1. Applying Primary Prevention Principles to Increase Physical Activity Primary Prevention Initiative: Physical Activity Module

2. "Physical activity is the wonder drug." Thomas R. Frieden, MD, MPH, Director, Centers for Disease Control and Prevention

3. Possible Interventions* Community/Schools/Work –Run/Walk Clubs Community/Worksite –Motivational Signs Schools –Joint Use Agreements –Walking School Bus –Let’s Move Active Schools *The list contains evidence based interventions. PPI groups can create their own interventions that are more suitable for their group and community

4. Physical Activity Data 31% of Tennessee adults report not engaging in any physical activity in the past month 1 38% of Tennessee adolescents watch ≥3 hours of TV on a school day Only 23% of Tennessee adolescents attend daily physical education classes in the average week 2 1.CDC. BRFSS Behavioral Risk Factor Surveillance System: Prevalence and Trend Data–Physical Activity, U.S. Physical Activity Trends by State 2009–2010.Available online at http://nccd.cdc.gov/NPAO_DTM/http://nccd.cdc.gov/NPAO_DTM/ 2.CDC, Division of Adolescent and School Health. The 2009 Youth Risk Behavior Survey. Available online at t http://www. cdc.gov/HealthyYouth/yrbs/index.htm

6. Physical Activity and Adults Multiple benefits –Improved cognitive function –Decreased mortality from heart disease, high blood pressure, colon and breast cancer –Lower risk of falling http://www.who.int/dietphysicalactivity/factsheet_olderadults/en/

7. Run Clubs Tennessee Run Club Webpage –http://www.tn.gov/health/topic/run-clubshttp://www.tn.gov/health/topic/run-clubs Tennessee Run Club Toolkit –https://apps.health.tn.gov/RunClubToolKit/TDH_Run_Club_Toolkit.pdfhttps://apps.health.tn.gov/RunClubToolKit/TDH_Run_Club_Toolkit.pdf

8. Walking Club Benefits Increase social support and health of members Increase walking frequency Improve fitness level of members

9. Walking Clubs Comprehensive Community-Based Toolkit https://www.prevent.org/The-Community-Health-Promotion- Handbook/Social-Support-for-Physical-Activity.aspxhttps://www.prevent.org/The-Community-Health-Promotion- Handbook/Social-Support-for-Physical-Activity.aspx Brief Toolkits from AHA, America Walks, AARP: http://www.heart.org/idc/groups/heart- public/@wcm/@fc/documents/downloadable/ucm_463349.pdfhttp://www.heart.org/idc/groups/heart- public/@wcm/@fc/documents/downloadable/ucm_463349.pdf http://americawalks.org/wp- content/uploads/2015/04/EveryBodyWalkmessagetoolkit.pdfhttp://americawalks.org/wp- content/uploads/2015/04/EveryBodyWalkmessagetoolkit.pdf http://createthegood.org/sites/default/files/how- to/WalkingGroup.pdfhttp://createthegood.org/sites/default/files/how- to/WalkingGroup.pdf

10. Healthier TN Focused on physical activity, nutrition and tobacco cessation Small start tools for places of worship and workplaces Community-wide initiatives Website: http://healthiertn.com/http://healthiertn.com/

11. Healthier Worksite: Motivational Signs to Increase Stair Use Point-of-decision prompts are motivational signs placed at stairwells or elevators/escalators Part of an overall initiative to increase stair use instead of using the elevator

12. StairWELL to Better Health Link to CDC toolkit –http://www.cdc.gov/nccdphp/dnpao/hwi/toolkits/stairwell/http://www.cdc.gov/nccdphp/dnpao/hwi/toolkits/stairwell/ Stairwell Signs (CDC) –http://www.cdc.gov/physicalactivity/worksite- pa/pdf/stairwell_messages.pdfhttp://www.cdc.gov/physicalactivity/worksite- pa/pdf/stairwell_messages.pdf

13. Joint Use Agreements (JUA) Simplest JUA: allowing after hour use of outdoor school playground Complex JUA: allowing after hour use of indoor and outdoor school facilities and allowing 3 rd party groups (eg. Youth sports leagues) to use the facilities

14. Resources for JUA Factsheet –http://www.changelabsolutions.org/sites/default/files/JointUse_FactSht _FINAL_20130425.pdfhttp://www.changelabsolutions.org/sites/default/files/JointUse_FactSht _FINAL_20130425.pdf TN Toolkit with checklist –http://shareduse.saferoutespartnership.org/sites/default/files/resources /Tennessee_%20JFU_Toolkit_printing_version.pdfhttp://shareduse.saferoutespartnership.org/sites/default/files/resources /Tennessee_%20JFU_Toolkit_printing_version.pdf

15. Walking School Bus Parents are often concerned of allowing school age children to walk alone to school because of traffic and safety issues Walking to school with 1-2 adult supervisors can decrease those fears and increase physical activity of children

16. Walking School Bus Benefits Parents: –Meet other families, save on gasoline use Children: –Socialize with other kids, physical activity School: –Decrease traffic around school Community: –Decrease air pollution

17. Walking School Bus Resources Overview –http://www.walkingschoolbus.org/WalkingSchoolBus_ pdf.pdfhttp://www.walkingschoolbus.org/WalkingSchoolBus_ pdf.pdf Training modules –http://apps.saferoutesinfo.org/training/walking_school _bus/modules.cfmhttp://apps.saferoutesinfo.org/training/walking_school _bus/modules.cfm Toolkit –http://www.commute.com/downloads/WalkingSchoolB usKit.pdfhttp://www.commute.com/downloads/WalkingSchoolB usKit.pdf

18. Let’s Move Active School Goal is to increase physical activity of children at a selected school 9-11 questions to evaluate the school (how the school is currently doing with physical activity) and then create an action plan (how the school can improve) https://myactiveschool.letsmoveschools.org/

19. Let’s Move Active Schools Contact your local school physical education teacher and/or Coordinated School Health –http://www.tennessee.gov/education/topic/coordinated-school-healthhttp://www.tennessee.gov/education/topic/coordinated-school-health Publication describing what schools have done using Let’s Move Active Schools –https://www.njea.org/news-and-publications/njea-review/october- 2013/lets-move-active-schoolshttps://www.njea.org/news-and-publications/njea-review/october- 2013/lets-move-active-schools

20. Bright Spot: Weakley County Walk Across Tennessee (WAT) Partnered with UT extension for an 8 week WAT program to increase physical activity Planning began in Nov., for program to run from March-May 48 teams, 367 participants walked >62K miles Contact: Jackie Franks Jaclyn.Franks@tn.gov Jaclyn.Franks@tn.gov Link to Bright Spot word document –https://www.tn.gov/health/article/FHW- ppi-brightspotshttps://www.tn.gov/health/article/FHW- ppi-brightspots

21. CDC Guidelines Link Physical Activity –http://www.cdc.gov/nccdphp/dnpao/state-local- programs/physicalactivity.htmlhttp://www.cdc.gov/nccdphp/dnpao/state-local- programs/physicalactivity.html