How do contextual factors affect the outcomes for the CEW clinic?

  • Research type

    Research Study

  • Full title

    How do contextual factors affect the outcomes for the complications from excess weight (CEW) clinic at Birmingham Children's Hospital?

  • IRAS ID

    352966

  • Contact name

    Gemma Mansell

  • Contact email

    g.mansell1@aston.ac.uk

  • Sponsor organisation

    Aston University

  • Duration of Study in the UK

    0 years, 4 months, 1 days

  • Research summary

    In 2021, NHS England funded 15 Complications from Excess Weight (CEW) pilot clinics centres across 7 NHS regions. One of those pilot clinics was set up at Birmingham Children’s Hospital (BCH). These clinics set out to provide specialist, multi-disciplinary support to young people living with complications from excess weight (Harvey et al., 2023). This study is a retrospective before and after clinical study that is being conducted as part of a process evaluation. Process evaluations aim to understand how interventions work and why the intervention was or was not effective. The main goal of the study is to explore whether contextual factors affect whether CEW service at BCH is effective at improving body mass index (BMI) and quality of life (QoL). The study will analyse existing data collected by the service to explore whether BMI and QoL improves between their first appointment and last appointment in the service. It will explore whether neurodiversity and socioeconomic status has an impact on whether CEW is effective at improving outcomes. These two contextual factors are important to explore as they can both influence health behaviours as well as how participants engage with an intervention. Analysing these contextual factors will help to gain insight into who the intervention is effective for and whether the CEW service is delivering a service that is effective for the population that it serves. These results will then be potentially be able to inform other CEW services across the country as well.

  • REC name

    Wales REC 4

  • REC reference

    25/WA/0174

  • Date of REC Opinion

    19 Jun 2025

  • REC opinion

    Favourable Opinion