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Australian Pre-Exercise ScreenThe New Standard
PRESENTED BY:Max MARTIN BAppSc (Hons) AEP
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@Fitnessorgau
#filex2011
@iNformMaxMartin
facebook.com/fitnessorgau
Please keep your phone ON!!
This is a Friendly session!&
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An industry exposed
April 27th 2010
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“I’d like to know what sort of pre-screening they’ve had”
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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)
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Why not good enough?
Exclusions higher than required
Systems generally too complicated
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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
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Industry practice
**Usage is High – Application is low**Limited risk stratification and ‘good’ referral practices
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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
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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
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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
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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
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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
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A vision for change
April 27th 2010
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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
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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.
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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!
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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
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Barriers to your application??
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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
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An invitation to participate
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PRESENTED BY:Max MARTIN BAppSc (Hons)AEP
www.correctiveexerciseaustraliaFacebook – Corrective Exercise Australia