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The Schedule of Exercise. LS Quality/Process Improvement Dr. Farrokh Alemi. The Problem Statement. When scheduling appointments each day, exercise is the one appointment that is cancelled more often than other appointments when there are time constraints. The Goal.
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The Schedule of Exercise LS Quality/Process Improvement Dr. Farrokh Alemi
The Problem Statement • When scheduling appointments each day, exercise is the one appointment that is cancelled more often than other appointments when there are time constraints. The Goal • To maintain a schedule of exercise for at least 2 times per week.
A Busy or Lazy Lifestyle? • Consumed by a new job • Working a second job on an as needed basis • Baby sitting • School work • Exercise • Being tired to do anything else
Exercise Before Intervention • Sporadic exercise appointments scheduled with trainer • 1 hour duration - training sessions • Meet 2 times/week • Cancellation of appointment, forfeit money • Appointments cancelled at least once every 2 weeks (schedule conflict or lack of motivation)
Decisions, Decisions Get Ready for Day Work Home Out to Eat Gym Hospital Baby Sit Lounge School
Disconnect water from shower & shower at the gym Join a gym close to work & work out during lunch Join an exercise class (Karate, Yoga) Environmental Walk Henry, my brother’s dog Postpone Evaluation Make better use of time to increase home exercise opportunities Retrieve treadmill from sister-in-law Change my attitude regarding exercising Make better food choices Personal Equipment Keep schedule on track without any deviation Remove workout bench from storage & buy an exercise ball
After serious consideration of all options, walking my brother’s dog twice a week was more of an environmental change to promote the exercise habit. The two days where I was responsible in walking the dog, no other accommodations could be made if I were unable to do so. Thus, this was one appointment that I could not cancel. There was no Process Owner, as there was no one who shared my daily routine Data was collected for 8 weeks There was no cost associated with the environmental change with the exception of travel The Schedule Change
The Results • During the first 10 days, there was no exercise as I was in the midst of changing positions working 3 night shifts to working M-F days. This transition was difficult due to sleep pattern alteration and increasing number of work days. • Since the chart depicts the duration of missed exercise days and the observed duration is below the UCL, the goal of exercising at least 2 days a week was attained.
What Is Next? • By continuing to schedule exercise at least 2 times per week with an obligation, the schedule of exercise was successful. • Changing one’s environment versus depending on motivational factors definitely improves outcomes.