australian pre exercise screen - the new standard

Australian Pre-Exercise ScreenThe New Standard

PRESENTED BY:Max MARTIN BAppSc (Hons) AEP

@Fitnessorgau

#filex2011

@iNformMaxMartin

facebook.com/fitnessorgau

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An industry exposed

April 27th 2010

“I’d like to know what sort of pre-screening they’ve had”

Satisfactory answer?

Common for clients to be screened prior to physical activity programs referrals do occur to medical and AHP for guidancePart of qualification content and industry codes of practiceHowever practice is variable and non-systematic

American College of Sports Medicine (ACSM)

Sports Medicine Australia (SMA – 2005)

Physical Activity Readiness Questionnaire (PAR-Q)

Why not good enough?

Exclusions higher than required

Systems generally too complicated

Industry practice

Reps council and NIC (7 x RICs) = 40 businesses

Adapted tools without clear process for information

5% of business reported using an endorsed system in its entirety

10% complied with formal health management process

identifies lack of clarity and surety

75% included a legal waiver with 35% being ½ page in length or longer!

‘Point of sale’ items to satisfy legal requirements,

rather than thorough health screening and advice.

Applied at reception and then filed away

Industry practice

**Usage is High – Application is low**Limited risk stratification and ‘good’ referral practices

Industry feedback

Weaknesses in current practice

Legal rather than health orientation

Info not being passed on to EPs

Not sure what to do with info provided

No clear definition of risk and no reference to intensity

No education element to client

No electronic version

Industry feedback

Desirables – the shopping list

A standardized Questionnaire > preferably 1 page

Application across different delivery modes and settings

Practical and efficient (no unnecessary questions)

Clear process for information handling and client care

Understanding health and legal liability

Industry feedback

Desirables – the shopping list

Opportunity for network with AHP

Ensure EPs highlight benefits to client

education and awareness of health

Educating EPs to write ‘good’ referral letters to GPs

leading to good relationships

The challenge

Broad range of professionals

23,500 registered exercise professionals (REPS) in many roles

3,100 Accredited Exercise Physiologists in various settings

A largely sedentary population increasing in age and fatness and decreasing in fitness

Government, media and medical messages to improve health through participation in exercise (Exercise is Medicinetm)

Obviously positive message but with potential for negative health outcomes in ‘at risk’ population

An ideal answer

Development of a national, standardised, fitness industry specific tool.First step in identifying those ‘at risk’ prior to commencement.Reduction in risks to participants.Risk stratification and adequate programmingClient education about their health

A vision for change

April 27th 2010

A health, fitness and exercise consortium

Recognition of need to develop tool

Broad application across physical activity and exercise sectors and experience

Need to engage broad based national support

Endorsement from the health sector

Development Process

2 day face to face meeting of expert panel

reviewed standard and adapted screening forms from various fitness centres + feedback from industry

Tool needs to identify those that really needed to be identified > and not rule out too many as past tools.

Balance between highly technical tool with requirement for extensive clinical skill, and usability.

The balance has shifted to valuable information, and responsibility of the EP to apply information to programming.

Development ProcessExpert Panel meet

Consumer Health Forum

5 Academics Stage 1 tested in 20 fitness businesses

Stages 1-3 tested in 5 businesses

Presentation to FILEX 2011!

Benefits of tool

confidence and education to clientprogramming guide (EP)opportunity for better referrals (great marketing strategy!) (business)increased respect from medical and AHP community

Barriers to your application??

Where to from here?Referred to in the training package (under continuing improvement).

Government aware and supportive

AGPN and DOHA - briefed and aware of development process

grant application for education forums – as part of Healthy Communities Initiative

Building block for future referral pathways

Children’s tool – understanding of need

Ongoing development through industry feedback

An invitation to participate

PRESENTED BY:Max MARTIN BAppSc (Hons)AEP

@iNformMaxMartinmax@correctiveexerciseaustralia.com

www.correctiveexerciseaustraliaFacebook – Corrective Exercise Australia