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Higher education goes intergenerational

Presented by: Sharon McGuire

Generations Working Together

Highlands & Islands Conference 2016

www.perth.uhi.ac.uk Perth College is a registered Scottish charity, number SC021209.

Introduction

Perth Older Adults Physical Activity Project Sharon McGuire

Lisa Dods

Carolyn Wilson

HND Fitness, Health & Exercise Students

Live Active Leisure Staff

Care Home Staff

Care Home Clients

Session Content

Perth Older Adults Physical Activity Project

About Perth College UHI – Sport & Fitness

Background to project

Older adults programme delivered

Limitations and barriers

Results and outcomes

Looking forward

Our Courses

LEVEL

10

LEVEL 9

LEVEL 8 HND Sports TherapyHND Fitness, Health

and Exercise

HND Coaching and

Developing Sport

LEVEL 7HNC Soft Tissue

Therapy

HNC Fitness, Health

and Exercise

HNC Coaching and

Developing Sport -

Indoor

HNC Coaching and

Developing Sport -

Outdoor

PDA in Personal

Training

LEVEL 6 NQ Sport and Fitness NQ Outdoor Adventure

LEVEL 5NC Sport & Fitness

Indoor

NC Sport & Fitness

Outdoor

Sport & Recreation:

Skills for Work

BA (Hons) Sports Management , BSc (Hons) Sport and Fitness, BA (Hons) Golf Management

BA Sports Management, BA Golf Management, BSc Sport and Fitness

Sport and Fitness Programme Content

• Psychology

• Anatomy

• Physiology

• Biomechanics

• Teamwork

• Coaching Techniques

• Research

• Exercise Instruction

• Sporting Activities

• Nutrition

• Conduct and Ethics

• Sports Development

• Planning for Fitness

• Strength & Fitness

• Sports Science

• Flexibility Training

• Core Strength & Posture

SCQF Level Titles Special Features

4/5 SfW or NC Programmes Safe Participation

6 NQ Leadership

7 HNC Instruction and Coaching

8 HND Applied with “REAL” Clients and special populations

9 BSc and BA Advanced skills and opportunity to specialise

10 BSc (Hons) or BA (Hons) Research

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Background

2014/15 - Introduction of HND Fitness, Health and Exercise Students have to research and report specific implications of exercise. Assessment of health fitness then deliver a 12 week programme to special population groups.

Go4Gold annual event for care homes

Care Home Activity Programme

January 2015 – Project Starts

Students completed pre projects tests

12 Week Programme - 3 elements

1. Warm up/seated exercise

2. Otago strength and balance exercises

3. Fun games (Boccia, Kurling, Golf)

Students completed post project tests

Benefits for both

Benefits both the older adults and students can gain from taking part in Physical activity project: • Improved social life • Self esteem • Improve communication skills • Confidence • Creates new ways of working together • Can help people feel less isolated • Fun • Interactions with different generation • Promotes greater understanding and respect • Mutually beneficial activity • Increase employability • Improve health and wellbeing • Improve levels of physical activity – WHY????

Importance of Physical Activity

Older adults

• The current guidelines for older adults over the age of 65, state that they should be active daily to reduce the risk of health conditions such as diabetes, strokes and cancer (Department of Health, 2011).

• The number of older adults above 85 is growing, as people are living for longer. By 2031, there will be a 38% increase in adults over the age of 85 in the UK (All our futures report, 2007).

• With the number of older adults rising, there has been an impact on public health costs and frail older adults account for the highest health care costs nationwide (Youg & Khow, 2015). A way of reducing these costs are to keep people healthy and active and reduce falls in older adults.

Importance of Physical Activity

Older adults

• As we age, older adults see a decrease in physiological function including aerobic capacity, bone density and loss of muscle mass (ACSM, 2014). By increasing bone density which can reduce injuries and the chances of developing osteoporosis (ACSM, 2014).

• It is important to take part in physical activity to prevent age related sarcopenia, as 40% of muscle force can be lost over the lifespan (Concannon et al., 2012). Sarcopenia a condition of age-related loss of muscle mass and strength and by doing exercises to build muscle mass, the participant can prevent loss and build strength.

True or False?

TASK 1: Complete the 8 questions on the question card located under your seat

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•Q1 – True - Older adults should aim to be active daily. Over a week, activity should add up to at least 150 minutes (2½ hours) of moderate intensity activity in bouts of 10 minutes or more – one way to approach this is to do 30 minutes on at least 5 days a week.

Answer – Q1 Answer – Q2

Q2 – False - Older adults should also undertake physical activity to improve muscle strength on at least two days a week. Older adults at risk of falls should incorporate physical activity to improve balance and co-ordination on at least two days a week (The Department of Health, 2011).

Answer – Q3

Q3 – False – Activity levels decrease with age. Statistics show that less than 10% of over 75 year olds are meeting the current recommendations for strength and only 20% are meeting the 150 minutes per week for moderate intensity activities (The Scottish Health Survey, 2012).

Answer – Q4

Q4 - True - British Statistics show twice as many older adults living in care homes were classified as inactive compared with those who live in private households. 78% of men in care homes were inactive 86% of women in care homes were inactive (BHF Current levels of physical activity in older adults factsheet, 2014).

Answer – Q5

Q5 – True - Nursing home residents spend 80-90% of their time seated or lying down No standing activity leads to active loss of bone and muscle

1 wk bed rest ⇓ leg strength by ~ 20% 1 wk bed rest ⇓ spine bone mineral density by ~1% (Krolner 1983; Tinetti 1988; Skelton 2001; Beyer 2002)

Answer – Q6

Q6 – True - Falls are a major source of injury for older adults and entail substantial healthcare costs. Structured physical activity programmes aimed at improving postural stability are most effective at preventing falls (BHF Current levels of physical activity in older adults factsheet, 2014).

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Answer – Q7

Q7 – True - The National Institute for health and care excellence (NICE) Guidelines (2008) state that tailored, community-based physical activity programmes can improve mental wellbeing in over 65’s.

Answer – Q8

Q8 – False - A tailored exercise programme can reduce falls by as much as 54 per cent (Age UK, 2013).

Our Physical Activity Project

Preparation

All students trained instructors – Level 2 (as minimum) Theory - older adults and exercise Health and functional fitness tests for older adults Seated exercise to music Visit to Michael Woods Centre, Glenrothes Taught Boccia, Kurling and Adapted Golf Students completed:

Strength and balance course Walk leaders course

HND Fitness, Health and Exercise

Functional Fitness tests

• 30 second chair stand

• Chair sit and reach

• 8 foot up and go

• Back scratch

• Handgrip test

• Single leg stand

• 6 minute walk

Tested pre and post project

Functional Fitness Tests

“Life in your years” -requires more than just stamina and energy, requires

strength and balance to feel confident in all other activities you go on to do....

The Strength and Balance exercise programme incorporates 14 Otago style

exercises which are simple, can be combined with walking to reduce sedentary behaviour and improve strength and balance, therefore reducing the risk of falls in older adults.

Strength and Balance Programme Care Home Commitment

• What we asked for from participating care homes:

Min 10 participants

Staff present at all times

Staff move the residents

Staff deal with any issues

Working alongside PA Coordinators (Care Homes)

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Our Physical Activity Project

Provided games equipment

Provided extra training

Insured through Live Active as volunteers

Live Active Leisure – Colin Melville

Wellbeing Officer

Our Physical Activity Project

Helped to design and set up project

Provided Support

Liaised with Care homes

Helped to collect feedback from residents and care home staff

NHS – Carolyn Wilson, Falls Prevention Manager

Limitations/Barriers

1. Students anxious prior to going into homes.

2. Some residents initially unwilling to participate.

3. Couldn’t do all tests as planned.

4. College didn’t have own adapted games.

5. Weather (student travel and for outdoor walks).

How we overcame these barriers….

Example of test results

Example of pre and post testing results from one male resident at Louise Brae Care Home

Test Week 1 Week 12 Improvement

Back Scratch 37cm 44cm 7cm

Up and Go 15seconds 6.5 seconds 8.5 seconds

Seated Sit and

Reach

0cm 13cm 13cm

Sit to Stand 5 18 13

• All care homes reported a steady increase in the numbers of residents participating with many residents attending every week.

• By the end some care homes had up to 18 residents attending. This equates to approximately 75 residents overall who benefited from the programme.

• Care home staff were continuing the exercises.

Outcomes

• The project opened our minds to working with this special population.

• “I loved getting to meet the residents of the care home and being able to build a working relationship with them…”

• Seeing the improvements in the residents mobility week by week was amazing

• Upon completion of the 12 week programme I continued going weekly…

Student Feedback

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• “Looked forward to a ‘wee bit of

sport”

• “I feel my legs are more flexible and I get around easier”

• “Oh aye! Legs feel better. Not so much pain up my legs”

• “Sad that its ending, I was just getting used to taking part”

• “Changed the rest of my life”

Residents Feedback

Residents feedback on the students:

• “I enjoyed the energy and enthusiasm of the teachers, very motivating” • “Enjoyed meeting the students and taking part in the exercises”

• “Very friendly and always listened, encouraging during the sessions”

Residents Feedback on Students

• “Having the school children and students in made the session enjoyable”

• “The students conversed as well as interacting with the residents which they enjoyed. The residents enjoyed the new activities brought to the home.”

• “Everything. Games. Music. Laughs. Exercise”

• “I feel the residents are now keener to participate in physical activities and

have asked when they will be returning to Beechgrove. They met young people who they love and they all appeared livelier after the sessions.”

• “Family members have commented that the teachers were very bubbly and

happy. It was a breath of fresh air.”

• “The programme was effective as the students were very good at explaining their programme to the residents which encouraged them to participate.

• “They made it fun which helped the residents to be more involved which then

was a benefit to their fitness”

• “The return of the programme would be eagerly accepted.”

Care home staff feedback Changes made to this year - 2016

Delivering programme this year in 4 residential homes HND Students had more training: Falls awareness session for students– Carolyn Wilson. Live Active delivered additional workshop using equipment.

Alison Clyde delivered Generations working together workshop with

students.

Used Later Life Training functional fitness tests.

Purchased more games equipment.

Looking Forward

Project to be delivered each year - £££ New college projects at care homes

including ‘playlists for all’ project run by Perth College UHI computing students

Jobs opportunities for students:

Continue to help at Go4Gold events Speaking at SQA Event to encourage

other colleges to get involved with similar projects

Look to improve links for students

working with older adults

Interest in the Project

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Questions