Aim and objectives of the report - CLES

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physical change. The actual results showed improvement in both the ‘Less Able’ and ‘More Able’groups. One individual from the ‘Less Able’ group improved her Berg Scale score from 10 to 26 (on ascale of 0-56, an improvement of 160%) and continued by joining a local light exercise class. Whenasked, ‘Have you changed the way of doing things as a result of the service?’, she replied: “yes, I canright myself if I start to lose balance, I can also put my bra on by doing it up at the back”. Softoutcomes included enjoyment of the activities and nutrition information and the benefits of a socialgathering.The findings from this activity case example lend additional support to the other positiveimprovements reported for Upstream physical activity initiatives.ProcessesSuccesses and challenges in the process of delivering the project for example including partnershipworking, marketing, support and onward referral.A range of statutory authorities, including the NHS, County and District Councils have experiencedthe benefits that community-based organisations and projects such as ‘Health Maps’ bring to thedelivery of their own statutory priorities, and are more likely to commission the voluntary sector todeliver some of these priorities in the future. Evidence for this derives from the resultantcommissioning by Devon PCT and Council of voluntary sector consortium delivery of services relatingto physical exercise and mental health (falls prevention in particular) and nutrition (obesityprogramme).Wider impact includes increasing awareness in local Mid Devon communities of nutrition (e.g.Crediton ‘healthy eating’ fair), physical activity for older people (e.g. Tiverton and Crediton ‘Walkand Talk’ groups, and dance groups) and creative mentally stimulating activities (e.g. Crediton‘Libraries Alive’ group and Stoke Cannon lunch activity groups). These are all activities in which theUpstream ‘Health Maps’ project has played a role, either starting or stimulating the activity. Theseactivities provide solid evidence that the awareness and practice of physical exercise, nutrition andmental health are becoming embedded in the community and will outlast the SWWB programme.The project team identified a range of successes and challenges associated with delivering theproject.Successes:Older people quickly understand and respond well to the potential benefits of greater andbetter planned physical exercise. They feel the benefits quite rapidly. This makes it easier toinvolve them, especially if the exercises are fun and sociable.Dance groups in particular have been a great success, where the dance activities have beenimaginative, appropriate to older people, and have not been patronising.141 SWWB Final Evaluation Report
Mental stimulation has been most obviously and readily successful when it is built into theexercise activities, as for example in memorising a succession of movements in a danceroutine and in synchronising the movements with the music. Participants are stronglymotivated to join in, develop social cohesion, and continue the activity.Building physical, nutritional and mentally stimulating activities into the programme ofexisting social groups has very often proved to be a successful way to broaden people’sexperience and get their attention, often more successful than attempting to start a newgroup dedicated to one or other of the activities. For example, an existing lunch group mightmeet earlier for some light exercise and use the lunch as a focus for nutritional learning.Challenges:Mental stimulation through creative activities, involving participation in whole or in part, ismore attractive to those who already have creative interests, and more difficult for thosewho do not to see the connection with better health. However, once people do get involved,in creative activities and the socialisation that goes with them, they often experience thegreatest impact on their sense of well-being, particularly if they were initially sceptical.Involvement in nutrition is also more difficult with older people than involvement inexercise, and the two need to be linked carefully. The difficulties lie partly in the sense of‘teaching your grandmother to suck eggs’ – these are people who have been cooking alltheir lives and who have adapted their diet to what is available, what they can afford andwhat is convenient to cook. Why change, if it’s seen them through 70, 80 or 90 years?However, when they share recipes and are shown how they can make simple adaptationsthat ensure good nutritional content and make use of readily available healthy foods, andwhen they are persuaded to pause to appreciate the benefits to their physical health also,then they become open to change. Sharing recipes and building on what they already knowis the key to success. ‘Health Maps’ has produced a number of very successful recipe cards.ConclusionsKey lessonsActivities must be fun and involve people in participation.There must be some quick clear benefit, even if other benefits are built in to the activity thatare less obvious but equally important in the long term.Socialisation is an important aspect of success but at the same time people must be able andmotivated to pursue activities individually in their own time.Combining all three of the key elements (exercise, nutrition and mental health) is a goodway for people to see the connections with health and well-being.Dance can be a highly effective activity but it is more difficult for people to continueindependently without an experienced leader.142 SWWB Final Evaluation Report
Page 1 and 2: Well Bean ProjectHost: Wincanton Co
Page 3 and 4: Project design and deliveryInputsTh
Page 5 and 6: PerformanceOutputs and OutcomesThe
Page 7 and 8: South West Well-beingProgramme in P
Page 9 and 10: Project AreaThe main beneficiaries
Page 11 and 12: After doing a rehab programme I sti
Page 13 and 14: Project profile: Eklipse ContactInt
Page 15 and 16: Plymouth Eklipse: Beneficiary Case
Page 17 and 18: - A high proportion of very young p
Page 19 and 20: had with ex-partner’s previous in
Page 21 and 22: Upstream Health MapsHost; Upstream,
Page 23 and 24: Host OrganisationUpstream is a Char
Page 25: 15 other community organisations (s
Page 29 and 30: Beneficiary Case StudyJoan: Just th
Page 31 and 32: KWHP’s previous Strategic Plan 6
Page 33 and 34: ActivitiesProject organisation and
Page 35 and 36: For the 397 beneficiaries aged 16 o
Page 37 and 38: Wellspring Community KitchenHost: W
Page 39 and 40: project has largely relied on profe
Page 41 and 42: the service. However, latterly, dem
Page 43 and 44: Life has been difficult for me rece
Page 45 and 46: opportunities. The project sees tha
Page 47 and 48: communities is supported by a team
Page 49 and 50: through encouragement ‘to take ne
Page 51 and 52: Access to exerciseclassPAFund holde
Page 53 and 54: Table 2 Westbank: Self Reported Gen
Page 55 and 56: the end of the evaluation period We
Page 57 and 58: programme, pulmonary rehab and low-
Page 59 and 60: particularly the Building Healthier
Page 61 and 62: and printed individual leaflets on
Page 63 and 64: The project has worked hard to find
Page 65 and 66: Engaging volunteers in the process
Page 67 and 68: evidence of highly unequal take up,
Page 69: celebrated both before and after th
Page 72 and 73: Be Healthy, Be HappyHost organisati
Page 74 and 75: The well-being services are deliver
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sole focus, the group aim to reach
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Case Study-GloucesterActive and Abl
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experienced an MI due to lack of tr
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PerformanceOutputs: Improvement in
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‘I think play rangers is good for
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Child and Adolescent Mental Health
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initial session but young people ar
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putting effort and care into the fo
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young people e.g. extended school o
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8 AbbreviationsAPHOBMEBTCVCABCANDCA
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SWEMWBSSWHLASWPHOSWRHASWWBSWWBQTSOU
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Delbecq AL, Van de Ven AH, et al. (
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Appendix 1: Sources for the SWWB Qu
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At a project event / open dayOther
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We operate a secure system of holdi
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5) Do you drink alcohol?YesNo(Go to
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11) During the last week, how many
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16) Below are some statements about
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227 SWWB Final Evaluation Report
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Aim and objectives of the report - CLES

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