+ Using the Stage Model in Work site & Community Programs Chapters 9 10

+ Some facts about the workplace There is a estimated 141 to 153 million people by the 2010 that go to work each day. Workplace can be be used as an intervention to promote physical activity. We need to change the idea that hours we spending working interferes with being physically active. The workplace can be quite effective in increasing PA

+ Work Environment Perfect place to provide information about the benefits of PA and exercise You can provide “signage prompts” to provide opportunities that relates to walking routes, stairs, and outside grounds (i.e, paths to be used during noon hour). Exercise facilities in and outside can be build - Walking and running courses - Worksite health club Hidden opportunities to be physically active - one to one meeting could be conducted while walking - work is great for socially networking and connecting people with similar PA needs

+ Workplace Involvement About only 10% of the employees use traditional PA programs at the worksite (Wanzel, 1994) Most the members who do use the traditional PA worksite programs are already active. Using stage motivational readiness for change model is a proactive approach to reach those employees who are interested in exercising (stage 2) or are just beginning (stage 3)

+ Implementation of Stage Matched Approach for Worksite Program Build support for your program Assessing motivational readiness Choose your target audience Reaching your target audience Developing stage matching materials Focusing on intensity of the activity Planning events and incentives for participation

+ Building support for your program The management must support the your programs by: Providing time during work to take the motivational readiness inventory You need sell your program based on the idea it will same your money in Absenteeism Health care Your focus should not be to increase PA or Exercise during working hours but before or afterwards.

+ Assessing Motivational Readiness How to administer the inventory? Where do employees gather? Lunch room Cafeteria Mail room All employees must register for Employment benefits Announcements Where to they pick up their check? Frequency of administering the inventory The stage assessment must be administered frequently

+ Choosing the Target Audience The text suggests that your first program should focus on employees at stage 3 (preparation) This groups is interested in changing Events that are fun and reward participants seem to be successful. Engage these employees in some form for self-monitoring activities such as activity logs. Employees at stages 4 & 5 are doing enough PA or exercise. They are interested in programs that maintain their interest in PA and exercise Use of newsletters and fitness tips seem to be appropriate Information about how one can vary their workout program in staying fit would be a major focus

+ Choosing your target audience Employees 1 & 2 lack motivation to become physically active. Awareness activities is the major focus of a worksite program with these employees Information about how easy it is to be PA or exercise Information about how to overcome barriers

+ Reaching your Target Audience Need to use a wide variety of communication channels to reach your employees. Mail room Human resources Mailing s Announcements Voice mail messages Office mail Posters Cafeteria Doorways Union leaders, etc.

+ Developing Stage Matched Materials Materials that describe your exercise facility Facility access List of activities Beginning dates Handouts Stage 1: benefits and overcoming barriers Stage 2: Consider the benefits of PA & Exercise Stage 3: Goal setting, enjoyment, scheduling, & example of simple walking program. Stage 4: Overcoming obstacles, preventing boredom, gaining social support Stage 5: Avoiding injury (variety), rewards, and plan ahead for lapses.

+ What intensity? Workplace sites should engage employees in low to moderate intensity activities - stair walking - brisk walking - jogging, etc

+ Planned Events & Incentives Events that are perceived to have “personal benefits” and “incentives that are meaningful” have higher participation Employee rewards Employee recognition Flexible hours Salary bonus Health care cost lowered Social events sponsored by employer

+ Stage Matching in the Community

+ Facts about the community Most community campaigns in the past failed due to using one size fits all programming. Failed to divide the community into subgroups gender, ethnicity, income, age, etc. Failed to divide the community by motivation stage

+ Community Readiness Environmental (e.g. recreational), social (e.g. community centers, churches), physical fitness facilities (e.g. YMCA, private health clubs), business, and institutional (e.g. government) factors about community needs to be assessed before implementing a physical activity campaign. What are the signs that a community is ready for a physical activity campaign? Citizens memberships in clubs increases. Business offer their employees incentives to become more physically fit. Government financial contributions and policies supports physical activity events. Schools attempt to engage the citizens to use their gyms or pools. Street construction includes pathways. Parks are growing in number

+ Reaching Individuals in the Community Key to a successful campaign Large number of people reached Choice (e.g., Grandmas ---5k, ½ marathon, marathon) Target audience (Number of citizens in each target group) Design programs around social marketing principles Find out what the citizens want then design a program based on the citizen’s perceptions.

+ Use of media based intervention to deliver the program Most successful community campaign rely on media based delivery Provide for more flexibility Cost effective Household are reached by: Printed materials Fliers Newspapers Shopper Guides Telephone Internet

+ Use community leaders to help deliver the program Influential people in the community are: Community leaders Physicians University presidents Celebrities Religious leaders Agents that endorse the programs Head coach of Professional, University, and/or High School Major, Governor, President Former or present star athlete

+ In Summary Creating change in the workplace At the present time workplace PA and Exercise program are low to moderate modifiers in adherence or retention There needs to be a change in the mentality that work and PA/Exercise are separate. Successful worksite program Use a variety of communication channels Provide program that target different employees Develops materials that heighten employee awareness The program is perceived by employees as having value Employer provides tangible incentives for employees

+ In Summary Creating change in the community Assess community readiness Divide the citizens into sub groups of targeted population Develop stage matched materials Determine how to reach the target populations groups Delivery of the program will depend mainly on the mass media materials and community leaders.

+ The End