LEARNING OBJECTIVES BACKGROUND WHO S BEHIND THE FOUNTAIN OF HEALTH? FOH NATIONAL LEADERSHIP TEAM. What is FoH? How Was It Developed? Who Is Involved?

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1 LEARNING OBJECTIVES At the end of this presentation you will be able to Explain what the Fountain of Health (FoH) Initiative is State why health behaviour change matters HEALTH & RESILIENCE PROMOTION INVITING POSITIVE HEALTH BEHAVIOURS A HEALTHCARE PROVIDER S TUTORIAL 2017 Recognize that the FoH program is a measureable part of what many of you already do. Demonstrate the clinical application of FoH tools Value the importance of the FoH program by committing to trying it out! BACKGROUND WHO S BEHIND THE FOUNTAIN OF HEALTH? FOH NATIONAL LEADERSHIP TEAM What is FoH? How Was It Developed? Who Is Involved? Founder, Dalhousie & NSHA Coalition Seniors Mental Health Academy Geriatric Psychiatry Let s watch a video summarizing the FoH initiative: (3.00) Medical Association Dalhousie & NSHA Alzheimer Society Mental Health Association Geriatrics Society International Longevity Centre Canada 1

2 WHY HEALTH BEHAVIOURS MATTER QUESTIONS: Inherited Genes Epigenetic Factors Q1. What non pharmacological treatment improves outcomes in heart disease, hypertension, diabetes, arthritis, depression, anxiety disorders & insomnia? Q2. What is the #1 powerful promoter of brain neuroplasticity? (And also reduces the risk of dementia) Q3. What is the single best thing we can do for our overall health? ANSWERS: PHYSICAL ACTIVITY! SOCIAL CONNECTION Secure relationships single most predictive variable in well being in late life. Health risks associated with loneliness are of similar risk magnitude to smoking & obesity. 23 and 1/2 hours: What is the single best thing we can do for our health (9:18) See References Robert Waldinger et al, Chang et al., Pressman et al. See References Nagamatsu LS, et al, Rockwood K, et al., Wen et al, Steffener J, et al 2

3 BRAIN CHALLENGE Cognitive activity promotes neuroplasticity Complex, novel activities most helpful Reference Steffener J, et al. NOT AN ADD ON : WE ALL DO THIS WORK ALREADY As clinicians we already invite behavior change every day. We: Discuss patient s lifestyle, physical activity, social supports. Review community activities & resources. Offer reading for new learning.. But most of us lack a systematic approach. INSTRUCTIONAL VIDEO STEP 1: The instruction video can be found on the FOH website: Video: Health Promotion in Routine Care (4:39) 3

4 FOH OFFICE GUIDE (LAMINATE) S.M.A.R.T GOAL SETTING Goal should be S.M.A.R.T.: Specific What concrete step will you take? Measurable How can success be measured? Action Oriented What action or behaviour is needed? Realistic How realistic is it to accomplish? Time limited When will it be done? (what time, day, how often) A SMART goal will set a patient up for success! NO GOAL IS TOO SMALL! STEP 2: SET A S.M.A.R.T. GOAL small GOALS CAN LEAD TO BIG HEALTH BENEFITS OVER TIME Examples of small smart goals: PHYSICAL: SOCIAL: Walking to the mailbox once a day Getting up during the ads in the 6 o clock news Calling a friend or family member once a week Setting up a coffee date once in the next 4 weeks Based on your questionnaire results, it looks like (being physically active/ socially connected/ brain challenge) is an area you feel has room for improvement. What do you think of setting one small goal in that area to work on for next time? COGNITIVE: Reading the paper 3 mornings a week Listening to a radio program twice a week 4

5 KEEP A RECORD! STEP 3: FOLLOW UP VISITS 2 AND 3 (ABOUT 4 WKS APART) VISIT 2: Check in and record degree of goal attainment, revise or set new SMART goal. Take a look at the Fountain of Health tools and try one out. VISIT 3: Check in on degree of goal attainment Repeat the Self Assessment Questionnaire to look for changes in self ratings and evaluate progress. BARRIERS: MINIMIZING SHAME AND GUILT Changing anything is hard. Sample Script: Needing to rework a goal, or change it up is absolutely normal and expectable! Would you like to make it smaller this time or set a goal in a different area? What small step would be most meaningful to you? OTHER FOH CLINICIAN TOOLS ON FOH WEBSITE: See what you can do in seconds: Provide Goal setting Sheet with the 5 key actions minute: Show video: The Fountain of Health Initiative for Optimal Aging: Healthy Living, Positive Aging minutes: Review the Positive Aging: Healthy Living Handbook 4. 6 minutes: Show video: Why isn't dad fishing anymore: Seniors and Depression 5. 5 minutes: Guide through Positive Thinking Exercise Any time: Share links Mindful and Optimal Aging (MP3) UCLA: Free Guided Meditation and more 5

6 ARE YOU A HEALTHCARE PROVIDER IN NOVA SCOTIA AND INTERESTED IN BEING PART OF PILOTING THESE TOOLS? A feasibility project is being implemented between May October 2017 with healthcare providers within the Nova Scotia Health Authority, as part of their regular practice Review the commitment on the next slide Contact FoH at info@fountainofhealth.ca if you re interested in being involved Based outside of NS and interested in learning more about the FoH approach to brain health and resilience promotion? Connect with us at info@fountainofhealth.ca FOH FEASIBILITY PROJECT FOR HEALTHCARE PROVIDERS Clinician Tools Are: Quick and simple to use (about 10 minutes). CBT based (with SMART goal setting). Evidence based (with outcome measures). How To: STEP #1: Get a baseline STEP #2: Set a SMART goal, keep a record STEP #3: Follow up (over 2 visits) & evaluate impact YOUR COMMITMENT REFERENCES Target Population: At least 5 community dwelling outpatients. Over age of 40 years (no dementia, may have MCI). May be a family member of client who will benefit. 3 visits (~ 1 month apart) x 10 minute approximately. Can be done as part of usual health visit. 2 nd and 3 rd visits can be by phone if needed. Complete tools and provide feedback on using FoH clinical material. Project Team monthly check in (2 3 minute call) or , until at least 5 patients have completed process. Chang P et al. Social relationships, leisure activity, and health in older adults. Health Psychology 2014 Nagamatsu LS, et al. Resistance training promotes cognitive and functional brain plasticity in seniors with probable mild cognitive impairment. Arch Intern Med Waldinger R, Ted Talk,What makes a good life? Lessons from the longest study on happiness. s_from_the_longest_study_on_happiness?language=en#t Rockwood K, et al. Physical activity and the maintenance of cognitive function. Alzheimers Dementia Steffener J, et al. Differences between chronological and brain age are related to education and self reported physical activity. Neurobiology of Aging 2016 Wen C et al, Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. The Lancet

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