Population Know your clients

Population Characteristics Age Height Weight Health status Physical activity status Lifestyle issues Sex Economics Time Management Obstacles

Case Study Analysis of one individual’s (case) background and history

Case Studies Demographic Factors: age gender ethnicity

Case Studies Demographic Factors: occupation height weight family history

Programming Basics First step (initial meeting) meet with the client to determine interests, goals, objectives.

Basic Steps Purpose Open lines of communication Build trust Establish credibility Empowerment Determine what will be done next

Goals and Objectives Determine preliminary goals and objectives Know where you are going Select appropriate assessments Revisit after prescreening Modify frequently

Goals and Objectives Goals and objectives help to: establish the parameters of any exercise program, determine the degree and type of prescreening that needs to occur, and establish realistic expectations in term of expectable outcomes.

Goals and Objectives Short and long term goals should be determined between the client and the exercise programmer.

Goals and Objectives Remember that you are assisting a client in developing a program to meet their goals and objectives – not yours!

Goals and Objectives Realism is crucial in the establishment of goals to ensure success and to maintain credibility.

Goals and Objectives Goal – major outcome Objective – subordinate to goal. Each goal will have several objectives.

Goals and Objectives What does your client want to accomplish?

Basic Health vs Optimal Fitness Most people who exercise do so to attain either Basic health benefits Optimal fitness benefits

Basic Health Benefits Willing to do enough to improve health and reduce disease risk Largest segment of exercise population Moving from sedentary to moderately active will accomplish this goal

Optimal Fitness Willing to work harder More competitive and motivated Willing to risk pain and injury Dose-response

Basic Health Benefits Vast majority of physically active adults are not involved in structured, formal exercise programs, nor do they need to be.

Lessons from Spiderman Peter Parker’s (Spiderman) Uncle Ben says to him in Spiderman 2 “With great power comes great responsibility”

Lessons from Spiderman The extension of this concept also can mean: “If we wish people to take responsibility, we must empower them”

Empowerment What does this mean and how does it apply to exercise programming? Get them involved in the programming process It’s their program!!!!!

Programming Basics There is an inverse relationship between activity and mortality risk across activity categories, some exercise is better than none, and more exercise - up to a point - is better than less.

Programming Basics Public health efforts should be directed toward “getting more people more active more of the time” rather than elevating everyone to an arbitrary fitness or activity level.