Basic Research Team Director Dr Don Paterson

Basic Research Team Director – Dr. Don Paterson Cardiorespiratory Lab Neuromuscular Lab Located in the Arthur and Sonia Labatt Health Sciences Building, UWO Leaders in Physical Activity and Aging Heart Health Lab Located at Parkwood Hospital Fitness Assessment Lab Located Windermere Health Centre

Community Outreach and Applied Research. Team Director – Clara Fitzgerald Physical Activity Classes Applied Research Leaders in Physical Activity and Aging Leadership Courses Program Development

Knowledge Translation Research Division Leaders in Physical Activity and Aging TRANSLATION Community Outreach Division

IN-HOUSE PHYSICAL ACTIVITY CLASSES Leaders in Physical Activity and Aging

Research-based PA Programs *All of the CCAA group fitness classes include the following components – Warm Up – Cardiovascular – Muscular strength & endurance – Balance – Flexibility/Cool down *Exception for Strength Training Only class Leaders in Physical Activity and Aging

Previous Physical Activity Guidelines for Older Adults (1999) • Endurance 30– 60 minutes of moderate activity most days of the week; • Strength 2 -4 days/week (weights that can be lifted 10 times before they become too heavy); • Flexibility or stretching and balance activities recommended 2 -4 days/week. Leaders in Physical Activity and Aging

New Physical Activity Guidelines for Older Adults (2011) – • Endurance 150 minutes of moderate- to vigorousintensity per week, in bouts of 10+ minutes • Strength using major muscle groups at least 2 days/week • Balance activities are recommended for those with poor mobility to prevent falls • More PA provides additional health benefits Note: Flexibility excluded due to inconclusive evidence Leaders in Physical Activity and Aging

Health Assessments • Prior to beginning an exercise program at the CCAA individuals complete – A physician supervised treadmill stress test (optional) – A fitness appraisal Leaders in Physical Activity and Aging

Physical Activity Classes • • • Combined Fitness Strength Training Only Dynamic Balance Training Osteoporosis COLD Lung Health Stroke (as needed) Leaders in Physical Activity and Aging

Combined Fitness A 75 -minute group class including accelerated walking or other cardiovascular activity, strength training using weight equipment, flexibility and balance training. Leaders in Physical Activity and Aging

Strength Training Only A 60 -minute strength training only program using a combination of weight equipment, hand-held weights, and resistance tubing. (This program should be supplemented with independent cardiovascular activity). Leaders in Physical Activity and Aging

Dynamic Balance Training A 60 -minute group exercise class for the semi-independent older adult including cardiorespiratory activity, strength, flexibility, and balance training. Leaders in Physical Activity and Aging

Osteoporosis A 75 -minute group exercise class including all components of fitness. Offered to those who have had a fracture due to osteoporosis, or are at risk of osteoporosis. Leaders in Physical Activity and Aging

Lung Health Program • COLD PROGRAM – A group exercise class for those with pulmonary disease. – Location: CCAA gymnasium and weight room – An hour and a half twice per week Leaders in Physical Activity and Aging

Community-based Stroke Exercise Program Purpose – to maintain and/or improve functional mobility gains from rehabilitation. Leaders in Physical Activity and Aging

Model • First evidence-based community exercise program specifically for stroke survivors in Ontario • 12 -weeks • Fa. ME (Fitness and Mobility Exercise) program developed at UBC Leaders in Physical Activity and Aging

• CCAA Exercise Class Satisfaction Survey • Goal – to assess client satisfaction. • Results: highly satisfied with classes, times, equipment, exercises instructors. Facility improvements needed. Benefits include camaraderie and health outcomes. Requested new classes. Leaders in Physical Activity and Aging

Leaders in Physical Activity and Aging

Personal Training at CCAA • For setting personal fitness goals • Provide modifications for exercise intensity and exercise techniques • Provides personal exercise options Leaders in Physical Activity and Aging

Exercise Leadership Training Leaders in Physical Activity and Aging

• • • Restorative Care Education and Training (RCET) Functional Fitness for Older Adults (FFOA) Functional Fitness for Adult Day Programs (FF-ADP) Home Support Exercise Program (HSEP) Home Support Exercise Program – Facilitator (HSEP-F) Seniors Fitness Instructor Course (SFIC) Program Evaluation for Restorative Care (PERC) Get Fit for Active Living Facilitator (GFAL-F) Post Rehab Exercise for Stroke Workshop (PRES) Functional Activity Measures (FAM) Functional Fitness for Falls Prevention (FFFP) Leaders in Physical Activity and Aging

Restorative Care Education and Training (RCET) • Designed for: Staff and those interested in working in long-term care facilities who want to learn how to develop an effective and beneficial restorative aide program with an emphasis on mobility, transfers, eating, and communication • Commitment: 36 hours • Certification: Certificate of participation Leaders in Physical Activity and Aging

Canadian Journal on Aging, 2005 Leaders in Physical Activity and Aging

• Examined maintenance or improvement in functioning over 4 months. • Results: 57 -85% showed improvement. Journal of Gerontology: Medical Sciences, 1999, 54 A, M 621 -M 628 Leaders in Physical Activity and Aging

Home Support Exercise Program (HSEP) • Designed for: Those working as community support workers, volunteers, caregivers, family members who will instruct, encourage, and monitor homebased exercise programs. • Commitment: 4 hours • Certification: Certificate of participation Leaders in Physical Activity and Aging

Home Support Exercise Program Leaders in Physical Activity and Aging

Journal of Aging and Physical Activity, 2000, 8, 59 -75 Leaders in Physical Activity and Aging

… Journal of Aging and Physical Activity, 2003, 11, 408 -424. Outcome Evaluation of the Canadian Centre for Activity and Aging’s Home Support Exercise Program for Frail Older Adults C. Shanthi Jacob Johnson, Anita M. Myers, Lynn M. Scholey, Elizabeth V. Cyarto and Nancy A. Ecclestone Journal of Aging and Physical Activity 2003, Vol 11. Leaders in Physical Activity and Aging

Home Support Exercise Program–Facilitator (HSEP-F) • Designed for: The 8 -hour facilitator training prepares educators, managers or supervisors to deliver the HSEP workshop. • Commitment: 4 hours • Certification: Certificate of participation Leaders in Physical Activity and Aging

Seniors Fitness Instructors Course (SFIC) • Designed for: Anyone (older adults, young adults and volunteers) who wants to learn how to design and lead effective fitness classes for seniors. • Commitment: 36 hours plus 16 hours field experience, receive 80% on take home assignment. • Certification: Successfully demonstrate skills during practical evaluation. • Renewal: Required every 2 years. Current CPR, teach a minimum of 20 hours, attend refresher workshops, peer class observation. Leaders in Physical Activity and Aging

Get Fit for Active Living – Facilitator - GFAL-F • Designed for: Certified Seniors Fitness Instructors wanting to help sedentary older adults adopt a healthy, active lifestyle. • Commitment: 7 hours • Certification: Certificate of participation Leaders in Physical Activity and Aging

Train the Trainer • Designed for: Individuals with a degree/diploma in a health-related field with related experience who want to disseminate the CCAA’s leadership training programs. • Commitment: Training plus facilitate or cofacilitate training course within one year of training. Successful practical evaluation by CCAA Education Staff. • Renewal: Annually, participate in one continuing education event, conduct 1+ training course and refresher workshops, maintain current CPR Leaders in Physical Activity and Aging

Refresher and Continuing Education Workshops • • Half day or full day Provided by CCAA trainers or education staff Updates – new/relevant research findings Review – brief highlight of key information from the SFIC course • Opportunity to have your questions answered and network with other instructors Leaders in Physical Activity and Aging

Recent / Current Applied Research & Community Outreach Projects Leaders in Physical Activity and Aging

Recent/Current Projects • National Dissemination & Evaluation of the Get Fit for Active Living Diabetes Program (Public Health Agency of Canada) • ACTIVE Best Practice Guidelines for Care Facilities (Seniors Health Research Transfer Network) • Functional Fitness for Falls Prevention (Ministry of Health Promotion) Leaders in Physical Activity and Aging

Recent/Current Projects (cont’d) • Satellite PA program sites – London (Westminster College Foundation & Sifton Family Foundation) • Addition of PA Programs to Best Practice Portal (Public Health Agency of Canada) • Evaluation of the Get Fit for Active Living Program (Public Health Agency of Canada) • Arthritis Webinars (Canadian Institutes of Health Research) Leaders in Physical Activity and Aging

Get Fit for Active Living Diabetes • Phase 1 – Literature Review, developed program & training materials. Facilitator training in 4 provinces (ON, AB, NS, MB). Developed & delivered online training and informational webinars on PA and diabetes. • Phase 2 – Expanded project scope – trained facilitators in six remaining provinces. Pilot GFAL-D programs delivered to older adults in phase 1 locations. Virtual Community of Practice, webinars, knowledge mobilization. Leaders in Physical Activity and Aging

ACTIVE Practice Guidelines for Care Facilities • Designed to provide activation professionals in care facilities guidelines on how to develop and implement evidence- and outcome-based PA programming. • A – Assessment • C – Care Planning • T – Team Commitment • I – Implementation • V – Verify Approach • E – Evaluate Outcomes Leaders in Physical Activity and Aging

Functional Fitness for Falls Prevention • Deliver training course to staff working in retirement residences in 4 regions of Ontario • Project length – 2 years • Goal to reduce fall rates Leaders in Physical Activity and Aging

Satellite CCAA Exercise Programs • Locate, promote and sustain 4 CCAA satellite sites in London • Project length – 1 year • Provides residents of underserviced communities opportunity for evidenceand outcome-based PA programming. Leaders in Physical Activity and Aging

Canadian Best Practice Portal • Project length – 6 months • Literature search for successful physical activity interventions for older adults • Selected programs posted on Portal Leaders in Physical Activity and Aging

Get Fit for Active Living – Program Evaluation • Project length – 3 years 1. Process (barriers/facilitators, adherence, program uptake at community level) and outcome evaluation 2. Determine functional fitness changes over 8 -weeks and long-term changes (6 -month & 1 -year) in PA levels, functional fitness and quality of life; 3. Compare GFAL outcomes to comparison group receiving “messaging” via Canada’s Physical Activity Guide to Healthy Active Living for Older Adults. Leaders in Physical Activity and Aging Ph Act

Musculoskeletal Health Webinar Project • Six 40 -minute presentations followed by Q & A’s • Topics: Genetic link for developing osteoarthritis, PA, Aging & osteoarthritis, Exercise prescription for osteoporosis, Medications for osteoporosis, Exercise prescription for arthritis. • Archived on CCAA website http: //www. uwo. ca/actage/outreach/past_presentations. html Leaders in Physical Activity and Aging

Contact Us COMMUNITY OUTREACH TEAM Phone: 519. 661. 1603 Fax: 519. 661. 1612 E-mail: ccaa@uwo. ca Web: www. uwo. ca/actage www. ccaa-outreach. com Located at SE corner of Richmond St. & Windermere Rd. in Health Centre Annex Sign up for our free bi-monthly e-newsletter on our website! Leaders in Physical Activity and Aging