1. for Movement Change Education Strategy for Increasing Physical Activity: Community and and Health Care ProfessionalsThe potential health gain by increasing physical activity, choosing healthier foods, moderate weightincreasing population loss, and improving social supports,physical activity levels is the incidence of chronic conditions Contents:arguably today’s best bet in and/or complications can bepublic health. J.Morris prevented or delayed. There are Strategy Overview 2 also social and cultural conditions Physical activity, healthy eating 1-2-3- Move! 4and living tobacco free are that shape and constrain health -cornerstones in the prevention and particularly for those with limited Group Interventions 5 resources.management of chronic diseases 1:1 Counseling 6 This strategy will provide VCHsuch as Type 2 Diabetes, heartdisease, hypertension, some staff with the resources to assist theircancers, osteoporosis, and obesity. clients in building self-efficacy and increasing their physical activity. Evidence has shown that withmodest behaviour changes such as Ask•Assess•Advise•Assist•Arrange•Follow-up 2009 Healthy Living Program-Active Living Coordinator Vancouver: Mary Clark 604.267.4430
2. Why do we need aStrategy for staff?There are many barriersthat prevent health careprofessionals fromdiscussing andencouraging clients to bephysically active.1. Many don’t see physical activity asa priority.2. There is a perception that smokingand nutrition are easier to address Overview:than physical activity. This strategy responds to evidence of growing levels of physical inactivity and the corresponding impact on the health and well-being of British3. Priority of time. Columbians. Using the 21 Core Programs as reference, it aims to increase theHealth care professionals focus on thespecific issue they are seeing the client awareness and understanding of the health and related benefits offor ie. wound care, prescriptions. participation in physical activity, and provides the structure and tools that will assist in developing the skills, resources, and supports central to a physically4. Many health care professionals active lifestyle.don’t perceive they have a role to playin behavioural change. This strategy is part of the overall improvement needed in public policy for physical activity. The promotion, development, and support for policy that5. The referral criteria or publicrecreation access protocols are facilitates and encourages physical activity happens at the population healthconfusing. level and can be supported by the work of all VCH staff.From: “Toolkit for the Design, The main goal is to increase the health sector’s capacity for sustained andImplementation, and Evaluation ofExercise Referral Schemes”, coordinated action on physical activity by:Loughborough University, 2009. • strengthening staff skills • strengthening staff competencies • conveying information and influencing community attitudes and knowledge • building a supportive VCH system and infrastructure for physical activity as part of health care delivery, including leadership development.Fact: VCH staff are potentially well placed to provide assessment, practicalBeing physically inactive information, support, and interventions for people who may need assistancehas many costs: to get started or to maintain physical activity.• 31% of all premature deaths,• 59% of deaths from It is recognized that VCH staff face limitations on what can be done given Cardiovascular disease, pressures of time, knowledge, and scope. This strategy attempts to address• 21% of deaths from this issue by having 3 levels of training and intervention techniques offered cancer, and and supported. These levels are: 1-2-3 Move!, Group Interventions, and 1:1• costs the Canadian Physical Activity Counseling. taxpayer over $211 million dollars annually in direct Once this overall strategy is approved, specific indicators and timelines health care costs. will be developed as part of the implementation plan.
3. 1-2-3-Move! Group 1:1 PhysicalMovement for Change Interventions Activity Counseling Strategy Overview Brief 1 Hour 1 Hour Intervention techniques Intervention and leisure Intervention training given to all VCH counseling training given to Intervention techniques professionals and interested interested VCH professionals. training given to all interested community professionals*. 2 3 hours of staff training. VCH staff and community hours of staff training. workers/professionals. 1 hour of staff training. Goal: Goal: Goal: Reach all VCH Clients. Reach “High Risk” VCH Reach “High Risk” VCH clients Reach target population Clients and people in the who require 1:1 interventions through training non VCH community who would benefit and support. service providers. from group support. Outcomes: Outcomes: Outcomes: Reach high numbers of Reach approx. 750 people Reach approx. 250 people per people. Increased physical per year. Increased physical year. Increased physical Activity. Reduction in Chronic Activity. Reduction in Chronic Activity. Reduction in Chronic Diseases. Diseases. Diseases. Fact: Fact: Being physically inactive The greatest health is as bad for you as beneﬁt goes to those who smoking. are currently inactive becoming active.
4. Movement for 1-2-3 Move! Change Strategies Physical ActivityDescription: • Uniformity and consistency in methods being used to assess physical activity Using the VCH tobacco reduction and readiness for change Facts:strategies as a model, this component • Support individuals and families toteaches interested VCH staff and overcome barriers to physical activity • Increased levels of physical activity Fact: Adults should aim community members how to introduce • Reduction in risks for chronic disease for 60 minutes of behavioural change moderate activity, most support to their clients using brief motivational Next Steps: days of the week. Health Canada interviewing • Needs assessment of VCH techniques. professionals re: their level of Initially led by VCH Active Living understanding of physical activity andcoordinators, there will be a train-the- their perception of the Heathtrainers component for interested staff to Authority’s role in its improvement Fact: Physical inactivitybecome trainers of their colleagues and • Development of Project Plan, (and poverty) is higherco-workers. including the outcomes, evaluation plan, course content, Train-the Trainers among: Course. women, older persons, persons with disabilities,Target Audience: aboriginal peoples, and persons who are members of ethnic Front line VCH staff, including groups.recreation therapists, dietitians, nurses,occupational therapists, social workers, Timeline:physiotherapists, drug and alcohol Training and pilot to begin incounsellors, and physicians. November, 2009. Community service providers whowork with the HLP target populations. Fact: Less than 3% of A training plan would need to bedeveloped that includes targeted staff, people with atargeted community groups, train the diagnosed disabilitytrainer opportunities, etc. meet Health Canada’s Physical Activity Guidelines.Outcomes:• Increased awareness and understanding of the health and related beneﬁts of participation in physical activity
5. Movement for Change Physical Activity Strategies Group Interventions Physical ActivityDescription: This training gives interested Facts:clinicians and community workers the Next Steps:necessary tools to provide effective • Offer Phase 2 training in Fall, 2009 Fact: Being overweightinterventions to increase physical activity • Group sessions offered across VCH, toamong the at-risk groups they work with. primary care clinics, CHC’s, and at and active is healthier other community venues.Using the Stages of Readiness model than being a normalwith specifically designed tools andgroup intervention strategies, these weight and inactivesessions can be run in a variety of (see graph).settings and with all ages and abilities.Target Audience:• VCH staff, focussing on professional groups that have experience facilitating groups.• Community based professionals. Fact: Less than 47% of people in VancouverOutcomes: meet Health Canada’s• Increased awareness and understanding of the health and Physical Activity related beneﬁts of participation in Guidelines. physical activity• Uniformity and consistency in methods being used to assess physical activity and readiness for change Fact: Many people find• Individuals and families overcome it hard to maintain barriers to physical activity• Increased levels of physical activity changes in physical• Develop skills to be active as part of activity unless it is part daily life• Reduction in risks for chronic disease of their daily routine.
6. Movement for Change 1:1 Physical Strategies Activity Counseling Physical ActivityDescription:For clinicians and community workers Facts:who have completed Group Next Steps:Interventions, concepts of the“Developmental/Behavioural” Leisure Develop project plan with course content. Training to begin in February, 2010. Fact: Poverty is bad forCounseling protocol will be introduced. your health. Low It is best suited for Recreation Therapists income, social status, working with clients and low educational who required more intensive interventions attainment are or who do not benefit associated with poor from groups. This level of training will be Fact: health.offered once per year. Increasing physical activity helps with adherence to healthcare treatments for issues such as:Target Audience: • clinical depression Therapists who have completed the • pre-diabetes • smoking cessation Fact: EnsuringGroup Intervention Training. • addictions access to physical • physical rehabilitation activity for peopleOutcomes: living in poverty will• Increased awareness and help reduce negative understanding of the health and health impacts that are related beneﬁts of participation in physical activity linked to socioeconomic• Individuals and families overcome disparities. barriers to physical activity• Increased levels of physical activity• Develop skills to be active as part of daily life Fact: 10 minutes of• Reduction in risks for chronic disease moderate physical activity at a time is fine!