Engaging the Community
Dr. Justin Balko- Msc, MD, CCFP
Melanie Fuller- Pan PCN Project Manager
Faculty/Presenter Disclosure
• Faculty:
Dr. Justin Balko
Melanie Fuller
• Relationships that may introduce potential bias and/or conflict of
interest:
• No relationships to declare.
Disclosure of Commercial Support
• This program has received NO COMMERCIAL financial support.
• This program has received NO COMMERCIAL in-kind support.
Objectives
Increase
assessing
prescribers
Increase PA
levels of all
Canadians
Increase and
promote
recreation
Primary Care Networks:
How can we help you manage your health?
• Chronic Disease Management
•
•
•
•
Diabetes
High Blood Pressure
High Cholesterol
Heart Disease
• Mental Health
• Anxiety
• Depression
Prescribe
Physical Activity!
Sedentary Death Syndrome;
Are we on our way to extinction?
• The inactivity epidemic is more concerning than the OBESITY
epidemic.
• Our cultural evolution has outpaced our physiological evolutionHumans: designed to move!
Sedentary culturethe impact
Activity May Be Difficult!
Can we really
afford to say
nothing?
Staying
alive!
Greatest benefit going from doing nothing to something
1 min = approx 1% reduction in all cause mortality.
Prescription To Get Active (RxTGA)!
Our Mission
• To utilize physical activity prescriptions
to promote participation of physical
activity in the community and within
recreation facilities.
Our Vision
• An integrated partnership between
primary care and recreation to promote
the importance of regular physical
activity.
How Does
It Work?
Our Patients
 Apparently healthy
 Low risk
 Sedentary individuals who are not meeting
recommended levels of physical activity
 No supervision.
 No medical clearance is required.
The Prescription
Tools for
Prescribers
RxTGA at a glance
• Sedentary patient
at risk for CD
• Not meeting
activity guidelines
• No medical
restrictions
ASK
ASSESS
• Barriers
• Interests
• Stage of change
• Provide an RxTGA
• Complimentary
access to rec
facilities
• 100’s of online
resources
RX
More than just a
prescription
Program growth- then and now
108
50
25
21
18
15
10
5
1
2
6
1
1
2011
2012
PCNs
2013
Recreation Partners
2014
Ontario Chapter
2015
2016
Where we are today:
Prescribers
Patients
Recreation
resources
25 PCNs and growing
2708 family physicians
600 allied health professionals
Access to approx 2 million patients
95 partner recreation facilities > 103
locations
• Incorporated federal NPC 2015.
• New ‘chapter’ launching in the Markam,
ON area in the fall of 2016
• Other provinces expressing
interest as well.
•
•
•
•
•
Future Directions
• Active Canada
• Active Engagement
• Coordinated Care
• Pursuit of Excellence
Partnerships and Collaborations
To find out more about the RxTGA Program
http://prescriptiontogetactive.com/contact/
Edmonton area: 780.735.3233
[email protected]
References
1. Lee IM, Shiroma EJ, Lobelo F, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis
of burden of disease and life expectancy. The Lancet. 2012;380(9838):219-229.
2. Katzmarzyk PT, Gledhill N, Shephard RJ. The economic burden of physical inactivity in Canada.Can Med Assoc J.
2000;163(11):1435-1440.
3. Katzmarzyk PT, Janssen I. The economic costs associated with physical inactivity and obesity in Canada: An update. Can J
Appl Physiol. 2004;29(1):90-115.
4. Janssen I. Health care costs of physical inactivity in Canadian adults. Appl Physiol Nutr Metab. 2012;37(4):803-806.
5. Krueger H, Turner D, Krueger J, Ready AE. The economic benefits of risk factor reduction in Canada: tobacco smoking,
excess weight and physical inactivity. Can J Public Health. 2014;105(1):e69-78.
6. Ding D, Lawson KD, Kolbe-Alexander T, et al. The economic burden of physical inactivity: A global analysis of major noncommunicable diseases. The 7. Lancet. 2016;Advance Online Publication July 27, 2016.
7. Fares Bounajm, Thy Dinh, Louis Theriault Moving Ahead: The Economic Impact of Reducing Physical Inactivity and Sedentary
Behaviour. The Conference Board of Canada, October 24, 2014
8. Canadian Fitness and Lifestyle Research Institute. Getting Kids Active: Sport Participation in Canada: 2011-2012 Sport
2011_Bulletin%20201%20EN.pdf
9. Statistics Canada. Table 105-0501-Health indicator profile, annual estimates, by age group and sex, Canada, provinces,
territories, health regions (2013 boundaries) and peer groups, occasional, CANDIM (databases). (accessed 2014-07-02)
10. Aukerman M, Aukerman D. Exercise is medicine: selling exercise when no one is buying. AMAA Journal. 2009; 22(3):5-6.
11. Tulloch H, Fortier M, Hogg W. Physical activity counseling in primary care: who has and who should be counseling? Patient
Educ Couns. 2006; doi:10.1016/j.pec.2005.10.010.
12. Church TS, Blair SN. The benefits of exercise in a pill ? a tough one to swallow. JSEP, 2009; 31:409–417.
13. Petrella RJ, Lattanzio CN, Overend TJ. Physical activity counseling and prescription among Canadian primary care
physicians. Arch Intern Med. 2007; doi:10.1001/archinte.167.16.1774.