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 Psychometric Connected to Objectiveness of Related Testing existing funding Items and Scale Items stream CHANGE 5 (1%) None found. CDC community Objective but hard to Content transformation answer (To what extent developed by grantees does the community Expert work require sidewalks to groups comply with ADA) for environment and policy CHLI 28 (5%) CR testing, YMCA’s Objective but hard to Interrater answer (% of grocery reliability stores that sell low fat milk)- Likert AARP CHAT 165 (nearly all) None found. AARP Objective & Subjective - Content (Are the sidewalks that developed from serve bus stops focus groups maintained?) with Seniors Dichotomous
Health Empowerment Zone Toolkit Person Environmental Community Assessment Assessment Outreach Senator & Alderman Physical Act. Disability Built Outdoor Offices Survey (PADS) Barriers to Grocery Stores Chicago Mayor’s Office on Physical Activity People with Disabilities Fat & Fiber Recreation Areas Disability Questionnaire Service Org. Transportation Secondary Cultural Org. Conditions Survey
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 Health and Function Enable the Environment Empower the Person Access Participation Sustainability
Building Inclusive Health Communities • Bring in new partners. • Incorporate our findings, conclusions, • Ensure that all members are Partnership and recommendations into educational Assessment participating in partnership activities. Creation Partnership materials and other means of • Increase community awareness and Capacity Goals & dissemination for use by a variety of Vision & understanding of the initiative. Objectives professionals and organizations. Organizational Mission • Build the initiative on existing Created for a fitness professional involved in developing and Structure efforts when possible. Commitment implementing programs for all individuals , including people with Adaptation Mapping Assets disabiliities. Achieving World of World of In addition to knowledge of exercise physiology, exercise Fitness Disability Health Equity • Hosted by Illinois Department of testing and programming, a CIFT has knowledge in inclusive Through • Including Everyone Consequences Building Veterans' Affairs and the Chicago facility design and awareness of social inclusion for people with Physical Activity Capacity • Understanding Disability disabilities and the ADA. Park District Social Action • Improving Accessibility Distribution & Health Consciousness • IFC among diverse groupy of Publication • Universal Design Promotion Raising organizations present to share Implement • Accessible Equipment information and resources regarding Community Structural Solomon School, NCPAD, Project Mobility, Initiative Plan Development adapted sport, leisure and recreation • Evidence-Based Change Chicago Park District, Active Transportation Anticipate opportunities Media Recommendations Barriers Alliance, and Safe Routes Ambassadors Advocacy
National Center on Physical Activity and Disability James Rimmer, PhD Amy Rauworth, MS, RCEP
National Center on Physical Activity and Disability 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. www.NCPAD.org
People Reached by NCPAD Since inception in 1999, NCPAD has served: • Visitors: Number of unique people visiting ncpad.org 7.5 Million Distinct Visitors • Pages: Most users visiting a website visit more than 20 Million Pages Viewed one page. A count of the number of pages visited by all of the visitors. 60 Million Hits • 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 of 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 others 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
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