Good Move 2011-12 Report
Social Action for Health
1
Contents
Contents .......................................................................................................................................... 2
The Project ...................................................................................................................................... 3
Delivery:........................................................................................................................................... 3
Outputs ............................................................................................................................................ 4
Cook and Eat sessions ..................................................................................................................... 5
Work with GP Practices ................................................................................................................... 5
SF-36 evaluation .............................................................................................................................. 6
Participant evaluation – phone calls ............................................................................................... 8
PEI report ....................................................................................................................................... 10
Focus group summary and findings .............................................................................................. 11
Recommendations for the future.................................................................................................. 14
Appendices .................................................................................................................................... 17
2
The Project
Social Action for Health was commissioned by NHS Tower Hamlets in 2011/12 to deliver
20 Good Moves courses as part of the care pathway for people living with diabetes in
Tower Hamlets. Good Moves is a culturally sensitive gentle exercise programme that
runs for 6-7 weeks in community venues across all LAPs in the borough. The course uses
health intelligence and body understanding to support people in being more active. As
well as participating in movement based exercises the groups also have a discussion
around healthy eating and motivation. Each week participants set themselves a plan in
ways to changes unhealthy eating habits as well as a plan to increase their movement.
The course is delivered in Bengali or English by local people who have trained in Healthy
Moves, Diabetes Key Messages and/or Level 2 Exercise to Music. The sessions are aimed
to be fun and inclusive and start people off in thinking about behaviour change and self
management of their diabetes.
Delivery:
In 2011/12 e delivered 20 Good Move courses in Tower Hamlets.
Venue Address Gender Language Start
End
Shah Jalal
Medical Centre
Alaska Mosque
Female
Bengali
No.
Completed 4
sessions
03/05/2011 14/06/2011 12
Male
Bengali
29/06/2011 03/08/2011 12
Barkantine
Surgery
Barkantine
Surgery
Idea Store
Idea Store
Female
Bengali
10/05/2011 14/06/2011 9
Male
Bengali
18/05/2011 22/06/2011 12
Female
Male
Bengali
Bengali
18/05/2011 22/06/2011 22
17/05/2011 21/06/2011 9
Steels Lane
Health Centre
Kingsley hall
Male
Bengali
16/05/2011 20/06/2011 10
Female
Somali
09/05/2011 13/06/2011 9
Wapping Group Mix
Practice
10 Idea store
Mix
Chrisp Street
English
11/08/2011 15/09/2011 4
English
19/08/2011 23/09/2011 4
11 St. Margaret’s
House
Bengali
13/09/2011 18/10/2011 10
1
2
3
4
5
6
7
8
9
Female
3
12 St. Margaret’s
House
Mix
English
27/09/2011 08/11/2011 13
13 St. Margaret’s
House
14 Robin Hood
Garden Estate
Male
Bengali
12/09/2011 17/10/2011 13
Female
Bengali
14/09/2011 19/10/2011 9
15 Malmesbury
school
Female
mix
English
19/09/2011 31/10/2011 13
16 Toynbee hall
Male
Bengali
05/09/2011 09/11/2011 8
17 Stifford centre
Male
Bengali
26/09/2011 31/10/2011 10
18 Tarling Centre
Female
Bengali
04/11/2011 09/12/2011 10
19 Blithehale
Female
Bengali
17/10/2011 21/11/2011 14
20 Blithehale
TOTAL
completed
Male
Bengali
20/10/2011 24/11/2011 7
210
Outputs
Total Average for 20 courses
Number started
Number completed 4/6 sessions
Attrition rates
Total contacted
Total recruited
Ethnic breakdown
Bengali
English
Somali
Vietnamese / Chinese
Caribbean
Other/Unknown
Total
Total
261
10
18
2
3
15
309
317
194
61%
710
403
16
9.7
36
20
Percentage
82%
3%
7%
1%
1%
5%
Gender breakdown Total Percentage
119 45%
Male
4
Female
Unrecorded
Total
147
3
269
54%
1%
Cook and Eat sessions
We delivered nine cook and eat sessions: 15th July, 19th July, 26th October, 8th
November, 14th November, 15th November, 16th December, 23rd January, and 30th
January.
Fig - Men participating in a cook and eat session
These cook and eat sessions are aimed at providing people with healthy alternatives to
culturally specific foods. These session advocate a reduction in salt, fat , sugar and
awareness of the portion control of carbohydrates. They are a great opportunity for
people to share a meal and get to know each other better.
Work with GP Practices
This year we worked in partnership with GP practices to address their diabetic patient
lists. We negotiated with practice to go to the centres where they had printed patient
lists. We would work through these lists to offer patients the course.
These practices include:
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All Saints Health Centre, Barkantine Practice, Blithehale Health Centre, Brayford Square
Surgery, Docklands Medical Centre, Jubilee Street, Spitalfields Health Centre,
Whitechapel Health, Wapping Practice.
We also worked closely with LAP 3 who identified patients they felt would benefit from
the course. This partnership enabled us to gather measures of HBA1C pre and post
course. We found the 10 out of 11 women who attended a good move course had an
improved HbA1c level.
SF-36 evaluation
We worked with an independent researcher (part of City University London) to evaluate
the participant SF-36 responses pre and post course. A copy is attached in appendix i.
“The SF-36 is a multi-purpose, short-form health survey with only 36 questions. It yields an 8scale profile of functional health and well-being scores as well as psychometrically-based
physical and mental health summary measures and a preference-based health utility index. It is a
generic measure, as opposed to one that targets a specific age, disease, or treatment group.
Accordingly, the SF-36 has proven useful in surveys of general and specific populations,
comparing the relative burden of diseases, and in differentiating the health benefits produced by
a wide range of different treatments.” i
We used a sample of the 36 questions to present in charts and have a discussion around
the results of the data and its analysis.
The report is presented below.
Data Analysis
A Wilcoxon test was conducted to evaluate whether there had been any changes in health
related quality of life after participation in the course.
Only physical functioning showed a non-significant difference, z = -.998, p = 0.318.
The mean of the ranks for greater physical functioning before the course was 62.66 and
after the course it was 43.08. Therefore, there was no statistical difference in physical
functioning from before to after the course.
Variable
Pre course median
(25th/75th percentile) [n]
Post course median
(25th/75th percentile) [n]
z (p value)
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Physical Functioning
Role Physical
General Health
Vitality
Social Functioning
Role Emotional
Mental Health
65.00 (45.00,75.00) [227]
0.00 (0.00 18.75) [242]
45.00 (35.00,62.00) [244]
56.25 (37.50, 68.75) [238]
50.00 (37.50, 62.50) [239]
0.00 (0.00, 25.00) [247]
70.00 (55.00, 80.00) [236]
65.00 (45.00, 80.00) [156]
18.75 (0.00, 25.00) [181]
55.00 (45.00, 67.00) [173]
68.75 (56.25, 75.00) [168]
62.50 (50.00, 75.00) [171]
25.00 (16.67, 25.00) [179]
75.00(60.00, 85.00) [166]
-.998 (.318)
-6.337 (p<0.001)
-6.560 (p<0.001)
-6.045 (p<0.001)
-5.680(p<0.001)
-8.410 (p<0.001)
-5.322 (p<0.001)
The results indicated a significant difference for role physical z = -.6.337 p < .001.
The mean of ranks for role physical before the course, was 25.50 and after the course
39.92. Therefore, there was a statistically significant increase in role physical from before
to after the course.
The results indicated a significant difference for general health z = -.6.560 p < .001.
The mean of ranks for general health before the course, was 50.52 and after the course
66.88. Therefore, there was a statistically significant increase in general health from
before to after the course.
The results indicated a significant difference for vitality z = -.6.045 p < .001. The
mean of ranks for vitality before the course, was 54.19 and after the course 61.47.
Therefore, there was a statistically significant increase in vitality from before to after the
course.
The results indicated a significant difference for social functioning z = -.5.680 p <
.001. The mean of ranks for social functioning before the course was 45.37 and after the
course was 55.14. Therefore, there was a statistically significant increase in social
functioning from before to after the course.
The results indicated a significant difference for role emotional z = -.8.410 p < .001.
The mean of ranks before the course was 17.36 and after the course was 50.44. Therefore
there was a statistical significant increase in role emotional from before to after the
course.
The results indicated a significant difference for mental health z = -.5.322 p < .001.
The mean of ranks before the course was 51.62 and after the course was 57.98. Therefore
there was a statistically significant increase in mental health from before to after the
course.
An example of question responses in graphs are presented in appendix (ii)
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In conclusion the SF-36 analysis shows a significant difference in health outcomes in six
out of the seven measures that are recorded in the SF-36. We are aware that there is
not a significant change in physical functioning but this could be alluded to long term
physical restrictions of some of the participants.
Participant evaluation – phone calls
We selected a random group of participants to evaluate the impact of attending the
course on their activity levels and dietary habits. The guidelines for the telephone
conversation questionnaire are attached in the appendices.
A total of 16 people were spoken to and the range of time that had elapsed since they
attended the course was from four to eight months. We are not aware of any specific
intervention within this time.
Questions and findings
We asked how people were doing controlling their diabetes: the answers were
completely varied. Most said that they were in ok and in control; one of the
respondents was a carer and talked about her own health. Four of the respondents
were not managing their diabetes well, for these people the consequences of not
managing their diabetes well included feeling tired and weak. One respondent was
having problems managing their type 1 diabetes and suffered from whole body shakes
as a result of poor insulin management. The only reason attributed to poor diabetes
management at this point was being due to a disinterest in food and eating anything
that was around.
When asked about confidence in controlling health the majority of respondents did feel
in control of their healthy. This was due to an increased confidence, awareness of the
direction in which to go to control habits. For those who were borderline in control
based this on a frustration of not knowing how to control their food and portions which
created feelings of nervousness and fretting about the future. Those who didn’t feel in
control felt they needed help from family members to do this.
In regards to exercise levels respondents reported low rates of exercise. The highest
activity level was one man who runs five times a week. The only other exercise that was
reported was someone who attends the Whitechapel Sports Centre once a week and
someone else who does an unnamed exercise once a week. For all others the only
stated exercise was walking, for some it was a brisk walk but for others it was not clear if
this was aerobic walking or just walking activity. This low level of exercise really needs to
be investigated to see what could be provided for participants after attending a course.
When asked about their eating habits respondents gave very standard replies, there was
not too much of a discussion gathered around cooking techniques and styles of food
preparation. Most said that they ate, rice, fish, chicken, vegetables and fruit. Only one
person reported to have reduced their carbohydrate portions as well as reducing
saturated fats alongside increasing their vegetable intake. From these responses it
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appears as though diet needs to be delivered more in the sessions an d having a means
of checking this understanding so that changes are implemented.
We wanted to know to what extent people are still using the techniques that they learn
on the course as a means of evidencing the lasting impact of the course on behaviours.
Many people that said they still used the techniques they learnt on the course. Those
that mentioned specific techniques were doing brisk walking, exercises at home and
adopting the healthy eating techniques. Reasons why they were not still using
techniques included being too lazy or having forgotten what they were.
It could be that they need more support and reminders to be able to maintain the
impact of attending the course and how it affects their diabetes. It could also be that
they don’t attribute their behaviours to attending the course as a significant time has
elapsed since they went on a Good Move programme.
There was an overwhelming neglect to inform healthcare professionals about attending
the courses. Only two people had told their healthcare professionals that they attended
the course. The communication between patients and GPs and Good Move is an area
we need to work on in the future.
We asked what people felt their health needs were; these mainly revolved around
healthy eating and exercise. From looking at the responses it seemed as though people
gave standard responses to what they thought they should answer as opposed to their
own possible health needs. Most people said they needed to eat well and do more
exercise. One person wanted to do exercise but didn’t know how to access this.
The final section of the telephone question asked for any other comments people may
have. There was an overwhelming response from people to say that they had enjoyed
the course and felt it was beneficial not only beneficial for themselves but beneficial for
their communities. This may lead to an impact evaluation on how far Good Move goes
to increase social capital and community cohesion as well as measures for diabetes
management. The other clear need was that people wanted to know about exercise
sessions taking place that were similar to Good Move. It is assumed that this means
people want culturally specific sessions delivered in community groups in community
settings.
Summary of phone evaluation
Skills of interviewer
From the responses that were given it appears as though there is an inconsistency
between the intention of the question asked and the interpretation of questions. These
should be reviewed and adapted for future telephone questions. At the same time there
is a huge limitation in conducting an open ended questionnaire over the phone. Using
the phone and making notes at the same time means that vital information and richness
of text, intention and understanding as the interviewer is essentially multi-tasking.
There also appears to be a language interpretation barrier in the aim of some of the
9
questions that were asked so we would need to look at how this can be improved in the
future with correct briefing for the interviewer/caller if we choose to use this type of
evaluation in the future. Clearly this was not a systematic scientific method of follow up
evaluation but it has given us insight into what happens to people once they have
completed the course and in the subsequent months. The responses lend to an
understanding of what might need to be implemented in future programmes and
delivery styles.
PEI report
From our previous research project in partnership with CEG a tool was developed to
measure the outcome of the course in terms of patient satisfaction and experience after
attending the course (appendix (iii). We used this form again and found good results.
The first section ask about how people feel in regards to their health and ability after
attending
Question: As a result of your Good Move course, do you feel you are…
Question: How satisfied were you with the course...
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Where there was negative feedback about a course venue we have decided that it will
not be used in future delivery of Good Moves.
Focus group summary and findings
We held a focus group with seven female Good Move participants from a selection of
courses. All of the women were Bengali and from the E1 area. They all have diabetes,
some type 1 and some type 2. The conversation was led by and English speaking
facilitator and translated into Bengali.
The first question was a discussion as to why they attended the Good Move course. The
group gave fairly standard responses including:
• Wanting to know more about diabetes and good health,
• how to lose weight, how to look after health
• Understand about food and diabetes – know there is a relationship but not what
to do about it – wanted to find out about how to control sugar
• For communication with each other
• Movement and exercise which is good
This moved on to a discussion of where they go for help around exercise and diet, for all
their only point of reference was with the GP.
•
•
•
•
Dr told her every few months to do exercise at home
Asked GP for information on exercise as overweight
GP was only place people wanted to ask about exercise
Nurse also gives advice about weight management and diabetes
I ask the women about their attitudes to going to the gym and what they thought of
mainstream gyms, one responded that they felt the gym is not good for you as they
11
found that if you stop going to the gym then you will put on weight. Instead they found
that Good Move helps one to learn to use your own machine – your body.
Supporting this, another woman added that Good Move is better as you can do all the
exercises at home but don’t need the gym. The other preferential feelings towards the
Good Move programme, as opposed to the gym, were that it’s good to go to sessions
near your home. This impacted onto a sense of social capital and social empowerment
with one woman saying that since attending the course she misses the friends she
made.
We discussed the impact and importance of attending a culturally specific course. The
women were very happy to be able to share experiences and opinions with people who
understood them. It also enabled them to get over any language barriers as this was
attributed to usually being the most problematic barrier. By having the sessions closer
to home and in the local geographical community meant that post attendance the
women still bumped into each other in the street which made them feel happy.
Following from this was a discussion around the women’s relationship with health
service. I asked if anyone’s health care professional (doctor or diabetes nurse) had
noticed a difference in their health. One person’s doctor saw an improvement in their
health since attending the course as it was easier to manage diabetes since losing
weight. For many of the other participants they said that their health care professional
hadn’t noticed any change as they have a different doctor every time they go. They
found they can’t build a relationship which makes it very difficult to understand each
other. Another issue around working with the health care professional was around
being unable to get an appointment; it either needs to be an emergency or a 2 week
wait. When they do get appointment they can’t discuss more than one problem at a
time as appointment time is too short and don’t know about being able to make double
appointments. I asked if they used the pharmacy for services but they are limited as
they can’t get free medication.
I asked the women about their diet and diabetes and what kind of things they have
done since attending the course to change their diet:
• Changes are made every day
• Cook separate dinner form eth rest of the family
• Have brown bread and use olive oil
• Take salad and fruit everyday
• Eats brown rice mixed with basmati
• Takes a lot less rice
• Increased fruits and vegetables
• Still have crisps but reduced amounts
• Maintained sugar in their tea
• Reduced the amount of food taken in
There is a type of dried fish curry that needs a lot of rice to go with it so has stopped
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making that so they wouldn’t have so much rice
In specific relation to diabetes, and an issue that has arisen from our sessions, was
about the glucose tests kits aren’t free to everyone, this causes a worry and concern for
people to not be able to check their own sugar levels. Via an advocate we have
approached Diabetes UK to find out their stance and patient rights about test strips and
needle which will be distributed and communicated to participants in the future. We
discussed other reasons why women felt were the barriers to them managing their
diabetes. The responses really drover home the notions of prioritisation and social
determinants of health:
• Family problems: have to look after family, son has mental illness, husband died
• Forget about self as not a priority
• Diabetes is only one problem out of many issues
• Look after grandchildren most of the time as son died
• Pain problems are a priority as are caused by tension
• Money issues – can’t buy lots of fruit and vegetables.
To finish we asked what else people want to improve their health outcomes, these were
some of the responses:
• More exercise sessions
• Exercise to be able to do at home
• Swimming
• Walking groups
• How to do different exercises
Analysis of the focus group
Respondents wanted to know more about their health and what to do about their
health issues.
Changes to their diabetes management were slow and incremental but did happen in
time.
Relationships with health care professionals were very interesting and a topic that
brought out the most interest and emotion in people. A lot found it challenging;
language barriers were one area but the overriding feeling was that they found it
extremely challenging to get their message across to health care professionals as these
relationships were not being developed due to time limitations and continuity of care.
Respondents would go to their GP for information on exercise and disease management
– this service was used as a resource in the community and needs to be understood that
that is how people regard it in the community.
The importance of meeting others; the group became enthusiastic when they talked
about the relationships they formed in the group. How it was a catalyst for them to
make friends and know people who lived near them. They would meet in the market
and support each other with any problems they may be having in their lives.
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When we got to the end of the session we found out real stories about behaviour
change and factors that restrict people from making choices and taking control of their
diabetes. This includes factors such as housing, money, obligations and language.
The problems are interrelated; Bad housing, not enough money, poor relationships with
health team due to rapid turn around means that health issues don’t get addressed.
Action from the Focus Group
A follow up focus group is planned to take place the following week with a group of
tutors who facilitate the Good Move courses. It was intended that this session was to
explore the impact, outcomes, and experiences of the courses for people in Tower
Hamlets with diabetes. However, from the findings of this group, it would be more
useful to spend the session looking into ways in which the role of tutor/facilitator can
address the needs of the groups. This would mean that the session with tutors explores
how they can help people to:
• take ownership of their health
• implement small changes
• prioritise
• understand that their behaviours impact on others
• have a long term vision
• address financial concerns
• signposting in where to go on money issues
• Communicate with their health care professional.
It is envisioned that this will be an ongoing conversation with tutors and the first session
will look how tutors take on their role model status to support the participants.
Recommendations for the future
Diabetes Management
One benefit we could see for people would be to have additional specific diabetes
clinical input so that we could address some peoples understanding of the disease.
We also need more specific updating on the latest guidelines and requirements for
diabetes management to be able to give out to participants
Relationships with GPs
The overriding message from the focus group was that the women were unable to
develop relationships with their healthcare professional due to time limitations and the
lack of consistency in the person they see. The recommendation for this would be to
GPs to work on sustainability of staff and consistency in which doctor the patients see.
As people go to the GP practice to get health information more could be provided there
which would also free GP time for clinical issues. There needs to be work done on
patients understanding the services being provided by health centres. People said that
they go to the GP for diet, nutrition and exercise advice but they don’t necessarily have
14
to see the doctor to do this. There could potentially be these advice session held within
practices by lay people to support patients in the self care of their diabetes.
GP awareness of Good Move is another issue that needs to be addressed in the future.
The awareness needs to come from all angles. It would be advised that commissioning
bodies alert clinical teams that this service is available for their patients who need some
mid level support to their patients; especially those experiencing isolation with their
condition. We aim to work on a Network/LAP basis with practices but this is sometimes
harder than anticipated and relies on someone from within these structures to have an
interest and concern about our work.
We would like participants to communicate with their healthcare teams about their
attendance of the course. This is something we could develop with the tutors as part of
their delivery.
Community services
Locally delivered community services need to be well publicised and accessible. The only
way to be bale to do this is to increase funding contracts for longer duration to build up
a client base. Another way is to ensure commissioned services are working together
with a common aim to meet the needs of local people.
One of the struggles we have found this year is the lack of availability of community
kitchens to deliver cook and eat sessions. Feedback from these sessions is always
positive and it is a good way of people learning about portion control and healthy eating
which has been requested in feedback. It would be good for an agency to do a mapping
exercise of when these kitchens are across the borough.
Tutor Training
This year we also identified that we may need to provide additional training to our Good
Move tutors. Ideally we would like to train new tutors to be able to meet the need for
all sectors of the community, this is an expensive process and the investment may not
be best placed due to the current political climate in health care provision. Instead we
plan to update the skills of our current bank of tutors. We will hold practice
development sessions
Motivation is a massive issue for people. We need to be able to implement structures so
that people’s level of motivation to make changes is kept up even after attending the
course. We have requested training on motivation from the psychology team at Bart’s
and the London as well as Steels Lane.
Top-up sessions
One recommendation for adapting the delivery of the Good Move programme is to
implement top up sessions for all participants. These sessions will act to support the
ongoing motivation of people to make healthy choices and keep them on top of their
management by being able to support each other
15
Keep people doing action plans and making changes is key to their diabetes
management and this seems to take a lot longer of learned reflective practice than the 6
week programme which is the start of the process.
Adaptations to the delivery
There will be a greater need for reflection on behaviour choices and changes people
made from the course
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Appendices
Appendix i
SF-36 Form (Attached)
Appendix ii
Report by Julie Rowe of SF-36 returns (Attachment).
Appendix iii
PEI Form used (Attached)
i
http://www.sf-36.org/tools/SF36.shtml
17
(Project Code)
(Date)
(Participant Code)
THE SHORT FORM 36 HEALTH SURVEY QUESTIONNAIRE (SF-36)
The following questions ask for your views about your health, how you feel and how well you are
able to do your usual activities. If you are unsure about how to answer any questions please give
the best answer you can and add your comments if you like. Do not spend too much time
answering, as your immediate response is likely to be the most accurate.
1. In general, would you say your health is:
(Please tick one box)
Excellent
Very Good
Good
Fair
Poor
2. Compared to one year ago, how would you rate your health in general now?
(Please tick one box)
Much better than one year ago
Somewhat better than year ago
About the same
Somewhat worse than a year ago
Much worse than one year ago
3. HEALTH AND DAILY ACTIVITIES
The following questions are about activities you might do during a typical day. Does your
health limit you in these activities? If so, how much?
(Please tick one box in each line)
Yes,
limited a lot
a) Vigorous activities, such as running,
Lifting heavy objects, participating in
Strenuous sports
1
Yes,
limited a little
No, not
limited at all
Yes,
limited a lot
Yes,
limited a little
No, not
limited at all
b) Moderate activities, such as moving tables,
Pushing a vacuum, bowling, or playing golf
c) Lifting or carrying groceries
d) Climbing several flights of stairs
e) Climbing one flight of stairs
f) Bending, kneeling, or stooping
g) Walking more than a mile
h) Walking half a mile
i)
Walking 100 yards
j)
Bathing and dressing yourself
4. During the past 4 weeks, have you had any of the following problems with your work or
other regular daily activities as a result of your physical health?
(Please answer Yes or No to each question)
Yes
a)
b)
c)
d)
No
Cut down on the amount of time you spent on work or other activities
Accomplished less than you would like
Were limited in the kind of work or other activities
Had difficulty performing the work or other activities
(e.g. it took more effort)
5. During the past 4 weeks, have you had any of the following problems with your work or
other regular daily activities as a result of any emotional problems (such as feeling depressed
or anxious)?
(Please answer Yes or No to each question)
Yes
No
a) Cut down on the amount of time you spent on work or other activities
b) Accomplished less than you would like
c) Didn’t do work or other activities as carefully as usual
6. During the past 4 weeks, to what extent has your physical health or emotional problems
interfered with your normal social activities with family, friends, neighbours, or groups?
(Please tick one box)
Not at all
Slightly
Moderately
Quite a bit
Extremely
2
7. How much bodily pain have you had during the past 4 weeks?
(Please tick one box)
None
Very Mild
Mild
Moderate
Severe
Very Severe
8. During the past 4 weeks, how much did pain interfer with your normal work (including both
work outside the home and housework)?
(Please tick one box)
Not at all
A little bit
Moderately
Quite a bit
Extremely
YOUR FEELINGS
9. These questions are about how you feel and how things have been with you during the past
month. For each question, please indicate the answer that comes closest to the way you
have been feeling.
(Please tick one box on each line)
How much time during
The last month:
a)
b)
c)
d)
e)
f)
g)
h)
i)
j)
All of
the time
Most of
the time
Did you feel full of life?
Have you been a very nervous
person?
Have you felt so down in the dumps
that nothing can cheer you up?
Have you felt calm and peaceful?
Did you have a lot of energy?
Have you felt downhearted
and blue?
Did you feel worn out?
Have you been a happy
person?
Did you feel tired?
Has your health limited your social
activities (like visiting friends or
close relatives)?
3
A good
Bit of
The time
Some
Of the
time
A little
Of the
time
None
Of the
time
HEALTH IN GENERAL
10. Please choose the answer that best describes how true or false each of the following
statements is for you.
(Please tick one box on each line)
Definitely
true
Mostly
true
a) I seem to get ill more
easily than other people
b) I am as healthy as anybody
I know
c) I expect my health to get
worse
d) My health is excellent
4
Not
sure
Mostly
false
Definitely
false
I
GoodMoves Report 2011-2012
Q1. In general would you say your health is?
Pre course
Post course
Q2. Compared to one year ago, how would you rate your health in general
now?
Pre course
Post course
6%
13%
38%
Somewhat better
35%
7%
1%
Much better
About the same
Somewhat worse
Much worse
Missing
II
Q4. During the past 4 weeks, have you had any of the following problems with
your work or other regular daily activities as a result of your physical health?
Pre course
%
Post course
45
40
39.3
37.6 37.5
39.7
37.2
39
37.5
37.2
35
30
25
24.8
%
23.4
22.8
23.8
20
Yes
15
No
10
Missing
5
0
Cut down on the Accomplished less Were limited in the
amount of time than you would like
kind of
spent on work
work/acitivities
/activities
Had difficulty
performing
work/activities
III
Q10. During the past 4 weeks, how much of the time has your physical health
or emotional problems interfered with your social activities?
Pre course
3%
17%
20%
All of the time
Most of the time
7%
Some of the time
A little of the time
None of the time
17%
Missing
36%
Post course
2%
6%
22%
40%
All of the time
Most of the time
Some of the time
A little of the time
None of the time
Missing
27%
3%
IV
Q11. How true or false is each of the following statements for you?
Pre course
50
45
40
%
35
30
25
I seem to get sick a little easier than
other people
20
I am as health as anybody I know
15
I expect my health to get worse
10
My health is excellent
5
0
Definitely
True
Mostly
True
Don't
Know
Mostly
False
Definitely Missing
False
45
40
35
%
30
25
I seem to get sick a little easier than
other people
20
I am as health as anybody I know
15
I expect my health to get worse
10
My health is excellent
5
0
Definitely
True
Mostly
True
Don't
Know
Mostly
False
Definitely
False
Missing
V
Data Analysis
A Wilcoxon test was conducted to evaluate whether there had been any changes in health
related quality of life after participation in the course.
Only physical functioning showed a non-significant difference, z = -.998, p = 0.318. The
mean of the ranks for greater physical functioning before the course was 62.66 and after the
course it was 43.08. Therefore, there was no statistical difference in physical functioning from
before to after the course.
Variable
Pre course median
(25th/75th percentile) [n]
Post course median
(25th/75th percentile) [n]
z (p value)
Physical Functioning
65.00 (45.00,75.00) [227]
65.00 (45.00, 80.00) [156]
-.998 (.318)
0.00 (0.00 18.75) [242]
18.75 (0.00, 25.00) [181]
-6.337 (p<0.001)
General Health
45.00 (35.00,62.00) [244]
55.00 (45.00, 67.00) [173]
-6.560 (p<0.001)
Vitality
56.25 (37.50, 68.75) [238]
68.75 (56.25, 75.00) [168]
-6.045 (p<0.001)
Social Functioning
50.00 (37.50, 62.50) [239]
62.50 (50.00, 75.00) [171]
-5.680(p<0.001)
Role Emotional
0.00 (0.00, 25.00) [247]
25.00 (16.67, 25.00) [179]
-8.410 (p<0.001)
Mental Health
70.00 (55.00, 80.00) [236]
75.00(60.00, 85.00) [166]
-5.322 (p<0.001)
Role Physical
The results indicated a significant difference for role physical z = -.6.337 p < .001. The mean
of ranks for role physical before the course, was 25.50 and after the course 39.92. Therefore,
there was a statistically significant increase in role physical from before to after the course.
The results indicated a significant difference for general health z = -.6.560 p < .001. The mean
of ranks for general health before the course, was 50.52 and after the course 66.88. Therefore,
there was a statistically significant increase in general health from before to after the course.
The results indicated a significant difference for vitality z = -.6.045 p < .001. The mean of
ranks for vitality before the course, was 54.19 and after the course 61.47. Therefore, there was
a statistically significant increase in vitality from before to after the course.
The results indicated a significant difference for social functioning z = -.5.680 p < .001. The
mean of ranks for social functioning before the course was 45.37 and after the course was
VI
55.14. Therefore, there was a statistically significant increase in social functioning from
before to after the course.
The results indicated a significant difference for role emotional z = -.8.410 p < .001. The
mean of ranks before the course was 17.36 and after the course was 50.44. Therefore there
was a statistical significant increase in role emotional from before to after the course.
The results indicated a significant difference for mental health z = -.5.322 p < .001. The mean
of ranks before the course was 51.62 and after the course was 57.98. Therefore there was a
statistically significant increase in mental health from before to after the course.
Good Move Course:
Participant:
PEI Questionnaire for Good Move
As a result of your Good Move
course, do you feel you are…
Much
better
Better
Same
or
Less
Not
applicable
More
Same
or
Less
Not
applicable
Much
less
able to cope with life
able to understand your illness
able to cope with your illness
able to keep yourself healthy
Much
more
Confident about your health
able to help yourself
How satisfied were you with the
course....
Venue
Course content
Course Tutor
Very
happy
Not
Average happy
Much
Less