Transcript 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
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
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
Healthy People 2020:
Why Disability 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
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
Adult Health Statistics

No leisure time physical activity


53% adults with disabilities
34% adults without disabilities


25% of adults with disabilities did not engage
in physical activity in past 30 days


CDC, 2005
Inclusive Fitness Coalition
Most leisure of adults with developmental
disabilities consists of sedentary activities like
watching TV or listening to radio

NCPAD
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
Youth Health Statistics

Overweight in youth connected with




Asthma
Diabetes (type 2)
Hypertension
Sleep apnea

American Obesity Association
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
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
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
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
TR & HP2020



ATRA’s mission is consistent
Increased emphasis on health
promotion & disease prevention
Increased emphasis on inclusive
recreation in the community
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
Programs for Youth with Disabilities

Programs for youth, not specifically
mention youth with disabilities



Kids Walk-to-School
National Trail Day
Camp Fusion
Programs for Youth with Disabilities

Programs specifically for youth with
disabilities


BlazeSports
Special Olympics
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
Are there any programs that are not
just sports or exercise?

YES!!!!
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
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
Key Components of VERB

Messages that appeal to all youth




Keep active without keeping score



High & low activity levels
Multicultural
(With & without disabilities)
No loser activities
Competition against self
Use incentives for reaching goals


Fun contests
Activity recorders
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
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
Resources

VERB
http://www.cdc.gov/youthcampaign/

National Center on Physical Activity
and Disability (NCPAD)
http://www.ncpad.org/
Resources

I Can Do It, You Can Do It
http://www.hhs.gov/od/physicalfitness.html

The President’s Challenge
http://www.presidentschallenge.org/
Adult Health Programs


Hearts N’ Parks
Step Up to Health
Changes in Healthcare

Not just intervention

Change problem once it exists


Stumbo & Peterson, 2004
But also prevention

Keep problem from happening

Shank & Coyle, 2002
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
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
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
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)
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
Don’t Laugh at Me

Being You, Being Me, Being Us


I Care, You Care, We Care


Theme: Caring, Compassion, &
Cooperation
Words That Hurt, Words That Heal


Theme: Exploring Feelings
Theme: Resolving Conflict Creatively
Together We Can

Theme: Celebrating Diversity
Don’t Laugh at Me

Video

Discussion

Activity
TR Examples

Shank & Coyle, 2002




Think First
Cruisin’ not Boozing’
Project PATH
Go Girls!
Resources

Operation Respect (Don’t Laugh at
Me)


Anti-Bullying Network


www.operationrespect.org/curricula/
www.antibullying.net/
Youth Violence: A Report of the
Surgeon General

www.surgeongeneral.gov/library/youth
violence/chapter5/sec1.html
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/
Closing


Prevention programs are a relatively
new focus/involvement area for TR
Don’t Laugh at Me is one example