The causes of obesity are complex; tackling the problem requires evidence-led action at every level, from the individual to society, and across all sectors. As part of their whole system strategy to halt and reverse the rising trend in childhood obesity, the London Bi-borough Public Health team are delivering Go Golborne, an innovative 3 year community-based pilot (2015-2018), in a highly diverse and deprived ward in the Royal Borough of Kensington and Chelsea (RBKC), with elevated levels of childhood obesity. CHSS is conducting a 4 year theory-led evaluation of the pilot to assess the effectiveness, feasibility and replicability of this ‘whole place’ multi-stakeholder approach.



This presentation details the early findings of an online survey distributed to project partners and interview findings with project partners

Eida, Tamsyn J.

Gadsby, Erica W.

Hotham, Sarah

Merritt, Rowena K.

Kent Academic Repository

Kent Academic RepositoryFull text document (pdf)Copyright & reuseContent in the Kent Academic Repository is made available for research purposes. Unless otherwise stated allcontent is protected by copyright and in the absence of an open licence (eg Creative Commons), permissions for further reuse of content should be sought from the publisher, author or other copyright holder. Versions of researchThe version in the Kent Academic Repository may differ from the final published version. Users are advised to check http://kar.kent.ac.uk for the status of the paper. Users should always cite the published version of record.EnquiriesFor any further enquiries regarding the licence status of this document, please contact: researchsupport@kent.ac.ukIf you believe this document infringes copyright then please contact the KAR admin team with the take-down information provided at http://kar.kent.ac.uk/contact.htmlCitation for published versionEida, Tamsyn, J. and Gadsby, Erica W. and Hotham, Sarah and Merritt, Rowena K.  (2017) GoGolborne Action Learning Event: Partner survey and interviews.    In: Action Learning Event,11.10.17, London, UK.     (Unpublished)DOILink to record in KARhttps://kar.kent.ac.uk/78288/Document VersionPresentationwww.kent.ac.uk/chssCentre for Health Services StudiesGo Golborne Action Learning Event 2017: 11th October 2017Partner survey & interviewsTamsyn Eida & Dr Erica Gadsby Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Partners of Go Golborne• Go Golborne has a wide range of partners • frontline and strategic; voluntary/community, social enterprise and statutory; cross sector• breadth of involvement levels: information to delivery; evolving• number receiving initial launch pack: 27• average number attending stakeholder events: 28 (range: 19-43)• Partners have been involved from the start• They are a crucial part of the programme’s theory of changeCentre for Health Services Studies      www.kent.ac.uk/chss ‹#›Collecting information from partnersSurvey• Online (open 15th Aug to 15thOct 2016)• Focused on desired outcomes• Designed to capture partners’ attitudes, knowledge, resources, activities and efforts• Sent to 123 partners• Analysed using excel and thematic coding of qualitative dataInterviews• During summer 2017• Purposive sampling (N=8)• Semi-structured, building on findings of other data• Telephone• Guide shared with participants in advance• Analysed using thematic coding Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Survey: who responded?Key points• Response rate: 21.95%• Variety in the size and organisational type of responding partners25.90%22.20%18.50%3.70%3.70%3.70%22.20%Sector of responding partners; N=27VCOCouncilDepartmentSocialEnterpriseSchoolPrivate LeisureoperatorGP surgeryMissingCentre for Health Services Studies      www.kent.ac.uk/chss ‹#›Knowledge & attitudes• Felt it was necessary• Recognised their role to playAttitude towards addressing the issue• Felt the programme was “well supported” by council and local communityLeadership attitude• High reported knowledge of: existing efforts to support families; Go Golborne programmeKnowledge of efforts• High reported knowledge of: causes of obesity; how to support familiesCommunity knowledge of issue• Nearly ¾ had accessed practical support• Nearly ½ had accessed grant fundingResources & supportCentre for Health Services Studies      www.kent.ac.uk/chss ‹#›Responses to questions on community knowledge and attitudes(n=27)0%10%20%30%40%50%60%70%Poor diet andlow levels of PAin children in thiscommunity mustbe tackledVery aware ofthe themes thatGo Go is workingto promoteAware ofservices in thecommunityUnderstand therole I can playFully informedabout thecontributingfactorsStrongly agree Agree Moderately agree Undecided Moderately disagree Disagree Strongly disagreeCentre for Health Services Studies      www.kent.ac.uk/chss ‹#›Practical support & capacity• Gained skills, knowledge & confidence• Had developed new skills or knowledge around supporting children and families• Enabled to organise a range of events and activities for the local communitiesPersonal Impact• Over 60% reported personal attitude change towards healthy eating and physical activityImpact on Golborne partners & their organisations“The team are always on hand to offer support with engaging children and families, organising and supporting our community events.”Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Inspiration to develop new               work & organisational change• Changed internal working processes• New delivery/partnership methods• Greater focus on community collaborationNetworks and contacts; facilitated collaboration• Made useful contacts as a result of Go Golborne• Facilitated opportunities to work collaboratively • Better able to promote services and deliver different activities and eventsImpact on Golborne partners & their organisations“The culture of our organisation is starting to shift slowly towards understanding and enabling healthier choices.”“[Go Golborne has inspired us to] bring more community involvement into what we do”Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Impact: on capacity to support healthy lifestyles0%10%20%30%40%50%60%GoGo has helped mefeel able to contributeI have developed newskills/knowledgeResponses to questions on: Impact on capacity to support healthy lifestyles (n=21)Strongly agree Agree Slightly agreeUndecided Disagree Strongly Disagree43.5%45.5%69.9%78.3%86.4%95.5%95.7%Att. any trainingpromoted by GGApplied for GG GrantAtt. GG communityEventAtt. GG Partner EventPromoted GG EventPromoted GGcampaign in last 12…Used/Dissem. GGMaterials% of partners involved in GG activities (n=22-23)Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›• Organisational capacity: often limited, despite motivation• Themes praised - but one person questioned the continuity in campaigns • suggested new themes should add to rather than replace the previous• Another referred to not having an independent Go Golborne online/social mediaWhat facilitates the programme?• Referring to the evidence base• Providing excellent resources, practical support & simple grant structure• Being tailored to an area of high levels of need• Accessible programming & staff• Well organised; clear objectives • The gradual organisational shifts being seenWhat hinders the programme?Learning from the Go Golborne partnersCentre for Health Services Studies      www.kent.ac.uk/chss ‹#›“great to see so many community groups gather and be given an opportunity to give their opinion and contribute.”“We now have healthy snacks at all of our children's events whereas before we only offered high fat, high sugar snacks”Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Partner interviewsParticipants • Community and Voluntary Sector: 2• Social Enterprise: 2• RBKC statutory providers: 3• Medical provider: 1Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›• Trusted and embedded• Among children and families• Among stakeholder partners• Contributory programme factors • Things to consider• Adaptive and responsive• Contextual factors that inhibit healthy weight progress • Attributes that enable Go Golborne to respond• Breadth of influence and partnership• Multi-level action within Golborne• Implications of Go Golborne beyond the programme areaThe themes that emergedCentre for Health Services Studies      www.kent.ac.uk/chss ‹#›Children and parents• Pitched at right level; fun• Positive framing• Enables voice• Contributes to the collective consciousness• Builds collective identity• Localises national campaigns• Tailored to local prioritiesTrusted & Embedded Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Stakeholder partners• Breadth of partners; builds reach• Motivation & ownership• Enabled/extended alternative ways of working & partnership• Provides personalised support• Resources: normalise & ease conversations Trust & Embeddedness Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›GG contributory factors• Personal qualities• Professional but accessible process• Tangible results• High quality events• Stepped, meaningful processTo consider• Reaching layers within organisations; capacity & reliance• Implications: managing next steps & expectations• Community & wider priorities over time• Momentum & controlTrust & EmbeddednessCentre for Health Services Studies      www.kent.ac.uk/chss ‹#›Evaluation story 1: GG05Communicating healthy eating messages to families is complex: “You know in the beginning, it was a bit of a challenge…especially with fruit– it’s quite pricey – if you’ve got a mother of five, then you really struggle.”Involving community partners is a vital – and valued – element of the response: “I’m from the community… lived in this area my whole my life – that’s what helps me deliver… And they do involve us as much as possible… it was all about us. (Go Golborne is) there to support us and give us the tools… that’s the idea I got.”Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Evaluation story 1: GG05The programming and leadership further contributes to community trust and involvement: “one off don’t work…keeping the message and momentum… coming together collectively… and the facilitators are hands on as well... behind the scenes and on the front…”Partners bring ongoing tailored involvement, supported through GG grants. This has engendered trust, access and discussion with families: “(we invite) the whole family… Mum doesn’t have to worry about who is going to babysit and she won’t just isolate herself. They’d been to our first activity, the second activity, they got to know each other and could share their concerns and, “what do you think I should do?”…” Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Adaptive and responsiveContextual factors that inhibit healthy weight progress Complexity of contextual environment, such as:- Food, shopping & activity norms and drivers- Food & activity environment- Capacity & changes in organisationsFactors enabling Go Golborne to respond- collaboration with a range of partners: set up to listen and problem solve- focus on action to address complex issues at different levels- openness to respond to issues of capacity & expertise- trust of partners to enable step-by-step process Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Aimed to increase Healthy Start vouchers with market stalls before Go Golborne started. Despite varied efforts, “it never took off for various reasons.”Go Golborne offered an opportunity to resolve this: partnership“That’s what it took to find… someone at the Healthy Start redemption centre like who we could talk to, to explain what was going on…”. Evaluation story 2: GG04Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Ultimately, “because of the different groups involved and the kind of networks that were all plugged into”, the group heard about centralised redemption. Evaluation story 2: GG04Further publicity and resources advertise which traders take vouchers. “the Go Golborne project has lowered the barrier… hopefully a lasting legacy of the project.”Although increased, redemptions remain low. Go Golborne has now contracted Rice Marketing – a local marketing specialist. “It’s another opportunity to develop.”Centre for Health Services Studies      www.kent.ac.uk/chss ‹#›Local public healthObesity actionGolborne & beyondBreadth of influence and partnershipMulti-pronged approach Organisational developmentEnvironmental development• Provides & extends data• Highlights gaps in provision• Opportunity to exploit weak links• Normalises action & conversation• Builds pride and momentum• Raises profile• Builds connections across the council• Has a place at the table• Provides a template• Builds momentum• Network – is an opportunity to manage and consolidate;           and for extended conversationsCentre for Health Services Studies      www.kent.ac.uk/chss ‹#›• Good level of partner knowledge and commitment; has strengthened capacity & resilience• Well received by partners & community members – through tailoring, support & resources, quality & delivery• Has built trust & momentum at community and stakeholder levels• Understands the complexity of healthy weight programming• Will need to communicate next steps well with partners and community• Ongoing coordination and motivation of network/activities important • Has focused on making changes that will be sustainable• Has maintained momentum despite                                                             barriers that have emergedSummary www.kent.ac.uk/chssCentre for Health Services StudiesCentre for Health Services Studieswww.kent.ac.uk/chss

Go Golborne Action Learning Event: Partner survey and interviews

https://kar.kent.ac.uk/78288/1/Go_Golborne_partner_survey_report_findings.pdf

Go Golborne Action Learning Event: Partner survey and interviews

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