Dr Sian Moynihan, Consultant Community Paediatrician
Cardiff and Vale University Health Board
Context:
- Growing obesity crisis in young children/ people with long term consequences
- 2020/2021 England: 6% of children 11 years + were obese
- 1 in 3 children were in the most deprived regions
- Demand in children’s weight management services exceeding capacity
Aims:
- Establish the use of an interfaced wearable that meets IG and takes a collaborative MDT approach
- Establish acceptability of its use with child/ adolescent and professionals
- Determine if the interfaced wearable supports clinical outcomes
- Determine its scalability, sustainability and economic benefits
Approach:
- Data Protection Impact Assessment Agreement for CAVUHB
- Develop digital onboarding process
- Pilot service and evaluate outcomes
Outcomes / Benefits:
- 90% of patients engaged for full 13 weeks
- 100% of young people increased their step count and improved their sedentary time
- 90% wore their Fitbit at night
- Improved progress towards plant and sleep based goals
- Easy data viewing and capture
- Parents can buddy and support their child
- Reduces requirement for clinical space, travel to appointments and time missed from school
- £49 cost benefit per patient
- behaviourally informed support over 13 weeks
- Earlier discharge
- No DNA’s
What Next:
- Evaluation by CEDAR
- Scale up service offering to larger cohort of young people
- Promote wider adoption
- Use of interfaced app for adult services could be explored
