Very brief interventions

Brief intervention

The ‘Let’s Talk About Weight’ tools - provide a step by step guide to conversations on weight management:

https://www.gov.uk/government/publications/adult-weight-management-a-guide-to-brief-interventions

e-learning

• Royal College of General Practitioners obesity and malnutrition e-learning
• BMJ learning: Childhood obesity: a guide on diagnosis, prevention and management
• E-learning for Health: 
  • Identifying unhealthy weight and risk factors for weight gain
  • Managing obesity: supporting behaviour change
  • Guiding and enabling behaviour change

Apps

• BMI calculator
• Change4Life Food Scanner
• Smart Recipes
• Changing Health – free but requires GP referral
• Easy Meals
• Low Carb Program – for people with diabetes
• SidekickHealth – physical activity and diet for people with diabetes
  
• Sugarmedown
• Oviva - personalised support from a specialist dietitian to help you improve your health, for people with diabetes. Needs GP referral.

Brief intervention

Alcohol use screening tests, including which test to use when:

• https://www.gov.uk/government/publications/alcohol-use-screening-tests

e-learning

• E-learning for health:
  • Alcohol and Tobacco Brief Interventions
  • Alcohol Identification and Brief Advice (ALC)

Brief intervention

National Centre for smoking cessation and training recommends:

• Assess current smoking (ASK)
• Provide information on consequences of smoking (ADVISE)
• Provide options for support (ASSIST)

e-learning

• National Centre for smoking cessation and training: http://www.ncsct.co.uk/publication_very-brief-advice.php

Apps

• NHS Smokefree

Brief intervention

• https://movingmedicine.ac.uk/

1. Pick a condition. There are 10 toolkits, each tailored for specific conditions: 
   Cancer, COPD, Dementia, Depression, Falls and Frailty, Inflammatory Rheumatic Disease, Ischaemic Heart Disease, Musculoskeletal pain, Disease prevention and Type 2 Diabetes
   
2. Choose by how much time you’ve got. Each toolkit is made up of 4 elements:
   (i) The 1 minute conversation
   (ii) The 5 minutes conversation
   (iii) More minutes conversation
   (iv) Information for Patients
   
3. Prescribe movement. Within each conversation, you will find:
   » Step-by-step guides
   » Insights into behaviour change and how it works
   » Research and evidence behind the conversations: click on the information icons to find out more.

e-learning

• BMJ learning:
  • The health benefits of physical activity: promoting physical activity in primary care
  • The health benefits of physical activity: diabetes
  • The health benefits of physical activity: cancer
  • The health benefits of physical activity: depression, anxiety, sleep, and dementia
  • The health benefits of physical activity: cardiovascular disease
  • The health benefits of physical activity: osteoarthritis and low back pain
  • The health benefits of physical activity: respiratory disease
  • How does physical activity produce health benefits?

Apps

• Active 10 walking tracker
• Couch to 5K
• iPrescribe Exercise
• OurPath – physical activity and eating well

Resources

• Chief Medical Officer's guidelines on physical activity
• Love activity hate exercise campaign resources for patients: https://www.csp.org.uk/public-patient/keeping-active-and-healthy/love-activity-hate-exercise-campaign
• Free, short walks all over the country: https://www.walkingforhealth.org.uk/walkfinder

Brief intervention

NICE guidance on common mental health problems

Consider asking people who may have depression two questions, specifically:

• During the last month, have you often been bothered by feeling down, depressed or hopeless?

• During the last month, have you often been bothered by having little interest or pleasure in doing things?

If a person answers 'yes' to either of the above questions consider depression and follow the recommendations for assessment.

e-learning

• E-learning for Health
  • Mental Health Awareness programme
• Royal society for public health
  • Level 2 award in understanding mental wellbeing
• Skills for health
  • The mental health core skills education and training framework

Apps

• Big White Wall – for stress and anxiety
• BlueIce – for young people to reduce self harming
  
• Calm Harm – to reduce self harm
  
• Catch It – for depression and anxiety
  
• MeeTwo – for young people
  
• SilverCloud – free
• Thrive: Feel Stress Free - Free