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Exercise Prescription Project

Exercise Prescription Project. Department of Health. Exercise. reduces mortality and morbidity promotes physical health psychological health social health. WHO’s recommendations. at least 30 minutes moderate intensity on most days of the week. Local situation.

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Exercise Prescription Project

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  1. Exercise Prescription Project Department of Health

  2. Exercise • reduces mortality and morbidity • promotes • physical health • psychological health • social health

  3. WHO’s recommendations • at least 30 minutes • moderate intensity • on most days of the week

  4. Local situation • “Population Health Survey” conducted by the Department of Health • Physical inactivity is common

  5. Primary healthcare to promote physical activities • A good opportunity • provides services in the community • gains high level of trust and credibility from the public • Overseas experiences

  6. Stages of Change Model • A social psychology model • Describes motivational readiness of an individual to change behaviour (5 stages) (Prochaska & DiClemente 1984)

  7. Local experience A study conducted in 2003 by DH • Aim : assess the efficacy of incorporating exercise prescription and the provision of stage matched health education materials • Study type : randomized controlled trial • Setting : general practice • Subjects : clients of the participating GPs with the following inclusion criteria • 18-64 years old; • Can read and understand written Chinese; and • Belong to pre-contemplation, contemplation or preparation stages in their motivation to do exercise.

  8. Pre Stage of change assessmentInclusion criteria Study Flow Unsuitable population Target population Fill in the questionnaire for exercise participation Intervention group Medical assessment Medically unstable Medically stable Randomization Excluded cases Control group Usual consultation Usual consultation + intervention Post 4 weeks later Telephone FU interview for Stage of change & exercise participation assessment

  9. Intervention (1) Provision of an exercise prescription sheet • Mode; • Frequency; and • Duration

  10. Intervention (2) i) Disease specific pamphlets Provision of relevant health education materials ii) Stage matched booklets

  11. Results GPs recruited : 17 Patients recruited at pre :636 Control group : 304 Intervention group : 332 Patients recruited at FU : 608 (95.6%) • Outcome measures : patients’ • Stages of changes; and • Exercise participation levels

  12. Stages of Change • Forward Shift : Stage progression at FU • Backward/No Shift : Stage reversion/no progression at FU Adjusted OR : 1.51 (95%CI : 1.10 -2.09, p=0.01)

  13. Summary of local experience • Effect of the exercise prescription project • Increase motivational readiness to exercise

  14. Exercise Prescription Project

  15. Exercise Prescription Project Aim : • Promote physical activity among the general public by a multi-sectoral approach and establishing a conducive environment for exercise Key elements: • Doctors to provide structured andspecific health advice to promote exercise participation (exercise prescription) in a largelyhealthy population • Stage matched health education materials • Community participation

  16. Approach Specialized health professional Supervised exercise Semi-supervised exercise Patients who can do self-exercise Community participation in the EPP Healthy population various choices of exercise

  17. Exercise Prescription Project Collaborators:

  18. Exercise Prescription Project • A Task Force was set up

  19. Exercise Prescription Project

  20. Toolkit forExercise Prescription Project • Introduction to the Exercise Prescription Project • Guidelines on writing an exercise prescription • Health education materials for patients • Exercise prescription pad

  21. Professional Manual -The Exercise Prescription Project • Overview of the project • Components of the intervention

  22. Professional Manual –Guidelines on writing an exercise prescription • Guidance on exercise prescription

  23. Health education materialsfor clients • Pamphlets for patients with chronic diseases • Booklets for patients at different stages of change for exercise

  24. Exercise Prescription Sheet • Specific health advice on exercise • Work out by the doctor and the patient • Ownership of one’s own health

  25. Client’s log book • General information on exercise • Weekly progress chart

  26. Thematic Websitehttp://exerciserx.cheu.gov.hk

  27. Conclusion The project will be good for: • Public • Doctors • Community Let’s build a healthier Hong Kong

  28. Thank you

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