Engagement Vision: “To motivate, educate and inspire by harnessing the power of football and sport to change lives within our community”Most deprived local authority in England 2004-2007 (LCC, 2007).Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    12. 12. Everton Active Family Centre (EAFC)In 2008, the joint venture between Everton in the Community andLiverpool John Moores University, School of Sport and ExerciseSciences, saw the development of the Everton Active Family Centre(EAFC) which is a unique fitness facility based within the grounds ofGoodison Park. Evaluation of Extra Time | Wednesday 12 January 2011
    13. 13. The birth of Fit FansFit as a Fiddle (FaaF) is part of Age UK and funded by the BigLottery.Their work has been presented by Roger Jones during theconference, who leads the strand for older men.At the time we had work in place for men 18-34, but no provision forolder men – we wanted to change this!Therefore work began with FaaF, Age UK and local Age Concerns tohelp develop Fit Fans. Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    14. 14. Overview of methods • 7 men aged 45> • 1 hr weekly sessions • Betwen Oct 2011 – May 2012 (8 months) • Personalised programme • Physiological measurement’s included (BMI, RBP & AG)Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    15. 15. Results: how did ‘we pick the men up’? EAFC Seminar: • Engagement with all local stakeholders • Grassroots and strategic • Platform to disseminate, share (and plenty of food!) • Referrals through NHS & word of mouthEvaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    16. 16. Results Unexpectedly the cohort exhibited a range of serious diagnosed illnesses that challenged the practitioner’s skill base and experience in delivery on the health agenda.Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    17. 17. Results: health demographicsRobert, 63 Mick, 56•Physical Disability/chronic pain (spinal •Depression (M); Anxiety (M); Obesityinjury); Obesity; Hypertension (M); HighCholesterol (M); Osteoarthritis Lee, 47 •Depression (M); Anxiety (M); Addiction (AlcoholAnt, 62 and Substance)•Obesity; Gout; Hypertension (M); HighCholesterol (M); Osteoarthritis Ryan, 62 •Bowl Cancer (within 12 month remission)Nigel, 64•Diabetes Mellitus (Type II) ; Obesity; Ben, 59Hypertension (M); Osteoarthritis •Post-polio syndrome (M)Mick, 56•Depression (M); Anxiety (M); Obesity Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    18. 18. Results: physiological measures• The results show no significant changes within the physiologicalmeasures; however results evidence positive BMI changes in 3 men andweight management across the cohort. Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    19. 19. Results: goal setting• The men did make a range ofmore subtle bespoke goals thatimpacted their day-to-dayexistence significantlyFor example:- ability to walk short distances,- reduction in alcohol intake...which made them ‘feel better’.Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    20. 20. Results: the role of the practitioner• Men stated that the practitioners played a critical role n their continuedparticipation in the programme“You always hear that runners get a high or something, but I just alwaysfelt knackered lad. You know what I mean? But what I will say is, having abit of banter with Dan, and having him keep banging on about getting outthere and doing a little bit extra...well really he is right. I look back and Ifelt knackered walking around, but now no problem, easy!” (Nigel)“Coming here once a week and me starting to go the gym in my own time,has really improved my confidence, I was putting weight on, but advicegiven has really made me believe I can get rid of this weight and get backinto work.” (Mick)Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    21. 21. Results: the role of the practitioner I haven’t lost weight Dan (practitioner) but I tell you what I feel on top of the world! After sweating it out on that treadmill. I mean...I get down (emotionally) a fair bit especially living by myself, not working (i.e., not in employment) no more and our kid (brother) being ill and living in that care home. And just coming here talking to you about all this health and fitness stuff - you just feel fitter and better just talking about it (Nigel)Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    22. 22. Results: the practitioners reflections “As a health and exercise practitioner (with a degree in Sport and Exercise Science) I was aiming to get these fellas, off the couch and out there. Walking more, going to the gym, cycling, swimming all those types of activities. I believed that age was only a number and when you are retired and have plenty of time to keep healthy and active. There is no reason why you can’t reach 30 minutes of moderate exercise, or even an hour !? “The men looked at me in shock when I suggested that they jogged on the treadmill, or even asking them to aim for the goal of walking 30 minutes every day “...what walk 30 minutes it ain’t happening lad - simple”. I asked Robert if could try and do an extra two reps on the chest press (he had only done 4). He replied clearly without the slightest hesitation “I will do what I can do lad, have you forgot I am not 21 like yourself”. I replied “well how about aiming higher it’s my job to try and increase intensity in order to achieve your health goals, and its only two reps.” Robert replied “Well two reps f*#king hurt lad.”Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    23. 23. Results: the role of the practitionerA caring, informed, multi-skilled practitioner (i.e., data collection,health, exercise, psychology, counselling skill & knowledge ofspecial populations and behaviour change) was essential in:•Maintaining engagement•Providing a service in the heart of an area of multiple deprivation•Deploying evidence based practice•Collating evidence of impactEvaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    24. 24. Results: the football clubs role “You give me a choice of going to some boring shitty community health club with people hogging the equipment, or coming here having a gym at Goodinson Park to myself, with free health support aint real, me mates laugh at me when I tell them”. (Nigel). “Its local, its round the corner, and its Everton, it’s a top club so to have stuff like this is surprising.” (Ryan). “I still get excited coming here every week, coming to Everton to get fit is as near to a kids dream of coming to Goodison to play football. It’s just the best” (Mick).Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    25. 25. Results: the football clubs roleAll participants reported the FC playing a role in making the prospect ofengaging in behaviour change and exercise ‘more appealing’ thanmainstream National HealthService support.In essence coming to the footballclub to train had a greater‘pull’ than anything else available.Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    26. 26. Discussion points• Practitioners have to be accustomed of subjective subtle goalsetting that is appropriate to each individual and their daily life;and not engaging in the typical nature of just following nationalguidance.• Whilst also be able to effectively deal with the complex needs ofolder men (i.e., a range of serious illnesss).• The involvement of the FC appeared to contribute favourably tomaintenance in the intervention.Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    27. 27. Thoughts moving forwardThe notion of a caring practitioner is noted by Hillsdon (1998)… theknowledge base of the practitioners was central in gaining trustand co-operation. Furthermore, Bogdan-Lovis et al. (2006), notedthat co-operation and trust enhanced adherence and sustained lifechanges.The empathic nature of the practitioners and their ability to take onthe client’s personal challenges be they physical, emotional orsocial in a fun, enjoyable, non-threatening and safe environment isan essential component of their success… (placement student’s consultancy report conclusion)Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    28. 28. Engagement is more productive thanpreaching…Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    29. 29. Extended thank to all of the “Gents” that took part in the program and also to all of the volunteers during the intervention for their input, dedication and passion. The authors would also like to acknowledge and dedicate this work to Ray (“Ryan”) who sadly passed away in the spring of 2012 to a reoccurrence of Cancer. Such a brilliant and wonderful person and a joy to work with and get to know.Evaluation of Extra Time | Wednesday 12Congress2011 Fit Fans | Friday 17th August 2012, World January on Active Ageing
    30. 30. 0. Thank you for listening. Dan Parnell School of Science University of Derby t: 07538500348 e: d.parnell@derby.ac.uk w: www.derby.ac.uk twitter: @parnell_daniel blog: TheCommunityFootballBlog Title Fans | Friday 17aSunday, 2012, World Congress on Active People | Friday 17th August 2012, WCAA Fit of PPT show | th Vehicle August 19, 2012 Football Clubs as August for Promoting Health in Older Ageing

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