Exercise Referral schemes and Participation Unit 22 Kevin Browne

What did we learn last lesson key questions What is an exercise referral scheme (individually) What medical professionals are involved in this process (pairs) What are the 5 stages of the referral process and what order should they be in? Individually Pairs Tables

Lesson objectives By the end of the lesson you should be able

Why do people drop out of the exercise referral scheme Time Family Motivation Work Social support Unrealistic goals (drop 5 stones in 10 days) Variety of the exercise Not recording their progress

Participants by Sex January to December 2005

Starters and Finishers From January to December 2005 approximately 35% of participants finished the programme From January to July 2006 approximately 41% of participants finished the programme So this is one example that a high proportion do not finish their exercise prescription and therefore are still prone to the risk factors of their condition Taking and engaging in an exercise is a behaviour

Transtheoretical model  Psychologists Prochaska, Norcross, and DiClemente, among others, have developed a theory about the process of change, and the process by which we can be effective at implementing change in our lives. This model is called the Transtheoretical Model, and involves a number of steps/stages by which people have been professionally and successfully treated and taught to manage their problem behaviours through behaviour modification.

Task 1 Using the work sheet that you have been given work in pairs to attach the word to the definition (you will be creating stages)

Stages Action Pre-contemplation Contemplation Maintenance Preparation Relaspe/termination

Task 2 Task 2 Work with another person and put the stages in the order that you think they should come what is the start and work your way to the end

Stages (in correct order) Definition Pre-contemplation People are not intending to take action in the foreseeable future- usually measured as the next six months Contemplation People are intending to change in the next six months they are more aware of the pros and cons Preparation People are intending to take action in the immediate future usually within the month.; these people have a plan of action such as joining the health club Action People are now engaged in a exercise programme (x3 pwk for 20 minutes) Maintenance Have now been exercising regularly for the last six months- likely to maintain exercise throughout their lifespan except for injury etc Relaspe/termination Return to previous behaviours for a prolonged period of time

What stage am i in? Using the sheet that has been given out, individually decide which stage the person is in When you have completed your answers check with another person in the room to compare answers Report back to the class

Real life Case study Using flip chart paper answer the following questions What health risks is Pamela exposed to? What are her barriers to exercise What stage of the TTM is she in What type of exercise would you prescribe and why Are there any particular considerations that you may have to take into consideration when designing her programme or mental state

Plenary