Ip F K, J Ko, Ban CM, Wong WK, Cheng A

1
Healthy Bone Project -experience sharing for
community health programme

• Ip F K, J Ko, Ban CM, Wong WK, Cheng A
• Department of Orthopaedics Traumatology
• Pamela Youde Nethersole Eastern Hospital

2
Introduction

• Promote musculoskeletal health
• Introduce health Ambassador
• Experience of pilot study- health bone project
• Introduce current health bone project

3
Reconstruction or Prevention
4
Exercise

• Effective treatment for OA knee
• Cochrane Database of Systematic Reviews. 3, 2006
• Tai chi effective treatment rheumatoid arthritis.
• Cochrane Database of Systematic Reviews. 3, 2006
• Effective treatment for shoulder pain
• Cochrane Database of Systematic Reviews. 3, 2006.
• Effective treatment of chronic back pain
• Cochrane Database of Systematic Reviews. 3,
  2006.

5
How to prescribe exercise
Home Exercise??? Whole life
Clinic 10min
Therapist 1 week
Time
6
Barriers of exercise education

• Health knowledge information
• Exercise demonstration
• Convenient location
• Social support or peer support
• Sense of Participation
• Question and answer opportunities

7
Healthy Bone Ambassador 2000Pilot

• Orthopaedic department Pamelar Youde Nethersole
  Eastern Hospital
• Patients Resource Center, Pamelar Youde
  Nethersole Eastern Hospital
• Hong Kong Young Womens Christian Association
• Tung Wah Group Hospital FSC
• Hong Kong Society for the Aged

8
Objective Health Ambassador

• Promotion musculoskeletal health knowledge
• Target
• Volunteer Health Ambassador training program
• Participant from NGO
• Series of education talks exercise
  demonstration

9
Methods

Ambassador training program
Ambassador Support the participants
Ambassador training program
10
Workshop, QA and Evaluation Sessions
11
Method
FSC
Ambassador and participants
Phase I 2000 - 2002 Degenerative arthritis, back pain, osteoporosis, shoulder care, foot care, fall prevention
Phase II 2002-2003 OA knee Shoulder problems
12
Results
89 Ambassador from NGO

• 89 Ambassador from NGO were trained
• 501 participants

13
Results

• 688 participants from NGOs

14
Physiotherapist in Workshop
15
Maintenance1 Ambassador to 7 participants
16
Results

• gt 90 welcome to the program
• gt 70 participants attended full course
• gt 50 continue to join the exercise program
• gt 75 reported continued exercise one month
  after the course
• Improvement of knowledge gt 90 of participants
• Improvement in symptoms gt 70

17
Barriers of education
Solved
18
Health information

• Education talks in series
• Pathology of diseases
• Importance of exercise

19
Exercise demonstration

• Video
• Allied staff
• Ambassador ( pre-trained ) as demonstrators
• Ambassador continue maintain exercise classes
  and home visits

20

• The Elderly Day Care Centre nearby for the talks
  and exercise classes
• YWCA in Sai Wan Ho
• SAGE in North Point
• SAGE in Chai Wan
• TWGH in Shau Ki Wan

21
Support

• Peer support
• Group exercise
• Maintenance exercise

22
Question answer

• Friendly medical consultation
• Clarification of concerns
• Reassurance
• Encouragement
• Triage

23
Healthy Bone Project 2006
FSC
24
Musculoskeletal Health Promotion Program

• Therapists available in NGO
• More mature volunteer programme in NGO
• Support from HAHO Social Welfare Department
• More volunteer medical staff

25
Musculoskeletal Health Promotion Program
Better educational tools
26
Special designed exercise
27
Tai Chi
28
Acknowledgement

• Tung Wah Group Hospital FSC
• Hong Kong Young Womens Christian Association
• Hong Kong Society for the Aged
• Community Patient Resource Centre , Pamelar
  Youde Nethersole Eastern Hospital
• Ruttonjee Hospital
• Tang Shiu Kin Hospital