Health Promotion Programs for Recreational Therapists to Facilitate Productive Aging Among CommunityDwelling Older Adults Diane Skalko MS LRTCTRS dskalkopittcoacom Objectives of Presentation ID: 294879
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Slide1
Evidence-based Health Promotion Programs for Recreational Therapists to Facilitate Productive Aging Among Community-Dwelling Older Adults
Diane Skalko, MS, LRT/CTRSdskalko@pittcoa.comSlide2
Objectives of PresentationDescribe the rationale for providing
evidence-based health promotion programs for Recreational Therapists to implement with community-dwelling older adults.
Identify at least 3 evidence-based programs and the
evidence supporting
each program’s benefits for Recreational Therapists to utilize.Slide3
Objectives Continued3. Develop awareness of available resources for Recreational Therapists implementing health promotion programs.Slide4
Administration on Aging, U.S. Dept. HHS, 2011Slide5
Administration on Aging, U.S. Dept. HHS, 2011Slide6
Incidence of Chronic IllnessMedicare beneficiaries:
~ 68.4% of Medicare beneficiaries have 2+ chronic conditions
Over 1/3 have 4+ chronic conditions
(
Lochner
& Cox,
2013)Slide7
Chronic Illness-Health Care Spending“84% of all health care spending in 2006 was for the 50% of the
population who have one or more chronic medical conditions” (Robert Wood
Johnson
Foundation, 2010)Slide8
Improving Chronic Disease & Reducing Medical CostsActive people –Less healthcare costs
(CDC as cited in Center for Advancement & Health, 2006)Older adults can improve their health through regular physical activity
(CDC, 2013
)Slide9
Improving Chronic Illness & Reducing Medical Costs CDC
study related to healthcare costs and chronic illness(
CDC as cited in the Center for Advancement & Health, 2006, p 1)
Center for Advancement & Health, 2006Slide10
Group Evidence-Based Health Promotion ProgramsSlide11
Rationale for Providing Evidence-Based ProgramsProven research
Assists with obtaining fundingHelps with evaluating program effectivenessHelps with identification/choosing effective programs
NCOA, n.d. b.Slide12
CMS Report to Congress: Community Based Wellness & Prevention Programs
Phase III: Prospective Study
Phase II: Retrospective Analysis
Phase I: Environmental scan, evidence review, pilot evaluation of CDSMP
CMS, 2013Slide13
Link to CMS Report
http://
innovation.cms.gov/Files/reports/CommunityWellnessRTC.pdf
; CMS, 2013Slide14
Findings from CMS Report
4 community based wellness programs were identified as saving money for Medicare beneficiaries
CMS, 2013Slide15
Enhance®Fitness (EF)Formerly known as Lifetime Fitness Program. Pilot initiated
in 1993Managed by Senior Services (Seattle, WA) and the Univer. of WA Research Center
ACL, 2011; Senior Services, 2013Slide16
Enhance®Fitness (EF)Approved by
AoA, NCoA, and
CDC
Arthritis program
Disseminated in over 550
sites
ACL, 2011; Senior Services, 2013Slide17
EF Program DescriptionPhysical activity program for older
adults (‘near frail’ to very active)Primary program goal:
“Improve the overall functional fitness and well-being of older adults” (NCOA, 2011a., p. 1)
Program website: www.project enhance.org/
NCOA, 2011a; Senior Services, Project Enhance, 2012Slide18
EF Program DescriptionMinimal equipment
Seated (Level 1) and/or standing (Level 2)Low cost
Class size: 10 to
25
New participants:
NCOA, 2011aSlide19
Strength training (20 min)
Balance training interspersed
Cool-down
(
3-5 min)
Cardiovascular exercises
(
20 min)
Warm up
(
5-8 min)
Flexibility
(
8-10 min
)
EF Class Description
ACL, 2011; NCOA 2011aSlide20
Simple movements to warm up musclesBalance movementsIncrease intensity level
Warm up
(
5-8 min)
Senior Services, Project Enhance, 2012Slide21
Cardiovascular exercises (20 min)
WalkingUse of choreographed aerobic exercises
Senior Services, Project Enhance, 2012Slide22
Cool-down (3-5 min)
Lower heart rateDecrease metabolism
Examples: Step touches, slow marching in place, fist & fling, balance exercises Slide23
Strength training (20 min)
Required Exercises:Upper bodyAnterior/posterior deltoids
Biceps/triceps
Lower Body
Hip abductors
Hip extensors
Knee extensors/flexors
Plantar/
dorsiflexors
Sit to stand
Senior Services, Project Enhance, 2012Slide24
Flexibility/Stretching (8-10 min)
Required UB Exercises Neck stretch
Shoulder
shrug
Deltoid stretch
Biceps/triceps stretch
Finger stretches
Senior Services, Project Enhance, 2012
Required LB Exercises
Quadriceps stretch
Inner thigh stretch
Calf stretch
Hamstring stretch
Soleus stretch
Ankle pointing/flexing
Slide25
Balance training interspersed
StaticSit to
stand
Ankle
sways
Side
twists
Stretching up
tall
Sideways leans
Dynamic
Marching in
place
Tandem walking, walking on
tip-toes
Stepping over
objects
Walking
with head turns and quick
stops
Heel walk
Senior Services, Project Enhance, 2012Slide26
EF Outcome MeasuresFitness Checks: first week and at 4 months testingPart of Fullerton Functional Fitness Test (Center for Successful Aging, 2010)
Optional tests
NCOA, 2011aSlide27
EF Leader TrainingOne instructor per
class; CPR certificationCertified InstructorGroup leading experience or background in related health field preferred
ACL, 2011; NCOA, 2011aSlide28
EF Other Costs & EquipmentTraining fee
Site fee Site renewal fee
NCOA, 2011aSlide29
Example of EF Classhttp://www.cdc.gov/prc/program-material/enhance.htm