1. Blueprint for Physical Activity in the Waterloo Region Healthy Communities by Design Presented by Dr. Mark Eys

2. Outline Physical Activity Overview Random Physical Activity Statistics Waterloo Region Active Living Network Physical Activity Charter Physical Activity Action Plan

3. Physical Activity Overview ‘Physical activity’ is an umbrella term – describes a number of activities that require energy expenditures above what is normal when the body is at rest. Physical activity is linked to a number of benefits – overall wellbeing, physical and mental health, prevents disease, improves social connectedness and quality of life, and provides economic benefits.

4. Physical Activity Overview Physical activity guidelines (CSEP, 2011) : – Children and Youth (5-17 years) = 60 minutes of moderate to vigorous intensity daily – Adults (18-64 years) = 150 minutes of moderate to vigorous intensity weekly – Older adults (> 65 years) = 150 minutes of moderate to vigorous intensity weekly *inclusion of strength and flexibility **more physical activity = more benefits

5. Random Physical Activity Statistics In Canada – The proportion of Canadian kids who play outside after school dropped 14% over the last decade In Region of Waterloo – Only 22.3% of youth and 49.1% of adults are sufficiently active to achieve health benefits (CFLRI, 2009)

6. Random Physical Activity Statistics 2012 Grades (Active Healthy Kids Canada) – (F) on Physical Activity – (A-) on Proximity and availability of facilities, programs, parks, and playgrounds – (C) on Usage of facilities, programs, parks and playgrounds

7. Random Physical Activity Statistics Canadian kids in Grades 6-12 are spending 7 hours and 48 minutes per day in front of screens. – When asked, 92% of Canadian children said they would choose playing with friends over watching TV. – Given the choice, 74% of Canadian kids in Grades 4 to 6 would choose to do something active after school. (Active Healthy Kids Canada, 2012)

8. Waterloo Region Active Living Network A group of advocates and enthusiasts with a mission to “bring people together to encourage ACTIVE LIVING”: – To strengthen and create relationships among members of the community who promote active living – To increase accessibility to participate in physical activity – To advocate for creating environments conducive to active living

9. Steered by a committee with representatives from: – City of Kitchener and City of Cambridge – Waterloo Region Public Health – Ministry of Health and Long Term Care – Wilfrid Laurier University and Conestoga College – Waterloo Region District School Board and Waterloo Catholic District School Board – Opportunities Waterloo Region – Heart and Stroke Foundation – Interested citizens In addition to more than 36 members at large Waterloo Region Active Living Network WEBSITE

10. One sub-committee of the WRALN is dedicated to advocating for policy changes regarding physical activity in the Waterloo region. – First meeting conducted on January 5 th, 2011. Spark Advocacy Grant from HSF in May 2011 to create a Physical Activity Charter for the Waterloo Region. – Review of existing charters (local, national, and international) and focus group discussions Waterloo Region Active Living Network

11. Active Living Charters = Documents that provide a philosophical framework to guide efforts that promote the value of physical activity and establish policy to support active lifestyles Purpose of study = To establish a practical understanding of municipal active living charter development and implementation Exploration of Municipal Active Living Charter Development and Advocacy (Evans et al., 2013)

12. YearCharter title (municipality)Scope 2002Toronto Pedestrian CharterPedestrian 2006Sudbury Municipal Pedestrian CharterPedestrian 2007Algoma Municipal Pedestrian Charter (Sault Ste. Marie area) Pedestrian 2007Haliburton Kawartha Pine Ridge (HKPR) Health Unit Active Communities Charter Active Community 2009Active Living Charter of the City of KingstonActive Living 2009Charter of Physical Activity, Sport, Recreation, Play and Well-Being (Cambridge) Physical Activity 2011Lambton County Active Community CharterActive Community 2012Adoption of the Toronto International Charter for Physical Activity (London) Physical Activity 2012Active Living Charter (Township of South Dundas)Active Living

13. Methods= Semi-structured interviews 1 male, 7 female contributors to municipal charters City/town/rural Ontario Target questions: Circumstances leading to charter Chronological stages of development Key factors in the process Reflection on charter outcomes Exploration of Municipal Active Living Charter Development and Advocacy (Evans et al., 2013)

14. Capacity Impetus for charter Charter Development Adoption Process Continued awareness and advocacy Evaluation Regional Political Context Capacity Community awareness Political awareness Policy change Observable changes in community Charter Outcomes Initiatives that build off of charter

15. Toronto Charter for Physical Activity International advocacy document developed by the International Society for Physical Activity and Health – Is the result of contributions from over 450 individuals/organizations from 55 countries representing all regions of the world. – See www.globalpa.org.uk for further informationwww.globalpa.org.uk

16. Guiding Principles: To increase physical activity and decrease sedentary behaviour, countries and organizations are encouraged to… [see sheet] Toronto Charter for Physical Activity

17. Supports existing tools promoting active living within the region including: – Pedestrian Charter – Active and Safe Routes to School charter – Region of Waterloo's Active Transportation Master Plan – Active Transportation Master Plan – Regional Cycling Master Plan – Travel Wise Toronto Charter for Physical Activity

18. Links directly with existing tools promoting active living within the region including: – Strategic objectives 4.2 and 4.7 Health and Inclusive Communities – Strategic objective 3.2 Sustainable Transportation Region of Waterloo’s 2011-2014 Strategic Focus document Toronto Charter for Physical Activity

19. Overall: The charter provides a set of guidelines to consider when developing policies and initiatives at our local level. It is an overt statement of the importance of physical activity for our citizens. But…how to make the charter a living document? Toronto Charter for Physical Activity

20. Community consultations on charter: CCORIC (Community Coalition on Refugee and Immigrant Concerns) Public Health managers and planners Board of Education Sports and recreation staff Neighbourhood communities There is a need to develop a blueprint for action specific to the region Toronto Charter for Physical Activity

21. As a result of this work we took this charter to the council members of the Waterloo Region to ask them to: – Support the guiding principles of the Toronto Charter for Physical Activity – Provide guidance and support for the WRALN to develop a blue print for action on physical activity See handout Toronto Charter for Physical Activity

22. Charter was positively received but council members wanted specific details on how this charter will be implemented (i.e., Blue Print for Action) Toronto Charter for Physical Activity

23. The Development of a Blue Print for Action Part A: A review of policy recommendations from: – The Waterloo Region Healthy Communities Partnership – Long (2012) report on Supporting Advocacy on Municipal Official Plans [Active Living Section] Part B: Conduct focus groups with community members

24. Part A: Review of current policy recommendations Report by Long (2012) identified a number of specific projects/policies currently adopted by the Region. For example: Project health Active Cambridge Recreation and Leisure Services Masterplan The Development of a Blue Print for Action

25. Part A: Review of current policy recommendations Report by Long (2012) identified a number of specific projects/policies currently adopted by the Region. Pedestrian linkages Active and passage recreation opportunities Accessible recreation opportunities Active transport The Development of a Blue Print for Action

26. Part B: Gathering information from key stakeholders Purpose: to establish a greater understanding of community perceptions regarding physical activity barriers, opportunities, and promotion in Waterloo Region. The Development of a Blue Print for Action

27. Developed a semi-structured focus group guide to explore the key questions at hand: – Physical activity opportunities (e.g., Can you please describe what types of physical activity you engage in?) – Physical activity access (e.g., Can you please describe any barriers to engaging in physical activity?) – Physical activity promotion (e.g., What are some potential ways that we could better educate you about the available opportunities in the area?) The Development of a Blue Print for Action

28. Identified priority populations to engage in focus group discussions – Youth (12-16; 17-20) – Older Adults – New Canadians – University students – Educators – Members of the private fitness industry – Individuals with disabilities – Sport council members – Neighborhood associations The Development of a Blue Print for Action

29. Identified priority populations to engage in focus group discussions – Youth (12-16; 17-20) – Older Adults – New Canadians – University students – Educators – Members of the private fitness industry – Individuals with disabilities – Sport council members – Neighborhood associations The Development of a Blue Print for Action

30. Eight focus groups conducted thus far – 46 community members – Ranged from 30 to 60 minutes in length Digitally audio-recorded All interview transcripts were transcribed verbatim Analyzed for emergent themes (i.e., core consistencies among participants’ responses) The Development of a Blue Print for Action

31. Preliminary Findings S SSHAPESSHAPE haring elping ccessing artnering ducating

32. Sharing It’s basically communicated through the word of mouth and it’s not really pushed. I would like to see events being promoted, sometimes the media could be a huge help. A lot of people listen to the radio, and I think there’s a big interest in physical activity. The cost is also a big issue, I know that all those YMCA and all those other places you still have to pay. For a family of five or six, everything adds up and it’s not so easy to belong to a club or belong to anything. Helping Accessing Partnering Educating Preliminary Findings

33. Sharing So say you’re from Ontario works, you can join the Y they look at your financials and income and you can join for say 2 bucks a month. Helping Accessing Partnering Educating The thing is my day job is teaching at risk youth and the first thing they do when they come in is march them next door to the Y so that they can join. Anybody can join, the Y is a charity group, it’s a nonprofit charity and anyone can join. I’ll tell you first-hand having worked there for many many years, it makes a huge difference. So there’s your buy in for this, folks that can’t afford to join a gym Preliminary Findings

34. Sharing Helping Accessing Partnering Educating I think one of the main things are the walking tracks at the Activa recreation complex. That’s accessible and it’s free, but I think we need to be a bit more purposeful on how we promote that to people. How we can connect some of the different groups of people that might see themselves as belonging together, or wanting to belong together. Whether that be new moms, cultural groups, kids, disease focused, something that people can say, yes that’s for me. I think almost anybody can walk, and it’s free, and you can do it at any time of the year. You can start it in the winter and there’s all kind of trails around. You can do some really fun things but make it social too. Preliminary Findings

35. Sharing Helping Accessing Partnering Educating I think parents are looking for that physical activity, but they also maybe don’t know where to look, like where to go. I’ve been asked by new families, new families to the community, what do you know about? I share what I know but I certainly know there’s plenty of resources out there that I’m not familiar with… I didn’t grow up here experiencing those, so that would be a barrier for me in being able to share that information. Preliminary Findings

36. Summary Inactivity and obesity are major social issues – Continual ‘F’ grade on activity levels WRALN focused on advocating for physical activity Charter for physical activity only a starting point Moving forward: – There are a number of well-established opportunities for physical activity in the region – Initial ‘blueprint’ findings indicate that rather than additional physical resources, greater co-ordination is needed to effectively serve the region