1、FRANK FANG The National Blueprint for promoting PA in the mid-life and older adult population 提升中老年人身體活動的藍圖參考美國藍圖如何推廣要推廣老年人的身體活動你會怎樣作?由較廣泛且多元的角度來看.家庭社區醫院和醫護人員政府或機關決策者宣導與政策研究其他Abstract 摘要The National blueprint 美國藍圖:Increasing physical activity among adults age 50 and older was designed to develop a n
2、ational strategy for the promotion of physical active lifestyles among the mid-life and older adult population.提升五十歲以上中老年人身題活動的全國策略以養成動態生活方式 構想The blueprint identifies barriers to PA in the areas of research,home and community programs,medical systems,public policy and advocacy,and marketing and com
3、munications.先找出推展身體活動各領域的障礙:包括研究,家庭與社區,醫學系統,公共政策,和行銷與溝通(還有整合策略)abstractIn addition,the blueprint proposes a number of concrete strategies that could be employed in order to overcome the barriers to PA in society at large.This paper summarizes and reviews progress achieved in advancing each of the 18
4、 strategies.這個藍圖提供許多具體的策略,可以克服許多身體活動的社會障礙.六個方向 每個方向三個策略 共十八個策略Cross-cutting strategies整合策略1,create a national clearinghouse to disseminate effective,tested public education,social marketing materials,and public policy information on PA and aging.(Lead Organization:Active for LifeNational Program Off
5、ice).負責單位:全國活動總部設立全國的可互動的機構:傳送有效 可信的公共教育,社會行銷和公共政策的資訊.進度:動態生活全國總部設於德州農工大學,和許多的單位合作 評估相關的資訊Progress to Date.The Active for Life National Program Office at Texas A&M University System has been working with the Administration on Aging,the National Council on the Aging,and the National blueprint Office
6、to assess the form of information that is necessary in a national clearinghouse and the value of a learning network related to pre-exercise screening.Cross-cutting strategies#2 第二個整體策略Develop a population-segmented mass-marketing campaign to increase knowledge and awareness levels related to PA and
7、fitness among the 50+population.(Lead Organization:AARP)規劃一個高年齡族群的大型行銷宣導計畫 來提升中老年人身體活動與體適能有關的知識和覺知Progress to date 進度The ACSM hosted a meeting of representatives from national organizations that offer training and/or certification for PA instructors who work with older adults.The goal of the meeting
8、 was to identify consensus content standards for PA leaders.美國運動醫學會主辦一個來自許多個單位代表的會議,這些單位提供老年運動指導員的訓練或證照.Home and community strategies 家庭與社區的策略Home and community strategies are those that encompass efforts at the local level to develop partnerships between community groups,agencies,and services promo
9、ting PA to better serve the needs of mid-life and older adults.結合社區的力量,包括社區團體,機構和服務團隊,考量中老年人需要,提供較佳的服務以提升身體活動量.Home and community strategy#1Identify professionals in the community who can serve as resources for information and assistance to programs and groups working in the area of aging and PA.(Le
10、ad Organization:ACSM)找出社區可提供中老年身體活動計畫協助與資訊的專業人員負責單位 美國運動醫學會Cross-cutting strategiesProgress to Date:ACSM has developed Profinder,a web-based directory of experts who can be contacted to provide professional advice and assistance to individuals and groups with questions about aging and PA.ACSM is wor
11、king through their regional chapter network to advertise the program and identify a comprehensive network of experts.Profinder currently has a database of 800 experts.Home and community strategy#2Establish and provide technical assistance to national,regional,and local partnerships among health,agin
12、g,urban/community planning,transportation,environmental,recreation,social service,and private sector organizations.建立和提供全國,地區和地方技術協助的夥伴關係(於健康,老化,社區計畫,交通,環境休閒和社會服務和私立單位等).(Lead Organization:National buleprint Office,University of Illinois at Urbana-Champaign).負責單位:美國伊利諾依大學.Home and community strategy
13、#2Progress to Date:The National Blueprint office at University of Illinois at Urbana-Champaign established a website in 2001 to allow partners to share information and resources,learn about upcoming events and research news,and access presentations,photos,and other materials to use in promoting the
14、Blueprint.建立網站資料分享資訊,研究新聞,照片,資源和新活動等信息.Home and community strategy#3Provide community organizations with a template for good PA programs.(Lead Organization:National Council on the Aging,(NVOA).提供社區推展身體活動良好的例子,以供參考.Home and community strategy#3Progress to Date:NCOA has completed a Best Practices in P
15、A Programming for Older Adults competition.This effect has resulted in a wealth of information regarding the development and maintenance of successful PA programs.進度:目前提供許多良好老年人推展身體活動的資料.Marketing and communication StrategiesMarketing and communication strategies are needed to share information abou
16、t best practices and model programs in the area of PA.for example,support materials can be provided to help organizations replicate successful programs.行銷與溝通策略:分享有關成功方法或活動模式的資訊,讓其他的單位來實踐或推動成功活動.Marketing messages developed by Buleprint groups will be targeted to specific segments of the 50+populatio
17、n in such a way as to maximize the likelihood of reaching the intended audiences.Marketing and communication Strategies#1Establish a comprehensive PA trade association to provide support to businesses and corporations that share an interest in increasing PA levels among the older adult population.(L
18、ead Organization:International Council on Active Aging,ICAA).建立完整身體活動的互動關係,對有興趣提升老年人身體活動的企業和機構提供支持.Marketing and communication Strategies#1Progress to Date:the ICAA is a PA trade association that provides ongoing staff education,training,programming,and networking opportunities that can assist organ
19、izations in developing facilities and implementing wellness and fitness programs.進度:對有興趣的企業員工提供教育,訓練,活動和連結通道,使這些單位能提供設施和規劃體適能與全人健康的活動.Marketing and communication Strategies#2Develop a national program that would provide incentives for communities to increase PA levels among the age 50+population.(Le
20、ad Organizations:Presidents Council on Physical Fitness and Sports and Centers for Disease Control and Prevention(CDC)研發全國計畫以提供誘因,鼓勵社區提升中老年人的身體活動.Marketing and communication Strategies#2Progress to Date:the Presidents Council on Physical Fitness and Sports and CDC collaborated to develop a mechanism
21、 for recognizing organization,groups,and/or communities that have made a significant contribution to the promotion of physical active lifestyle.Marketing and communication Strategies#2The administration on aging launched a national You Can!Steps to Healthier Aging campaign as a strategy that build o
22、n the commitment and local experience of community organizations in every state.The agency will provide to participating organizations that cater to seniors a kit that includes activity guides,publicity templates,and rewards for participants.Marketing and communication Strategies#3Support efforts to
23、 develop PA programs and messages that are targeted to specific segments of the age 50+population.(Lead Organization:AARP).Progress to Date:Several Blueprint partner organizations have developed marketing and communication guides to assist organizations and groups with developing effective and targe
24、ted messages about PA.Medical system strategies Medical systems strategies are needed to provide PA guidelines and best practices to health care professionals to help educate patients and to provide PA prescriptions for chronic illnesses and to maintain physical wellbeing.Partnerships between medica
25、l professionals and local community resources are needed to help refer patents to local PA opportunities.Medical system strategies#1Disseminate information on PA guidelines and best practices to the medical community.(Lead Organizations:ACSM and Center for Disease Control and Prevention)Medical syst
26、em strategies#1Progress to Date:A coalition of national organizations led by the ACSM and the Center of Disease Control and Prevention has developed an overview of best practices,guidelines,and recommendations regarding PA for older adults.Medical system strategies#2Develop partnerships between medi
27、cal professionals and the community to facilitate patient referrals to local PA resources.(Lead Organization:ACSM).Progress to Date:ICAA and American Academy of Family Physicians have partnered to provide a program for physicians to refer patients to age-friendly PA facility.Medical system strategie
28、sThe Age-friendly Facility designation recognizes organizations that have made commitments to creating age-friendly facilities in the design,staffing,programming,marketing,and operations.Medical system strategies#3Develop resources for clinicians to use in making personalized PA recommendations/pres
29、criptions for their patients.(Lead organization:American Geriatrics Society)Medical system strategies#3Progress to Date:the American Geriatrics Society,the American Association of Family Physicians,ACSM,and the Thera-Band Corporation have developed an Active Aging Toolkit which is designed to assist
30、 healthcare providers prescribe PA programs for their patients.Public Policy StrategiesPolicy and advocacy strategies are needed at the local,state,and national levels.Specific tactics will include the development of a cohesive legislative agenda,regular meeting with lawmakers,and the development of
31、 a unified consensus statement on the benefit of physically active lifestyle.Public Policy Strategies#1Develop a coalition to conduct public analysis and to identify unified public policy strategies in the area of PA and aging.(Lead Organizations:Robert Wood Johnson Foundation and Administration on
32、Aging).Public Policy Strategies#1Progress to Date:the Robert Wood Johnson Foundation convened a Public Policy Roundtable in early 2003 to develop a public policy and legislative guide to assist blueprint organizations in their interactions with government and legislative groups.Public Policy Strateg
33、ies#2Educate policymakers about the importance of PA for the older population.Include information that provides examples of effective policy in this arena.(Lead Organization:National coalition for Promoting PA).Public Policy Strategies#2Progress to Date:working in partnership with SGMA International
34、 and several other blueprint partners,the national coalition for promoting PA is disseminating the outcomes of the 2003 Public Policy roundtable to policymakers at the federal and state level.Public Policy Strategies#3Generate information on the cost effectiveness of increasing regular PA among the
35、older population to help support public policy,program development,and reimbursement efforts.(Lead Organization:Centers for Disease Control and Prevention)Public Policy Strategies Public Policy Strategies#3Progress to Date:the Centers for Disease control and Prevention,Active Living Leadership,and t
36、he Fifty-Plus Association have launched an on-line calculator that determines the financial costs of physical inactivity for businesses and communities.Research strategiesNew research projects are needed to increase our understanding of the complex interactions between health,physical activity,and t
37、he aging process.For example,there is a need to understand behavioral factors related to PA participation and adherence.Research strategies#1Identify valid and reliable measures of PA and physical function that are appropriate for different segments of the age 50+population.(Lead Organizations:ACSM
38、and national Institute on Aging)Progress to Date:in October 2003,ACSM and AAHPERD and Human Kinetics sponsored an international conference on Measurement and PA.Research strategies#2Develop evidence-based guidelines on the types and amounts of PA needed to enhance health and functional outcomes in t
39、he age 50+population with a special emphasis on chronic illness and disabilities.(Lead Organizations:American Geriatrics Society)Research strategies#2Progress to Date:A coalition of national organizations has developed an overview of best practices,guidelines,and recommendations regarding PA for old
40、er adults.Research strategies#3Conduct research to better understand what motivates individuals to participate and remain involved in community,home-based and worksite programs,and/or self-directed activities.(Lead organizations:National Institute on Aging).Research strategies#3Progress to Date:the National Institute on Aging will continue to fund innovative research examining factors that influence individual decisions to adopt and maintain healthy lifestyles.
