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KNR 273: Healthy People 2020 & Prevention

KNR 273: Healthy People 2020 & Prevention. Healthy People 2020: Improving the Health of America. Comprehensive, nationwide health promotion & disease prevention agenda Vision: A society in which all people live long, healthy lives Released 12/2/2010 www.healthypeople.gov.

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KNR 273: Healthy People 2020 & Prevention

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  1. KNR 273: Healthy People 2020 & Prevention

  2. Healthy People 2020: Improving the Health of America • Comprehensive, nationwide health promotion & disease prevention agenda • Vision: A society in which all people live long, healthy lives • Released 12/2/2010 • www.healthypeople.gov

  3. Healthy People 2020:4 Previous Initiatives • 1979 Surgeon General’s Report, Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention • Healthy People 1990: Promoting Health/Preventing Disease: Objectives for the Nation • Healthy People 2000: National Health Promotion and Disease Prevention Objectives • Healthy People 2010: Objectives for Improving Health • Increased awareness that people with disabilities can be healthy

  4. Healthy People 2020: 42 Topics & Objectives • Adolescent health • Disability and health • Health-related quality of life & well-being • Lesbian, gay, bisexual, & transgender health • Nutrition & weight status • Physical activity

  5. Healthy People 2020:WhyDisability and Health Objectives • Not engage in fitness activities • Overweight or obese • Have high blood pressure • Experience symptoms of psychological distress • Receive less social-emotional support

  6. Adult Health Statistics • Obesity • 34% adults with disabilities • 21% adults without disabilities • National Center on Birth Defects & Developmental Disabilities, 2006 • 75% of female adults with developmental disabilities are obese • NCPAD

  7. Adult Health Statistics • No leisure time physical activity • 53% adults with disabilities • 34% adults without disabilities • CDC, 2005 • 25% of adults with disabilities did not engage in physical activity in past 30 days • Inclusive Fitness Coalition • Most leisure of adults with developmental disabilities consists of sedentary activities like watching TV or listening to radio • NCPAD

  8. Adult Health Statistics • Adults with disabilities have higher incidences of obesity & lower physical activity rates, yet are at risk for same chronic conditions as adults who do not have disabilities • Fitness behaviors learned in childhood often impact adult fitness involvement

  9. Youth Health Statistics • Overweight in youth connected with • Asthma • Diabetes (type 2) • Hypertension • Sleep apnea • American Obesity Association

  10. Youth Health Statistics • 75% of children with physical disabilities in US do not participate in PE or community physical activity programs • Paralympic Academy • Youth with disabilities may be in adapted PE classes, but classes are brief and rarely teach skills • If in inclusive PE, they often sit on the sidelines and are not actively engaged • NCPAD

  11. Youth Health Statistics • Only activity children with physical disabilities outscore peers without disabilities is watching TV more than 4 hours/day • 39% vs. 13% • Fitness levels of children with developmental disabilities are poor • NCPAD

  12. Youth Health Statistics • Physical activity recommendations for youth age 5-12: • 60 minutes or more of moderate to vigorous physical activity daily that is developmentally appropriate, enjoyable, and involves a variety of activities • Strong et al., 2005

  13. Healthy People 2020: Disability and Health Objectives (N = 29) • Reduce physical or program barriers to health & wellness programs • Increase participation in social, spiritual, recreational, community and civic activities • Increase social and emotional support

  14. TR & HP2020 • ATRA’s mission is consistent • Increased emphasis on health promotion & disease prevention • Increased emphasis on inclusive recreation in the community

  15. TR & HP2020 • Can use objectives for the basis of programs • Opportunity to describe & support TR practice in broader public health framework • Enhanced recognition & respect for TR may follow involvement • Howard, Russoniello & Rogers, 2004

  16. Programs for Youth with Disabilities • Programs for youth, not specifically mention youth with disabilities • Kids Walk-to-School • National Trail Day • Camp Fusion

  17. Programs for Youth with Disabilities • Programs specifically for youth with disabilities • BlazeSports • Special Olympics

  18. Programs for Youth with Disabilities • I Can Do It, You Can Do It • Nationwide program to support physical activity for children & youth with disabilities • U.S. Dept of Health & Human Services • Launched 5/2004 • Ends 5/2007 • Partner organizations will bring together physical fitness mentors with youth who have disabilities

  19. YES!!!! Are there any programs that are not just sports or exercise?

  20. VERB • Social marketing campaign • Coordinated by U.S. Department of Health and Human Services’ Centers for Disease Control and Prevention (CDC) • Encouraged tweens (age 9-13) to be physically active • Designed to be multicultural • Make physical activity cool & fun

  21. Key Components of VERB • VERB is about…. • Being a kid • Having fun & being with friends • Exploring & discovering • Find new VERBs • Find your own VERBs • Encouraging trial & praise • Is not about abstract constructs like fighting obesity, preventing long-term chronic disease prevention, or even exercise

  22. Key Components of VERB • Messages that appeal to all youth • High & low activity levels • Multicultural • (With & without disabilities) • Keep active without keeping score • No loser activities • Competition against self • Use incentives for reaching goals • Fun contests • Activity recorders

  23. VERB Programs • Special Events • Longest Day of Play (Play All Day) • Extra Hour for Extra Action Day • Family Skate Night • Activity Zone Festival • Cultural Festivals • Contests • Make Every Move Count (Pedometers) • Move It to Groove It • Treasure Hunt (look for VERBS in community) • Break Guinness World Record

  24. VERB Programs • Field trips to places where tweens can be active • Map making activity • Map of free/inexpensive physical activity locations • Field trip to these locations • Celebrities/college athletes

  25. Resources • VERB http://www.cdc.gov/youthcampaign/ • National Center on Physical Activity and Disability (NCPAD) http://www.ncpad.org/

  26. Resources • I Can Do It, You Can Do It http://www.hhs.gov/od/physicalfitness.html • The President’s Challenge http://www.presidentschallenge.org/

  27. Adult Health Programs • Hearts N’ Parks • Step Up to Health

  28. Changes in Healthcare • Not just intervention • Change problem once it exists • Stumbo & Peterson, 2004 • But also prevention • Keep problem from happening • Shank & Coyle, 2002

  29. TR and Prevention • TR should be involved in emerging focus on health promotion/disease prevention • Shank & Coyle, 2002 • A healthy leisure lifestyle can prevent illness and promote wellness • NTRS/NRPA Position Statement on Inclusion, 1999

  30. TR and Prevention • Broadened areas for prevention ---- not just disease prevention • Caldwell, 2001 • Klitzing, 2004 • Collaboration with general recreators on programs for youth at risk • Sprouse & Klitzing, 2005

  31. Levels of Prevention • Primary (Universal) Prevention • Programs that target a population to stop a problem before it begins • Anti-bullying program • Secondary (Selected) Prevention • Programs that target selected or at risk populations to eliminate a problem before more serious problems develop • Anger management program

  32. Levels of Prevention • Tertiary (Indicated) Prevention • Programs that target people who are already experiencing problems in order to decrease the intensity or complexity of a problem • Similar to intervention programs • Therapeutic Summer Camp • Shank &Coyle, 2002 • Caldwell, 2001 • Surgeon General Report • Children’s Memorial Project (Leslie Devies)

  33. Don’t Laugh at Me • Sample anti-bullying program • Primary or universal program • Camp and school curricula are available • Goal: Reinforce the culture of camp as a place of caring, compassion, & cooperation

  34. Don’t Laugh at Me • Being You, Being Me, Being Us • Theme: Exploring Feelings • I Care, You Care, We Care • Theme: Caring, Compassion, & Cooperation • Words That Hurt, Words That Heal • Theme: Resolving Conflict Creatively • Together We Can • Theme: Celebrating Diversity

  35. Don’t Laugh at Me • Video • Discussion • Activity

  36. TR Examples • Shank & Coyle, 2002 • Think First • Cruisin’ not Boozing’ • Project PATH • Go Girls!

  37. Resources • Operation Respect (Don’t Laugh at Me) • www.operationrespect.org/curricula/ • Anti-Bullying Network • www.antibullying.net/ • Youth Violence: A Report of the Surgeon General • www.surgeongeneral.gov/library/youthviolence/chapter5/sec1.html

  38. Resources • SAMHSA’s National Registry of Evidence-based Programs & Practices • http://www.nrepp.samhsa.gov/ • Centers for Disease Control and Prevention • http://www.cdc.gov/

  39. Closing • Prevention programs are a relatively new focus/involvement area for TR • Don’t Laugh at Me is one example

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