Presenter: Clara Fitzgerald – Program Director CCAA

1. Presenter: Clara Fitzgerald – Program Director CCAA

2. The CCAA  2006 A national research & education centre within the Faculty of Health Sciences, The University of Western Ontario.

3. Mission To develop, encourage and promote an active, healthy lifestyle for Canadian adults that will enhance the dignity of the aging process.

4. Mandate To investigate the interrelationship of physical activity and aging and to develop strategies, based on research, to promote the independence of older adults.

5. The CCAA  Basic Research Fitness Assessment Lab Cardiorespiratory Lab Heart Health Lab Neuromuscular Lab D. Paterson J. Kowalchuck R. Petrella C. Fitzgerald C. Rice

6. The CCAA  Applied Research • Evaluation of Canada’s Physical Activity Guide to Healthy Active Living for Older Adults • National & International Dissemination of physical activity leadership programs • Knowledge Translation – Development of Leadership Program & Best Practice Guidelines for Adult Day Programs

7. Knowledge Translation via Leadership Programs • Seniors Fitness Instructor Course (SFIC) • Restorative Care Education and Training (RCET) • Functional Fitness for Older Adults (FFOA) • Home Support Exercise Program (HSEP) • Get Fit for Active Living (GFAL) • Refresher and Continuing Education Workshops • New Program Evaluation for LTC (2006) • New Functional Fitness of Adult Day Programs (2007) • Train the Trainer

8. In Canada there are no regulations or mandated exercise program guidelines/policies for older adult functional mobility/exercise programs in Care Facilities (CF) CF represents: Long-term Care Facility (LTC) Residential Care facility (RC) Complex Continuing Care (CCC) Adult Day Programs (ADP)

9. Why PA program policies are needed in Care Facilities? • Outcome based programming • Benchmarking - BPG • Accreditation • Accountability

10. Increased Effectiveness • Ensure staff have program guidelines to direct their services – balance between recreational and functional • 20% & 80% • Is it good enough just to offer programs or should programs be geared to functional outcomes for older people?

11. Currently all LTC facilities in Ontario receive funding to support programming from the MHLTC • Programming varies considerably from recreational, restorative, functional and time filler activities • We need to move towards outcome based programs for residents but currently we do not have benchmarks or models • Is the number of participants that attend programs sufficient or should we be interested in the programs impact on function, ADL’s etc. Why are we not evaluating this?

12. What does the research say? Journal of Gerontology: Medical Sciences, 1999, 54A, M621 M628

13. National Leadership Training Initiative(2003) PURPOSE: To build on and develop realistic, effective leadership training guidelines for those leading physical activity programs for seniors. • Funded by Health Canada • Delegates from each of the provinces and territories participated in the development of these guidelines

14. The International Curriculum Guidelines for Preparing Physical Activity Instructors of Older Adults is a consensus document that outlines each of the major content areas that experts recommend should be included in any entry-level training program with the goal of preparing physical activity instructors to work with older adults. International Curriculum Guidelines http://www.isapa.org/guidelines/index.cfm

15. What resources are needed in care facilities? • What resources are available – education and training and program guidelines? • What community resources are needed? • What additional resources do facilities need to provide effective and accountable functional mobility program (FMP)?

16. Outcomes • One size does not fit all: Programs must be designed to meet individual needs of clients • Functional capacity (FC) can not be stored; regular physical activity is needed to maintain/restore FC • Outcomes that translate into meaningful and purposeful activities for the older adult • Unless program guidelines are established in CF the value of functional mobility interventions will remain as a recreational option

17. What can we do? • Evaluate current program offerings • Evaluate outcomes of programs in care facilities • Evaluate program effectiveness and advocate for accountability to the program funders • Create program guidelines / policies

18. Future • Need for clearly defined exercise interventions for those at home, Adult Day Programs, Care Facilities • Need for recommendations and guidelines related to exercise programming • Need for sustainable exercise programs for older adults through education and training • Need for research interventions that look at sustainable conditioning programs for older adults

19. We need to advocate on behalf of frail older adults in CF to establish realistic program guidelines that can help benchmark program effectiveness for all CF in Canada.

20. Would you like to join our Physical Activity and Aging Community of Practice (CoP) to continue to foster these much needed discussions? Strength in numbers

21. For More Information Email cfitzge4@uwo.ca Web www.uwo.ca/actage www.ccaa-outreach.com Tel1- 866 - 661 - 1603 Fax1- 519 - 661 - 1612 Canadian Centre for Activity and Aging 1490 Richmond St. London, ON. CANADA N6G 2M3

22. Vision The Seniors Health Research Transfer Network is the “place to go” in Ontario for the latest knowledge and best practices about seniors’ health and health care.

24. CURRENT PRIORITIES FOR SHRTN • SHRTN Coordination • at the provincial level • at the local level here in Eastern Ontario • Improving Access to Information • Nurturing and Supporting Communities of Practice

25. Nurturing and Supporting Communities of Practice (CoP) • SHRTN facilitates and encourages people to come together into communities of practice (or interest) • SHRTN support to CoP includes: • Knowledge brokers • Access to technology • Library services (for formal caregivers in Ontario working in seniors health in the community or in a long-term care home) • Assistance to organize and market knowledge transfer / knowledge exchange events

26. SHRTN CoP Priority Topics • Activity and Aging • Alzheimers Knowledge Exchange • Caregiver Support (e-Health) • Chronic Disease Management: high blood pressure • Communicative Access and Aphasia • Continence Care • End of Life Care • Nursing Best Practices • Polypharmacy • Seniors with Responsive Behaviours • Spiritual Care in Long Term Care

27. SHRTN Collaboration Tools Universal access through www.eHealthOntario.ca ►SHRTN.on.ca automatically redirected to eHealthOntario.ca SHRTN Communities of Practice are supported on eHealthOntario.ca through a controlled access (registration, login and password) website where members can use the collaboration tools • PlumTreeCollaboration Tool • Breezeweb communication system

28. PlumTree • Controlled access • only members of your community can see or modify your documents • Document sharing with version control feature • create and share documents with others in your community (this is like having a shared drive that all members can access) • collaborative authoring while maintaining previous versions • Communityannouncements • alert members of important announcements • Community calendar • track and advise members of important dates and events • Taskfunction • assign and track work being done within the community • Training and Support • Supported by user training and 24/7 call centre

29. Breeze web communication system • Breeze Meeting • Lets you participate in a “virtual” meeting • Video using an internet link • Audio using a toll free telephone conference • Breeze Presenter • Lets you view a presentation with voice-over in a standard web browser through Macromedia Flash Player. • Breeze Training • Lets you participate in online training systems, including integrated surveys, tracking, analyses, and course management.

30. To Access SHRTN Collaboration Tools Join a SHRTN Community of Practice • Send your request to join one or more SHRTN Community of Practice (specify which topics you are interested in) to Enkenyelesh Bekele • ebekele@scohs.on.ca • 613-526-4262 x 1590 • Register to get your username and password • Take the on-line training session • If you need more help, book a small group orientation sessions within the tools

31. Next Steps… • Please complete and return the survey you will get following this session • Contact Enkenyelesh (ebekele@scohs.on.ca) to sign up for a SHRTN Community of Practice • Visit our websites: SHRTN.on.ca chnet-works.ca ccaa-outreach.com