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Assessment in Nonschool Settings. Where else does assessment take place?. Non-School Environments. Sports clubs Fitness centers Private clubs Hospitals Worksite health promotion programs Cardiac Rehabilitation programs Businesses. Examples of Successful Programs. Vic Tanny Clubs
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Assessment in Nonschool Settings Where else does assessment take place?
Non-School Environments • Sports clubs • Fitness centers • Private clubs • Hospitals • Worksite health promotion programs • Cardiac Rehabilitation programs • Businesses
Examples of Successful Programs • Vic Tanny Clubs • Olympic Health & Racquet Club • Army Material Command Health Promotion Program • CUNA Mutual Insurance Group • Sentry World Headquarters • YMCA
What is an Outcome? • An outcome is a measurable indicator of the success of your program
Examples of Outcomes • Functional capacity • Quality of life • Behavior change • User satisfaction • Number of participants • Profit • Etc.
Outcome Domains • Health • Clinical • Behavioral
Health • Morbidity • Mortality • Quality of Life
1. Physical * Weight * BP * Lipids * Functional capacity * Etc. 2. Psychosocial * Interpersonal function * Psychological status * Return to independent living 3. Medical Utilization * Medical usage * Hospitalizations * Physician/ER visits Clinical
Behavioral • Adherence to instructions • Diet • Exercise • Smoking cessation • Weight management • Relaxation skills • Social skills
Assessing Functional Outcomes Functional Capacity • Graded exercise test * Exercise time * METs or watts * HR, BP, 6 or 12-minute walk test * Distance * O2 saturation
Assessing Functional Outcomes • Specific Activity Scale • Functional Independence Measure • Duke Activity Status Index • Physical Performance Test • Return to vocation or avocation • Borg RPE scale Symptoms • Anginal Index • Mahler’s Baseline Transition Dyspnea Index
Quality of Life General Well-Being and Quality of Life • Dartmouth Primary Care Cooperative Information • Medical Outcomes Study (SF-36) • Sickness Impact Profile • Nottingham Health Profile • Quality of Well-Being Index
Quality of Life Psychological Status and Well-Being • Profile of Mood States • Beck Depression Inventory • Center for Epidemiologic Studies Depression Inventory (CES-D) • Spielberger State-Trait Anxiety Inventory (STAI)
Customer/User Satisfaction • Have you ever done any of these? • What state of mind were you in? • How valid do you think they are? • Examples?
Lipids Cholesterol screening Food diaries Smoking Self-report CO levels Cotinine (saliva or blood) Hypertension BP Weight control Diet Exercise Self-report/diary Attendance Borg scale Adaptations Weight Weight Body fat Body mass index Diet Diet Habit Survey Harvard-Willett Food Frequency Questionnaire Quick Check Food Questionnaire Behavior Modification
Fitness Center • What could you measure to determine success?
Member Management SystemReport for Director6/1/97 through 6/1/98 MaleFemaleComposite Active Members 227 292 519 New Members 87 117 204 Memberships expired 8 7 15 Members quit 26 63 89 Members checked in 174 218 292 Members logged 157 199 356 Fitness profiles 118 144 262 Health-Life assessments 1 0 1 Sessions at facility 4542 4756 9298 Activities logged 12965 10896 23861 Calories burned (x1000) 3672.4 1820.7 5493.1 Avg. cals burned/session 619 302 459 Avg. cals burned/activity 283 167 230 Avg. aerobic min/session 18 16 17 Avg. aerobic min/activity 8 8 8 Avg. aerobic points/session 9 4 6 Avg. aerobic points/activity 4 2 3