1. Exercise Referral schemes and Participation
Unit 22
Kevin Browne

2. 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

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

4. 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

5. Participants by Sex January to December 2005

6. 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

7. 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.

8. 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)

9. Stages Action Pre-contemplation Contemplation Maintenance Preparation
Relaspe/termination

10. 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

11. 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

13. 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

14. 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

15. Plenary