TEP and YOU Home-based approaches to mobility. Clara Fitzgerald

Transcription

1 TEP and YOU Home-based approaches to mobility Clara Fitzgerald

2 Who we are Established in marks our 30 th Anniversary! Mandate National centre supporting physical activity (PA) for older adults. National coordinating and accreditation for CCAA's community-based PA programs and services for older adults. Support, encourage and disseminate nationally research into an active lifestyle for older adults, and to act as a resource organization on PA and aging.

3 What does CCAA offer? Innovative health and aging research Evidence-informed leadership and senior fitness instructor programs Physical activity program delivery to older adults Experiential learning opportunities and placements for students

4 What we do Knowledge mobilization (e.g., annual conference, seminars) Research basic and applied National and international research partnerships (e.g., U. Verona)

5 Engaging older adults in PA Single most important thing we can help older people to do is become engaged in a physical activity in a simple and easy way as part of their lifestyle to help them maintain their overall functional mobility to age in place The only way to maintain function is to engage in movements that keep the body moving After the age of 25 we all start to loose about 1% of our S, B, F and CR fitness this loss is per year and has significant functional implications. But through PA and exercise we can maintain or help restore functional potential

6 Tiered Exercise Program Simple, progressive, fall prevention focused activity program Consistency of care Outcome-based approach Easy to implement, effective model enables all staff to play a role with follow-through programing A culture of ability vs learned helplessness

7 Tiered Exercise Program Effective, evidence-based, multi-level, PREPARED exercise program for older adults with mobility challenges Ready to put into practice Includes an assessment tool to Determine the most appropriate level for each individual Help measure progress Evaluate overall program effectiveness

8 TEP Target Suitable for retirement, home care, long term care, adult day programs, and community Promotes Aging in Place individual and group settings

9 TEP is Progressive 3 exercise programs Ambulation potential Transfer ability potential Sitting balance and chair bound clients Each program is based on 10 simple, yet progressive exercises Picture package with description and progression of each exercise included

10 History of HSEP (need for TEP) Home Support Exercise Program developed in 1996 to meet needs of frail, isolated and home-bound Promotes functional ability, mobility and increases independence 10 simple, progressive exercises Translated in over 20 languages Disseminated in every province and territory

11 Why we developed TEP Time is limited for staff to develop programs Need a variety of programs at various functional abilities for various settings Variety of assessment tools available which one(s) to use? Programs that are geared to ability and not age and programs that targeted to specific outcomes and can be followed through in a cost effective manner and simple to disseminate

12 Brief overview of HSEP outcomes Journal of Aging and Physical Activity, 2000, 8, 59-7

13 Mean change Functional Performance Measures Mean Change HSEP Comparison -60 TUG 6-minute Walk

14 Mean change Functional Performance Measures Mean Change HSEP Comparison -4 Sit-to- Stand1 Sit-to- Stand5 Functional Reach

15 Mean change Psychological Performance Measures Mean Change VPS FES ABC -0.5 HSEP Comparison

16 Assessments 1. Provide baseline measurements to be repeated/compared at a later date 2. Used as an indicator of program effectiveness 3. Serve as a motivator to the participant 4. Useful for educating the participant 5. Assist in categorizing functional level, indicating the appropriate exercise program 6. Help identify older adult at risk of frailty due to inactivity

17 Assessments Functional fitness level scale Based on three evidence-based tools Created a scoring system Designed a 10 exercise progressive program for 3 levels Ambulatory potential Transfer ability potential Sitting balance

18 Shaded area represents strength required to rise from an armless chair Age (yrs) (Adapted from Young, 1986)

19 Current needs Buy in from the OA and the Organizations Follow-through programing Outcome-based programming Aging in Place

20 Summary Feasible Acceptable Effective: can improve/maintain function LIMITATIONS

21 CCAA Courses Functional Fitness for Older Adults (FFOA) Get Fit for Active Living (GFAL), GFAL-Diabetes, Facilitator Training Home Support Exercise Program (HSEP), HSEP Facilitator Training Restorative Care Education Training (RCET) Seniors Fitness Instructor Course (SFIC) Tiered Exercise Program (TEP), TEP Facilitator Training Training for the Trainer

22 CCAA Workshops Ball Workshop for Fitness Leaders (BALL) Balls, Bands, & Balance (BBB) Functional Activity Measures (FAM) Functional Exercise for Dementia (FE4D) Functional Fitness for Adult Day Programs (FFADP) Functional Fitness for Falls Prevention (FFFP) Post-Rehab Exercise for Stroke (PRES) Training for the Trainer

23 Connect with the CCAA uwo.ca/ccaa facebook.com/actage/ twitter.com/westernuccaa instagram.com/westernuccaa/