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Enjoying the Summer Months - Indoors and Out

The summer months are upon us! As the days get longer and the weather heats up, take advantage of the extra hours of sunshine to get outdoors and be physically active with your friends, coworkers, and family. When heading outside for activity and fun in the sun this month, always remember to grab your sunscreen and a reusable water bottle to protect your skin from the summer sun and to keep your body hydrated.

This month, celebrate National Running Day on June 5 and National Get Outdoors Day on June 8!

How are you or your organization enjoying the great outdoors this month? E-mail us at physicalactivityguidelines@hhs.gov if you would like to contribute a blog post!

Program Spotlight

by ODPHP October 4, 2010

 

This week we would like to spotlight Alive!, an email-delivered intervention to help people increase their physical activity and improve their diets.

 The Program Basics

The core of the Alive! program, is individualized weekly goal-setting, according to Dr. Gladys Block. Alive! is intended for adults with access to email and the web. Currently its focus is on working adults, although it is adaptable to older persons and college students. Alive! was developed by NutritionQuest in collaboration with physical activity, nutrition and behavioral experts Barbara Sternfeld (Kaiser Permanente), Gladys Block (UC Berkeley), Abby King (Stanford), Kim Gans (Brown) and Cliff Block (NutritionQuest).

The first step in the Alive! program is to complete a detailed online physical activity and dietary practices assessment. Results are provided to participants instantly. For physical activity, the participant's minutes of moderate or vigorous activity, as well as strengthening activities, are compared with the Physical Activity Guidelines for Americans.

That feedback serves to motivate individuals to make changes and to participate in Alive!. Feedback is provided to everyone, whether or not they decide to enroll. If they do enroll, they choose a "Path" to work on for the next 12 weeks, either improving physical activity, increasing fruits and vegetables, or decreasing saturated and trans fats and added sugars. At the end of each 12-week intervention period, participants may choose one of the other two Paths or continue further in the same Path.

In weekly emails, the participant is offered a choice among four small-step goals, individually tailored, to work on during the coming week. Each weekly goal is a small achievable step that will move the participant closer to the Path's behavioral target, such as increasing physical activity to national standards.  Goals are tailored to the participants' baseline activity level and to their personal characteristics and preferences. Tips for overcoming barriers and motivational support are also individualized, as is optional automated algorithm-driven phone and print support. In addition to weekly goal-setting, the Alive! program also provides weekly health information and many other resources.

Measuring Success

The developers of Alive! used a randomized controlled trial among almost 800 employees of a large firm to measure their success. Articles reporting the results of these studies can be found here and here. The evaluations showed statistically significant improvements in physical activity and dietary intake during the intervention. However, even more exciting is the fact that that those changes were sustained four months after completion of the intervention.

Challenges

According to Dr. Block, “the computer programming challenges have been enormous, because of the high degree of individual tailoring at the heart of the program. Apart from that, our biggest challenge has been to interest companies or organizations in using a low-cost, successful intervention that only improves physical activity and diet.”

Implementing a Similar Program in Your Community

If you are thinking of creating a computer based intervention for your community, Dr. Block offers the following advice:

  • Algorithm-driven individualizing of most elements of such electronically delivered programs is essential.
  • Developing such a tailored program is likely to require far more expert input and costly programming than anticipated.
  • Be aware that today’s ever-changing web and email standards require the use of high-level programming expertise in presentation methods.
  • Contact NutritionQuest to discuss tailoring the Alive! program for your community.

If you don’t feel tech savvy enough to create your own algorithm-driven, individualized e-mail- based physical activity promotion program, what are ways you could individualize programs in your community to increase program success?

 

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Program Spotlight

by ODPHP September 27, 2010

 

 

 

 

 

 

 

 

 

 

 

 

This week we would like to spotlight Family Fitness Days (FFD), a successful, community-based physical activity program in Southern California.

The Program Basics

Network for a Healthy California – San Diego & Imperial Region works with low-income Californians, increasing their physical activity and teaching them the importance of living a healthy life. Their FFD are monthly events that take place at the City Heights Farmers’ Market. The program highlights physical activity opportunities and classes taking place in the community that are either free or low cost. According to Larissa Johnson, Physical Activity and Community Youth Organization Coordinator, "The goal is to get people to realize that all they need to do is pick an activity that’s easy to fit into their lives and then do it."

FFD are multifaceted, providing interactive physical active events and a booth with physical activity information such as the Be Active Your Way fact sheets. Different physical activities are highlighted every month, alternating between aerobic activities and strengthening activities. Videos of past activities on posted on the ICanSanDiego YouTube page at: http://www.youtube.com/user/ICANSANDIEGO#g/a

Measuring Success

The success of the program is measured by how many people are reached. Network for a Healthy California has established partnerships with local recreation centers and agencies that provide physical activity demonstrations to see if enrollment increases as a result of the FFD.

Challenges

Ms. Johnson feels fortunate that the challenges have been minimal. Both the community and the Farmers’ Market have been receptive to incorporating the physical activity program. However, one of the challenges faced by FFD is lack of personnel to staff the events. Though the events only occur once a month, it is difficult to secure volunteers for the four hour time commitment. To overcome the challenge, FFD connected with professor Ellen Turkel from San Diego City College, a local community college, where students from her health class receive school credit for service learning. They have found the student volunteers to be a great addition to the project, because they want to play a positive role in the community.

Implementing a Similar Program in Your Community

Ms Johnson feels it would be quite easy to create programs similar to FFD in any community. She suggests that others should:

  • Connect with local resources. For a Farmers’ Market, there are always organizations, businesses, etc surrounding the market. Utilize them as a resource!
  • Take a look at events that are going on in your community and try to see ways that physical activity can be integrated into that event. For example, if your community has an annual pumpkin festival, that festival is a great opportunity to include physical activity. Think about using the pumpkins as makeshift cones for a relay course or a soccer dribbling challenge.

 

Do you have suggestions that FFD could use to build their program’s success?

How might this program be adapted for success in your community?

Obesity’s Worst Enemy: A Compassionate, Informed Community

by IHRSA April 29, 2010

Obesity is an American crisis. It’s official. We know this, not because of any proclamations from the arbiters of such titles, but because of the attention the issue is receiving from the most influential sectors in the country. 

We are, as a nation, unequivocally, in crisis. And a crisis requires a change.

Obesity Trends Among U.S. Adults BRFSS, 1990, 1999, 2008

But what will drive the systemic change required to reverse thirty years of rising obesity rates

Our most influential sectors have an enormous capacity to create widespread awareness and share ideas, but their abilities to drive change, especially for a problem rooted at the individual level, is limited.

Those sectors of lesser national influence, however - families, neighbors, friends, co-workers, communities – are fantastic at driving change on an individual level. 

In fact, we believe the solution to the obesity crisis will not be revealed as a silver bullet, but as the sum of millions of acts of compassion; people caring enough about the folks around them and/or themselves to seek a change. 

But, of course, compassion can only do so much. People need resources to change. They need direction.

IHRSA’s Get Active America! program is designed to provide that direction at the community level.

The annual, week long program is a health initiative that enables IHRSA health clubs to increase their roles in improving the health of their neighborhoods. The goal is to educate community members to take control of their health by integrating regular exercise into their lives. Each year, the program attracts tens of thousands of individuals to hundreds of health clubs nationwide, many for the first time.

The program is simple. Each participating health club agrees to allow members to “bring a friend” of their choosing – a child, spouse, parent, grandparent, friend, co-worker or neighbor – from May 3-6th. In addition, each club must hold an “open house” for the community from May 7-9th.

This year’s theme is “Take Back Your Health,” which is supported by three program tracks: Feel Better, Look Better, and Live Better.

The Feel Better track includes offerings such as nutrition counseling, stress management seminars, and specific disease programming (such as diabetes or arthritis).

The Look Better track highlights activities like core-training classes, weight-loss counseling, and toning exercises.

The Live Better track stresses events including family physical activities, free screenings, and exercise-related seminars from local medical professionals.

We know that it will take more than just Get Active America! to solve the obesity crisis, but we are confident, or, at least, as hopeful as possible, that the program’s emphasis on local community outreach, and its reliance on the compelling power of compassionate camaraderie (i.e. “Bring a Friend”), will prove to be key underpinnings of the nation’s successful effort to combat obesity. 

We know there are hundreds of other wonderful community programs around the nation.  We’d love to know - what is your organization doing?

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