Health promotion in practice power point luke giles


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Health promotion in practice power point luke giles

  1. 1. Health Promotion in Practice Luke Giles Assessment 2, part B Active Over 50 Northern Sydney Central Coast Area Health Service Health Promotion Unit
  2. 2. Active Over 50 <ul><li>The Active Over 50 program is an initiative to increase the physical activity levels of older adults in the NSW Central Coast community. It is a measure to lower the incidence of falls in this group. </li></ul>
  3. 3. Program overview <ul><li>The Active Over 50 program operates in fitness centres and community settings around the Central Coast. Fitness instructors provide light group exercise classes to participants, with the aim of increasing strength and balance in order to reduce the risk of falls among the target population. The Central Coast Health Promotion Unit oversees the operation of the project. </li></ul>
  4. 4. Extract of NSCCAHS Action Plan, January-June 2010 <ul><li>Goal: To contribute to health improvement amongst older adults on the Central Coast through provision of organised physical activity </li></ul><ul><li>Target group: Central Coast residents aged 50 years and over; the local fitness industry and private physical activity providers </li></ul>
  5. 5. Objectives: <ul><li>Maintain the number of attendances at Active Over 50 classes: </li></ul><ul><ul><li>Promote Active Over 50 classes through a range of media </li></ul></ul><ul><ul><li>Collaborate with the newly formed exercise physiologist network to increase referral into Active Over 50 classes </li></ul></ul><ul><ul><li>Explore different models of recruiting new fitness centre providers </li></ul></ul>
  6. 6. Indicators of achievement: <ul><li>In relation to maintaining the number of attendances at Active Over 50 classes: </li></ul><ul><ul><li>Response to media </li></ul></ul><ul><ul><li>Number of attendances at Active Over 50 classes tabulated monthly and annually </li></ul></ul><ul><ul><li>Number of referrals from exercise physiologists </li></ul></ul><ul><ul><li>Type of recruitment models and number of potential providers </li></ul></ul>
  7. 7. Objectives: <ul><li>Contribute to maintenance of class quality </li></ul><ul><ul><li>Provide professional development (CEC Fitness Australia accredited) workshops for Active Over 50 instructors </li></ul></ul><ul><ul><li>Convene instructor meetings for program feedback and planning </li></ul></ul>
  8. 8. Indicators of achievement: <ul><li>In relation to contribution towards maintenance of class quality: </li></ul><ul><ul><li>The type of workshops provided </li></ul></ul><ul><ul><li>The proportion of Active Over 50 instructors at workshops </li></ul></ul><ul><ul><li>Level of instructor satisfaction with workshops </li></ul></ul><ul><ul><li>Program feedback used to guide future planning </li></ul></ul>
  9. 9. Partners of the program <ul><li>Local fitness industry </li></ul><ul><li>Fitness NSW </li></ul><ul><li>Fitness Australia </li></ul><ul><li>Allied health professionals </li></ul><ul><li>Local media </li></ul><ul><li>NSW Sport and Recreation </li></ul>
  10. 10. Activities of Active Over 50 <ul><li>Tai chi – ‘ Very slow, gentle movements that are excellent for managing arthritis, improving posture and balance, increasing strength, and promoting flexibility’ </li></ul><ul><li>Ballroom dancing – ‘ an enjoyable way to improve stamina, coordination, and balance ’ </li></ul><ul><li>Aqua fitness – ‘ Water based exercise conducted in waist to chest deep pools, consisting of simple moves to improve flexibility, stamina, and strength. Aquafitness is excellent for people with circulation problems, arthritis, or are recovering from surgery’ </li></ul>
  11. 11. Activities of Active Over 50 <ul><li>Strength training – ‘ a supervised, individually tailored program of weight lifting that starts slowly and gradually builds strength. It is very effective in preserving mobility, managing health conditions and preventing falls’ </li></ul><ul><li>Gentle exercise – ‘ Low impact classes (no running or jumping), that consist of simple movements to improve stamina, flexibility, strength, and b alance ’ </li></ul>
  12. 12. Features of the program <ul><li>Medical clearance must be gained by participants prior to commencing the program </li></ul><ul><li>Classes are run by trained fitness professionals, who specialise in the provision of activities to older adults </li></ul><ul><li>Accreditation is required by trainers, who must update their accreditation bi-annually </li></ul>
  13. 13. <ul><li>Class times are varied, and locations are spread across the geographically-diverse Central Coast. Locations range from Umina in the south to Charmhaven in the north </li></ul>
  14. 14. Ideas about the program <ul><li>Length of time that the program has been running indicates its success (operational since 1996) </li></ul><ul><li>Referrals from exercise physiologists and GP’s is useful for increasing the reach of the program especially among those who need it most. However, in practice there are not an exceptional number of referrals </li></ul>
  15. 15. <ul><li>Medical clearances required for participation in program is a good measure to prevent overexertion or injury </li></ul><ul><li>Program may need some fresh ideas in terms of marketing given that it has been running for such a long time to ensure effectiveness of media campaign </li></ul><ul><li>Investigate the viability of including a free pass with the next media campaign – some free passes are distributed already, but not as widespread as would be the case if it was to be included in a media advertisement </li></ul>
  16. 16. <ul><li>Word of mouth vs media advertising appears to swing based on trends of when media campaigns run, how effective they are, and how dramatic any changes to the project are </li></ul><ul><li>The provision of different kinds of exercise, across a variety of different location throughout the sprawled-out Central Coast ensures that classes are easily accessible </li></ul><ul><li>Some classes may be expensive, given the financial situation of older age groups </li></ul>
  17. 17. Statistics <ul><li>Active Over 50 rationale: </li></ul><ul><li>In NSCC A H S , between 2004/05 and 2006/7, there were a total of 22,337 acute care episodes with a Fall diagnosis, for residents aged 65 years and over, 862 of whom died of their injuries – (202 in Gosford, 154 in Wyong, 104 in Warringah, 91 in Hornsby and 66 in Ryde LGAs) </li></ul>
  18. 18. Statistics <ul><li>Active Over 50 participation, 2005 </li></ul>
  19. 19. Statistics <ul><li>Age distribution of Active Over 50 participants </li></ul>
  20. 20. Current activities <ul><li>Planning of a workshop for fitness instructors to attend to ensure they remain accredited with Fitness Australia. </li></ul><ul><li>Workshop to be on the pelvic floor and exercises that can strengthen it </li></ul><ul><li>Pauline Chiarelli (Newcastle University lecturer in physiotherapy) to conduct the workshop. She has published books on subject </li></ul><ul><li>Organise logistics, inform instructors etc. </li></ul>
  21. 21. Current activities <ul><li>Expand knowledge of project </li></ul><ul><li>Inject new ideas into project, especially to media campaign on which I will be working </li></ul><ul><li>Gain an insight into the other projects running at the Health Promotion Unit. This will involve attending meetings and workshops that involve other initiatives </li></ul>
  22. 22. Current activities <ul><li>Research the role of sitting time and its impact on chronic illnesses including overweight and obesity, hypertension, and waist measurements </li></ul><ul><li>Make links to the amount of sedentary time spent in the commute to work. The Central Coast is located about 1 hour from Sydney. High proportion of population commute to work in the city, and this may have adverse effects especially in terms of amount of time available for PA </li></ul>
  23. 23. Feedback <ul><li>Blog comments: </li></ul><ul><li> </li></ul><ul><li>Voting </li></ul><ul><li> </li></ul><ul><li>Any questions: </li></ul><ul><li> </li></ul><ul><li>[email_address] </li></ul>