Building a Whole New Ball Team: A National Model for Promoting Physical Activity in State Health Age

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Building a Whole New Ball Team A National Model
for Promoting Physical Activity in State Health
Agencies
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The Emergence of Physical Inactivity as a Public
Health Priority in the USA

• David Buchner, MD, MPH
• Chief, Physical Activity Health Branch
• Division of Nutrition Physical Activity
• Centers for Disease Control Prevention

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Milestones in the History of PA Public Health
in USA (1)

• 1965 Presidents Council on Physical Fitness (
  Sport) issues first PA recommendation (purpose
  to improve fitness)an early sign of concern
  about the impact of engineering PA out of daily
  life.
• 1995 CDC/ACSM PA public health recommendation
  summarizes the major discovery of PA science a
  moderate amount of PA has substantial health
  benefits

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Milestones in the History of PA Public Health
in USA (2)

• 1996 Surgeon Generals report, Physical
  Activity Health, establishes PA as major public
  health issue
• 2001 The physical activity chapter of the Guide
  To Community Preventive Services recommends 6
  community-level interventions (2 more since then)
  based upon rigorous review of scientific evidence
  review, establishing the main basis for public
  health practice in PA

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Observations about the Hx of PA and Public Health

• With hindsight, it is clear the link between
  inactivity and chronic disease is not intuitively
  obvious
• SG report on tobacco issued in 1964
• By 1980s, many aspects of diet implicated in
  chronic disease (calcium, cholesterol, sodium,
  fiber, fruits and vegetables)
• SG report on PA not published until 1996
• US culture struggles to give PA sufficient
  priority
• PA used to enhance personal appearance
• PA linked to sports and recreation

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Excerpts from A Long and Getting Longer List by
Carol Flanigan

• I need a drink. I need a shower. I need some
  money. I need to find a car. I need to get some
  exercise. I need to get some sleep. I need to
  get an A on this paper. I need to have a good
  job out of college. I need a roommate. I need a
  washer and dryer. I need to get a life. I need
  a significant other. I need a soul mate....
• I need to get at least four hours of aerobic
  exercise every week. I need to get some
  exercise. I need to stop kidding myself and
  admit that I want to exercise not for my health
  but because I want to get skinnier. I need to
  buy clothes that make me look skinnier without
  having to do all the work..

Published in The Cauldron a student poetry
journal of Kalamazoo College
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Characteristics of the Emergence of Inactivity as
a Public Health Issue in the USA

• Arguably, emergence has been consistent with
  American values
• Healthy children (e.g. major interest in school
  PE Safe Routes to School)
• Outdoor recreation (e.g. major interest in public
  lands), creating need for partnerships with
  sectors that manage this land (parks rec, urban
  planning, transportation)
• Quality health care (e.g. major interest in
  linking health care system to community resources
  in PA
• Strategic planning return on investment (e.g.
  major interest in evaluation and surveillance)
• Aging in place (e.g. major interest by aging
  services network in physical activity)
• Disparities in health (e.g. major interest in
  reducing disparities

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The Task for Public Health

• There is an indisputable need to engineer
  physical activity back into daily life
• All too often in the past, physical activity
  involved boring repetitive tasks, heavy labor,
  and substantial risk of injury
• Now, we have the opportunity to selectively
  engineer into daily life safe forms of physical
  activity, that enhance quality of life and
  improve health
• We need public health infrastructure to do this
• We recognize the importance of individual choice,
  but seek to make the healthy choice the easy
  choice.

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• LaDene Larsen.

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The Game Plan

• for
• Physical Activity Capacity in Public Health
• LaDene Larsen, Director
• Bureau of Health Promotion
• Utah Department of Health

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The Old Game Plan

• Thinking barriers
• Organizational barriers

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Thinking Barriers

• Focus on diseases and conditions
• Strategies directed at individual behaviors
• Have to have all of the answers before action

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Organizational Barriers

• Categorical funding and programs for chronic
  disease or infectious disease
• PH practitioners with varying professional
  backgrounds
• PA practitioners not adequately trained in or
  recruited to public health

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The New Game Plan

• The strategies
• The players

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The Strategies

• Appropriate placement of PA practitioners for
  visibility, message identification, and linkages
  to partners
• Resource allocation that builds and sustains
  interventions
• Allow experimentation to build evidence based
  interventions

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The Players

• Recruit and train public health physical activity
  workforce
• Develop role and competencies of PA practitioner
  for upstream policy and environmental primary
  prevention

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The Game Plan

• Move from categorical chronic disease/infectious
  disease model to cross cutting, collaborative
  systems changes that support and encourage
  physical activity
• Move from PH generalists to PH physical activity
  specialists

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Donna Nichols.
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Building a New Team

• The United States Physical Activity Collaborative
  and
• The National Society of Physical Activity
• Practitioners in Public Health NSPAPPH
• Donna C. Nichols, M.S.Ed., CHES
• Senior Prevention Policy Analyst
• Texas Department of State Health Services

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Partners

• Directors of Health Promotion and Education
  (DHPE)
• National Association of Chronic Disease Directors
  (NACDD)
• Centers for Disease Control and
  Prevention/Division of Nutrition and Physical
  Activity (CDC/DNPA)
• National Society of Physical Activity
  Practitioners in Public Health NSPAPPH

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Purpose

• Established in 2003, the PA Collaborative
  represents the physical activity interests of the
  public health community and exists for the
  purpose of establishing and promoting
  evidence-based physical activity practice in
  public health

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A Shared Understanding

• Structure Four representatives from each
  organization resulting in a steering committee
  and leadership team

• Operations Decisions based on consensus with
  staff and funding support from DHPE and NACDD

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Roles and Relationships

• Commit to and support the formation of a network
  of PAPH practitioners
• Organizational equals with shared responsibility
  and accountability
• Funding requests approved by the PA Collaborative
• Coordinate implementation of activities through a
  strategic plan

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Building the Network

• Create a network for physical activity
  practitioners that provides a forum for
• Communication
• Collaboration
• Technical Assistance
• Sharing of Ideas and Best Practice

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Strategic Plan Goals

• Build the Network (now NSPAPPH)
• Develop the Workforce
• Establish an Infrastructure within State Health
  Agencies
• Communicate and Promote Physical Activity
• Apply Evaluation Principles and Methods and
  Strengthen Capacity

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US PA Collaborative Leadership Staff

• Leadership Team
• Donna C. Nichols, DHPE
• LaDene Larson, NACDD
• David Buchner, DNPA
• Chris Kimber, NSPAPPH
• Staff
• Pam Eidson LeeAnn Mordecai, DHPE
• Jody Stones, NACDD

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Chris Kimber.
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Team PA National Society of Physical Activity
Practitioners in Public Health NSPAPPH

• Future of PA in Public Health
• Chris Kimber
• PA Promotion Coordinator
• Minnesota Department of Health

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National Society of Physical Activity
Practitioners in Public Health NSPAPPHMission

• Elevate PA as a public health priority through
  engagement, education, and expansion of
  partnerships

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National Society of Physical Activity
Practitioners in Public Health NSPAPPH Purpose

• Elevate our voice
• Engage and educate key people
• Increase our capacity
• Promote best practices
• Expand partnerships and collaborations

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National Society of Physical Activity
Practitioners in Public Health NSPAPPHOperating
Guidelines

• Mission, purpose, functions
• Membership
• Officers
• Steering Committee
• Standing Committees (6)
• Meetings

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National Society of Physical Activity
Practitioners in Public Health NSPAPPHStanding
Committees

• Conference Planning and Coordination
• Core Competencies and Training
• Governance
• Marketing Communications
• Nominations
• Scientific Interpretation

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National Society of Physical Activity
Practitioners in Public Health NSPAPPHCore
Competencies

• 1 Partnerships
• 2 Data
• 3 Planning and Evaluation
• 4 Evidence-based Strategies
• 5 Growth and Sustainability

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National Society of Physical Activity
Practitioners in Public Health NSPAPPHSeason
Outlook

• Training opportunities
• Communication forum for sharing
• Marketing

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National Society of Physical Activity
Practitioners in Public Health NSPAPPHThe Long
View

• Advocacy for PA issues
• Enhancing infrastructure state and national

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David Buchner.
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Some Take Home Messages about the PA
Collaborative and the National Society of
Physical Activity Practitioners in Public Health

• David Buchner, MD, MPH
• Chief, Physical Activity Health Branch
• Division of Nutrition Physical Activity
• Centers for Disease Control Prevention

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A Useful Model

• The PA Collaborative is a relevant model for
  other countries
• Recognizes physical activity is a cross-cutting
  issue within public health, requiring
  collaboration
• Facilitates building a critical mass of public
  health practitioners
• Recognizes that limited resources mean the
  process cannot be rushed

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Join Us

• The National Society of Physical Activity
  Practitioners in Public Health NSPAPPH is open
  to physical activity and public health
  professionals
• The PA Collaborative would consider partners that
  bring expertise and resources to the table

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Collaborate with Us

• The National Society of Physical Activity
  Practitioners in Public Health NSPAPPH will
  adopt activities typical for a professional
  society, e.g.
• Technical assistance to members
• Creation of reports
• Support for training
• Advocacy
• Funders should consider how support for such
  activities create win/win opportunities

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Support Us

• Building public health infrastructure in physical
  activity requires resources and time
• Work with the PA Collaborative and the NSPAPPH as
  new initiatives in PA public health are
  conceptualized and launched
• Advocate broadly for the importance of PA and
  public health

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Questions?