lecture 8

Question 1

what are the drop out rates of cardiac rehab programs?

Answer 1

50% typically leave before the end of the first 6 months

Question 2

what motivators are key for older adults?

Answer 2

Personal
Improved health, enjoyment, body image, previous exercise experience

Social
Social support, contact, social health

Environment
Access, available transport, low/reasonable costs

Question 3

what are the major barriers to PA for adults

Answer 3

• Time
• Physical inability/not good enough
• not interested/motivated

Question 4

what principles / strategies underpin health promotion strategies in indigenous communities

Answer 4

• Developing culturally appropriate messages
• Early intervention – supporting young families, encouraging kids to stay at school
• Sport & swimming pools as a health promoting vehicles
• Arts/Music as a health promoting vehicle

Question 5

what are two specific examples of health interventions in aboriginal communities? aims?

Answer 5

Looma healthy lifestyle program in kimberly 1993
aim - decrease incidence of obesity, diabetes, heart disease

Benefits of swimming pools - (LEMANN et al)
aim 1 - health impacts of swimming pools - particularly to try reduce skin infection and middle ear disease in children
aim 2 - determine weather social benefits may result from the pools

Question 6

what was the aim, method, findings for the Looma healthy lifestyle program

^ (health intervention in aboriginal communities)

Answer 6

Aim - decrease incidence of obesity, diabetes, heart disease

method - Multiple intervention strategies - community sports, walking groups, bush-tucker walks, innovative dietary change strategies - traditional cooking method prompted, nutrition education, council appointed ‘store manager’ to improve healthy food supply

results - improvements in range of risk factors related to diet (and coronary heart disease), no sig. changes to prevalence of obesity and diabetes

HOWEVER - Promising sustainability and long term increases in PA, still going 18 years on, 2009 data - no increase in diabetes and children and young people were in normal weight ranges (84%)

Question 7

what was the aim, method, findings for the Benefits of swimming pools (health intervention in aboriginal communities)

Answer 7

Aim 1: Investigate health impact of swimming pools in the first two communities to have a functioning pool, particularly with regard to skin infections and middle ear disease in children.
Aim 2: Determine whether social benefits might result from pools in these remote communities.

Methods: 18 months tracking – skin & ear infections & school attendance in 163 children <17yrs (no school, no pool policy)

Results - Reduced infections from 32-48% to 0-18% & improved school attendance
Provided important social capital, connections for the children and teenagers
Reduced long term chronic disease burden