BHP Activity Partners1 Welcome to Lifelines Activity Partners Brighton Tuesday May 5 th 2010

BHP Activity PartnersBHP Activity Partners 11

Welcome to LifelinesWelcome to LifelinesActivity PartnersActivity Partners

BrightonBrighton

Tuesday May 5Tuesday May 5thth 2010 2010


Purpose of todayPurpose of today

To train volunteer To train volunteer Activity PartnersActivity Partners for for the BHP the BHP Lifelines ProjectLifelines Project

To experience training activities and To experience training activities and identify gaps in training needsidentify gaps in training needs

To ensure that we are all clear about what To ensure that we are all clear about what we are supposed to do we are supposed to do

To identify next steps for all concernedTo identify next steps for all concerned


Outline of the dayOutline of the day 9.30 Arrivals 9.30 Arrivals 9.45 Welcomes and introductions9.45 Welcomes and introductions Part 1 – Becoming an Activity PartnerPart 1 – Becoming an Activity Partner 11.00 Refreshment break11.00 Refreshment break 11.20 Part 2 – What’s my role and what can I do ?11.20 Part 2 – What’s my role and what can I do ? 12.40 Review of activities to-date12.40 Review of activities to-date 12.45 Lunch12.45 Lunch 1.30 Training part 2 (cont)1.30 Training part 2 (cont) 2.20 Part 3 – Putting it into practice and next 2.20 Part 3 – Putting it into practice and next

stepssteps 3.20 Evaluation and close of day3.20 Evaluation and close of day


Supporting materials for Supporting materials for todaytoday

Activity Partner support packActivity Partner support pack Training materialsTraining materials Local materialsLocal materials


Course contentCourse content

Part 1. Becoming an Activity PartnerPart 1. Becoming an Activity Partner Part 2. What’ my role and what can I Part 2. What’ my role and what can I

do ?do ? Part 3. Putting it into practicePart 3. Putting it into practice Other optional/additional learning Other optional/additional learning

and preparationand preparation Merging local opportunitiesMerging local opportunities


Part 1. Part 1.

IntroductiIntroduction to on to Activity Activity Partners Partners


Activity Partners Project - Activity Partners Project - purposepurpose

Promote the benefits of Promote the benefits of regular physical regular physical activityactivity

Where appropriate, Where appropriate, promote promote participationparticipation in physical activity e.g. in physical activity e.g. attendance at exercise session, a local attendance at exercise session, a local walking group or another appropriate walking group or another appropriate activityactivity

Increase daily physical activity levels and Increase daily physical activity levels and opportunities to opportunities to socialisesocialise among among (identified) inactive people.(identified) inactive people.

Support (identified) people/groups Support (identified) people/groups making making thethe changechange towards an active lifestyle. towards an active lifestyle.


Activity Partners – your roleActivity Partners – your role Point Point Scheme MembersScheme Members (participants) in the (participants) in the

right direction.right direction. Provide appropriate information about local Provide appropriate information about local

physical activity.physical activity. Partner a Partner a Scheme MemberScheme Member to a local activity to a local activity

opportunityopportunity Be a positive role model.Be a positive role model. Share information about opportunities and Share information about opportunities and

benefits of physical activity.benefits of physical activity. Be someone to talk to and share experiences with.Be someone to talk to and share experiences with. Understand their concerns from “their point of Understand their concerns from “their point of

view”.view”.


Making a startMaking a start

What experience, skills and knowledge are you bringing to

Lifelines ?

Or - what do you already have in your

kit bag ?


Why have we started this Why have we started this programme ?programme ?

Being active makes a big difference Being active makes a big difference to our health (physical and mental) to our health (physical and mental)

Reduces anxiety, stress and Reduces anxiety, stress and depressiondepression

Improves our self-esteem and self-Improves our self-esteem and self-worth (how we feel about ourselves)worth (how we feel about ourselves)

Keeps us in contact with friendsKeeps us in contact with friends


Physical activity - the benefits

Physical activity is associated withPhysical activity is associated with Reduction in CHD and StrokeReduction in CHD and Stroke Improve cognitive functioningImprove cognitive functioning Assists with weight control and obesityAssists with weight control and obesity Prevention and management of Type 2 Prevention and management of Type 2

DiabetesDiabetes OsteoporosisOsteoporosis Some cancers (esp. colon cancer)Some cancers (esp. colon cancer) Accidental falls among older peopleAccidental falls among older people

In later life, it’s never too late !In later life, it’s never too late !


Physical activity - the benefits

Physical activity is associated with Improved sleep (quality and quantity)Improved sleep (quality and quantity) Improve digestionImprove digestion Improved mood (Well-being and Improved mood (Well-being and

energy)energy) Increased contact with others (family, Increased contact with others (family,

friends, neighbours and community)friends, neighbours and community)


How and why ?How and why ? Biochemical activity - the body Biochemical activity - the body

releases chemicals releases chemicals (endorphins) into the blood (endorphins) into the blood stream that make us feel stream that make us feel better. E.g “runners High”.better. E.g “runners High”.

And physical activityAnd physical activity Gets us out into the openGets us out into the open Gives us an interest, sense of Gives us an interest, sense of

achievementachievement Helps us enjoy ourselves, Helps us enjoy ourselves,

keeps our mind off our worries.keeps our mind off our worries. Helps us “let off steam”Helps us “let off steam” Makes us tired and therefore Makes us tired and therefore

better sleep is more likelybetter sleep is more likely


Tangible benefitsTangible benefits - A different “spin” on fitness - A different “spin” on fitness

Strength to lift household to lift household objects, open a jar and get in objects, open a jar and get in and out of the bathand out of the bath

Flexibility to wash hair, tie to wash hair, tie shoesshoes

Balance and agility to climb to climb stairsstairs

Co-ordination and dexterity to to open a door with a keyopen a door with a key

Speed to cross the road whilst to cross the road whilst the lights are greenthe lights are green

Endurance to walk to the to walk to the shops, play with the shops, play with the grandchildrengrandchildren


What are the other benefits What are the other benefits of becoming an Activity of becoming an Activity

Partner ? Partner ?

1. For those I am going to work with (Scheme Members) ?

2. For me (Activity Partners) ?


Benefits of peer mentoring to Benefits of peer mentoring to scheme membersscheme members

Activity Partner have experienced problemsActivity Partner have experienced problems Someone their own or similar ageSomeone their own or similar age Having a role modelHaving a role model Activities normally offered at low or no costActivities normally offered at low or no cost Support structureSupport structure Increased confidenceIncreased confidence Aware of opportunities that are availableAware of opportunities that are available

Fun ?Fun ?


Benefits of Activity Partnering for Benefits of Activity Partnering for meme

Being a role modelBeing a role model Increasing my knowledgeIncreasing my knowledge Increasing my confidenceIncreasing my confidence Having a positive impactHaving a positive impact Improving my healthImproving my health Helping myself as well as othersHelping myself as well as others Being part of a local programmeBeing part of a local programme

Fun ?Fun ?


Why ? - This works Why ? - This works (if we do it (if we do it right !)right !)

Helping people change and 1 - 1 interventions

Involving and engaging participantsInvolving and engaging participants Support of significant othersSupport of significant others Tailoring the messageTailoring the message Knowledge and planning to changeKnowledge and planning to change EducationalEducational Accessible choicesAccessible choices Support strategies through changeSupport strategies through change

(Nice 2005,7, BHF NC 2008)(Nice 2005,7, BHF NC 2008)


There is a needThere is a need Physical activity levels are low and decrease Physical activity levels are low and decrease

significantly into old agesignificantly into old age There are consequences !!!!There are consequences !!!! 1 in 4 of us will experience poor mental health1 in 4 of us will experience poor mental health Women are more likely to have been treated for Women are more likely to have been treated for

a mental health problem than mena mental health problem than men Depression affects 1 in 5 older people living in Depression affects 1 in 5 older people living in

the community and 2 in 5 living in care homesthe community and 2 in 5 living in care homes(Mental health Foundation 2009)(Mental health Foundation 2009)


How active are older people?

Regular physical activity amongMEN aged 50+, England

% % participating participating at least five at least five times a weektimes a week

Age

0%

20%

40%

60%

80%

50-54 55-59 60-64 65-69 70-74 75-79 80+

(Skelton, Young et al, 1999)(Skelton, Young et al, 1999)

5 kcal/min including brisk/fast walks 2 miles4 kcal/min including all walks 2 miles4 kcal/min plus all walks 1 mile


How active are older people?

Knee extension strength inMEN and WOMEN aged 50-74

Isometric Isometric knee knee extension extension strength strength (N/kg)(N/kg)

(Skelton, Young et al, 1999)(Skelton, Young et al, 1999)Age

0

2

4

6

12

50-54

Strength to be confident of rising from low chair without using one’s arms

8

10

55-59 60-64 65-69 70-74 50-54 55-59 60-64 65-69 70-74

Men

Women


Inactivity –the consequencesInactivity –the consequencesProportion of women aged 70+ able to walk for Proportion of women aged 70+ able to walk for different periods of time and lengths of walk,different periods of time and lengths of walk,

0

20

40

60

80

100

70-7470-74AgAg

ee

75-7975-79 80+80+ 70-7470-74 75-7975-79 80+80+

11//4 4 of a mile or of a mile or moremore

30+ 30+ minmin15,<30 15,<30 minmin5,<15 5,<15 minmin<5 min<5 min


Part 2. Part 2.

What’s my What’s my role and role and what can I what can I do ? do ?


What does the Activity What does the Activity Partnership feel like ?Partnership feel like ?


What is mentoring ?What is mentoring ?

“Mentoring is a one-to-one, non judgemental relationship in which a mentor gives time to support and

encourage another. This relationship is typically developed

at a time of transition in the mentee’s life, and lasts for a

significant and sustained period .”(Active Community Unit 2001)


What is mentoring ?What is mentoring ?

“Mentoring is a one-to-one, non judgemental relationship in which a mentor gives time to support and

encourage another. This relationship is typically developed

at a time of transition in the mentee’s life, and lasts for a

significant and sustained period .”(Active Community Unit 2001)


What makes a good Activity What makes a good Activity Partner ?Partner ?

The attributes of an Activity The attributes of an Activity PartnerPartner

Can you rank these qualities Can you rank these qualities

in terms of their importance ?in terms of their importance ?

Top 3 ?Top 3 ?


Helping people change

the balance between benefits and cost – starting a walking regime

Get out of the house and get some fresh air.

(Might) loose some weight

Meet some new people

Will help with my blood pressure

Difficult to get into the mood

Shopping will take longer

I’ve got a stiff knee

There are other things I want to do

Janis and Mann 1977 DOH 2007


Making a decisionMaking a decision

Making a decision to change Making a decision to change isis about about advantages and disadvantagesadvantages and disadvantages

But it is also about But it is also about Motivation to changeMotivation to change (do I really (do I really

want to do this ?want to do this ? Confidence to changeConfidence to change (Could I do this (Could I do this

?)?)


What helps us change ?What helps us change ?

Benefits outweigh the costsBenefits outweigh the costs Influence and approval of othersInfluence and approval of others Consistent with life goalsConsistent with life goals Motivation and confidence to changeMotivation and confidence to change Change is easyChange is easy Someone helps (supports) meSomeone helps (supports) me I enjoy it !I enjoy it !


Effective communicationEffective communication Effective positioningEffective positioning Effective listeningEffective listening Effective questioningEffective questioning BarriersBarriers Beginning and ending Beginning and ending

the sessionthe session Refer to Support Refer to Support

pack 20-22 and notespack 20-22 and notes


Effective communicationEffective communication

In pairsIn pairs Start a conversation about a topic Start a conversation about a topic

that interests you and engage your that interests you and engage your partnerpartner

Whilst listening, demonstrate how Whilst listening, demonstrate how you are interested in what is being you are interested in what is being said.said.


Lifetime model of Physical activity

Where are you on this model and how do you feel

about it ?


Key questions to ask Key questions to ask (exploring thoughts)(exploring thoughts)

Importance question - Importance question - I wonder how important being active is for you ?

General questions - What kinds of physical activity do you do at the moment ?

Benefits question - Imagine if you did more, what benefits would you expect to see ?

Barriers question - What things prevent you from being more active ?

Concerns question - What things worry you about being more active ?


Physical activity - what is Physical activity - what is it ?it ?


Physical activity – how much is Physical activity – how much is enough ?enough ?

30 mins moderate intensity at least 5 30 mins moderate intensity at least 5 x per week (total 150 mins)x per week (total 150 mins)

Activities that include strength, Activities that include strength, flexibility, balance (2 x per week)flexibility, balance (2 x per week)


Physical activity - best buy for Physical activity - best buy for our healthour health

Rhythmic/aerobicRhythmic/aerobic forms of exercise forms of exercise – such as brisk walking, jogging, – such as brisk walking, jogging,

cycling, swimming or dancing – cycling, swimming or dancing – (whole body and large muscle (whole body and large muscle

groups)groups)

as well as as well as resistance exerciseresistance exercise

appear to be effective in achieving appear to be effective in achieving mental health benefits. mental health benefits.


Activity Partners. Activity Partners.

How are we How are we doing so far ?doing so far ?

Questions ?Questions ?


What were the barriers to What were the barriers to physical activity that you physical activity that you

discovered ?discovered ?


AdviceAdvice

Concerns about a condition, Concerns about a condition, medication or an illness should medication or an illness should

always be referred back to a GP always be referred back to a GP

A buddy’s role A buddy’s role does notdoes not include include

offering medical adviceoffering medical advice


Listening and talking about Listening and talking about physical activityphysical activity

Using the traffic light Using the traffic light systemsystem

How do we help to overcome some of the barriers ?

How do we deal with uncertainty ?

How do we build upon positive responses and convert good intentions into actions


Who is the motivator ?Who is the motivator ?

““ People are generally better People are generally better persuaded by the reasons persuaded by the reasons which they have themselves which they have themselves discovered, than by those discovered, than by those which have come into the which have come into the mind of others.”mind of others.”

Blaise Pascal 1670 Blaise Pascal 1670 French mathematician, , physicist and and

philosopher..

http://en.wikipedia.org/wiki/France

http://en.wikipedia.org/wiki/Mathematician

http://en.wikipedia.org/wiki/Physicist

http://en.wikipedia.org/wiki/Philosopher


Helping people find Helping people find

their their own solutionsown solutions to to their their own problems own problems notnot giving them giving them

our answersour answers



Using the traffic light systemUsing the traffic light system How do we help to overcome

some of the barriers ?

How do we deal with uncertainty ?

How do we build upon positive responses and convert good intentions into actions


““Imagine if …”Imagine if …”

Explore possibility of changeExplore possibility of change Imagine for a moment you decided Imagine for a moment you decided

to be more active, I wonder what sort to be more active, I wonder what sort of thing you’d see yourself doing ?of thing you’d see yourself doing ?

If we started together, what If we started together, what difference would you notice ?difference would you notice ?

What would make it easy for you ?What would make it easy for you ? How do you think we could do that ?How do you think we could do that ? What happened last time ?What happened last time ?



Using the traffic light systemUsing the traffic light system How do we help to overcome

some of the barriers ? How do we deal with

uncertainty ? How do we build upon

positive responses and convert good intentions into actions

Commit to start !


What do we know ?What do we know ?

Can you find 5 activitiesCan you find 5 activities Within a 1 mile from your houseWithin a 1 mile from your house A 10 minute bus ride away ?A 10 minute bus ride away ? The nearest town (1/2 a day The nearest town (1/2 a day

out ?)out ?)

In your programme areaIn your programme area


The individual action planThe individual action plan

Planning to take Planning to take actionaction

Preparation what Preparation what do we need to do ?do we need to do ?

Consequences – Consequences – what’s in the waywhat’s in the way

Strategies – Strategies – initiatinginitiating

visitsvisits


Initiating the first visitInitiating the first visit Why don’t we ?Why don’t we ? Meeting place and reminderMeeting place and reminder Transport and planningTransport and planning What to expect (Clothing and What to expect (Clothing and

equipment)equipment) Costs and how they will be met Costs and how they will be met

(value added, refreshments)(value added, refreshments) Immediate reviewImmediate review


How are you feeling ?How are you feeling ?How good do you feel ?How good do you feel ?

We are all motivated by We are all motivated by feeling goodfeeling good about ourselves and our bodies, the about ourselves and our bodies, the

activity and our activity and our successes …successes …

How can we provide opportunities to How can we provide opportunities to identify, recognise and register identify, recognise and register

those positive feelings ?those positive feelings ?


Feelings, Achievements Feelings, Achievements and Rewardsand Rewards

Assist participants to identify e.g. Assist participants to identify e.g.

Easier movementEasier movement

Increased no of repsIncreased no of reps

Reaching a goal or targetReaching a goal or target

I can ……..I can ……..

I find it easier to ………I find it easier to ………

I am able to ………I am able to ………


Supporting someoneSupporting someone What if someone drops out What if someone drops out Situations that might result in drop out ?Situations that might result in drop out ? It poured with rain all day, I didn’t want to goIt poured with rain all day, I didn’t want to go Injury/illnessInjury/illness Increased work/caringIncreased work/caring What’s the difference ?What’s the difference ? Lapse is missing an opportunity Lapse is missing an opportunity (we all do it !)(we all do it !) Relapse returning to sedentary behaviour Relapse returning to sedentary behaviour (is (is

normal, especially when trying to change)normal, especially when trying to change)


Part 3 – Putting it into practicePart 3 – Putting it into practice

Procedures and Procedures and practicespractices

Record keepingRecord keeping How am I doing ?How am I doing ? Who can help me ?Who can help me ? What happens next What happens next

??


Next stepsNext steps

How full is my How full is my kitbag ?kitbag ?

What else do I What else do I need to need to know ?know ?


Next steps – reflectionNext steps – reflection

My own action plan My own action plan - In Activity Partner materials) - In Activity Partner materials) to share on 1 to share on 1stst review review meetingmeeting


Activity Partner proceduresActivity Partner procedures

Lifelines procedures and guidelines Lifelines procedures and guidelines for practicefor practice

What if ? (FAQs)What if ? (FAQs) Who am I working with ?Who am I working with ? Record keepingRecord keeping


Who can help me ?Who can help me ?

Key local contacts and Key local contacts and communicationscommunications

Reviews and support meetingsReviews and support meetings Emergency proceduresEmergency procedures


Review of todayReview of today

What is the most What is the most important thing I have important thing I have learned today ?learned today ?

What is the next thing I What is the next thing I need to do ?need to do ?


Good luck with your Activity Good luck with your Activity Partnering !Partnering !

Documents

BHP Activity Partners1 Welcome to Lifelines Activity Partners Brighton Tuesday May 5 th 2010