Ip F K, J Ko, Ban CM, Wong WK, Cheng A Department of Orthopaedics & Traumatology Pamela Youde Nethersole Eastern Hospital Healthy Bone Project -experience.

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Presentation transcript:

Ip F K, J Ko, Ban CM, Wong WK, Cheng A Department of Orthopaedics & Traumatology Pamela Youde Nethersole Eastern Hospital Healthy Bone Project -experience sharing for community health programme Healthy Bone Project -experience sharing for community health programme

Introduction Promote musculoskeletal health Introduce health Ambassador Experience of pilot study- health bone project Introduce current health bone project

Reconstruction or Prevention

Exercise Effective treatment for OA knee Cochrane Database of Systematic Reviews. 3, 2006 Tai chi effective treatment rheumatoid arthritis. Cochrane Database of Systematic Reviews. 3, 2006 Effective treatment for shoulder pain Cochrane Database of Systematic Reviews. 3, Effective treatment of chronic back pain Cochrane Database of Systematic Reviews. 3, 2006.

How to prescribe exercise Clinic 10min Therapist 1 week Home Exercise??? Whole life Time

Barriers of exercise education Health knowledge information Exercise demonstration Convenient location Social support or peer support Sense of Participation Question and answer opportunities

Healthy Bone Ambassador 2000 Pilot Orthopaedic department Pamelar Youde Nethersole Eastern Hospital Patients Resource Center, Pamelar Youde Nethersole Eastern Hospital Hong Kong Young Women’s Christian Association Tung Wah Group Hospital FSC Hong Kong Society for the Aged

Objective: Health Ambassador Promotion musculoskeletal health knowledge Target Volunteer– Health Ambassador training program Participant from NGO Series of education talks & exercise demonstration

MethodsAmbassador training program Ambassador + Ambassador Support the participants

Workshop, Q&A and Evaluation Sessions

Method Phase I Degenerative arthritis, back pain, osteoporosis, shoulder care, foot care, fall prevention Phase II OA knee Shoulder problems FSC Ambassador and participants

89 Ambassador from NGO were trained 501 participants 89 Ambassador from NGO Results

688 participants from NGOs

Physiotherapist in Workshop

Maintenance 1 Ambassador to 7 participants

Results > 90 % welcome to the program > 70 % participants attended full course > 50 % continue to join the exercise program > 75 % reported continued exercise one month after the course Improvement of knowledge: > 90 % of participants Improvement in symptoms: > 70%

Barriers of education

Health information Education talks in series Pathology of diseases Importance of exercise

Exercise demonstration Video Allied staff Ambassador ( pre-trained ) as demonstrators Ambassador continue maintain exercise classes and home visits

The Elderly Day Care Centre nearby for the talks and exercise classes YWCA in Sai Wan Ho SAGE in North Point SAGE in Chai Wan TWGH in Shau Ki Wan

Support Peer support Group exercise Maintenance exercise

Question & answer Friendly medical consultation Clarification of concerns Reassurance Encouragement Triage

Healthy Bone Project 2006 FSC

Musculoskeletal Health Promotion Program Therapists available in NGO More mature volunteer programme in NGO Support from HAHO & Social Welfare Department More volunteer medical staff

Musculoskeletal Health Promotion Program Better educational tools

Special designed exercise

Tai Chi

Acknowledgement Tung Wah Group Hospital FSC Hong Kong Young Women’s Christian Association Hong Kong Society for the Aged Community & Patient Resource Centre, Pamelar Youde Nethersole Eastern Hospital Ruttonjee Hospital Tang Shiu Kin Hospital