support for seniors’ health and wellnessgreymatters2015.com/presentations/seniors_helping...week 9...
TRANSCRIPT
PRESENTED BY
JANICE MONFRIES , EXECUTIVE DIRECTOR HAIDONG LIANG, PROJECT MANAGER
Seniors Helping Seniors –
Promoting and Empowering Peer
Support for Seniors’ Health and Wellness
The Network of Excellence in Seniors’ Health and Wellness Innovation Fund
The 2014 Innovation Fund provides seed-funding to pioneering initiatives focused on
fostering long-term sustainability; integrating delivery of seniors’ care and services;
reducing reliance on institutional care; and
maintaining and enhancing seniors’ health and wellness.
Our project is one of the 13 successful
funded projects.
Rationale of This Project
Canada is Ageing
Health Care Costs are Increasing
Preventative Health Programs Save
Government Money
Fitness and Nutrition programs improve
lives of seniors
Seniors Helping Seniors is Cost effective
and Sustainable!
Aging Population in Canada
4
2011Census
4.9 million (14.77%)
2021
Older Adults > Children
Aging Population
5
Health Care Costs of Seniors
Government of Canada looking for solution to reduce health-care cost
Seniors represent 14% of the total population but 44% of total health care expenditure
14%
44%
86%
54%
Canada's Population
Health Care Cost
Health Care Costs of Seniors
Seniors The Rest
Preventative Programs Save Money
Emery and his associates (2012) found Preventative Programs
- Lower the prevalence of chronic conditions,
- Reduce annuity value of the potential health-care
expenditure by:
$8,114/yr for a 55-year-old
$11,826/yr for a 65-year-old
Fitness Programs enhance seniors’ lives
Reduction in Risk of All-Cause Mortality
Reduction in Risk of Chronic Conditions
Reduction in Risk of Functional Loss
30% 60% Moderate
Intensity Fitness
Reduction rate as a Result of Fitness levels
High Intensity Fitness
(Paterson & Stathokostas, 2015)
Nutrition Programs Improves Wellness
Research showed that community-based nutrition information series for people aged 55 or older has the potential to promote health and well-being of community-living seniors (Manafò et al., 2013).
• Community-practising dietitians are instrumental in providing credible nutrition information to facilitate healthy eating in older Canadians.
Senior Centres Can Make a Difference
Seniors Centres are a key component in the continuum of care for
seniors who are aging in place. (Aging Population Policy
Framework, AB Government, 2010). Westend Seniors Activity
Centre encourages healthy aging through active living, good
nutrition, as well as social, recreational, and cognitive activities.
Westend Seniors Activity Centre
Seniors Helping Seniors
Utilizing the resources and staff of
Westend Seniors, including a nutritionist
and fitness trainer, the purpose of this
project is to:
promote health and wellness by utilizing a
representative group of seniors and taking them
through a journey of health and wellness
discovery with the intention of utilizing a peer
support model to engage other seniors to take the
same journey.
Project Description
Specifically,
train, motivate and support a group of seniors
representing diverse health and wellness levels, into
learning to lead a healthy lifestyle through diet and
exercise.
Set up a system whereby these seniors are trained to
voluntary help and encourage other seniors, utilizing
the fitness room and improved nutritional awareness,
to improve their heath and wellness.
Engage the seniors in a health promotional
campaign utilizing a monthly newsletter to provide
information on the benefits of diet and exercise; host
health and wellness sessions and coordinate a city
wide “Fit for the Future” symposium.
Partner with other stakeholders in heath promotion
within the community.
Project Description
WSAC Team: - A Nutritionist - A Fitness Trainer - A Recreational
Programmer - Project Manager
Participants: - 10 Participants in
the Fall 2014 - 11 Participants in
the Winter 2015 - WSAC Seniors
Health & Wellness Promotion and Training: - Fitness & Nutrition Education
and Training
Seniors Helping Seniors: - Trained volunteers as Healthy
Aging Advocates
Inputs
Increased Health Promotion & awareness within the Community - Community Awareness
Campaign for nutrition and exercise -Fit for the Future Symposium
Outcomes
Functionally Fit Seniors: -Increased independence
-Enhanced quality of life -Disease and injury prevention
This is their Journey
Profile of our Groups
Chronic conditions and diseases identified:
Cancer, Arthritis, Osteoarthritis, Hip replacement; Heart
Conditions; Diabetes.
13 8
3
10
8
61-64
65-74
75+
Age Range of Participants
First Day - Orientation
Steps to our Peer Support Model for Health & Wellness
1. Utilizing partners in educating the seniors on fitness and nutrition.
2. Train the seniors as peer leaders.
3. Initiate peer support health and wellness training to seniors.
4. Review and
Evaluate.
5. Disseminate information to large groups, and the community.
Step 1. Fitness Plan Design
Week 1 • Initial Fitness Questionnaire and Assessment
Week 2
• Program Design • Individualized programs were designed by personal trainer • one on one sessions with client to go through exercises and answer questions
Week
3-6
• Program Implementation • Participants were left to follow their plans • On-site scheduled consultation is provided.
Week 7
• Mid-way Assessment & Program Modification • Program revisited and restructured to challenge participants
• Workload increase. On-site scheduled consultation is provided.
Week 8-12
• Program Implementation & Post Assessment • Participants continued their plans with On-site scheduled consultation.
• Post-Program Assessment was conducted in the end.
Based on Canadian Physical Activity Guidelines for Older Adults
Research-Based Functional Fitness Plan
Fitness Program for Older Adults Considerations:
Set up SMART goals
Build connection with what they are already doing
(e.g., people who enjoy Golf might take the golf-conditioning class
Focus on the benefits in their daily life.
(e.g., shovelling snow, house cleaning, gardening, etc.)
FUNCTIONAL is the KEY!
Bill – 80 years young participant
Nutrition Plan Design
2014/2015-Nutrition Component
Orientation – Questionnaire Week 1 - Comprehensive Assessment of Eating Habits Week 2 - Tips for Healthy Eating (Heart Health, etc.) Week 3 - Planning a Healthy Diet Week 4 - Weekly Menu Planning Week 5 - Facts about Fat, Tips on Snacking Week 6 - Sugar Overload Week 7 - Top 100 Foods for Diabetes Week 8 - Are You Getting Enough Potassium, Vitamin D, Magnesium and Vitamin B-12, 5 Week 9 - Tips for Getting and Staying Motivated to Eat Healthy Week 10 - How to Keep Your Brain Young through Diet and Exercise, 20 Instant Energy Boosters Week 11 - Holiday Healthy Eating Guide, Tips for Winter Workouts Week 12 - In Your Face - How the Food Industry Drives Us to Eat, Overrated and Underrated Foods Week 13 - Healthy Eating and Healthy Aging for Adults Week 14 - Dietary Fibre: Essential for a Healthy Diet; Water: How Much Should You Drink Every Day Week 15 - Eating Well As You Age Questionnaire
Canada’s Food Guide
Partnerships
Partnership is a cost-effective and sustainable solution and ensures quality!
Faculty of Physical Education and Recreation at the University of Alberta recommended a Personal Trainer to design individual fitness program for 10 participants in Fall 2014.
Exercise specialists and Registered Dietitians from Edmonton West Primary Care Network
offerred suggestions in how to build a fitness room at the Centre,
shared academic, practical fitness and nutrition resources to help WSAC team design and implement individual fitness and nutrition plans, and
Provided professional fitness, nutrition consultations and seminars.
Steps to our Peer Support Model for Health & Wellness
1. Utilizing partners in educating the seniors on fitness and nutrition.
Step 2
3. Initiate peer support health and wellness training to seniors.
4. Review and
Evaluate.
5. Disseminate information to large groups, and the community.
Train the seniors as peer leaders.
Step 2. Train the Peer Leaders
Create a Volunteer Plan
Helping peers is beneficial in many ways - Teaching is the best way to learn
- Making new friends
- Improving Self-image
- Making positive changes to others
- Free access to the Fitness Room
- Recognized as the “Healthy Aging Advocate”
- Use volunteerism as an incentive for continued healthy lifestyle changes
Fully-Equipped Peer Leaders
High-Tech Equipped Peer Leaders
Steps to our Peer Support Model for Health & Wellness
1. Utilizing partners in educating the seniors on fitness and nutrition.
2. Train the seniors as peer leaders.
Step 3
4. Review and
Evaluate.
5. Disseminate information to large groups, and the community.
Initiate peer support health and wellness training to seniors.
Step 3. Volunteer Peer Leaders on Duty
Happy Hour
Steps to our Peer Support Model for Health & Wellness
1. Utilizing partners in educating the seniors on fitness and nutrition.
2. Train the seniors as peer leaders.
3. Initiate peer support health and wellness training to seniors.
Step 4
5. Disseminate information to large groups, and the community.
Review & Evaluate.
Step 4. Review and Evaluate (Learnings)
Fitness Room is Beyond just a FITNESS ROOM!
An affordable spot for seniors to do exercises on their own.
An information centre for seniors to receive proper exercise information and training.
An encouraging and inspiring room to demonstrate active and healthy lifestyles.
An active volunteer opportunity for seniors to motivate and support their peers.
A safe place for seniors to exercise with supporting staff and volunteers.
A “Happy Hour” has been branded by a small group of members who regularly attend their workouts.
Fitness Room Users increased
from 51/month to 200/month
in a six month time period!!!!!
Learnings To Date
Café is more than just a Café!
A multi-functional hub to enhance nutritional awareness
– seniors asking for assistance in making healthy lunch choices
– Seniors meet to gather and share healthy meals
– Seniors volunteer in the kitchen and learn nutritional tips from the staff
– Nutritionist and invited chefs teach cooking classes
Learnings To Date
Benefits of Fitness Program
Participants more aware of the benefits of fitness training.
Pre- and Post-assessments indicated a variety of improvement among participants in terms of motivation, strength, flexibility, duration, and mobility.
Cost Effective and Replicable. If members request the same kind of program in the future, it can be offered at a cost-recovery basis.
Learnings To Date
Interesting Finding:
Pedometer & PCN step-tracking sheet is the biggest motivation.
Seniors taking Fitness classes – at the age of 100!
Learnings To Date
Challenges of Fitness Program Lack of knowledge in the benefits of fitness training.
Lack of knowledge in proper exercise execution (e.g., form, breathing, rhythm, purpose of each exercise) and equipment usage.
Finding:
At the beginning of the project, regular explanation and demonstration was needed for participants in order for them to master the skills and share the knowledge with their peers.
Modification:
Design a program with pictures and instructions. Create a tip sheet identifying key factors for safe and effective exercise program implementation.
Learnings To Date (Nutrition Plan)
Challenges of Nutrition Program Participants’ needs are very diverse, including Lose weight, eat heathier, dietary for
different health concerns (diabetes, heart, arthritis, high blood pressure, bone health), cooking for 1, smaller portion, etc.
Participants are unsure of how to access the proper and affordable information that meets their nutritional needs.
Interesting Findings:
Food Journals – strong motivators
Reassess their eating patterns, nutritional needs.
Start reading labels, trying new things, eating healthier.
Menu planning affecting their grocery shopping behaviours.
Positive Changes to improve energy and wellness levels.
Learnings To Date (Nutrition Plan)
Nutrition Program Credible nutrition information is an important component of healthy aging.
Nutrition nuggets (Nutrition info posted on the WSAC monthly newsletter) based on the nutrition needs of the participants are shared with other seniors, attracting many seniors to take nutrition classes.
Nutrition workshops provided by PCN dietitians and our Nutritionist were well-received.
The Journey – How did this program help Bill?
Steps to our Peer Support Model for Health & Wellness
1. Utilizing partners in educating the seniors on fitness and nutrition.
2. Train the seniors as peer leaders.
3. Initiate peer support health and wellness training to seniors.
4. Review and Evaluate.
Step 5
Disseminate information to large groups, and the
community.
“Informed” Lunches - Cafe
New Health Cafe
“Fit for the Future” Health & Wellness Symposium
Date: Thursday, June 4
19th Older, Bolder, Better!™/Fit for the Future Health and Wellness Symposium
Health and wellness exhibitors showcase
Fitness demonstration, Health and Wellness Seminars, Nutrition/Cooking demonstrations
City-wide Event special invites to seniors organizations, and seniors focused businesses.
Health Promotion/banners, brochures, door-to-door mail-outs.
Centre wide fitness/nutrition challenge
Advertisement & Promotion
Using Canada Post to target Seniors in West End of Edmonton
15,000 mail-outs
Advertisement & Promotion
Radio: 630 CHED
Newspapers:
Edmonton Metro
Edmonton Senior
Edmonton Examiner
Edmonton Sun
Social Media:
Website
Facebook, Link Newsletter, etc.
Dignitaries
Councillor Andrew Knack
Bruce Bowie 630 CHED
Programs
Laughter yoga
Gluten Free Food
By PCN
Programs
Dr. Randy Gregg
Dr. Drogos Hotchkiss Brain
Institute
Program
Program
Program
Moving Forward
Pedometer Challenge
Moving Forward
Health & Wellness Project and Partnership
Recreation and Physical Activity Project Grant
Intergenerational Toolkit Pilot Project
STEP Forward Program
Supervised Transitional Exercise Program
PEDS 385: Physical Activity & the Aging Adult
What is good for one group of seniors will be great for all other seniors – expanding the benefits to all seniors
WSAC
Fitness Awareness
Nutrition Education
Volunteerism
Health Promotion