Jason Erdman Program Planning Posture Now Program Summer 2016 Executive Summary Cell Phones, social media, and technology have began to take control of the lives of Americans. At any given time, you will see people of all ages walking, eating, and doing any basic chore while looking down at their cell phones. Children are playing video games for hours upon hours of the day without moving. Adults are going to desk jobs hunched over a computer for ten hours a day only to then go sit on the bus while dangling their head consumed in their cell phones. Sedentary jobs have increased 83% since 1950 and our average workweek is longer. Full-time workers in the US work about 47 hours working each week, that’s more than 350 extra hours worked each year (AHA, 2016). With the changes in technology have come changes in our everyday life and with these changes about how we go about everyday, our bodies will physically change as well. Although, we do not have to let our succumb to our bad habits and let them take control, to ultimately damage our body posture. Maintaining good structural integrity is something that is one hundred percent a choice when a person is armed with the knowledge on how to do so. My posture now program will consist of a 15-minute stretch to start the day along with a ten-minute stretch every 3 hours during the workday. My program will focus on increasing flexibility, posture and lifting techniques. I will be evaluating and educating the clients so they will begin to improve their quality of life. I will be using questionnaires, quizzes and other methods to track the progress and success of my program. My program is completely free and can take place right in their workplace. Rationale The American Chiropractic Association reported that, “ about eighty percent of the population will experience back pain at some time in their lives. At any given time, 31 million Americans are experiencing low back pain (ACA,2010)”. This is a significant amount of people that are injuring them due to poor posture, poor flexibility and a lack of exercise. In addition, “ half of all working Americans admit that they have back pain each year(ACA,2010)”. This is an issue that cannot be ignored for any longer. The lack of caring about structural integrity and flexibility is harming Americans bodies on a daily basis. People often have the mentality of ill worry about it when it happens but they should be thinking I must prevent this from ever happening. The most important fact that people ignore is that back pain is mostly caused by mechanical issues not by issues like cancer, arthritis, or fractures to your spine. People need to be aware that back pain is preventable and is worth your time to pay attention to. For any business that wants to be successful they should incorporate a posture and flexibility routine into their everyday work schedule. What is the point of working anyway? Who really wants to get up everyday to go to work everyday? The only reason for most people is money. Money to provide for themselves and their families. Well, by neglecting a flexibility and posture program you are putting that money in jeopardy. “Low back pain is the single leading cause of disability worldwide (Global Burden of Disease, 2010)”. If people continue to ignore a flexibility routine then that back pain that they experience each year will soon stay for good and ultimately leave you disabled and without a job. A simple preventative program in the workplace setting can save you a ton of money that you waste on doctors, massages, and physical therapists. “ Americans spend at least $50 billion each year on back pain—and that’s just for the more easily identified costs.” Along with being there to support your family finically, you also want to be there physically. A study done asked more than 2,000 people ages 51 to 80 years old to perform the “sitting-reach test”. They then scored the test on a ten-point scale. After, 6.3 years, 159 people died—the majority of whom had the most trouble performing the test. They had a six times the chance of dying the lower the score they performed. As individuals age, their flexibility decreases unless efforts are made to maintain or improve flexibility; they are also more susceptible to other health problems, such as diabetes, heart disease, stroke, colon and breast cancer, hypertension, depression, and metabolic syndrome associated with aging and lack of activity (Smith, 2013) Neglecting stretching and disregarding posture is an epidemic. The effects of stretching in a workplace setting not only offer physical benefits but they also improve the mental effects for workers. By having a stretch break during a workday, employees can have time to refocus and relieve any tension that is in there body. Stretching can help reduce stress and improve the mood for workers. It is a no brainer to have workers take a break a to stretch if they are going to be refocused and energized to complete more work. It is evident that a simple basic stretching program will lead to a longer and higher quality life. A person who participates in a stretching program will have increased physical effects, mental effects, and longevity. A study was conducted in Arizona at a consulting firm to monitor a flexibility program and its impact. The workers were placed in a program to stretch for six to ten minutes at the beginning of each shift. Not only did all the participants experienced significant increases in their range of motions but they also truly enjoyed the experience, which is the most important part of implementing a program. A total of 892 employees were included in the program evaluation. Among employees who participated in the stretching program, 85% of those who responded to the questionnaire said that they found the stretching program valuable (Smith, 2013)”. A program must be likeable to have employees to continue these actions for years to come for it to actually be successful. Needs Assessment I have chose to implement my program, “Posture Now” into my dad’s jewelry store located in Woodbridge, New Jersey. There are a total of four workers. The demographic includes a 52year-old male, 21-year-old female, 30-year-old female, and forty year old female. The goal of the program is to work with his employees to educate, prevent, and help to correct their postures. The employees were given a history survey to complete. The survey focused on past and previous injuries along with their activity lifestyle choices. Once I collected all the surveys, it was evident that this group has put on some wear and tear on their bodies with each employee complaining of experiencing back pain from time to time and other injuries that they sustained throughout life. The only problem with this group is that they are uneducated on how to stretch by themselves. It is key to educate the employees on the human anatomy and how to stretch so they can continue to do so, once the program concludes. After, gathering the necessary history of the employees. I will begin to teach them what proper posture looks like and how to lift heavy things properly. Employees will then take a pretest based on the information I have taught them (See Appendix A). Once they complete a score of 80 percent or better on the pretest I will begin to preform a postural analysis on each of the employees. I will preform several different ranges of motion tests to assess where each patient needs the most work (Appendix B). I will also take pictures every two weeks of the program to mark progress. After, the range of motion tests are finished, I will begin to do show them a complete stretching routine that they must perform daily. This stretching routine will consist of a 15 minute stretch that they will start each day with. Along with a ten-minute stretch every three hours during the day. This stretching routine will add up to be forty-five minutes of stretching during a twelve-hour shift. Goals, Objectives, and Evaluation Procedures 1. Goal 1: Employees will learn correct posture, safe lifting and stretching techniques in the workplace setting. 1. Process Objective 1: Employees will fill out a questionnaire asking about past injuries and present pains. 2. Process Objective 2: I will inform all employees about the program that I will be bringing into their workplace. I will begin to teach stretches, lifting techniques and correct posture to the employees. i. Evaluation: Patients will sign the end of the questionnaire stating that will participate for the full duration of the program. (See Appendix A) c. Impact Objective 1: Employees will score an 80 percent or better on the basic knowledge pretest after learning the information. d. Impact Objective 2: All the employees increased their knowledge about human anatomy and stretching. Evaluation: All employees will be taking a pretest that will be based on the information I taught them about posture, lifting and stretching techniques in the workplace setting. (See appendix A) e. Outcome Objective 1: 100 percent of the employees will continue the stretching routine for 6 months once the program concludes. f. Outcome Objective 2: 50 percent of the workers will feel healthier and more active. Evaluation: After, 6 months employees will report their daily stretching routine and lifestyle habits. (See appendix A) Goal 2: Employees will improve their posture and flexibility day by day in their workplace. a. Process Objective 1: At the beginning of the program all employees will complete a full postural analysis. b. Process Objective 2: I will take pictures of the employees from day one and then every two weeks to track progress. Evaluation: I will use a variety of different range of motion tests to evaluate what muscle is tight and overactive impacting their posture. (See appendix B) c. Impact Objective 1: Employees will increase range of motion by 10 degrees by the end of the program. d. Impact Objective 2: Employees will feel less stressed and more focused from the stretching breaks. Evaluation: I will ask employees to fill out a survey about their mental feelings. For the range of motion, I will be completing a chart for the start range of motion and the end of program range of motion. (See appendix B) e. Outcome Objective 1: 50 percent of the workers will have increased flexibility by 20 degrees after 12 months. f. Outcome Objective 2: 50 percent of the workers will increase their physical activity in other forms of exercise in 12 months. Evaluation: A report will be given after one year about what type of physical activity they participate in. (See appendix B) Theory Base The theory I have chose to focus on is the Social Cognitive Theory. I believe that Social Cognitive Theory is the most successful theory based approach to implementing change in people. The theory focuses greatly on a person’s environment, interactions, experiences, and observations. There are nine constructs under Social Cognitive Theory, which include, selfefficacy, behavioral capability, expectations, expectancies, self-control, emotional-coping response, and locus of control, positive/negative reinforcement, and reciprocal determinism. This theory is very influential at the interpersonal level, which works great in combination of my program demographic. I have chose to implement my program, “Posture Now” into my dad’s jewelry store located in Woodbridge, New Jersey. There are a total of four workers. The demographic includes a 52-year-old male, 21-year-old female, 30-year-old female, and forty year old female. The workers all work 7 days a week for about 50 hours per week. They spend their day standing and sitting for long periods of time along with heavy lifting in the beginning of their days. The participants all have little knowledge about flexibility and posture. I am confident that Social Cognitive Theory will be the key to success for my program. This theory is based on that people learn most from observing others. People see a person perform an action, they form an idea about the behavior, and then they decide if this is an action they will repeat or not. Observing from others is a key construct of SCT and its success. This is a perfect way for my clients to participate and be successful with the program. They will be able to work with each other everyday towards the same goal. I will have to establish my credibility and prove to them the importance of performing my program. Once, I can prove to them the benefits they will view me as a role model, they will begin to emulate my actions and strive to succeed. Constructs of Theory 1. Self-efficacy: A person’s belief in themselves that they can accomplish a task. • My program will help build a person's self-efficacy by having them perform the stretching routine everyday. This will make them get a mastery experience to make them know that they are able to do it correctly and can continue it. Also, by having them perform stretches as a group will make them gain a vicarious experience, as each employee will push the next by watching them do it. 2. Behavioral capability: Knowledge and resources available. • My program will focus first on educating the employees. I will be teaching in person stretches and techniques. The employees will also take a pretest to challenge their knowledge. Once they are armed with the knowledge of how to stretch the rest is easy for them. They will have a set time and place to stretch so they are not limited to resources. 3. Expectations: What you believe will happen as a result of your behavior. •I will ask the participants to write down their goals. In addition, to writing down their goals, I will ask them what they believe will actually happen and to write down three pros and cons to their goals. 4. Expectancies: Values people place on potential outcomes. •After, writing down their goals, the pros and cons of the goal. I will have the employees rank the goal on a scale of 1-5 of how important the goal is to them. This will make them realize if they truly care about making a change. 5. Self-control: A person’s self-awareness, self-monitoring, and control over their behavior. •I will have the employees tracking and marking down each time they complete a stretching routine throughout the day. This will keep them on track and in control of completing the task. 6. Emotional-coping response: People will deal with high stress situations and have to distract themselves and push through it. •My program will have an anonymous drop box where clients can write notes on how they are feeling and drop them into the box. I will be the only reading them so I will be able to adjust the program. It will give the employees a way to distress and let me know how they are feeling. 7. Locus of control: A person's perception of control over a situation. It can be represented as external or internal. • Employees will be given a survey, which they will rank a situation on 1-5 with 1 stating you strongly disagree, and 5 you strongly agree. The statements will be about situations having to do with control over situations. This will help me and the employee understand what type of locus of control they have. 8. Positive/negative reinforcement: Can be through direct, vicarious, or self reinforcement. This will help a person learn and determine their behavior. •I will be their each session to help the employees through their sessions. Having someone encourage and compliment you can be a huge boost to a person struggling. People who are rewarded with positive regard are more likely to participate and give their effort to your program. 9. Reciprocal determinism: The interaction among personal factors, the behavior, and the environment. •My employees will be able to have their coworkers as support. They each have the same values that they want to provide and be there for their families. They will be relying on each other to push themselves and become the healthiest version of themselves. The fact they are very little barriers to completing the program ensure a high success rate. Market Plan Product: The product I will be offering is a program that focuses on increasing flexibility and correcting posture for the participants. The participants will benefit by learning correct lifting techniques, how to stretch and learning about posture. Promotion: Promotion is the most important part to having a successful program. I have focused on using consumer based marketing. I have created flyers that will catch the viewer’s eye and grab their attention to join the program. The flyer focuses on the key benefits they will receive and what they will learn by participating. My goal of the promotion is for the viewer to get excited and want to join the program. See appendix C for the flyer. Price: The best thing about the program is that it is completely free. I wanted the participants to want joining and not be deterred by any factors relating money. They will be participating in the program during the work day so I really did not want to take away any money from them because it will be taking up a little bit of their time at work. This is my first time running the program so I wanted to gain a client base by having it by free and then once the program becomes successful and validated I will begin to charge participants. Place: My program is an office-based program. The participants will receive yoga mats at the beginning of the program so they can complete their stretches on a comfortable mat. The office has a large space where the participants can gather to preform their stretches together with enough space between them. This is very convenient because they do not have to leave and drive anywhere, which can be another barrier if the program was at a different location. Pre-testing: During the pre-testing of the participants got the chance to get a glance at what the program will be offering by a flyer. After they viewed the flyer, I asked them if they would be kind enough to give me some honest feedback at the marketing aspect of the flyer. The participants informed me that they loved how the color was yellow so that it caught their attention. They also liked how there were listed benefits and what the program includes because it was easy to read and understand. The participants liked how I included facts because it showed the severity of why they should participate in the program. They did inform me that I should include a price so they know if they can afford the program or not. The pre-testing was extremely valuable to me because I want to make sure I can grasp the attention of as mammy people as possible. Budget Report and Justification Supplies Instructional Handouts Paper Ink Travel Expenses (Gas) Yoga Mats Advertising Total Direct Costs: $10.00 $40.00 $10.00 $20.00 $40.00 $120.00 Due to the population size of my program, I will be the only one creating the program, implementing, and supervising the program throughout the duration. Since my program is an office-based program, the expenses will be very minimal. My main focus was to eliminate any cost of the program for the clients, this way they will not be deterred from participating. I will be the only person putting any money towards the success of my program. The great thing about my program is that it is a stretching program that will be implement in an office setting with only four participants. By having an office-based program, I have eliminated any costs for rent, electricity, or any other fees for a space to use the program. The only expenses that I will have to budget for are travel fees, paper and ink, advertising and yoga matts. The travel from my house to the office is about forty-five minutes so I will be budgeting ten dollars per drive to the office. I also will be printing many handouts of paper for instructions, evaluations, and stretches so I will be budgeting ten dollars for paper and forty dollars for ink. I have also chose to purchase yoga mats for five dollars each for the participants so they will have a comfortable place to perform their floor stretches. Since this is the first time I will be implementing this program, my focus is the success of the program. I am not looking to profit but the goal is for this program to be successful and then eventually expand to other businesses to grow my program. With this end goal in mind, I have budgeted forty dollars for advertising for business cards and brochures to promote my program. Logic Model/ Time Line Program: Posture Now Goal: Improve quality of life by focusing on stretching and correcting posture. Inputs Outputs Outcomes Investments Activities Short Mid Term Long Term Results Term Results Results Money Research Increased Increased knowledge Flexibility Effort Create Program Create Surveys Increased energy Increased focus Time Surveying and Researching Teaching and Perform posture analysis Gather necessary Increased Quality of life Increased Increased energy flexibility Increased Decrease motivation in aches and pains Decrease in stress Decrease in chance monitoring equipment of disease Increased health and daily activity Teach posture, stretches and techniques. Increased focus at work July 16 Aug 16 Sep 16 Oct 16 Nov 16 Dec 16 Jan Feb 17 17 Development of Rationale Conducting Needs Assessment Development of goals and objectives Development of evaluations Development of program Marketing of program Implementation of program Program evaluation and follow up April 17 Implementation of program Program evaluation and follow up May 17 June 17 July 17 August Sep 17 17 Oct 17 Nov 17 March 17 Works Cited "Back Pain Facts and Statistics." American Chiropractic Association. N.p., n.d. Web. 30 June 2016. "Global Burden of Disease." Lancet. N.p., n.d. Web. "The Price of Inactivity." America Heart Association. N.p., n.d. Web. 30 June 2016. Smith, Kris. "Evaluation of a Stretching Program to Increase Worker Flexibility." N.p., Aug. 2013. Web. Appendix A Process Objective 1 and 2 Medical and Physical History Questionnaire 1.Have you had any previous injuries that still affect you to this day? 2.Have you had any surgeries? If yes, where and what for? 3.Do you have any current injuries? If yes, where? . 4. Do you have pain anywhere in your body? If yes, where on the body and what is your pain scale out of ten? 5. How would you describe your activity level? Sedentary, mildly active, or active? 6.Do you play any current sports? If so what sport? 7.Do you ever feel limited in a certain activity? If so, when? 8. How often do you exercise per week? 9. What kind of exercise do you use? 10. Do you have any back problems such as scoliosis, lordosis or kyphosis? Signature____________________ Impact Objective 1 and 2 Pretest Knowledge 2. What is the seat and reach test stretching? 2. What is the proper way to pick up heavy equipment? 3. How long should you hold each stretch for? 4. How should you sit in your desk? 5. What is a example of a stretch to stretch your pec major? 6. What is a example of a stretch to stretch your lower back? Outcome objective 1 and 2 6 month report . 1. Do you have pain anywhere in your body? If yes, where on the body and what is your pain scale out of ten? 2. How would you describe your activity level? Sedentary, mildly active, or active? 3.Do you ever feel limited in a certain activity? If so, when? 4. How often do you exercise per week? 5 . What kind of exercise do you use? 6. How often do you stretch per day or per week? Appendix B Process and Impact Objective 1 and 2 : Range of Motion Testing Intial Cervical flexion Cervial Exentension Cevercial right and left rotation Shoulder abduction Shoulder adduction Shoulder flexion Shoulder extension Shoulder internal rotation Shoulder External Rotation Straight leg raise test Seat and reach test Post Hip flexion Hip extension Outcome 1 and 2 Objective: 1.Describe your physical activity level? 2. How do you feel on a scale of 1-10 of your health? 3. Will you continue to incorporate a stretching routine into your work schedule? 4. What would you rate this program? Appendix C Correct Your Posture Now! Participate in an office based stretching and corrective posture program The Program Includes: Benefits of Participating: Alleviate Aches and Pains! 15 minute stretch to begin each work day and a 10 minute stretch every 3 hours at work Improve Quality of Life! Don’t be another addition to these statistics! Call Jason ErdmanFacts to make a change today! Education on Proper Posture, stretching, and Increase Flexibility! lifting techniques! Americans spend at least $50 billion each year on Low pain is the single leading cause Improve Posture! backback pain (American Chiropractic Association) Full Postural Analysis of disability worldwide! At any given time, 31 (Global millionBurden Americans are Of Disease) experiencing low back pain (American Chiropractic (908-907-7758)
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