Enjoy Life LocallY (ELLY): feasibility study of a community co-designed incentive intervention to support healthy weight and wellbeing
Interventions to support health and wellbeing often attract advantaged, time-rich, organised people, potentially exacerbating health inequalities and failing to support those less advantaged. Our aim was to co-design and feasibility test a novel community-based incentive system to promote healthy we...
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Veröffentlicht in: | The Lancet (British edition) 2024-11, Vol.404, p.S7-S7 |
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creator | Cowie, Julie Archibald, Rhonda Currie, Sinead Findlay, Scott van der Pol, Marjon MacLennan, Graeme Hoddinott, Pat |
description | Interventions to support health and wellbeing often attract advantaged, time-rich, organised people, potentially exacerbating health inequalities and failing to support those less advantaged. Our aim was to co-design and feasibility test a novel community-based incentive system to promote healthy weight and wellbeing in disadvantaged communities.
Intervention co-designed with two disadvantaged communities in Scotland. Single-arm, 12-week feasibility study. Inclusion criteria: aged ≥18 years living within a 20 min walking distance from ELLY activities. Exclusion criteria: not resident during the intervention. Participants were recruited via pop-up cafés outside schools, shops, existing clubs and activities. ELLY intervention components: free soup twice weekly (café/delivery/pickup); loyalty card stamped for engagement in activities (to encourage preparatory behaviours towards healthy weight and wellbeing) exchanged for £25 shopping card for regular activity attendance over 12 weeks; goal-setting, information resources, self-monitoring of weight and wellbeing. Outcome measures: acceptability and feasibility of recruitment, retention, and intervention components assessed by self-report questionnaire (0, 3 months) and interviews (3 months). Further interviews post-intervention assessed behaviour change (6 months). Outcomes for a future trial prioritised by communities: healthy weight (BMI), mental wellbeing (WEMWBS), health-related quality-of-life (EQ-5D-5L) and connectedness (Social Connectedness Scale). Sample size: minimum 30 participants per community based on an estimated event rate of 5% for unforeseen problems. Written consent required. Study approved by GCU(HLS/NCH/22/036).
Sample characteristics: n=75; 63/75 (84%) female, baseline BMI mean 31·9 (SD 7·3), 48/75 (64%) from disadvantaged areas (SIMD quintiles 1–2). Recruitment completed in 3 months; retention (65/75 [87%]) at 3 months; acceptability of intervention (soup 38/65 [59%], loyalty card and assets 51/65 [79%]); redeemable stamped loyalty cards (55/75 [73%]). Outcomes collected (65/75 [87%] completion rate) within-person change (mean [95% CI]): BMI –0·15 (0·31); EQ-5D-5L 0·02 (0·04); WEMWBS 0·8 (2·39); Social Connectedness Scale 0·8 (3·72).
ELLY is acceptable, feasible and shows promise for improving healthy weight and wellbeing in disadvantaged communities. A full trial is warranted to determine effectiveness and cost-effectiveness, with consideration of scalability.
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doi_str_mv | 10.1016/S0140-6736(24)01973-1 |
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Intervention co-designed with two disadvantaged communities in Scotland. Single-arm, 12-week feasibility study. Inclusion criteria: aged ≥18 years living within a 20 min walking distance from ELLY activities. Exclusion criteria: not resident during the intervention. Participants were recruited via pop-up cafés outside schools, shops, existing clubs and activities. ELLY intervention components: free soup twice weekly (café/delivery/pickup); loyalty card stamped for engagement in activities (to encourage preparatory behaviours towards healthy weight and wellbeing) exchanged for £25 shopping card for regular activity attendance over 12 weeks; goal-setting, information resources, self-monitoring of weight and wellbeing. Outcome measures: acceptability and feasibility of recruitment, retention, and intervention components assessed by self-report questionnaire (0, 3 months) and interviews (3 months). Further interviews post-intervention assessed behaviour change (6 months). Outcomes for a future trial prioritised by communities: healthy weight (BMI), mental wellbeing (WEMWBS), health-related quality-of-life (EQ-5D-5L) and connectedness (Social Connectedness Scale). Sample size: minimum 30 participants per community based on an estimated event rate of 5% for unforeseen problems. Written consent required. Study approved by GCU(HLS/NCH/22/036).
Sample characteristics: n=75; 63/75 (84%) female, baseline BMI mean 31·9 (SD 7·3), 48/75 (64%) from disadvantaged areas (SIMD quintiles 1–2). Recruitment completed in 3 months; retention (65/75 [87%]) at 3 months; acceptability of intervention (soup 38/65 [59%], loyalty card and assets 51/65 [79%]); redeemable stamped loyalty cards (55/75 [73%]). Outcomes collected (65/75 [87%] completion rate) within-person change (mean [95% CI]): BMI –0·15 (0·31); EQ-5D-5L 0·02 (0·04); WEMWBS 0·8 (2·39); Social Connectedness Scale 0·8 (3·72).
ELLY is acceptable, feasible and shows promise for improving healthy weight and wellbeing in disadvantaged communities. A full trial is warranted to determine effectiveness and cost-effectiveness, with consideration of scalability.
Chief Scientist Office (HIPS 21/32), INEOS Charities & Community fund provided funding for soup.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/S0140-6736(24)01973-1</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>Acceptability ; Body weight ; Charities ; Co-design ; Cost effectiveness ; Criteria ; Feasibility studies ; Funding ; Health promotion ; Information resources ; Intervention ; Loyalty cards ; Quality of life ; Recruitment ; Retention ; Schools ; Weight ; Well being</subject><ispartof>The Lancet (British edition), 2024-11, Vol.404, p.S7-S7</ispartof><rights>2024 Elsevier Ltd</rights><rights>2024. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0140-6736(24)01973-1$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids></links><search><creatorcontrib>Cowie, Julie</creatorcontrib><creatorcontrib>Archibald, Rhonda</creatorcontrib><creatorcontrib>Currie, Sinead</creatorcontrib><creatorcontrib>Findlay, Scott</creatorcontrib><creatorcontrib>van der Pol, Marjon</creatorcontrib><creatorcontrib>MacLennan, Graeme</creatorcontrib><creatorcontrib>Hoddinott, Pat</creatorcontrib><title>Enjoy Life LocallY (ELLY): feasibility study of a community co-designed incentive intervention to support healthy weight and wellbeing</title><title>The Lancet (British edition)</title><description>Interventions to support health and wellbeing often attract advantaged, time-rich, organised people, potentially exacerbating health inequalities and failing to support those less advantaged. Our aim was to co-design and feasibility test a novel community-based incentive system to promote healthy weight and wellbeing in disadvantaged communities.
Intervention co-designed with two disadvantaged communities in Scotland. Single-arm, 12-week feasibility study. Inclusion criteria: aged ≥18 years living within a 20 min walking distance from ELLY activities. Exclusion criteria: not resident during the intervention. Participants were recruited via pop-up cafés outside schools, shops, existing clubs and activities. ELLY intervention components: free soup twice weekly (café/delivery/pickup); loyalty card stamped for engagement in activities (to encourage preparatory behaviours towards healthy weight and wellbeing) exchanged for £25 shopping card for regular activity attendance over 12 weeks; goal-setting, information resources, self-monitoring of weight and wellbeing. Outcome measures: acceptability and feasibility of recruitment, retention, and intervention components assessed by self-report questionnaire (0, 3 months) and interviews (3 months). Further interviews post-intervention assessed behaviour change (6 months). Outcomes for a future trial prioritised by communities: healthy weight (BMI), mental wellbeing (WEMWBS), health-related quality-of-life (EQ-5D-5L) and connectedness (Social Connectedness Scale). Sample size: minimum 30 participants per community based on an estimated event rate of 5% for unforeseen problems. Written consent required. Study approved by GCU(HLS/NCH/22/036).
Sample characteristics: n=75; 63/75 (84%) female, baseline BMI mean 31·9 (SD 7·3), 48/75 (64%) from disadvantaged areas (SIMD quintiles 1–2). Recruitment completed in 3 months; retention (65/75 [87%]) at 3 months; acceptability of intervention (soup 38/65 [59%], loyalty card and assets 51/65 [79%]); redeemable stamped loyalty cards (55/75 [73%]). Outcomes collected (65/75 [87%] completion rate) within-person change (mean [95% CI]): BMI –0·15 (0·31); EQ-5D-5L 0·02 (0·04); WEMWBS 0·8 (2·39); Social Connectedness Scale 0·8 (3·72).
ELLY is acceptable, feasible and shows promise for improving healthy weight and wellbeing in disadvantaged communities. A full trial is warranted to determine effectiveness and cost-effectiveness, with consideration of scalability.
Chief Scientist Office (HIPS 21/32), INEOS Charities & Community fund provided funding for soup.</description><subject>Acceptability</subject><subject>Body weight</subject><subject>Charities</subject><subject>Co-design</subject><subject>Cost effectiveness</subject><subject>Criteria</subject><subject>Feasibility studies</subject><subject>Funding</subject><subject>Health promotion</subject><subject>Information resources</subject><subject>Intervention</subject><subject>Loyalty cards</subject><subject>Quality of life</subject><subject>Recruitment</subject><subject>Retention</subject><subject>Schools</subject><subject>Weight</subject><subject>Well being</subject><issn>0140-6736</issn><issn>1474-547X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNo9UMtKw0AUHUTBWv0EYcBNXURnMo80bkRKfUDAhV3Y1ZBMbtop6UzNTCr5Ab_bpBXhwDn3criPg9A1JXeUUHn_QSgnkUyYnMT8ltA0YRE9QSPKEx4JnnyeotG_5RxdeL8hhHBJxAj9zO3GdTgzFeDM6byul3gyz7Ll7QOuIPemMLUJHfahLTvsKpxj7bbb1g5N7aISvFlZKLGxGmwwe-hVgGY_FM7i4LBvdzvXBLyGvA7rDn-DWa0Dzm3Zy7ouwNjVJTqr8trD1R-P0eJ5vpi9Rtn7y9vsKYtgylkkZMpkIoSgPSoa65gXTOaCSC6nTJRQTZOYadlDaiiJBqI1FWkqQJJC52yMbo5jd437asEHtXFtY_uNilHGUjGNexqjx6ML-kv2BhrltYH-v9I0oIMqnVGUqCF7dcheDcGqmKtD9oqyX4V4eMg</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Cowie, Julie</creator><creator>Archibald, Rhonda</creator><creator>Currie, Sinead</creator><creator>Findlay, Scott</creator><creator>van der Pol, Marjon</creator><creator>MacLennan, Graeme</creator><creator>Hoddinott, Pat</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>7QL</scope><scope>7QP</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>ASE</scope><scope>C1K</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>K9.</scope><scope>KB~</scope><scope>M7N</scope><scope>NAPCQ</scope></search><sort><creationdate>202411</creationdate><title>Enjoy Life LocallY (ELLY): feasibility study of a community co-designed incentive intervention to support healthy weight and wellbeing</title><author>Cowie, Julie ; Archibald, Rhonda ; Currie, Sinead ; Findlay, Scott ; van der Pol, Marjon ; MacLennan, Graeme ; Hoddinott, Pat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e843-5693675551551f12c24b36a50646835def8723c63c66ced0ce0cc15995e60bca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Acceptability</topic><topic>Body weight</topic><topic>Charities</topic><topic>Co-design</topic><topic>Cost effectiveness</topic><topic>Criteria</topic><topic>Feasibility studies</topic><topic>Funding</topic><topic>Health promotion</topic><topic>Information resources</topic><topic>Intervention</topic><topic>Loyalty cards</topic><topic>Quality of life</topic><topic>Recruitment</topic><topic>Retention</topic><topic>Schools</topic><topic>Weight</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cowie, Julie</creatorcontrib><creatorcontrib>Archibald, Rhonda</creatorcontrib><creatorcontrib>Currie, Sinead</creatorcontrib><creatorcontrib>Findlay, Scott</creatorcontrib><creatorcontrib>van der Pol, Marjon</creatorcontrib><creatorcontrib>MacLennan, Graeme</creatorcontrib><creatorcontrib>Hoddinott, Pat</creatorcontrib><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Newsstand Professional</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>The Lancet (British edition)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cowie, Julie</au><au>Archibald, Rhonda</au><au>Currie, Sinead</au><au>Findlay, Scott</au><au>van der Pol, Marjon</au><au>MacLennan, Graeme</au><au>Hoddinott, Pat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Enjoy Life LocallY (ELLY): feasibility study of a community co-designed incentive intervention to support healthy weight and wellbeing</atitle><jtitle>The Lancet (British edition)</jtitle><date>2024-11</date><risdate>2024</risdate><volume>404</volume><spage>S7</spage><epage>S7</epage><pages>S7-S7</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><abstract>Interventions to support health and wellbeing often attract advantaged, time-rich, organised people, potentially exacerbating health inequalities and failing to support those less advantaged. Our aim was to co-design and feasibility test a novel community-based incentive system to promote healthy weight and wellbeing in disadvantaged communities.
Intervention co-designed with two disadvantaged communities in Scotland. Single-arm, 12-week feasibility study. Inclusion criteria: aged ≥18 years living within a 20 min walking distance from ELLY activities. Exclusion criteria: not resident during the intervention. Participants were recruited via pop-up cafés outside schools, shops, existing clubs and activities. ELLY intervention components: free soup twice weekly (café/delivery/pickup); loyalty card stamped for engagement in activities (to encourage preparatory behaviours towards healthy weight and wellbeing) exchanged for £25 shopping card for regular activity attendance over 12 weeks; goal-setting, information resources, self-monitoring of weight and wellbeing. Outcome measures: acceptability and feasibility of recruitment, retention, and intervention components assessed by self-report questionnaire (0, 3 months) and interviews (3 months). Further interviews post-intervention assessed behaviour change (6 months). Outcomes for a future trial prioritised by communities: healthy weight (BMI), mental wellbeing (WEMWBS), health-related quality-of-life (EQ-5D-5L) and connectedness (Social Connectedness Scale). Sample size: minimum 30 participants per community based on an estimated event rate of 5% for unforeseen problems. Written consent required. Study approved by GCU(HLS/NCH/22/036).
Sample characteristics: n=75; 63/75 (84%) female, baseline BMI mean 31·9 (SD 7·3), 48/75 (64%) from disadvantaged areas (SIMD quintiles 1–2). Recruitment completed in 3 months; retention (65/75 [87%]) at 3 months; acceptability of intervention (soup 38/65 [59%], loyalty card and assets 51/65 [79%]); redeemable stamped loyalty cards (55/75 [73%]). Outcomes collected (65/75 [87%] completion rate) within-person change (mean [95% CI]): BMI –0·15 (0·31); EQ-5D-5L 0·02 (0·04); WEMWBS 0·8 (2·39); Social Connectedness Scale 0·8 (3·72).
ELLY is acceptable, feasible and shows promise for improving healthy weight and wellbeing in disadvantaged communities. A full trial is warranted to determine effectiveness and cost-effectiveness, with consideration of scalability.
Chief Scientist Office (HIPS 21/32), INEOS Charities & Community fund provided funding for soup.</abstract><cop>London</cop><pub>Elsevier Ltd</pub><doi>10.1016/S0140-6736(24)01973-1</doi></addata></record> |
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subjects | Acceptability Body weight Charities Co-design Cost effectiveness Criteria Feasibility studies Funding Health promotion Information resources Intervention Loyalty cards Quality of life Recruitment Retention Schools Weight Well being |
title | Enjoy Life LocallY (ELLY): feasibility study of a community co-designed incentive intervention to support healthy weight and wellbeing |
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