the active movement innovation in behaviour change © copyright active movement 2013

The Active Movement

Innovation in behaviour change

© Copyright Active Movement 2013© Copyright Active Movement 2013

Endurance Energy conservation

© Copyright Active Movement 2013


Built-in adult behaviour


And children?


Happy days


Nowadays


Dangerous times


Children spend an average of 6 hours per day in front of

screens

1 in 4 children start secondary school clinically

obese

1 in 10 children start primary school clinically obese

Only 16% of children consistently play sport

Dangerous habits


A new threat...

Two equally important and distinct risk factors to health


...because of a new understanding

Sedentary behaviour

Lack of fitness


It is becoming apparent that sedentary behaviour is an independent and separate risk factor from lack of exercise, and probably more important.

Sedentary Time and Its Association With Risk for Disease Incidence,Mortality, and Hospitalization in Adults

A Systematic Review and Meta-analysisAviroop Biswas, BSc; Paul I. Oh, MD, MSc; Guy E. Faulkner, PhD; Ravi R. Bajaj, MD; Michael A. Silver, BSc; Marc S. Mitchell, MSc;and David A. Alter, MD, PhD Annals of Internal Medicine

...because of a new understanding


2.5 hours per week decreased all-cause mortality by 19%

All C

ause

Mor

talit

y Re

lativ

e Ri

skBut good news


A new approach


1.Standing

-Low level basal human

activity

1.Standing

-Low level basal human

activity

3.Human

transport

3.Human

transport

4.4.Active leisure, Active leisure, exercise and exercise and

health sessionshealth sessions

4.4.Active leisure, Active leisure, exercise and exercise and

health sessionshealth sessions

2.Occupational

domestic activity

2.Occupational

domestic activity

REVERSEREVERSESittingSitting

REVERSEREVERSESittingSitting

Are Are prevention prevention and rehab’ and rehab’

programmes programmes too focused too focused

here?here?

Are Are prevention prevention and rehab’ and rehab’

programmes programmes too focused too focused

here?here?

A new direction


Small steps, major gains, but...

...not via idealistic exercise regimes, but realistic behaviour change

The difficulty

Changing well-established behaviour very difficult

Creating new behaviour easier if early enough


The Active Movement concept

Most children are active not as a behaviour but an instinct

AM look to establish this level of activity as much of a behavioural norm as good manners

The aim is not to ensure fitness today but to set behaviour tomorrow FOR ALL

Non-sedentary behaviour and low-level activity the start to long-term well-being


Active Movement components

A process of evolution

Engaging communication

Integration into daily routine

The importance of role-modelling

Evaluating performance


Young Stan

Young Sid Older Sid

Older Stan

Max (Stan’s dog) Tiggy (Sid’s cat)



Integration into daily routine

School/community event programme

Rewards/incentives/House points

Parent/teacher/student co-ordination

Evaluation programme to measure effect

Everyday movement as part of school routine

Communication campaign around the

school

Integrated into the lesson framework

Pro-active projects in support of AM


Abberley V.C Parochial School


The role of role-modelling in the Active Movement programme


Why do we need them?

Because we can’t believe everything we are told


Why do we need them?

Or because we can’t always judge for ourselves


So when in doubt...


...provided we trust their motives


We like to trust authority figures


Though they occasionally mislead!


Even harder for children

• They can easily misinterpret • Lack experience to make balanced decisions• Judgments instinctive and emotional ratherthan considered and logical• About instant gratification as no such thing as long-term• They know what they want and will or won’t do

• Particularly when it comes to fulfillinga healthy lifestyle


So role models help us short-cut

• Children’s willingness to participate can be shaped by the adults (usually) they trust• Such adults can help encourage children to do what’s best for them, even when they are personally disinclined• Or simply overwhelmed by complexity

• But we must convince and motivate these people who are busy and rightly cautious about new ways of doing things• They will need hard facts and passion to convince them because their default position is frequently the negative one


But it’s worth the effort

Hesketh KD, Campbell KJ. Interventions to prevent obesity in 0–5 year olds: An updated systematic review of the literature. Obesity. 2010;18 Suppl 1:S27–35.

Parents and caregivers, even those most at risk of rearing

children who will become overweight or obese, are receptive to intervention programs and in some cases can be supported to make positive changes to dietary,

physical activity, and sedentary behaviours of their young children.


And the Active Movement process helps

• It is evidence-based and led by medical authority• It requires no training, equipment or special skills• It is designed to be a tool-kit for personal implementation• It is a programme that is accessible to all children• It is built to enhance learning not hinder it• It is integrated into daily routine

• But still no guarantees!


Reservations with Active Movement

“I thought it might be just another fad – there are loads of faddy things around” (Nursery Nurse)

“I worried about having the extra time available in an already busy schedule - it was going to be another task, another job on

top of all the others” (Nursery Nurse)

“I went to the evening briefing and got quite excited about the pioneering approach - my worry was whether I’d have loads of

extra stuff to do at home to support it” (Parent)

Active Movement research


The natural reaction of would-be role models

“I must confess I was a little bit cynical at the outset”

But even at this stage, trusted ‘role models’ can help:

“Without the authority of a Doctor behind it, one might appear a bit oddball or obsessed, and some of the science facts are so

shocking that they would not be believed”

“The concept sounded worthwhile and I trust the school so I was a little more relaxed about it”

Fully educating a few individuals can accelerate trustActive Movement research


So how does Active Movement model role models


“I was very positive after the presentation and so volunteered to be a team leader: and I

remain convinced it’s a good thing”

The horse’s mouth

`


Parents Staff

Children

Active Movement

The Active Movement community

“Someone setting a good example can be the most powerful thing”


Try for yourself

“We nurses are on the go all the time so I doubted we needed to do anything more for our own health. I set out only to do it for the children but along the way you get to realise some interesting things that mean you pick it up

more for yourself as well.”


Permission to play

“Active Movement isn’t a bolt-on, it’s a way of doing things. We don’t have any separate Stan and Sid sessions, for example, they are part of how we do

everything now.”


You are never alone

“If you’re falling behind, starting to wallow, they can spot it and pep you up.”


A role model in role-modelling?


A role model in role-modelling?

Innovation in concept design

Health intervention based on behaviour not activity

Role modelling an active part

Innovation in role-modelling


Evaluation

Using the Mosaic approach as a way of gathering evidence for children’s response

Mosaic approach


In defining the programme, four objectives were set

• To work in partnership with an early years setting to establish non-sedentary behaviour for children.

• For the children to move from recognition of the characters (initially Stan and Sid) and what they represent, to advocacy in everyday actions.

• To involve children under five, and parents and adults working with them, to improve their long term wellbeing.

• Extending and adapting the Mosaic Approach in order to educate adults and children as to the benefits of non-sedentary behaviour, and how adaptations within daily practices can support both adults and children’s lifetime of wellbeing.

Evaluation


School Room environment

Child observations

Stan and Sid tour around nursery

Magic Carpet Activity

Active learning reflections/observations

Mosaic approach Findings


• Evidence of children identifying the characters, their respective roles and likely locations• Sid seen as positive role-model as Stan, promoting ‘good sitting’• Extended Stan’s role beyond ‘active’ to ‘healthy’ • Children of all ages making some point of contact (even babies could identify the characters)• Older children connected more intensely with more mature designs• Active Movement beginning to educate and inspire children about the positives of non-sedentary behaviour

Mosaic approach Conclusion


Young children have become aware that activity is an important part of their lives and

recognise its benefits. The cross-pollination of the characters from

‘activity’ to ‘health’ also throws up enormous possibilities.


Positives Reduced anxiety about healthMore efficient health supportMore assertive about personal healthMore optimistic about ones healthImproved health statusGreater effort in preventing illnessIncreasingly concerned about health

Anecdotal Two members of staff have joined a gymSeveral members have just entered first ever 6km Mud run!

Behavioural questionnaire

Parent’s views about Active Movement



That starts from here


Thank you

the active movement innovation in behaviour change © copyright active movement 2013

Documents

active movement innovation

active leisure

effecteveryday movement

allnonsedentary behaviour

new threat

md michael

allcause mortality

lack of exercise