Basic Research Team Cardiorespiratory Lab Neuromuscular Lab Heart Health Lab Fitness Assessment Lab Leaders in Physical Activity and Aging Located in

Basic Research Team

CardiorespiratoryLab

NeuromuscularLab

Heart Health Lab

Fitness Assessment Lab

Leaders in Physical Activity and Aging

Located in the Arthur and Sonia Labatt Health Sciences Building, UWO

Located at Parkwood Hospital

Located Windermere Health Centre

Director – Dr. Don Paterson

Community Outreach and Applied ResearchTeam

Physical ActivityClasses

Applied Research

LeadershipCourses

Program Development


Director – Clara Fitzgerald


ResearchResearch

DivisionDivision

Community Community

Outreach DivisionOutreach Division

TRANSLATIONTRANSLATION

Knowledge Translation


IN-HOUSE PHYSICAL ACTIVITY CLASSES


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


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.


New Physical Activity Guidelines for Older Adults (2011) –

• Endurance 150 minutes of moderate- to vigorous-intensity 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


• Prior to beginning an exercise program at the CCAA individuals complete– A physician

supervised treadmill stress test (optional)

– A fitness appraisal

Health Assessments


Physical Activity Classes

• Combined Fitness

• Strength Training Only

• Dynamic Balance Training

• Osteoporosis

• COLD Lung Health

• Stroke (as needed)


A 75-minute group class including accelerated walking or other cardiovascular activity, strength training using weight equipment, flexibility and balance training.

Combined Fitness


Strength Training OnlyA 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).


Dynamic Balance TrainingA 60-minute group exercise class for the semi-independent older adult including cardiorespiratory activity, strength, flexibility, and balance training.


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.


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

Community-based Stroke Exercise Program

Purpose – to maintain and/or improve functional mobility gains from rehabilitation.


Model• First evidence-based community exercise

program specifically for stroke survivors in Ontario

• 12-weeks

• FaME (Fitness and Mobility Exercise) program developed at UBC


• 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.




Personal Training at CCAA• For setting personal fitness

goals

• Provide modifications for exercise intensity and exercise techniques

• Provides personal exercise options


Exercise Leadership Training


• 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)


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

Canadian Journal on Aging, 2005



Journal of Gerontology: Medical Sciences, 1999, 54A, M621-M628

• Examined maintenance or improvement in functioning over 4 months.

• Results: 57-85% showed improvement.


Home Support Exercise Program (HSEP)

• Designed for: Those working as community support workers, volunteers, caregivers, family members who will instruct, encourage, and monitor home-based exercise programs.



Home Support Exercise Program


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


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.


Home Support Exercise Program–Facilitator (HSEP-F)

• Designed for: The 8-hour facilitator training prepares educators, managers or supervisors to deliver the HSEP workshop.



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.


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


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 co-facilitate 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


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


Recent / Current Applied Research & Community Outreach Projects


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)


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)


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.


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


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


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 evidence- and outcome-based PA programming.


Canadian Best Practice Portal

• Project length – 6 months

• Literature search for successful physical activity interventions for older adults

• Selected programs posted on Portal


Get Fit for Active Living – Program Evaluation• Project length – 3 years1. Process (barriers/facilitators, adherence, program

uptake at community level) and outcome evaluation2. 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.

Physical Activity


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

http://www.uwo.ca/actage/outreach/past_presentations.html


Contact Us

Sign up for our free bi-monthly e-newsletter on our website!

COMMUNITY OUTREACH TEAMPhone: 519.661.1603Fax: 519.661.1612E-mail: [email protected]: www.uwo.ca/actage www.ccaa-outreach.comLocated at SE corner of Richmond St. & Windermere Rd. in Health Centre Annex

http://www.ccaa-outreach.com/

Documents

Basic Research Team Cardiorespiratory Lab Neuromuscular Lab Heart Health Lab Fitness Assessment Lab Leaders in Physical Activity and Aging Located in