Pre exercise cv screening tool launch
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Australian Pre-Exercise Screen The New Standard PRESENTED BY: Max MARTIN BAppSc (Hons) AEP
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Transcript of Pre exercise cv screening tool launch
Australian Pre-Exercise ScreenThe New Standard
PRESENTED BY:Max MARTIN BAppSc (Hons) AEP
@Fitnessorgau
#filex2011
@iNformMaxMartin
@Fitnessorgau
#filex2011
@iNformMaxMartin
facebook.com/fitnessorgau
facebook.com/fitnessorgau
Please keep your phone ON!!
This is a Friendly session!&
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?
Systems generally too complicated
Exclusions higher than required
Industry practice
Reps council and NIC (7 x RICs) = 40 businesses
adapted tool 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 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 feedbackDesirables – the shopping listA standardized Q, preferable 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
Opportunity for network with AHP
Ensuring EPs highlighting benefit to client in educating them and making them aware of their 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
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 health, fitness and exercise consortium
Recognition of need to develop toolBroad application across physical activity and exercise sectors and experienceNeed to engage broad based national support and endorsement from the health sector
Development Process
2 day face to face meeting of expert panelreviewed standard and adapted screening forms from various fitness centres + feedback from industry Tool needs to identify those that really needed to be identified. Did not want to 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 Process
Benefits of tool
confidence and education to clientprogramming guideopportunity for better referrals (great marketing strategy!)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 – tool can be highlighted during this process
Building block for future path for referral pathways
Ongoing development through industry feedback
Children’s tool – understanding of need
A vision for change
April 27th 2010
An invitation to participate
