Aggregate have identified the aging population (greater than 55 years Of age) in Chatham/Kent, Ontario (in a community I am familiar and work within); a population on the rise and with minimal government and Ministry of Health support that enables seniors to maintain quality of life, independence and promotes healthy aging. Diagnosis In community health promotion, a diagnosis is a statement that synthesizes assessment data and draws conclusions about the relationship among data (Bellman, Anderson, & McFarland, 201 2, peg. 92). A diagnosis is all encompassing, inclusive of a descriptive situation, an identified aggregate, factors related to the state and reason and evidence (signs and symptoms) to support the state. The epidemiology data researched and evaluated purported the diagnosis and development of goals and objectives (Figure 1 Figure 1: Epidemiology Data (Chatham/Kent & Ontario) (Municipality of Chatham/Kent, 2014).

Issue Description: Concern for diminished management of health/weight and chronic disease Focus: Among men and women (> 55 years) in the Chatham/ Kent region Etiology: Related to (a) Lack of community exercise programs; (b) Accessible transportation for supportive programs and (c) Inadequate funding for supportive programs Manifestations: As manifested by: increased evidence of an elderly population, minimal activity options reported; As manifested by: pain/discomfort, arthritis and slips/falls within the elderly population; As manifested by: IBM rates in Chatham.

Program Goal The goal of the “Seniors’ on a Path to Fitness” is to enable seniors to maintain quality of life, independence and to promote healthy aging. Program Activities Program activities map the actions necessary to deliver a program and thereby reach the goals of the program (Bellman, Anderson, & McFarland, 201 2, peg. 292). Calendar charts are an example of how the program will plan and document weekly, daily and monthly progress.

Program Objectives The primary objectives of the Program are to address identified gaps in service and to enhance the purposeful fitness of older adults, who otherwise might not have an opportunity to participate due to obstacles such as cost, limited transportation, chronic health conditions, or a lack of programming to meet their ability levels. The “Seniors’ on a Path to Fitness” would be developed to expand active living opportunities for seniors rather than duplicating existing programs/services currently available in the Chatham/ Kent community.

Through my community assessment I identified gaps in accessible physical activity programs. The focus of the proposed program would include the needs of: Seniors (men and women > 55 years of age) advancing in years with disability or developing disability Seniors struggling to manage chronic disease Fall prevention with improved physical activity Specific goals would include: Within 1 month of the initiation of the program we will be at full capacity (100% participation) at 90 % of the proposed locations.

Within 6 months of the initiation of the program participants will verbalize a decrease in reported pain and discomfort. Within 1 year of the initiation of the program participants will verbalize/demonstrate increase mobility, decreased slips and falls. Constraints Constraints are hindrances that restrict or limit actions. They can often comprise lack of staff, budget, physical space and equipment.

Constraints that were initially identified for the “Seniors’ on a Path to Fitness” program development were transportation and adequate staffing within the confines of the proposed budget and funding. Revisions were made to include the following: Transportation – access to the seniors’ community shuttle (to minimize impact on attendance (access to vehicle; inability to drive, etc. ) at no cost. Staffing -? recruitment and training of a volunteer base (at no additional cost). Approach The “Seniors’ on a Path to Fitness” program would use the behavioral or lifestyle approach.

The Landed Report was the first time the national government made a significant statement in relation to the importance of health promotion as a key strategy for improving the health Of a population (Stammer & You, 2012). Health promotion encourages the adoption of behaviors or lifestyles that promote functional ability and well-being; undoubtedly in line with the goal and objectives of the proposed program. There is a clear focus on disease and disability prevention with behavioral or lifestyle risk factors.

The principal strategies that encompass the behavioral or lifestyle approach include: health education, health communication, social marketing, behavior modification and regulatory measures. These tactics would be applied throughout the plan inning and implementation of the program. Collaboration Collaboration is the essence of community health practice (Bellman, Anderson, & McFarland, 2012, peg. 292). Collaboration prevents duplication of fort, creating more publicity and credibility than accomplished alone and achieving maximum power on health promotion.

The Coordinator would complete program startup (attendees, locations, transportation,), recruiting, screening, educating, mentoring and provide ongoing support for the staff and volunteers. If continued growth of the program is anticipated, the Coordinator time would need to remain at 5 days/week with no additional Coordinators currently budget in the Lens funding. Volunteer management skills are essential for this position. Previous experience working with seniors is a definite asset nice many of the volunteers will be peer leaders. Secondly, fitness experience is imperative (Provo McNally recognized certification). They should also have practical experience leading fitness programs (for seniors would be ideal).

Demonstrated experience in front line delivery of programming is vital to successfully translating knowledge to the community staff and volunteers. The program will also have a Manager with oversight of all collaborative relationships, staffing and budget. In addition, the program will support a significant volunteer base. The primary role of a volunteer is to design, lead ND monitor a weekly exercise program for seniors, adhering to the guidelines set out by the “Seniors’ on a path to Fitness” program that promote participant improvement in their general fitness, strength, balance and cardiovascular endurance. These volunteers must have the basic knowledge to provide various variations to the program based on the abilities of the participants.

Volunteers need to be selected based on a long-term availability and commitment due to the weighty education required to perform in this role. The goal would also be for volunteers to follow-up with participants who eve been absent from the program for more than three consecutive sessions. The education segment of the “Seniors’ on a Path to Fitness” program is crucial to ensuring that program staff and any volunteers are adequately prepared to deliver the programs. This will be covered for both staff and volunteers during two days of orientation. Educational resources such as facilitator manuals, presentation materials, volunteer handbooks and handouts would be developed.

The cost for these resources has yet to be determined (although, reflective as an approximate in the program supplies and equipment budget). Addition requirements of staff and volunteers (at individuals cost): CPRM/First Aid certification (and recertification) for staff and volunteers Police criminal record checks for new staff and volunteers Addition requirements of staff and volunteers (supplied): First aid kit including band aids, latex gloves, pressure bandage and a plastic mouth guard Program Implementation Selection of location(s) to conduct the “Seniors on a Path to Fitness” program will be made with the input from staff, volunteers, and community members as well as potential participants.

Site selection criteria include: Wheel chair accessible Accessible telephone when program is being delivered Space large enough for 10 people to walk in a circle comfortably Chairs (and space around chairs) available for participants No charge for using space Near the identify aggregate/population (those unable to participate in other community programs and isolated due to health, transportation or cost) Long-term commitment of space (consistency for program) Availability of equipment, I. E. Mats, stereo Prepared to provide assistance with promotion and participant recruitment Exercise physical health benefits Of exercise and fitness over 55: Exercise helps older adults maintain or lose weight. Exercise helps increase metabolism and builds muscle mass; burning more calories. When your body reaches a healthy weight ones overall wellness will improve. Exercise reduces the impact of illness and chronic disease. Among the many benefits of exercise for adults over 55 include improved immune function, better heart health and blood pressure. People who exercise also have a lowered risk of several chronic conditions.

Exercise enhances mobility, flexibility, and balance in adults over 55. Exercise improves strength, flexibility and posture; eloping with balance, coordination, and reducing the risk of falls. It also helps alleviate the symptoms of chronic conditions such as arthritis. The “Seniors’ on a Path to Fitness” program will develop an exercise program based on the above noted information. Exercise and fitness for adults over 55 is best accomplished by incorporating the following: Strength: Use free weights (“dumbbells”) to do repetitive sets of lifting. Resistance: Resistance bands are like giant rubber bands designed to give your muscles a good workout when stretched and pulled.

Flexibility: By practicing mindful breathing and slowly trenching, bending, and twisting, you can limber up and improve your range of motion. Many of these can be done in a chair or wheelchair. Endurance: By increasing ones heart rate improvement in noted on the cardiac system. Budget Funding for the “Seniors’ on a Path to Fitness” program is anticipated to be funded by the Local Health Integration Networks (Lens). They are the health authorities responsible for regional administration of public healthcare services in the province of Ontario, Canada. The Lens are mandated with planning, integrating, and distributing provincial funding for all public latherer services at a regional level.

Loins are locally based associations, of the various health service providers, intended to generate enhanced community engagement (Gardner, 2009). The prospective budget includes the funded but also the cost centers (us applies), staff expenses (mileage) and operating costs (phone, fax, utilities, etc. ). Revenue Ministry Funding (CHIN) Total Revenue Expenses Salaries (Personnel) Manager 87750 coordinator (1 FEET) 48750 Frontline provider (10 FEET) 292500 Total Salaries 429000 Fringe Benefits (20%) 85800 Total Compensation 514800 Program Supplies and Equipment 0000 Staff mileage (0. 40 cents/km) 5000 Total Direct Program Expenses 25000 Gross Margin $ 460,200. 0 Total Shared Operating Costs $ 200,000. 00 (20 % of reeve u) Net Income/(Loss) $ 260,200. 00 Evaluation Strategies Program evaluation is the systemic collection of information about the activities, characteristics, and outcomes of a program to make judgments about the program, improve program effectiveness, and/or inform decisions about future programming (Patton, 1997). A Model for Program Evaluation has three phases of assessment. The process (formative – formation of the aerogram) valuation includes the site, recipient and specialist responses and the competencies of the personnel. The summation or outcome evaluation appraises the immediate impact to the selected aggregate.

This reflects on the effects of the program on knowledge, attitude, perceptions, beliefs, access to resources and social support. Lastly, we look at the long term outcomes inclusive of the incidences and prevalence of risk factors, morbidity and mortality. We are then able to see an overall picture of success, improvement and failures of the program. Strategies to evaluate the outcomes of the “Seniors’ on a Path to Fitness” program would include observation, performance monitoring, participant surveys and cost evaluations. Observation -? observer is assessing the relevancy of the program (Who, what, why and when). (Bellman, Anderson, & McFarland, 2012).

The questions include: Who is using the program? (Demographics of age, ethnicity, location, and education level and employment status are documented). What services are the participant’s receiving? (Fall prevention, weight loss or health promotion). How often are they participating? Why is the aggregate using the program? Availability? Affordability? No other options? ) When are the services accessed? Us reeves are formulated to describe (descriptive surveys) or to analyze relationships (analytic surveys) or both (Bellman, Anderson, & McFarland, 201 2, peg. 335). There are two kinds to use to analyze this program: self- administered questionnaire and personal interviews.

The strategic evaluation of surveys should ascertain the following: Did the program accomplish what is suggested? Do clients/personnel perceive the program as successful? What parts of the program were most/least helpful? What should be changed/unchanged? Monitoring measures the difference between the program plan and what has actually happened (Bellman, Anderson, & McFarland, 2012, peg. 339). The “Seniors’ on a Path to Fitness” program can utilize a monitoring chart to evaluate if the program stays on schedule and within budget. Obtaining support for the evaluation at every level-?community, program staff, agency leadership and funded-?should be extensive. Each of these has a stake in the results. Each should have a voice in planning.