Physical Activity Promotion in the After-School Time Period: Key Learnings from Government Action Across Canada Graham R. Clyne, MA 302, 333 22nd Ave. SW Calgary AB. T2S OH3 Report on Key Learnings from Government-Led After-School Physical Activity Programs Across Canada Introduction: This report is intended to provide some concrete ideas on how governments at all levels might further support the development of After School physical activity (ASPA) programs. Based on a review of existing and developing government-led After School strategies and programs across Canada, the report outlines some common learnings and promising practices. Although there is great variety in how the inter-ministerial, interdepartmental and intergovernmental support for After School has been structured across the country, the similarities – in terms of issues, opportunities and benefits – are striking. Recognizing that the development of ASPA programs across Canada is still a work in progress, we have captured what is being learned, what seems to be working, and what might be done to further develop and sustain effective investments in this area. The report identifies common themes across jurisdictions, describes some unanticipated benefits and provides some overarching principles for success. One thing is abundantly clear: the support and enthusiasm for ASPA programs is growing rapidly, with new and innovative partnerships forming across Ministries, departments and levels of government. Increasingly seen as a cost effective opportunity that provides a shared platform to improve outcomes for children, ASPA programs are being embraced as a highly visible, community- based demonstration of governments’ commitment to addressing physical inactivity. Federal/Provincial/Territorial (FPT) government investments in the development of ASPA programs continues to grow, with seven provinces and territories currently active, several with bi-lateral support, while others are at various stages of considering a plan and the best course of action. This report is intended to build on this momentum, sharing the insights of practitioners across the country, and offering informed ideas and key learning for continued action by governments and others in the area of ASPA promotion. Method: An update and review of provincial and territorial government ‘scans’ outlining the current strategies to support After School programs; review of all relevant prior FPT memos and reports; a survey of all provinces and territories conducted with relevant physical activity and recreation officials; key informant interviews with those provinces and territories (7) who are actively involved in ASPA program development; and a synthesis of 2 findings and key learnings from government action. Table of Contents Section One: Leadership on After School Physical Activity Programs ............................... 4 Section Two: Lessons from Implementation ...................................................................... 5 Section Three: Partnerships, Inter-Ministerial and Intergovernmental Collaboration...... 8 Section Four: Program Content ........................................................................................ 11 Section Five: Evaluation and Program Quality ................................................................. 14 Section Six: Social Messaging ........................................................................................... 15 Section Seven: After School Physical Activity Programs in Context................................. 17 Section Eight: ASPA Program Sustainability ..................................................................... 18 Section Nine: Unanticipated Benefits: ............................................................................ 19 3 Key Learnings from Government Action Across Canada: What is Happening? 1 Section One: Leadership on After School Physical Activity Programs: 1.1 After School Physical Activity programs just needed some leadership. The (shared) leadership shown by sport, recreation and other entities charged with encouraging physical activity during the After School period, has filled an important vacuum in many jurisdictions. While the outcomes that can be attained through high quality After School programs are very well aligned with the goals and objectives of multiple FPT ministries and government departments, there is generally no one group clearly assigned responsibility for improving outcomes for children and youth during this critical out of school time. 1.2 “Turns out, everyone had thought about doing it (after school programming) and wanted to do it, but no one ministry or department could do it on their own.” Physical activity remains a key element of the broader, blended, after school strategies that are developing. FPT efforts to address inactivity and generally improve the health of children and youth through After School physical activity programs has, in most cases, only been “kick-started” by those with leadership responsibility for sport, recreation, and health promotion. Since then, quite a number of other partners have seen an opportunity to improve outcomes that are important to their mandates during the after school period. Although most PT strategies are now blended program models that include other content and partners, recreation and physical activity have remained the one constant program element across the country. 1.3 Good ASPA Programs include a range of personal, social, community, developmental – and health - outcomes in their goals. There is now an evidence base, and growing acknowledgement across ministries, that high quality physical and recreational activities have measureable benefits that go well beyond physical health and sporting abilities. In fact, the goals of programs that have been established 4 prominently include psycho-social outcomes, personal capacities, community and school engagement and other important developmental indicators. While these benefits are critical to developing funding partners, the real strategic and critical link – and driver behind support for these programs - remains the anticipated relationship between improving activity levels and better health outcomes. 1.4 Engaging all aspects of the Sport and Recreation Sector is a prerequisite to effective implementation. At a very practical level, those involved with physical activity and recreation have the skills, expertise, facilities, existing partnerships, shared use agreements, and links to sport associations that will be essential to developing and delivering high quality After School physical activity programs. Successful programs have, and continue to develop, strong working relationship with municipalities and regional governments. Although the configuration of partners engaged in After School programming continues to evolve across jurisdictions, the leadership and the full engagement of FPT Ministries responsible for sport, recreation, physical activity and health promotion, is absolutely critical - especially if we hope to realize the greatest potentials of program. 2 “We need to strike a balance. Sure we can encourage and support certain things – like physical activity – but we have to be prepared for the reality at the community level, especially in small towns and villages, where you have to start with what they’ve got.” Section Two: Lessons from Implementation: 2.1 We are using the “Ready.. Fire... Aim, Aim, Aim” model of implementation. The actual development of ASPA programs and the mechanisms to implement and support the effort have generally, though not always, followed the announcement of funding and sometimes target numbers. While somewhat problematic, the need to get something started has led to a great deal of innovation and a number of 5 important insights on how After School strategies might be better implemented. 2.2 Funding strategies drive the development and distribution of ASPA programs, or; Form follows funding. There are a number of imperatives to immediately engage new or targeted communities not the least of which are the interests and goals of other partners and the tendency for funding streams to focus underserved or high risk populations. Those who have moved forward with significant implementation strategies find the development of new sites, particularly in under resourced communities, is a difficult way to start, often requiring additional time, considerable community development work and more ongoing support from ministry and departmental staff. Given the visibility of these initiatives, equity considerations also drive the expansion and distribution of sites to ‘targeted’ neighbourhoods. 6 2.3 A more gradual approach to program development and community targeting is needed. Experience is suggesting a more gradual approach might be better. This strategy sees existing programs embraced, supported and secured; programs are expanded where capacity and readiness exist; then more purposeful efforts to grow the initiative can start in completely new and/or underserved communities. Importantly, this approach provides the time that is needed for the parallel development of the critical partnerships, support systems and facilitative policies that are required before local groups – especially new ones – can be expected to succeed, much less provide high quality programs. In practice, the more labour intensive community development work involved in outreach is better undertaken after some capacity to actually help local groups, has been established. 2.4 “We’re only now getting started on building the kinds of supports these programs need to succeed. It’s really not enough to just provide funding – especially to brand new groups - and assume they will be able to provide a quality program” Better training, development and support for program staff is the missing – and most critical link - in program success. While the commitment, skills and abilities of After School staff is consistently flagged as the most critical success factor in program implementation, strategies to train, develop and provide ongoing support to program leaders are not well developed in most jurisdictions. While some existing training tools are being used (High Five, etc.) thus far, an inadequate amount of resources and energies have been dedicated to program and staff development, the skill gap particularly apparent when issues of language, disability or special needs arise. Often times, staff are unable to provide much by way of basic instruction or skill development even in the important area of physical activity and sport and volunteers are not often a feasible alternative. 7 2.5 Human resource planning, with institutional partners, will help with workforce and sustainability issues. While the solutions to the training and development issue will vary, the search for strategies to institutionalize human resource support is underway, including efforts to engage senior students for school credits; creating placements opportunities for post secondary faculties (education, kinesiology, nursing, etc.); recruitment of sport development associations; and the sharing of municipal staff and expertise. Hiring Educational Assistants, often with complementary skills has proved effective and while it is difficult to get exact numbers, engaging teaching staff in ASPA programs has generally been a less successful and more costly alternative. 2.6 3 3.1 Invest in support systems and program resources - not simply site and participant expansion. In most jurisdictions the distribution of effort has focused on developing and launching new After School programs, then developing the kinds of supports that are critical to the success of local groups and the quality of programming. Others are now providing Regional Coordinators, Sport Animators and local ministry staff to help facilitate the success of groups that are keen to get started but need help (almost as System Navigators). Most of the provincial and territorial strategies already launched are now planning to address some of the support, capacity and systems issues made clear by the early experiences of program implementation. Section Three: Partnerships, Inter-Ministerial and Intergovernmental Collaboration. Local collaboration and partnerships are shaping the development of ASPA programs. There are wide variations across the country in terms of the governmental partnerships, inter-ministerial groupings and blended departments responsible for the development and support of ASPA programs. In smaller jurisdictions, personal relationship and proximity have certainly helped, while larger PT governments have developed various processes to bring together those ministry partners who might best align with and support some aspect of these programs. 8 The specific incentives created by funding and the program’s design tend to vary, making the development of formal partnerships either helpful - or absolutely necessary. 3.2. ASPA programs start with core partners and expand to involve others over time. While some After School initiatives are launched by single ministries or departments, most soon engage a core group of partners – a combination of those most necessary for implementation and facility support (e.g. sport, recreation, education, childcare) and those whose goals and objectives are most obviously aligned with those of the program (e.g. health and wellness, child and youth services). The design of programming, including the nature of the content, the target populations, locations chosen, and the alignment with broader agendas (e.g. poverty, community safety) has further expanded the number of variety of governmental partners who can participate in a way that fits their own policy objectives (e.g. Justice, Immigration, Employment, Advanced Education, etc.). Engaging those ministries responsible infrastructure spending – absolutely critical to long term success – has not been a great success thus far. 3.3 Quality ASPA programs require a wide variety of ‘contributions’ – including supportive policies and cooperative systems. The exact nature of the contributions made by various “partners” also varies, and funding contributions, especially for operational and infrastructure costs, are proving the hardest to leverage. There is however, considerable value being found in “facilitative policies” – where organizations commit to addressing and eliminating barriers created by their staff, systems and practices – especially true of school systems. Similarly, the sharing of facilities, equipment, staff training and program expertise with other partners and local governments has become a key component and increasingly important contribution in successful programs 9 “There’s a culture that’s developed here. We don’t do anything alone as a ministry. Everything we do has partners from the community and other levels of government.....and in a smaller jurisdiction we have the benefit of knowing one another pretty well.” 3.4 Local ASPA programs are creating innovative partnerships and new opportunities for service providers during the after school period. Partnerships at the community level are particularly important especially where program time is dedicated for ‘local interests’ and children are involved in identifying suitable content. While many of these relationship are still personal and locally based (e.g. who knows and likes who), the growing number of groups that are partnering (e.g. 4H Clubs, Farm Safety, Lions, etc.), and the incorporation of some curriculum and smaller single issue health strategies into ASPA programs is positive and growing. In fact, many partners are excited by new opportunities to support healthy child and youth development in the after school period. 3.5 Investments in ASPA programs are leveraging existing community capacities and new contributions. While it is difficult to estimate accurately, given the diverse nature of contributions, there is good evidence to suggest that government investments in these programs have leveraged a considerable amount of support, and from a wide range of governmental, institutional and community partners. Properly valued, in-kind contributions and support from community partners constitutes a significant, and growing, percentage of the actual costs of After School physical activity programs. Consequently, most are working or planning to expand their network of supportive partners - and finding ASPA programs a great platform on which to do it. 10 4 4.1 Section Four: Program Content: ASPA program content is dictated by circumstances, funders and the link to broader agendas. Appropriately, there is considerable variation in the programs and content that have been developed across the country, generally reflecting the local capacities and circumstances, but also linked to the interests of the funding partners and any broader governmental “agendas” or policy pronouncements to which the program has been linked (e.g. poverty, community safety, and childcare). 4.2 Communities, kids and parents prefer blended after school programs that include more than physical activity and recreational opportunities. While it might be appropriate for funders to better encourage, incent and support the programming associated with physical activity and recreation, ‘blended’ programming is the preferred approach in most jurisdictions. In fact, before any significant government investments were made, almost all the existing After School programs (e.g. Boys and Girls Clubs) provided some mix of programming – a clear reflection of community interest. The three most common program elements include recreation and physical activity; support for education and learning; and various nutrition, health and wellness strategies. Free time, or time dedicated to the specific and local interests of children and youth is invariably included in successful programs. 4.3 The actual quality of physical activity is difficult to assess, and can be hard to implement at the community level. Across jurisdictions, physical activity remains the central component of all After School strategies, with various lengths of time (e.g. 25% 100%) dedicated to this purpose in virtually every program. While most groups keep records, the actual time spent, the nature of the facilities, equipment and programs available, the skills of staff and volunteers, and the broad definitions of what constitutes recreation and physical activity make it extremely difficult to assess the quality of these commitments - or their likely impact on physical health. The lack of skills, training, equipment and facilities continues to compromise the ability of local groups to meet recommended targets for rigorous or even moderate physical activity in many communities. 11 4.4 Local Schools and school systems are critical often essential - partners. As school engagement and the use of their facilities is critical to the success of many programs, time for home work, remedial, or enriched education opportunities has become a central, if not core component of most strategies. In fact, profiling the time dedicated to homework or education seems to increase participation rates, particularly among the children of new Canadian families. Most able to help identify the children and youth who would benefit, school staff and shared use agreements are essential to help to facilitate and coordinate facility use. 4.5 “Many of the after school programs that have been around for years, have really survived in spite of the support they received from various systems – not because of them. It’s all done by personal connections at the school and community level and really hard to sustain” Engaging Ministries of Education and School Boards takes strategic alignment with their goals and interests. Every effort to improve outcomes for children soon asks to “partner” with local school boards with little regard for the benefits that accrue to that system, their schools, staff and students. ASPA programs however, are proving a natural fit with the efforts in several jurisdictions to ‘open’ schools to greater community use (e.g. all day schools; schools as community hubs). Support for student attainment, greater community engagement, additional employment for Educational Assistants, and the ability to include existing curriculum and/or school based health strategies into ASPA programs are just some of the benefits that align with their interests. Recognizing that Education Ministries and School Boards function with varying degrees of hierarchy, finding sympathetic local schools and communities is no substitute for a systems level commitment to adopt facilitative policies and address barriers as they arise. 4.6 A range of health promotion strategies are being included ASPA programs and may prove more effective as part of a “bundled” approach. Providing healthy snacks and sometimes meals has long been a stable in After School initiatives, particularly those that target lower income, marginalized communities. Increasingly however, healthy eating, nutrition and cooking programs are being developed (where facilities 12 allow) and proving remarkably popular. There is also some sense that single focus issues (e.g. smoking), lifestyle messages (e.g. exercise) and school based curriculum (e.g. bullying) are in fact more likely to succeed when they are embedded in a broader, blended, Afters School health promotion and physical activity strategy. Certainly the range of possible health outcomes supported through ASPA programs, aligns well with many strategies focused on physical activity, nutrition, mental health, inclusion, and general wellness. 4.7 Regardless of the ASPA program mix, investments are needed to develop and sustain quality – a prerequisite for measurable outcomes. Across the country there is an acknowledgement that more needs to be done to encourage and support the development and delivery of high quality programs – physical activity and other components – along with concerted efforts to better train, mentor and ensure qualified staff. If FPT ministers and their partners are interested in measurable health outcomes and other impacts from these initiatives, a greater focus on quality programming, delivered with integrity and fidelity, is the next logical step for existing programs and a should be a prerequisite for the development of new sites. 13 5 Section Five: Evaluation and Program Quality 5.1 Evaluation is an underdeveloped, but growing, priority. Perhaps not surprisingly, given the need develop new partnerships, create funding mechanisms, expand and incorporate new sites, evaluation is only now becoming a greater priority for most ASPA programs. While almost all groups have process and satisfaction surveys, only some have been able to develop and implement evaluations that include pre and post outcome measures or use methodologically recognized scales. Now that programs are operative these “It’s relatively easy to get systems need support. 5.2 Evaluation needs to inform program development and ongoing quality improvement. Where evaluation data and information is being collected, there has often not been the time or resources to generate the kind of useful findings that support innovation and the ongoing development of quality programming. At the same time, compliance with requests for evaluative information is greatly improved when a “feedback” loop ensures the data is used to provide good suggestions for local groups. 5.3 collect data from the programs, even some good evaluation information... but we haven’t had the resources to turn all the information we have into meaningful feedback, or really improve program quality in any way” Developing cost-effectiveness measures and leverage calculations for ASPA programs would be beneficial - and strategic. The description of costs and benefits has thus far constituted a rather informal assessment of value based on the total program budget and the number of sites sponsored or opened. Despite its political appeal, at best this sort of analysis describes “outputs” not outcomes – and at worst, it values and incents program expansion over quality. While it is difficult to assign concrete value to some of contributions needed for ASPA programs (e.g. facilitative policy change) it would not be difficult, and might be strategic, for FPT governments to approximate the many partner contributions that are being leveraged by their investments. 14 5.4 Linking ASPA program evaluations to existing research, FPT health scans and established data sets is practical and effective. Some jurisdictions are in the process of developing partnerships and contractual arrangements with university based researchers, while others have started selecting and/or providing tools to local ASPA programs. Efforts to adapt and use the indicators from existing data sets, like the National Longitudinal Study of Children and Youth (NLSCY) and the Early Years Development Index (EDI), not only offer the promise of better measurement but allows for longer term and comparable outcome data. As these programs are targeting behaviours and outcomes with influences well beyond the after school period, it would similarly be effective and practical to incorporate ASPA variables into existing FPT surveys of population health and wellness. 5.5 There’s a good case for the development of useable, common, high quality tools to measure outcomes at the FPT and community level. Plans to improve the evaluative tools and implement new, more outcome focused methods, are being developed in every jurisdiction active in ASPA programs and while there is a need to ensure important community-specific variables are captured, the quality and duplication of effort is problematic. Local evaluation strategies can be helpful but serve to preclude meaningful analysis between and among programs / regions and miss the opportunity to identify best practices from among similar approaches. There would be considerable value for FPT governments to develop and provide accessible, shared, and high quality evaluation tools, linked to the indicators used in other existing research “It’s relatively easy to get and data sets. 6 6.1 Section Six: Social Messaging: Invest in local marketing strategies first. There is strong support among those who are implementing, and/or considering an After School physical activity strategy for social marketing and common messaging about its importance and the many benefits for kids and families. 15 collect data from the programs, even some good evaluation information... but we haven’t had the resources to turn all the information we have into meaningful feedback, or really improve program quality in any way” Thus far however, efforts have been focused on ensuring local communities and potential partners were aware of the opportunity to seek funding or other support for their After School physical activity programs, and then marketing the availability of these programs to parents, care-givers, children and youth. These efforts alone have proven to be a challenge, often requiring multiple approaches to reach and engage different audiences. In some jurisdictions, they are proceeding with no significant public announcements to support awareness about the development of programs. 6.2 ASPA programs could be readily incorporated into many of the existing health promotion and wellness campaigns of FPT governments. “It’s relatively easy to get collect data from the programs, even some good evaluation information... but we haven’t had the resources to turn all the information we have into meaningful feedback, or really improve program quality in any way” Recognizing the results of social marketing campaigns can be difficult to measure, and require a longer term investment with sufficient penetration (e.g. dose – response) most jurisdictions have not adequately budgeted for this expense. There are however, a considerable number of ongoing social messaging, from various levels of government and publically funded groups on the importance of active living, exercise, health and participation that could easily be adapted to include (or reference) After School physical activity programs as part of their campaign – just as a number of single issue health promotion campaigns have been included in the After School platform and program mix. 6.3 Social messaging campaigns on ASPA programs may help, but should reflect and incorporate local and community circumstances. While the Federal government might be best suited to support common longer term messages about participation in After School physical activity across the country, the lack of actual program opportunities in some jurisdictions may make a single social marketing strategy premature. At the same time, there are the usual concerns that large social messaging campaigns do not reflect local culture, traditions, or demographics, and often struggle to reach local audiences in an appropriate and effective way. 16 7 7.1 As with successful After School programs, a balance must be struck between ensuring local diversity and circumstances are reflected while advancing on the broader goals and objectives of the investment. Section Seven: After School Physical Activity Programs in Context. ASPA programs provide a visible demonstration of commitment by FPT governments to achieving progress on important policy goals. After School physical activity programs have proven to be a very practical, tangible and relatively inexpensive manifestation of the many, often vague, FPT policy pronouncements about the need to improve population health and well being. With the potential to help reduce physical inactivity and obesity rates among children and youth, the expansion of these programs and the number of willing partners, is not surprising. Still in the early stages of development however, it is neither practical nor realistic to imagine that population level health indicators will be measurably moved by the investments made thus far in After School physical activity programs. 17 7.2 ASPA programs must be part of a ‘suite’ of complimentary FPT strategies for physical activity and health levels to measurably move. Practical issues of staff training, program quality, and evaluation methods aside, these programs must be understood as only one strategy – however well integrated – to move forward on these issues. Family engagement, participation in other activities, sport subsidies, taxation, community facilities, a supportive ‘built environment’, and larger social messaging are all part of a what might constitute a real campaign to move these critical markers. Characterizing these programs as a single aspect of a broader commitment or community plan to increasing physical activity levels is both prudent and realistic. Understandably popular, After School physical activity programs are a relatively inexpensive, potentially effective and highly visible policy instrument, but cannot and will not succeed as a stand-alone strategy. 8 8.1 Section Eight: ASPA Program Sustainability: Expanding partnerships is the ‘de facto’ approach to sustaining ASPA programs. Concerns about program sustainability are not new, and the reluctance on the part of all parties to commit long term, especially for operational costs, is well understood. The majority of investments in After School physical activity programs have consequently provided one time funding, sometimes spread over a period of years. Efforts to involve other governmental and community partners and diversify support, is for most groups the de facto strategy to sustain the program over time. 8.2 Sustainability requires ongoing policy and system level support and longer term strategies to address capacity and resource issues. Certainly engaging organizations at a policy or systems level builds credibility for the program but short term and/or one-time funding makes community buy in, organizational engagement and partnership development more difficult. If these programs are to be sustained, strategies to address other longer term issues, like equipment and facility depreciation, will be required. Income strategies, where successful programs cross subsidize others; tax allowances to support or reduce fees; and strategies to engage and incent private donors and philanthropists, could also help with longer term sustainability. 18 8.3 Sustainability efforts should focus on quality programming with measurable outcomes. Perhaps it is premature to discuss sustainability although governments frequently demand such a plan before contributing to community run services. While there are some promising signs about the potential benefits of After School physical activity programs in Canada – and on some critical indicators – the quality of evaluation is generally not yet sophisticated enough to measure and report meaningfully on outcomes that would be important to sustaining investments. At the same time, the wide variety of activities, intensity, program design and rigour currently being employed, precludes any sweeping conclusions at this point about exactly what should be sustained. 9 Section Nine: Unanticipated Benefits: In the implementation of any initiative, there are a number of consequences that are not anticipated and happily in the case of After School physical activity programs, many of these have been positive, identifying new opportunities and benefits for partner organizations and funders. 9.1 Youth Employment and Development: Engaging senior high and post secondary students and neighbourhood young people is good for employment, but is also helping to develop and recruit young leaders into coaching, athletics, refereeing, and additional voluntary community service. 9.2 Information Sharing: Efforts to determine where programs might best be located have required input and information from different local systems, all of whom know particular aspects of the overall “picture”. Given that the overlap of priorities and areas of concern has been striking, local systems (education, health, recreation, etc.) are now finding new ways to share information and even decision making. 9.3 Creating New Tables: As more and varied partners are engaged from different FPT ministries, departments and governments, local groups engaged in ASPA programs are discovering they have other shared interests and the trust and working relationships to tackle common issues and opportunities at the same table. 19 9.4 Addressing System Issues: For many groups, the implementation of After School physical activity programs has highlighted the need to address the longer term structural and system barriers that affect the use and sharing of their limited recreational and community facilities. The number of new, renegotiated and more cooperative agreements around the shared use of facilities continues to grow (e.g. Joint Use Agreements). 9.5 Easy Alignment: Many jurisdictions have been struck by how readily the policy goals, outcomes and objectives of numerous ministries, branches and departments have aligned with the programming and platform provided by an After School physical activity strategy. Intergovernmental and interdepartmental cooperation, often cumbersome, is going well. 9.6 Community Response: The After School physical activity programs that have been launched seem to have a disproportionate profile – for the size of the investment – and have proven quite popular both with local community leaders and elected officials. “It’s been really amazing to see the number of ministries and departments in our government who have come to the table around after school programs, and we’re only getting started...people are interested so it’s been relatively easy.” 20
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