Promoting Physical Activity in the Workplace

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Promoting Physical Activity in the Workplace Powered By Docstoc
					  Bridging the gap
  between primary
health and the fitness
        sector
            Presented by:
           David Menzies
      General Programs Manager
           Kinect Australia

    dmenzies@kinectaustralia.org.au
Unmanageable load?
                           GOOD EVIDENCE
• 35 PA promotion studies & 9 Literature
  reviews in primary health
• ‘ 6 of these reviews concluded that brief
  interventions combined with written
  material lead to modest increases in
  physical activity in the short term’ 6 mths.
• NZ RCT ↑ in QOL&PA up to 12 months.
• 4 other longer studies also +ve  in PA.
•   1. Smith B. Promotion of physical activity in primary health care: update of the evidence on interventions. Journal of Science and
    Medicine in Sport 2004;7(1):Supplement 67-73.
      TYPES OF INTERVENTIONS
• GP advice plus written materials
• Extended counselling and follow up with
  frequent contacts
• 12 minute consult one follow up call
• 30-40 min consult telephone follow up and
  mail outs
      Ten studies relied on other
      personnel to provide more
      intensive support.
Smith B. Promotion of physical activity in primary health care: update of the evidence on interventions. Journal of Science
      and Medicine in Sport 2004;7(1):Supplement 67-73.
                   Resources
•   Lifescripts (PA, nutrition, and weight management)
•   45-49 Health check
•   MBS Diabetes prevention item number
•   DA-Vic LIFE diabetes prevention program for over
    50s
•   Practice Nurse
•   Referral to exercise physiologist
•   Health Coaching/online support programs
•   Self management programs
•   Local Physical activity referral pathways
•   ‘Go for your life’ website and physical activity
    Infoline 1300-73-98-99
            GP REFERRALS
•   Rely on evidence
•   Easy process
•   Embed in routine
•   Academic detailing
•   Role of the PN (CDM)
•   Care Plans and Team care arrangements
•   Clearances
•   Step down programs
           GP Referral

                Exercise Physiologist:               Training of
                                                     Instructors

 Sights & sorts all medical consents into risk categories



 Performs assessment &                    Low risk assessments &
 prescription for medium                     prescriptions by
      to higher risk                     program assistant (Cert 3)



Class instructors monitor progress &
feedback results of self monitoring
tool to exercise physiologist           Future program plan &
                                           feedback to GPs
Strong Healthy Model




  Central Victoria Health Alliance PCP
Process
           Other programs
•   Hospital based health promotion
•   HARP programs
•   Early intervention programs
•   Community health
•   GP Health
• Rehab programs
                               Final word
• Our society is appalled when a so-
  called healthy, active adult dies
  enjoying life with their sneakers on, but
  it's okay to die after many months
  bedridden and in pain. How do we find
  ways to overcome these ageist and
  destructive ways of thinking and flawed
  perceptions?
http://www.centre4activeliving.ca/publications/hsep_report/hsep_benefits2_jan2006.htm#what_we_kn
     ow

				
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