What is the need?

We implement Choose to Move in partnership with BCRPA and YMCA of Greater Vancouver because there is an inactivity crisis looming among British Columbia’s older adults.

 By 2031, nearly one in four people in BC will be over the age of 651. Compared with younger age groups, seniors are less likely to engage in sufficient levels of physical activities to gain health benefits1. It is estimated that each year $2.4 billion direct and $4.3 billion indirect healthcare costs associated with physical inactivity among Canadian adults2. Over one-third of men, and almost 50% of women between 65 and 74 years of age in BC are considered inactive, this number increases among adults over 75. 

Why Choose to Move?

Choose to Move is informed by the best evidence

Choose to Move is informed by the work of Community Healthy Activities Model Program (CHAMPS), a public health model designed to increase the physical activity of older adults through developing personal physical activity capacities and supporting behaviour change3. The initial studies found that the CHAMPS model effectively increases participants’ physical activity and psychological wellbeing4,5. Like CHAMPS, Choose to Move is a choice-based, 6-month physical activity promotion program, which provides seniors with support in the form of group meetings, a one-on-one action planning session, and ongoing check-ins. These support mechanisms are in place to help participants develop and maintain physical activity behaviours.

What is evaluation?

“Evaluation is the formal process of judging the ‘value’ of something. In health promotion, an evaluation will determine the extent to which a program has achieved its desired health outcomes and will assess the contribution of the different processes that were applied to achieve these outcomes6”.

We will evaluate various initiatives across ABC with a large emphasis on Choose to Move, delivered in partnership with the BCRPA and YMCA of Greater Vancouver. 

What will Choose to Move evaluate?

We will conduct an implementation evaluation to identify factors and processes in the community that either support or hinder implementation of Choose to Move. In addition, we will conduct an impact evaluation to determine whether Choose to Move effectively; i) increases participation in physical activity and reduces sedentary time, ii) enhances mobility, and iii) increases social connectedness.

The results from our evaluation will tells us what works, what does not and why. What we learn will help us to adapt programs in future and if effective, to disseminate them on a wider scale with the goal of positively influencing the health of older adults.

 

References:

  1. British Columbia Ministry of Health. (2005). Healthy aging through healthy living: Towards a comprehensive policy and planning framework for seniors in BC: A discussion paper.www.health.gov.bc.ca/library/publications/year/2005/healthy_aging.pdf
  2. Janssen, I. (2012). Health care costs of physical inactivity in Canadian adults. App Physiol Nutr Metab, 37: 803-806.
  3. University of California, San Francisco, Institute for Health & Aging. (2004). CHAMPS: Community Healthy Activities Model Program for Seniors  website: dne2.ucsf.edu/public/champs/
  4. Stewart, A.L., Mills, K.M., Sepsis, P.G., King, A.C., McLellan, B.Y., Roitz, B.A. and Ritter, P.L. (1997). Evaluation of CHAMPS, a physical activity promotion program for older adults. Ann Behav Med, 19(4): 353-361.
  5. Stewart, A.L., Verboncoeur, C.J., McLellan, B.Y., Gillis, D.E., Rush, S., Mills, K.M., King, A.C., Ritter, P., Brown, B.W. and Bortz, W.M. (2001). Physical activity outcomes of CHAMPS II: A physical activity promotion program for older adults. J Gerontol, 56A(8): M465-470.
  6. Bauman, A. and Nutbeam, D. (2013) Evaluation in a nutshell: A practical guide to the evaluation of health promotion programs, Sydney, AU,McGraw Hill.