Inclusive Nutrition and Physical Activity Programs National Center - - PowerPoint PPT Presentation

Inclusive Nutrition and Physical Activity Programs

National Center on Physical Activity and Disability James Rimmer, PhD Amy Rauworth, MS, RCEP

Three Major Points

• Transforming Communities into Inclusive

Communities

• Role of the public health professional in

community health transformation

• Resources

Community Transformation

• $650 Million allocated to community

transformation.

• Another $300 Million allocated in 2011 and

2012.

• Affordable Care Act legislation mandates

prevention and includes prevention of secondary conditions.

Built Environment

• Architecture, buildings, and structures
• Indoor
• Outdoor
• Surrounding pedestrian infrastructure
• Transportation to the Venue

Equipment

• Structural features
• General products for recreation (e.g., exercise

equipment)

• General products for food access (e.g., accessible

grocery carts)

• Related assistive technology for recreation, sport

and nutrition

• Information (text, voice, video, signage)

Programs/Services

• Community initiatives
• School-based initiatives (e.g., Safe routes to

school, school lunch programs)

• Community-based initiatives (e.g., Community

gardens, walking/biking clubs)

• Volunteer support (e.g., food delivery,

transportation, coalitions)

Professionals/staff

• Knowledge, Skills, Abilities

– attitudes – values – beliefs

Systems & Policies

• Local Governing Structures

– Architecture, building and construction system policies – Open Spaces planning systems and policies – Legal systems and policies – Associations and organizational systems and policies

Universal Design and Health Promotion (www.uic-chp.org)

Instrument overview advantages and disadvantages Instrument #Disability Related Items Psychometric Testing Connected to existing funding stream Objectiveness of Items and Scale

CHANGE 5 (1%) None found. Content developed by Expert work groups CDC community transformation grantees Objective but hard to answer (To what extent does the community require sidewalks to comply with ADA) for environment and policy CHLI 28 (5%) CR testing, Interrater reliability YMCA’s Objective but hard to answer (% of grocery stores that sell low fat milk)- Likert AARP CHAT 165 (nearly all) None found. Content developed from focus groups with Seniors AARP Objective & Subjective - (Are the sidewalks that serve bus stops maintained?) Dichotomous

Health Empowerment Zone Toolkit

Built Outdoor Grocery Stores Recreation Areas

Environmental Assessment

Physical Act. Disability Survey (PADS) Fat & Fiber Questionnaire Senator & Alderman Offices

Person Assessment Community Outreach

Barriers to Physical Activity Secondary Conditions Survey Chicago Mayor’s Office on People with Disabilities Disability Service Org. Cultural Org. Transportation

CDC Recommended Community Strategies and Measurements to Prevent Obesity in the United States

• Strategy 13: Communities should increase the amount of physical

activity in PE programs in schools.

• Strategy 14: Communities should increase opportunities for

extracurricular physical activity.

• Strategy 15: Communities should reduce screen time in public service

venues.

• Strategy 16: Communities should improve access to outdoor recreational

facilities.

• Strategy 17: Communities should enhance infrastructure supporting

bicycling.

• Strategy 18: Communities should enhance infrastructure supporting

walking.

Where the Public Health Professional Can Help in Community Inclusion

• a) macro-level – community infrastructure (sidewalks, street

crossings, transportation etc.);

• (b) meso-level - venues (schools, health care, recreational

facilities, food environments [grocery and restaurants], and workplaces) located within communities; and

• (c) micro-level – items within venues that fall within the

domains of inclusion (built environment, equipment, programs/services, professional/staff, and systems and policies).

Physical Activity Conceptual Model

Access Participation Sustainability Health and Function

Enable the Environment Empower the Person

Building Inclusive Health Communities

Achieving Health Equity Through Physical Activity

Partnership Creation Vision & Mission Goals & Objectives Assessment Consciousness Raising Social Action Mapping Assets Building Capacity Community Development Anticipate Barriers Media Advocacy Structural Change Health Promotion Distribution & Publication Implement Initiative Plan Consequences Adaptation Organizational Structure Commitment Partnership Capacity World of Disability World of Fitness

• Including Everyone
• Understanding Disability
• Improving Accessibility
• Universal Design
• Accessible Equipment
• Evidence-Based

Recommendations Solomon School, NCPAD, Project Mobility, Chicago Park District, Active Transportation Alliance, and Safe Routes Ambassadors

• Hosted by Illinois Department of

Veterans' Affairs and the Chicago Park District

• IFC among diverse groupy of
• rganizations present to share

information and resources regarding adapted sport, leisure and recreation

• pportunities
• Created for a fitness professional involved in developing and

implementing programs for all individuals, including people with disabiliities.

• In addition to knowledge of exercise physiology, exercise

testing and programming, a CIFT has knowledge in inclusive facility design and awareness of social inclusion for people with disabilities and the ADA.

• Incorporate our findings, conclusions,

and recommendations into educational materials and other means of dissemination for use by a variety of professionals and organizations.

• Bring in new partners.
• Ensure that all members are

participating in partnership activities.

• Increase community awareness and

understanding of the initiative.

• Build the initiative on existing

efforts when possible.

National Center on Physical Activity and Disability

James Rimmer, PhD Amy Rauworth, MS, RCEP

www.NCPAD.org

NCPAD is the premier

resource for information on physical activity, health promotion, and disability. We empower people with disabilities and health conditions to become healthier and more active.

National Center on Physical Activity and Disability

People Reached by NCPAD

Since inception in 1999, NCPAD has served:

7.5 Million Distinct Visitors 20 Million Pages Viewed 60 Million Hits

• Visitors: Number of unique

people visiting ncpad.org

• Pages: Most users visiting a

website visit more than

• ne page. A count of the

number of pages visited by all of the visitors.

• Hits: A page loads several

items from ncpad.org and each of them counts as a hit on the server.

Twitter and Facebook

NCPAD on YouTube

• Over 1,000 videos
• Videos include:

– Exercises – Best practices – Interviews – Sport demonstrations – And many more topics

Searchable Literature Database

Objectives: (1) Include all published physical activity trials, systematic reviews, and practice guidelines in people with disabilities by continuous, comprehensive literature searches; (2) User-friendly interface for end-users to search for research studies by disability characteristics, intervention, and health outcomes; and (3) Provides a uniform search with precise information on key characteristics

• f each study.

www.NCPAD.org

BlazeSports Divisions

• BlazeSports Club Division: Serves a national network of 60 clubs
• BlazeSports Institute for Applied Science (BIAS): Provides education, training and

technical assistance for coaches, technical officials, classifiers, teachers, and

• thers through conferences, seminars, workshops and courses.
• BlazeSports Office of Sport Policy and Advocacy: Coordinates and supports

legislative and policy initiatives and grassroots development.

• BlazeSports Georgia Division: Directly provides programs, events, competitions

and technical assistance in Georgia and serves as the local organizing committee for high profile competitions.

Resources: Technical Assistance and Training

• Phone, e-mail technical assistance consultations

– CPPW Communities – Clubs – Athletes, parents, service providers, others

• Field inquiries from new organizations and programs
• Web-based Resources
• Annual Conference
• Certification Program
• Webinars

Webshop Products – NCPAD Videos

• Core and Stability Exercises for Stroke

Survivors and people with Multiple Sclerosis

• Exercise and Limb Loss
• Exercise Program for Individuals with

Spinal Cord Injury: Paraplegia

• Exercise Program for Individuals with

Spinal Cord Injury: Tetraplegia

• Exercise Program for Stroke Survivors
• Teens on the Move: Exercise for

Teens with Spina Bifida

Webshop Products – AIMFREE

Accessibility Instruments Measuring Fitness and Recreation Environments

Other Guides and Resources

• Discover Camp

Discover Camp is a resource for parents of children with disabilities who are selecting a camp for their child for the first time.

• Discover Leisure

This resource to aids parents as they consider, plan for, and assist their child in developing leisure-related skills that will allow him or her to be successful at home, school, and in the

• community. This guide is a resource that parents can turn to

again and again to aid in finding resources and answering

• questions. It is our hope that this guide will allow parents

and their children to embark on a fun and exciting adventure as they Discover Leisure Education.

• Discover Fitness

Coming Soon! A resource to assist people with disabilities in discovering the benefits of fitness.

Discover Safe Routes to School

The Discover Inclusive Safe Routes to School (SRTS) guide has been developed to increase participation of students with disabilities in walking and wheeling to/from/at school.

NCPAD Brochure

Physician’s Toolkit

Bridging the gap between the healthcare setting and community-based activity

Prescription Pad Patient Physical Activity Guide

NCPAD’s 14-Week Program to a Healthier You!

Online Health Programming for Youth

ACSM/NCPAD Certified Inclusive Fitness Trainer (CIFT)

• A Certified Inclusive Fitness Trainer

Implements exercise programs for individuals with sensory, cognitive, or physical disabilities who are healthy and have medical clearance to perform independent physical activity.

• In addition to knowledge of exercise

physiology, testing and programming, CIFT has knowledge in inclusive design, social inclusion for people with disabilities and the ADA.

The Inclusive Fitness Coalition developed out of the need to address the health issues associated with sedentary lifestyles and create a unified effort to increase access to and participation in physical activity for youth, adults and seniors with physical, cognitive and sensory disabilities.

Call to Action:

 Create partnerships to expand accessibility & inclusivity  Work with organizations to increase physical activity for people with disabilities  Coordinate and share resources and models of best practice  Recognize those who support the cause

www.incfit.org

Inclusion

"Inclusion is not a strategy to help people fit into the systems and structures which exist in our societies; it is about transforming those systems and structures to make it better for everyone. Inclusion is about creating a better world for everyone."

• Diane Richler, President, Inclusion International