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ATENDERFORTHERESEARCHPROJECTREGIONALEVALUATIONOFWEIGHTMANAGEMENTPROGRAMMESFORCHILDRENANDADULTSCOMMISSIONEDBYBIRMINGHAMWOMENSNHSFOUNDATIONTRUSTPROFESSORDOMINICUPTONMSPENNEYUPTONDRDEREKPETERSMSJUSTINEBOLDUNIVERSITYOFWORCESTERHENWICKGROVEWORCESTERWR26AJTABLEOFCONTENTSSECTIONPAGEBRIEFLITERATUREREVIEW3METHOD9ANALYSIS14QUALITYASSURANCE14RESEARCHGOVERNANCE15ETHICS15TIMEPLAN16DISSEMINATION17COSTINGS18PROJECTTEAM19RISKSTOPROJECT22CONCLUSION24REFERENCES26APPENDIX1GANTTCHART30APPENDIX2PROJECTTEAMCVS31BRIEFLITERATUREREVIEWOBESITYHASBECOMEAMAJORCAUSEOFPREVENTABLEMORBIDITYANDMORTALITYWORLDWIDEWORLDHEALTHORGANISATION,2004INTHEUKALONE,BETWEEN1995AND2006,THEREHASBEENARISINGTRENDINTHEPREVALENCEOFCHILDHOODOBESITYAMONGBOYSAGED2TO15,THEPROPORTIONDEEMEDOBESEINCREASEDOVERALLFROM109IN1995TO173IN2006,ANDAMONGGIRLSFROM120TO147FURTHERMOREASOF2006,297OFCHILDRENAGED2TO15WERECLASSEDASOVERWEIGHTOROBESEEQUIVALENTFIGURESFORBOYSANDGIRLSAMONGTHISAGEGROUPWERE306AND287RESPECTIVELYOFFICEFORNATIONALSTATISTICS,2008THEFINANCIALBURDENOFTHISRISEINOBESITYWASAPPROXIMATEDAS1BILLIONIN2002,ALTHOUGHALARMINGLYITISPREDICTEDTHATTHISFIGUREMAYRISEFURTHERTO53BILLIONBY2025OFFICEFORNATIONALSTATISTICS,2008INRESPONSETOTHISINCREASINGPREVALENCEOFOBESITYINCHILDRENANDADOLESCENTS,NUMEROUSINTERVENTIONSWITHTHEPOTENTIALTOREDUCEOBESITYLEVELSORASSOCIATEDRISKOFCHRONICDISEASESINCHILDRENANDYOUTHHAVEBEENIMPLEMENTEDINAVARIETYOFSETTINGSFLYNNETAL,2006GORAN,1997STEINBERGERINPARTICULARTHEMAJORITYOFOBESITYINTERVENTIONPROGRAMMESOUTCOMESATLEASTINTHESHORTTERMINDICATEDCHANGETOWARDSIMPROVEMENT,THUSSUPPORTINGCONTINUEDACTIONCRITICALLYITWASNOTEDTHATENGAGEMENTINPHYSICALACTIVITYINSCHOOLBASEDINTERVENTIONSISTOBEENCOURAGEDINDEEDCLEARASSOCIATIONSWEREFOUNDBETWEENINCREASEDPHYSICALACTIVITYANDIMPROVEMENTINCHRONICDISEASERISKSTATUSINBOTHSECONDARYANDPRIMARYSCHOOLS,WHICHCONCURSWITHCURRENTRECOMMENDATIONSAMERICANINSTITUTEOFMEDICINE,2004FURTHERFINDINGSSUGGESTEDTHATTHESETTINGOFTHEINTERVENTIONWASPARAMOUNT,WITHTHESCHOOLSETTINGIDENTIFIEDASPIVOTALCLEARLYBOTHTHESETTINGANDINTERVENTIONCOMPONENTUSEDAREKEYELEMENTSINANEFFECTIVEINTERVENTIONPROGRAMMESHAYAETAL2008CONDUCTEDAREVIEWOFSCHOOLBASEDOBESITYINTERVENTIONPROGRAMMESFIFTYONESTUDIESACROSSALLSCHOOLAGESWERESELECTEDFORFURTHERANALYSISIMPORTANTLYTHESTUDYCONCLUDEDTHATNOPERSISTENCEOFPOSITIVERESULTSINREDUCINGMEASURESOFOBESITYINSCHOOLAGECHILDRENWEREOBSERVED,HOWEVERANUMBEROFINTERESTINGPOINTSWEREHIGHLIGHTEDFIRSTLYTHATWHILSTSHORTTERMINTERVENTIONSLASTINGLESSTHAN6MONTHSHAVEDISPLAYEDPOSITIVESTATISTICALLYSIGNIFICANTRESULTSINREDUCINGOUTCOMEMEASURESSUCHASBLOODPRESSUREANDCARDIOVASCULARFITNESSWILSONETAL,2005,THEREISNOCONCLUSIVEEVIDENCEFORCHANGESINBODYCOMPOSITIONTHUSSTUDIESEMPLOYINGLONGTERMFOLLOWUPMEASUREMENTSARENEEDEDFURTHERMOREITWASNOTEDTHATPHYSICALACTIVITYGEAREDINTERVENTIONSILLUSTRATEDTHEGREATESTEFFICACYFORREDUCINGOBESITYRELATEDMEASURESSHAYAETAL,2008WHILSTTHESCHOOLSETTINGISANEFFECTIVESETTINGTOTARGET,SEVERALREVIEWSHAVEEVALUATEDFAMILYBASEDWEIGHTINTERVENTIONPROGRAMMESBOONHEREFORDSHIRESANDWELLSHROPSHIRENORTHSTAFFORDSHIRESTOKEONTRENTWALSALLWARWICKSHIREWOLVERHAMPTONWORCESTERSHIRECOVENTRY,DUDLEY713YEAROLDSVGOALSSANDWELL913YEAROLDSVIONEBODYONELIFECOVENTRYNOAGESPECIFIEDTHEKEYQUESTIONSPECIFIEDBYBWTFISDOESTHEPROGRAMMEWORKANDATWHATCOSTINORDERTOANSWERTHISQUESTIONFULLY,THERESEARCHWILLDETERMINETHEFOLLOWINGTHEBENEFITSTOPARTICIPATINGACHILDRENANDBFAMILIESINTERMSOFHEALTHIMPROVEMENTANDBEHAVIOURCHANGEPOSSIBLEBARRIERSTOCHANGEFORACHILDRENANDBFAMILIESUNDERTAKINGTREATMENTPROGRAMMESTHERANGEOFSHORTANDLONGERTERMSUPPORTAVAILABLEFORPROGRAMMEPARTICIPANTSTHECOSTEFFECTIVENESSOFEACHINTERVENTIONMETHODDESIGNTHERESEARCHTEAMWILLAPPLYAMULTIMETHODSTRATEGYTOINCLUDEANAUDITOFTHESTANDARDEVALUATIONFRAMEWORKSEFESSENTIALANDDESIRABLEDATACOLLECTEDBYEACHINTERVENTIONPROGRAMMEAUDITISAUSEFULINVESTIGATIVETOOL,WHICHMAKESUSEOFAVAILABLERECORDSTOPROVIDEOBJECTIVE,ANONYMOUSDATAINANEFFICIENTANDCOSTEFFECTIVEMANNERMATHIESONANDUPTON,2007DATAWILLBEAUDITEDINTERMSOFWHATINFORMATIONISCOLLECTEDASWELLASCONSIDERINGTHEIMPLICATIONSOFTHEDATAINTERMSOFTHEIMPACTOFTHEINTERVENTIONONCHILDANDFAMILYHEALTHANDWELLBEINGAREVIEWOFPROGRAMMEMATERIALS,INCLUDINGTHETHEORETICALRATIONALEANDEVIDENCEBASEFOREACHINTERVENTIONPROGRAMMEANECONOMICEVALUATIONOFTHEINTERVENTIONSTHISWILLALLOWTHETEAMTOFULFILTHEPROJECTDELIVERABLESASOUTLINEDBELOWSEETABLE2,WHILSTPROVIDINGARICHANDINFORMATIVEEVALUATIONSTUDYWHILSTTHISDOCUMENTOUTLINESTHEANTICIPATEDRESEARCHDESIGN,THEOVERALLETHOSOFTHEPROJECTTEAMWOULDBETOTAKEACOGENERATIVEAPPROACHWITHCLOSECOOPERATION,MUTUALINFORMINGANDLEARNINGBETWEENEXTERNALEVALUATORSANDSTAKEHOLDERSDURINGTHEEVALUATIONPROCESSTABLE2METHODSPROPOSEDTOADDRESSTHEREQUIREDDELIVERABLESOUTLINEDINTHETENDERDOCUMENTPROJECTDELIVERABLESMETHODSTUDYOUTCOMETIMESCALEINTEROPERABLEDESIGNFORDATABASEUSEDFORDATACOLLECTIONAUDITDATABASECONSTRUCTEDFORTHEROUTINECOLLECTIONOFKEYSEFESSENTIALANDDESIRABLEDATASEPTEMBER2009INTERIMREPORTSUMMARYOFPROGRESSREAUDITPROGRAMMEREVIEWECONOMICEVALUATIONWRITTENPROGRESSREPORTJUNE2009FINALREPORTANDPRESENTATIONATAFORTHCOMINGMEETINGOFTHEWESTMIDLANDSOBESITYPSAGROUPANDOTHERINTERESTEDPARTIES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