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Assessing Health Outcomes in Non-School Settings: A Guide for Effective Programs

This comprehensive guide explores the assessment of health outcomes outside traditional school environments, including sports clubs, fitness centers, and hospitals. It highlights successful programs such as those implemented by Vic Tanny Clubs and YMCA, showcasing measurable indicators of success such as functional capacity, quality of life, and user satisfaction. The document also discusses various outcome domains, assessment methods, and practical examples of tracking behavioral changes. Enhance your understanding of health promotion in diverse settings and learn how to evaluate program effectiveness.

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Assessing Health Outcomes in Non-School Settings: A Guide for Effective Programs

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  1. Assessment in Nonschool Settings Where else does assessment take place?

  2. Non-School Environments • Sports clubs • Fitness centers • Private clubs • Hospitals • Worksite health promotion programs • Cardiac Rehabilitation programs • Businesses

  3. Examples of Successful Programs • Vic Tanny Clubs • Olympic Health & Racquet Club • Army Material Command Health Promotion Program • CUNA Mutual Insurance Group • Sentry World Headquarters • YMCA

  4. What is an Outcome? • An outcome is a measurable indicator of the success of your program

  5. Examples of Outcomes • Functional capacity • Quality of life • Behavior change • User satisfaction • Number of participants • Profit • Etc.

  6. Outcome Domains • Health • Clinical • Behavioral

  7. Health • Morbidity • Mortality • Quality of Life

  8. 1. Physical * Weight * BP * Lipids * Functional capacity * Etc. 2. Psychosocial * Interpersonal function * Psychological status * Return to independent living 3. Medical Utilization * Medical usage * Hospitalizations * Physician/ER visits Clinical

  9. Behavioral • Adherence to instructions • Diet • Exercise • Smoking cessation • Weight management • Relaxation skills • Social skills

  10. Assessing Functional Outcomes Functional Capacity • Graded exercise test * Exercise time * METs or watts * HR, BP, 6 or 12-minute walk test * Distance * O2 saturation

  11. Assessing Functional Outcomes • Specific Activity Scale • Functional Independence Measure • Duke Activity Status Index • Physical Performance Test • Return to vocation or avocation • Borg RPE scale Symptoms • Anginal Index • Mahler’s Baseline Transition Dyspnea Index

  12. Quality of Life General Well-Being and Quality of Life • Dartmouth Primary Care Cooperative Information • Medical Outcomes Study (SF-36) • Sickness Impact Profile • Nottingham Health Profile • Quality of Well-Being Index

  13. Quality of Life Psychological Status and Well-Being • Profile of Mood States • Beck Depression Inventory • Center for Epidemiologic Studies Depression Inventory (CES-D) • Spielberger State-Trait Anxiety Inventory (STAI)

  14. Customer/User Satisfaction • Have you ever done any of these? • What state of mind were you in? • How valid do you think they are? • Examples?

  15. Lipids Cholesterol screening Food diaries Smoking Self-report CO levels Cotinine (saliva or blood) Hypertension BP Weight control Diet Exercise Self-report/diary Attendance Borg scale Adaptations Weight Weight Body fat Body mass index Diet Diet Habit Survey Harvard-Willett Food Frequency Questionnaire Quick Check Food Questionnaire Behavior Modification

  16. Fitness Center • What could you measure to determine success?

  17. Member Management SystemReport for Director6/1/97 through 6/1/98 MaleFemaleComposite Active Members 227 292 519 New Members 87 117 204 Memberships expired 8 7 15 Members quit 26 63 89 Members checked in 174 218 292 Members logged 157 199 356 Fitness profiles 118 144 262 Health-Life assessments 1 0 1 Sessions at facility 4542 4756 9298 Activities logged 12965 10896 23861 Calories burned (x1000) 3672.4 1820.7 5493.1 Avg. cals burned/session 619 302 459 Avg. cals burned/activity 283 167 230 Avg. aerobic min/session 18 16 17 Avg. aerobic min/activity 8 8 8 Avg. aerobic points/session 9 4 6 Avg. aerobic points/activity 4 2 3

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