Presenter: Clara Fitzgerald – Program Director CCAA

The CCAA 2006A national research &

education centre within the Faculty of

Health Sciences, The University of Western

Ontario.

MissionTo develop, encourage and promote an active, healthy lifestyle for Canadian adults that will enhance the dignity of the aging process.

MandateTo investigate the interrelationship of physical activity and aging and to develop strategies, based on research, to promote the independence of older adults.

The CCAA Basic Research

CardiorespiratoryLab

NeuromuscularLab

Heart Health Lab

Fitness Assessment Lab

D. Paterson J. Kowalchuck

C. Rice R. Petrella C. Fitzgerald

• Evaluation of Canada’s Physical Activity Guide to Healthy Active Living for Older Adults

• National & International Dissemination of physical activity leadership programs

• Knowledge Translation – Development of Leadership Program & Best Practice Guidelines for Adult Day Programs

The CCAA Applied Research

Knowledge Translation via Leadership Programs

• Seniors Fitness Instructor Course (SFIC)

• Restorative Care Education and Training (RCET)

• Functional Fitness for Older Adults (FFOA)

• Home Support Exercise Program (HSEP)

• Get Fit for Active Living (GFAL)

• Refresher and Continuing Education Workshops

• New Program Evaluation for LTC (2006)

• New Functional Fitness of Adult Day Programs (2007)

• Train the Trainer

In Canada there are no regulations or mandated exercise program guidelines/policies for older adult functional mobility/exercise programs in Care Facilities (CF)

CF represents:

Long-term Care Facility (LTC)

Residential Care facility (RC)

Complex Continuing Care (CCC)

Adult Day Programs (ADP)

Why PA program policies are needed in Care Facilities?

•Outcome based programming

•Benchmarking - BPG

•Accreditation

•Accountability

•Ensure staff have program guidelines to direct their services – balance between recreational and functional

•20% & 80%

•Is it good enough just to offer programs or should programs be geared to functional outcomes for older people?

Increased Effectiveness

Currently all LTC facilities in Ontario receive funding to support programming from the MHLTC

Programming varies considerably from recreational, restorative, functional and time filler activities

We need to move towards outcome based programs for residents but currently we do not have benchmarks or models

Is the number of participants that attend programs sufficient or should we be interested in the programs impact on function, ADL’s etc. Why are we not evaluating this?

What does the research say?

Journal of Gerontology: Medical Sciences, 1999,

54A, M621 M628

National Leadership Training Initiative

(2003)PURPOSE: To build on and develop realistic, effective leadership training guidelines for those leading physical activity programs for seniors.

•Funded by Health Canada

• Delegates from each of the provinces and territories participated in the development of these guidelines

International Curriculum Guidelines

http://www.isapa.org/guidelines/index.cfm

The International Curriculum Guidelines for Preparing Physical Activity Instructors of Older Adults is a consensus document that outlines each of the major content areas that experts recommend should be included in any entry-level training program with the goal of preparing physical activity instructors to work with older adults.

• What resources are available – education and training and program guidelines?

• What community resources are needed?• What additional resources do facilities need to

provide effective and accountable functional mobility program (FMP)?

What resources are needed in care facilities?

One size does not fit all: Programs must be designed to meet individual needs of clients

Functional capacity (FC) can not be stored; regular physical activity is needed to maintain/restore FC

Outcomes that translate into meaningful and purposeful activities for the older adult

Unless program guidelines are established in CF the value of functional mobility interventions will remain as a recreational option

Outcomes

What can we do?

Evaluate current program offerings

Evaluate outcomes of programs in care facilities

Evaluate program effectiveness and advocate for accountability to the program funders

Create program guidelines / policies

Need for clearly defined exercise interventions for those at home, Adult Day Programs, Care FacilitiesNeed for recommendations and guidelines related to exercise programming Need for sustainable exercise programs for older adults through education and trainingNeed for research interventions that look at sustainable conditioning programs for older adults

Future

We need to advocate on behalf of frail older adults in CF to establish realistic program

guidelines that can help benchmark program effectiveness for all CF in Canada.

Would you like to join our Physical Activity and Aging Community of Practice (CoP) to continue to foster these much needed discussions?

Strength in numbers

For More InformationEmail cfitzge4@uwo.ca

Web www.uwo.ca/actage

www.ccaa-outreach.com

Tel 1- 866 - 661 - 1603

Fax 1- 519 - 661 - 1612

Canadian Centre for Activity and Aging

1490 Richmond St.

London, ON. CANADA N6G 2M3

Vision

The Seniors Health Research Transfer Network is the “place to go” in Ontario for the latest knowledge and best practices about seniors’ health and health care.

CURRENT PRIORITIES FOR SHRTN

1. SHRTN Coordination• at the provincial level• at the local level here in Eastern Ontario

2. Improving Access to Information

3. Nurturing and Supporting Communities of Practice

Nurturing and Supporting Communities of Practice (CoP)

• SHRTN facilitates and encourages people to come together into communities of practice (or interest)

• SHRTN support to CoP includes:• Knowledge brokers• Access to technology• Library services (for formal caregivers in Ontario

working in seniors health in the community or in a long-term care home)

• Assistance to organize and market knowledge transfer / knowledge exchange events

SHRTN CoP Priority Topics

• Activity and Aging• Alzheimers Knowledge Exchange• Caregiver Support (e-Health)• Chronic Disease Management: high blood pressure• Communicative Access and Aphasia• Continence Care• End of Life Care• Nursing Best Practices• Polypharmacy• Seniors with Responsive Behaviours• Spiritual Care in Long Term Care

SHRTN Collaboration Tools

Universal access through www.eHealthOntario.ca

►SHRTN.on.caautomatically redirected to eHealthOntario.ca

SHRTN Communities of Practice are supported on eHealthOntario.ca through a controlled access (registration, login and password) website where members can use the collaboration tools

• PlumTree Collaboration Tool• Breeze web communication system

PlumTree

• Controlled access– only members of your community can see or modify your

documents• Document sharing with version control feature

– create and share documents with others in your community (this is like having a shared drive that all members can access)

– collaborative authoring while maintaining previous versions• Community announcements

– alert members of important announcements• Community calendar

– track and advise members of important dates and events• Task function

– assign and track work being done within the community• Training and Support

– Supported by user training and 24/7 call centre

Breeze web communication system

• Breeze Meeting– Lets you participate in a “virtual” meeting

• Video using an internet link• Audio using a toll free telephone conference

• Breeze Presenter – Lets you view a presentation with voice-over in a

standard web browser through Macromedia Flash Player.• Breeze Training

– Lets you participate in online training systems, including integrated surveys, tracking, analyses, and course management.

To Access SHRTN Collaboration Tools

Join a SHRTN Community of Practice• Send your request to join one or more SHRTN Community of

Practice (specify which topics you are interested in) to Enkenyelesh Bekele – ebekele@scohs.on.ca– 613-526-4262 x 1590

• Register to get your username and password• Take the on-line training session• If you need more help, book a small group orientation

sessions within the tools

Next Steps…

• Please complete and return the survey you will get following this session

• Contact Enkenyelesh (ebekele@scohs.on.ca) to sign up for a SHRTN Community of Practice

• Visit our websites:

SHRTN.on.cachnet-works.ca

ccaa-outreach.com