Walking Toolkit 1|Page Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Table of Contents Introduction ......................................................................................................................................3 How to use this toolkit ......................................................................................................................4 Walking 101 Walking and eight dimensions of wellness......................................................................................5 Walking measurements ...................................................................................................................6 SMART goal .....................................................................................................................................7 Walking basics .................................................................................................................................8 Stay motivated .................................................................................................................................9 Walking group guide Logic model for health priority example.........................................................................................10 Logic model for health priority template ........................................................................................11 Start a walking group or neighborhood walk .................................................................................12 Work plan .......................................................................................................................................13 Walking tracker ..............................................................................................................................14 Grant opportunities ........................................................................................................................15 Resources ......................................................................................................................................16 References .....................................................................................................................................17 2|Page Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Introduction This walking group toolkit has been arranged by Cenpatico Integrated Care’s Choose Health® program in order to support our communities with their health and wellness goals. Physical activity decreases the risk of chronic diseases, reduces the risks of premature mortality, and promotes improved mood and overall positive health benefits (CDC, 2015). Walking groups can be a valuable option to meet the community members’ needs for access to physical activity and social engagement. Walking is free and is correlated with reducing the rates of heart disease, hypertension, cancer, diabetes, obesity, depression and anxiety (CDC, 1999). An environment that encourages and eases accessibility to healthful living is essential to establish a culture that naturally makes the right choices for optimal health and wellness (Designing Healthy Communities, 2012). This toolkit is not meant to be comprehensive but rather is designed to guide coalitions through the program planning process. The information provided supports Choose Health’s® core values of SAMSA’s Eight Dimensions of Wellness and increasing the prominence of Blue Zones in our communities. Eight Dimensions of Wellness SAMSA’s “Eight Dimensions of Wellness” is a cornerstone of Choose Health®, encouraging a balanced and healthy lifestyle. The eight dimensions are: emotional, environmental, intellectual, physical, occupational, spiritual, financial, and social. Choose Health® also strives to increase the prominence of Blue Zones and help residents improve their overall quality of life. Blue Zones, places throughout the world where residents live longer and better, are examples of communities that support and encourage healthful living. The people from these diverse geographic regions all move more naturally, they have an identified sense of purpose, they manage stress, they stop eating when they are 80% full, they consume mostly plant based food, they drink wine moderately, they have a sense of belonging through faith based practices, they put their loved one’s first, and they have social interactions with those who support healthy behaviors (bluezones.com, n.d.). 3|Page Cenpaticointegratedcareaz.com [email protected] 866-495-6738 How to utilize this toolkit This toolkit begins by introducing examples of how walking can be used to pursue all 8 dimensions of wellness. There are some measurement tools as well, to help walkers keep track of their progress. The toolkit then includes a SMART goal outline, to help start anyone’s plan to walk their way to wellness. The subsequent information provides some basic walking considerations. The toolkit offers tips for keeping walking members motivated! A logic model example and template are included for your coalition’s goal setting and strategic development. The toolkit moves on to a simple 8 steps work plan to start a walking group or neighborhood walk which supports local business. How you use this toolkit will depend on you or your coalition. You may decide to form a walking group amongst your friends, neighborhood or work colleagues; you can use the information you find useful and disregard what you don’t need. If you are creating a program with your coalition to develop multiple walking groups throughout your community or starting a neighborhood walking program, you may find it helpful to use the logic model template, budget template, and work plan incorporated in this toolkit (budget template found in separate attachment). The next part of this toolkit is an activity tracker for your walkers! While you may consider investing in activity journals, the template is a nice alternative for a limited budget. Should you decide to develop a program for your community, grant opportunities are listed. The toolkit ends with additional resources that you or your coalition may find helpful. Created by Dennae Huerta, Health and Wellness Research Specialist and Iris Betancourt, Choose Health Manager. For more information please contact Choose Health® at [email protected] 4|Page Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Walking and Eight Dimensions of Wellness Environment Hike and enjoy your surroundings Social Join a walking group or your neighborhood walk Emotional Go for a walk to decompress Financial Save money by walking your children to school Intellectual Walk at musuems or cultural events Spiritual Go on a nature walk Physical Walk to get exercise Occupation Walk on a break to boost your energy 5|Page Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Walking Measurements In accordance with the Physical Activity Guidelines for Americans, adults should strive to get 150 minutes of moderate-intensity aerobic physical activity weekly; or 75 minutes of vigorous-intensity physical activity or an equivalent combination. Children and adolescents should strive for at least 60 minutes of daily activity (Why Walk? Why Not!, 2015, para. 1). Steps to Miles Physical Activity and Calories This chart converts the number of steps to minutes and miles (somerville.gov, n.d.). The chart below shows the approximate calories spent (miles per hour/level of intensity) by a 100-, 150- and 200- pound person doing a particular activity (Moderate to Vigorous, 2014, p.1).. Steps 1000 2000 3000 4000 5000 6000 = = = = = = Minutes 10 20 30 40 50 60 = = = = = = Miles 1/2 1 1½ 2 2½ 3 Level of Intensity The level of intensity related to physical activity is “the level of effort required by a person to do an activity” (Measuring Physical Activity, 2015, para. 2). Your activity intensity is reflective of how your activity affects your heart rate and breathing. An easy way to measure your intensity is with the talk test: Moderate intensity- if you can talk, but not sing during your activity. Vigorous intensity- it is difficult to say more than a few words without pausing to breath (Measuring Physical Activity, 2015). The chart below provides examples of activities and the associated intensity (Moderate to Vigorous, 2014, para. 11). Examples of moderate Examples of vigorous intensity intensity Walking briskly (3mph or Race walking, jogging, faster) running Water aerobics Swimming laps Bicycling slower than 10 Tennis (singles) mph Tennis (doubles) Aerobic dancing Ballroom dancing Bicycling 10 mph or faster General gardening Heavy gardening Hiking uphill or with heavy backpack Activity 100 lb 150 200 lb lb Bicycling, 6 mph 160 240 312 Bicycling, 12 mph 270 410 534 Jogging, 7 mph 610 920 1,230 Jumping rope 500 750 1,000 Running 5.5 mph 440 660 962 Running, 10 mph 850 1,280 1,664 Swimming, 25 yds/min 185 275 358 Swimming, 50 yds/min 325 500 650 Tennis, singles 265 400 535 Walking, 2 mph 160 240 312 Walking, 3 mph 210 320 416 Walking, 4.5 mph 295 440 572 6|Page Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Set a S.M.A.R.T. Goal (Specific, Measurable, Attainable, Reasonable, Timeframe) •Specific & Measurable •Attainable I will walk 1 mile afterwork or during a break 3 times per week for 3 months •Reasonable •Timeframe Write in your goal: I will_________ (specific) __________ (measurable) __________ (attainable) ___________ (reasonable)_____________ (timeframe). Or Our walking group will_________ (specific) __________ (measurable) __________ (attainable) ___________ (reasonable) _____________ (timeframe). 7|Page Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Walking Basics Research has shown that walking for 30 minutes per day can lower blood pressure, help maintain weight and may improve lipids (How to Promote, n.d., p. 2). Be mindful of health conditions and remember to walk at the pace that feels right to you! You can speed up your pace as you move along in your walking journey! Water •Stay hydrated •Drink plenty of water before and after you walk •Take frequent sips as you walk What to wear Stretch •Walking Shoes •Clothing appropriate for weather •Avoid cotton which absorbs moisture •Synthetic “wicking” fabrics draw sweat away from the skin •Light colored fabric reflects sunlight to keep you cool in warm weather •Layer clothes for winter weather •Brimmed hat •Sunglasses (UV protection) •Sun screen •Pedometer (track your steps!) (Walking 101, n.d.) •Before and after walk •Pre-warm up stretches: ankle circles, leg swings, figure-8 leg swings, pelvoc loops, arm circles, hula-hoop jumps •Post walk stretches: calf and hip stretch, back and hamstring stretch, shin and thigh stretch •For full instructions on proper stretching visit: http://www.pbs.org/americaswalkin g/health/healthprewalk.html and http://www.pbs.org/americaswalkin g/health/health3minute.html •Flexibility benefits can be found at: http://www.acefitness.org/fitnessfact-article/2610/flexible-benefits/ •Fun Facts: •The amount of water you should drink depends on many factors, including your weight. Find out how much water you should be drinking with a hydration calculator: http://ab.weather.com/outlook/heal th/fitness/tools/hydration •Do you have a hard time drinking enough water? Flavor your water with these fun infusion recipes: •Fun Facts: http://www.cookinglight.com/food/r •Find out about workout clothes do's ecipe-finder/infused-water-recipes and dont's at: •Fun Facts: http://college.usatoday.com/2014/08 •Stretching helps maitain a healthy /22/9-gym-workout-wear-dos-andrange of movement and helps donts/ prevent injuries 8|Page Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Stay Motivated!!! Incentives Mix it up Milestones Group incentives: -Water bottles -T-shirts or hats -Activity journals or notebooks -Try new and interesting walking routes -Litter walks -Speed up -Social activities post walk -Bicycle -Yoga club, dance workouts, other activities -Introduce healthy competition -Train for charity walks -Restaurant or business hop (Going and growing, n.d.) -Celebrate and honor milestones -Weight -Body measurements -Improved sleep health -Improved blood pressure -Stress reduction (Going and Growing, n.d.). Self-motivating incentives: -New outfit -New shoes -Take a before and after picture (Going and Growing, n.d.). 9|Page Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Logic model for health priority example Health Priority: Cardiovascular health Goal #1: Create an environment where making the healthy choice is the easy choice Objective #1: Help families in our community get enough physical activity to manage weight Outcome Indicators: -Participants in need of weight management will lose 1% of body weight (those with healthy weight will maintain) -Hip to ratio measurements will reduce -Elevated blood pressure will be reduced Strategies: - Form walking group: will walk 2 hours and 30 minutes weekly for three months -Take weight and blood pressure measurements at program registration and program completion -Stress level surveys provided to each participant to submit at end of each walk for chance to win a prize Performance Indicators: -Maintain healthy blood pressure levels or reduce blood pressure to healthy levels -Weight loss and weight maintenance -Participants report reduced stress levels 10 | P a g e Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Logic model for health priority template Health Priority: Goal #1: Objective #1: Strategies: Performance Indicators: (CHAT, 2013) 11 | P a g e Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Start a walking group or neighborhood walk Walk your way to wellness by starting a walking group at work or with your friends! Create a walking group program to help build a culture of wellness in your community! Take your walking group to the next level by starting a fun neighborhood walk! Connect your community with a seasonal or social walking group. Form partnerships with your local businesses to include their venture on your walking adventure! A neighborhood walk is a great way to get your community members re-connected with your local businesses and visa versa. Create scavenger hunts by using local landmarks, partner with local businesses to participate as stopping points! Walking Club Walking group team name: We will start our walking group on: 12 | P a g e Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Work plan Steps Action Responsible party Meeting date Due date 1 Identify local partners 2 Select members Walking leader No less then 3 members, no more than 15 If implementing Neighborhood walk- the more the merrier Feel free to have multiple walking groups to accommodate more members 3 Hold a meeting or kick off party This can be for walkers in order to be involved with decision process For neighborhood walk, meeting may be with community partners 4 Select a walking time 5 Identify the route Map out several routes Make sure convenient Make sure safe: walkability, traffic Pleasant/interesting (ex: historic area) 6 Set goals and guidelines See walking group goal model Set guidelines Cell phone and headphones use Telephone/email tree for communication Obey traffic laws when applicable Confirmation calls? Leave at designated time? Check-in process Will someone be CPR/first aid certified? 7 Walk 8 Track and Celebrate See tracking log Acknowledge successes Neighborhood walk- hold drawings for prizes at the end of each walk 13 | P a g e Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Walking tracker Week 1 Monday # of minutes walked # of steps taken Goal Tuesday Wednesday Thursday Friday Saturday Sunday Total Week 2 Monday # of minutes walked # of steps taken Goal Tuesday Wednesday Thursday Friday Saturday Sunday Total Week 3 Monday # of minutes walked # of steps taken Goal Tuesday Wednesday Thursday Friday Saturday Sunday Total Week 4 Monday # of minutes walked # of steps taken Goal Tuesday Wednesday Thursday Friday Saturday Sunday Total 14 | P a g e Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Grant Opportunities Keep checking websites for new submission due dates Cenpatico Integrated Care Community Reinvestment Grant Cenpatico is the Regional Behavioral Authority (RBHA) for 8 counties in Southern Arizona: Pinal, Pima, Yuma, La Paz, Cochise, Graham, Greenlee, and Santa Cruz counties. Every year a percentage of Cenpatico Integrated Care’s net profits are given back to community organizations interested in improving the lives of those living in our communities. To qualify for these grants, an organization must be: A 501(c)3 Organization or pending a non-profit application A 501(c)19 Veterans’ Organization A City Government or division A State Government office or division A County Government office or division A Tribal Government or division The project must be for a community in the counties that we serve For more information visit: http://www.cenpaticointegratedcareaz.com/community/community-reinvestment-2015/ Southern Arizona Roadrunners The Southern Arizona Roadrunners established the Children’s Fitness Fund to provide money for community endeavors that promote life-long fitness for children. The programs funded by SAR focus on the development of healthy lifestyles for children, with emphasis on running related activities. SAR seeks to fund programs that prepare children for a lifetime of individual exercise, regardless of physical condition or ability. For more information visit: http://www.azroadrunners.org/go/category/about/childrens_fitness_fund America Walks: Making America a Great Place to Walk Call to Action: Every Body Walk! Collaborative Micro Grants Successful micro grant applicants will have an existing focus on walking and walkability. Applicants may be part of a host organization or a stand–alone non-profit. They must have a formalized structure, organized plan of priorities and accountable leadership. For more information visit: http://americawalks.org/call-to-action-every-body-walk-collaborative-micro-grants/#sthash.VcZNkVIK.dpuf 15 | P a g e Cenpaticointegratedcareaz.com [email protected] 866-495-6738 Resources America’s Walking http://www.pbs.org/americaswalking/resources.html CDC Physical Activity Basics http://www.cdc.gov/physicalactivity/basics/index.htm Every Body WALK! http://everybodywalk.org/ Flexibility benefits http://www.acefitness.org/fitness-fact-article/2610/flexible-benefits/ Hydration calculator http://ab.weather.com/outlook/health/fitness/tools/hydration Infused water recipes http://www.cookinglight.com/food/recipe-finder/infused-water-recipes Map my walk app http://www.mapmywalk.com/ Pre-Walk Warm-Up Routine http://www.pbs.org/americaswalking/health/healthprewalk.html 3-Minute Post Walk Stretch Routine http://www.pbs.org/americaswalking/health/health3minute.html Safety screening questions http://easyforyou.info/ Start or Join a Walking Club http://www.heart.org/HEARTORG/HealthyLiving/PhysicalActivity/Walking/Start-or-Join-a-WalkingClub_UCM_460019_Article.jsp#.VruxoNJIiUk The walking site http://www.thewalkingsite.com/beginner.html Walking Initiatives http://www.nrpa.org/Grants-and-Partners/Recreation-and-Health/Walking-Initiatives/ 16 | P a g e Cenpaticointegratedcareaz.com [email protected] 866-495-6738 References Baroff, B. (Director). (2012). Designing Healthy Communities [Motion picture on DVD]. Media Policy Center Cdc.gov. (November 17, 1999). Physical Activity and Health, a report of the Surgeon general. National Center for Chronic Disease Prevention and Health Promotion. Retrieved from http://www.cdc.gov/nccdphp/sgr/summ.htm Cdc.gov. (September 4, 2015). Why Walk? Why Not!. Division of Nutrition, Physical Activity, and Obesity. Retrieved from http://www.cdc.gov/physicalactivity/walking/index.htm CHAT. (April 2013). Pima County Community Health Improvement Plan 2013-2017. Community Health Improvement Plan. Retrieved from http://assets.thehcn.net/content/sites/arizona/Community_Health_Improvement_Plan.pdf Createthegood.org. (n.d.). Walking Group Tool Kit. AARP. Retrieved from http://createthegood.org/sites/default/files/how-to/WalkingGroup.pdf Heart.org. (n.d.). Going and Growing. American Heart Association®. Retrieved from http://www.heart.org/idc/groups/heart-public/@wcm/@fc/documents/downloadable/ucm_463352.pdf Heart.org. (n.d.). How to Organize. American Heart Association®. Retrieved from http://www.heart.org/idc/groups/heart-public/@wcm/@fc/documents/downloadable/ucm_463349.pdf Heart.org. (n.d.). How to Promote. American Heart Association®. Retrieved from http://www.heart.org/idc/groups/heart-public/@wcm/@fc/documents/downloadable/ucm_463350.pdf Heart.org. (2014). Moderate to Vigorous-What is your level of intensity?. American Heart Association®. Retrieved from http://www.heart.org/HEARTORG/HealthyLiving/PhysicalActivity/FitnessBasics/Moderate-toVigorous---What-is-your-level-of-intensity_UCM_463775_Article.jsp#.Vublj9L2aUk Heart.org. (n.d.). Walking 101. American Heart Association®. Retrieved from http://www.heart.org/idc/groups/heart-public/@wcm/@fc/documents/downloadable/ucm_463348.pdf Somervillema.gov. (n.d.). Step/Activity Conversions. Retrieved from http://www.somervillema.gov/fitnesschallenge/resources/STEP-Activity-Conversions.pdf 17 | P a g e Cenpaticointegratedcareaz.com [email protected] 866-495-6738
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