Mathieu de Greef PhD Ger Kroes MSc Groningen Active Living Model (GALM) A health enhancing physical...
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Transcript of Mathieu de Greef PhD Ger Kroes MSc Groningen Active Living Model (GALM) A health enhancing physical...
Mathieu de Greef PhD Ger Kroes MSc
Groningen Active Living Model (GALM) A health enhancing physical activity program for sedentary
older adults in the Netherlands
www.galm.nl
focus sedentary older adults
aim to enhance physical activity to meet ACSM guidelines
age group 55-85 year
theory driven behavioral change as a multidimensional dynamic proces
orientation community based, recreational sportsprogram
Fit weekly 60 minutes, 30 months, moderate intensity
Features of the GALM program
-Social Cognitive Theory-Evolutionary play Theory-Toronto Model
Stage
Behavioral change mechanisms
Theoretical concepts
Campaign activities
Recruitment
Motivational climate
Adoption Behavioral change
Active Ageing
EnjoymentEnhancing
fitness, skills & connectedness
Adherence and Social participation
Selfmanagement training
-Transtheroretical Model - Self-Determination Theory - Nudge Theory - Active living concept
(2 months) (4 months)
Group tailored exercise class
(12 months) (12 months)
-Schema theory -Health Literacy framework -Relapse Prevention Theory
Home visits Exercise introduction program
GALM conceptual model
- Goalsetting Theory - Social connected- ness theory
1 2 3 4
+ + +
motivation
PA status
Fysical fitness
enjoyment
compliance
Health education
nudging engagementadherence
Social connectedness
Theoretical framework GALM
Self determination theory
Transtheoretical Model
Health Literacy theory
Relapse Prevention Model
Social supportSocial Cognitieve theory
Self-efficacy
Community based
Active Living Model
Social Cognitieve theoryToronto Model; Play theoryMarketing mix
Social Marketing Theory
empowermentSchema theory
Nudge Theory
Behavioral changeRecruitment and adoption Active Ageing
Social Capacity Theory
Expected pleasure theory
Self determination theory
Resilience theory
social participation
Social capital theory
Linkage theoretical framework GALM to the Socio-ecological model
Health literacy framework
Social Capital Theory
Social Marketing Theory
Resilience Theory
Social cognitive Theory
Transtheoretical Model
Active living Model
Self Determination Theory
Totonto model
Scheme theory
participati 14.0
Interested fittest intro program after 18 mo after 30 mo
20% 18%
Popkema & de Greef 2000,
16% 14%
24%
The effect on behavioral change
flex schoulder
reaction time
flex hip
endurance
leg strength
0
10
20
30
40
50
60
man
women
total
percentage of fitness scores below average
Development and dissimination GALM
1995
GALMSedentary elderly
SCALASendentary elderly wiih chronic conditions
1999
SMALLDPA program sedentary elderly
Social VitalityHealthy Ageing program sedentary and lonely elderly in deprived neighbourhoods
GALM-ADLADL campaign frail elderly in nursing homes
FLASH PA CampaignNetherlands on the move
Differentiation
dissemination
National Health enhancing PA campaigns
2 local projects
2003 2007
National Actionplan Sportsimpuls
902 local projects
European Health Promotion Award 2001
matrix organization structure GALM
National level Regional level Local level
- GALM foundation- University Groningen
- National Institute for Recreational Sports and Physical Activity (NISB)
- Ministry of Health, Welfare and Sport - Netherlands Organization for Health
Research and Development (ZonMW)
- Vocational Education Institutions- Regional Sports Councils - Provincial boards - Regional Health Services (GGD)
MethodFundingMonitoringR&D
Localproject
TrainingFundingFitness testSelection targetgroup
-Municipality- Local sports and welfare organisations- Local care institutions- Member organisations for seniors
Network formationRun GALM programFundingContinuity
Theory
Program
Implementation
Evidence
summaryGALM is theory driven health enhancing physical activity strategy
Recruitment: 18% of sedentary older adults
Increase physical fitness (stength, endurance)
Feasible for euopean implementation
GALM-ECO model enhancement physical activity
NUDGING
Energy expenditure
Intrinsic motivation
resilience
MINDSETTING
Social marketing
active living
Health information