1. Move Your ButtA Campaign for Increased Exercise for Male Managers Dan and Judy

2. What Is the Problem and How Do We Know It Is a Problem? DHHS recommends that adults, to remain in good health, should do moderate exercise (such as brisk walking/jogging) for thirty minutes every day. Data shows that male managers in our family sometimes exercise less than 40 minutes one day a week, and most weeks, they dont exercise at all. Lack of exercise can contribute to serious health problems. DHHS recommends that adults, to remain in good health, should do moderate exercise (such as brisk walking/jogging) for thirty minutes every day. Data shows that male managers in our family sometimes exercise less than 40 minutes one day a week, and most weeks, they dont exercise at all. Lack of exercise can contribute to serious health problems.

3. Problem Statement To begin and sustain a sufficient exercise program that meets or exceeds the DHHS recommended minimum. A behavior pattern should be targeted for change if that behavior interferes with, or is contrary to a healthy lifestyle, or results in or has the probability of causing illness or decreasing physical or mental health. Lack of sufficient physical exercise has been associated with poor health outcomes and is either a risk factor or a possible contributing factor for several serious physical and mental disorders. The solution, getting sufficient exercise, is possible with only minor environmental changes, and a decision to proceed. A behavior pattern should be targeted for change if that behavior interferes with, or is contrary to a healthy lifestyle, or results in or has the probability of causing illness or decreasing physical or mental health. Lack of sufficient physical exercise has been associated with poor health outcomes and is either a risk factor or a possible contributing factor for several serious physical and mental disorders. The solution, getting sufficient exercise, is possible with only minor environmental changes, and a decision to proceed.

4. How Do We Work? Flow chart showing consequences of taking versus not taking ones lunch on opportunity for exercise. Flow chart showing consequences of taking versus not taking ones lunch on opportunity for exercise. Yes. Exercise 30 minutes No. Drive to Restaurant &wait Eat at desk 15 minutes Bring Lunch ? Lunch period No exercise, go back to work

5. What are our routine activities? Table 1: List of Routines and Periods of Reoccurrences Activities that repeat on or near daily basis Activities that repeat on or near weekly basis Activities that repeat less often than weekly Time of day Description of activity Day & time of week Description of activity Period 7 a.m. Get up, ready Get up, ready Varies Go to class Go to class Tu 5:30-9:00 Tu 5:30-9:00 NCHE meeting NCHE meeting 8:45 a.m. Commute Tu 7:10-8:30 Tu 7:10-8:30 Study group Study group Sa 10-7 Sa 10-7 PATC vol work PATC vol work 9:30-1:00. Perform job Perform job Su 11-12 Su 11-12 Church varies-1 hour varies-1 hour exercise 1:00-1:45 Go to Lunch Go to Lunch Varies work overtime work overtime varies-5 hours varies-5 hours yard work yard work 1:45-6:00 Perform job Perform job varies-5 hours varies-5 hours family duties family duties 6:00-7:15 Commute 7:15-7:30 Run errands Run errands 7:30-8:30 Eat dinner Eat dinner 8:30-11:30 Do homework Do homework 11:30 Go to bed Go to bed …

6. Problem Analysis – Why is There a Lack of Exercise? ReasonsResults ReasonsResults Too tiedLow energy levels Too tiedLow energy levels Not strong enoughHigh anxiety levels Not strong enoughHigh anxiety levels Not healthy enoughLoss of strength/stamina Not healthy enoughLoss of strength/stamina Risk of failureLow morale Risk of failureLow morale Low priorityLow confidence level Low priorityLow confidence level Too much effortLack of concentration Too much effortLack of concentration Too difficult to changePoor blood circulation Too difficult to changePoor blood circulation Not worth itPossible cholesterol problems Not worth itPossible cholesterol problems Too busy workingPoor future health outcomes Too busy workingPoor future health outcomes No one to exercise withLack of sleep No one to exercise withLack of sleep Inconvenient exerciseInconvenient medical problem Inconvenient exerciseInconvenient medical problem

7. Possible Solutions Exercise in Morning –Pros--First act in the morning, nothing interferes; ConsMorning already too full, and too rushed Exercise in Morning –Pros--First act in the morning, nothing interferes; ConsMorning already too full, and too rushed Exercise at Noon – ProsGood relief from work, plenty of light; Cons--Must eat, busy schedule, meetings scheduled around noon Exercise at Noon – ProsGood relief from work, plenty of light; Cons--Must eat, busy schedule, meetings scheduled around noon Exercise at Night – ProsGood relief from work, less rushed; ConsMust eat, often must attend meetings, class or other evening events Exercise at Night – ProsGood relief from work, less rushed; ConsMust eat, often must attend meetings, class or other evening events

8. Possible Environmental Changes for Noon Solution Take lunch to work instead of wasting time with restaurants Take lunch to work instead of wasting time with restaurants Make arrangements to meet with other lunch-time walkers Make arrangements to meet with other lunch-time walkers Inform boss of my requirement to exercise at a specific time everyday Inform boss of my requirement to exercise at a specific time everyday Put exercise time on electronic calendar so no one will try to make an appointment with me during that time Put exercise time on electronic calendar so no one will try to make an appointment with me during that time Keep exercise clothes at work and at home Keep exercise clothes at work and at home Keep some exercise equipment at work and at home Keep some exercise equipment at work and at home Post all or part of storyboard at work and at home for reminder and support Post all or part of storyboard at work and at home for reminder and support Post pictures of me exercising at work for reminder Post pictures of me exercising at work for reminder

9. Noon Exercise Solution Pilot Take lunch to work instead of eating at restaurants, thereby freeing up time for exercise at a time of day when it is most appreciated Take lunch to work instead of eating at restaurants, thereby freeing up time for exercise at a time of day when it is most appreciated Inform boss of my exercise time requirement for support and non-interference Inform boss of my exercise time requirement for support and non-interference Post parts of storyboard at home and at work for reminder Post parts of storyboard at home and at work for reminder Start two week pilot, keep data and analyze results Start two week pilot, keep data and analyze results Money saved from not going to restaurants will buy good lunch food, and ultimately new exercise shoes!! Money saved from not going to restaurants will buy good lunch food, and ultimately new exercise shoes!!

10. Noon Exercise Pilot is Successful in Establishing Consistent Exercise Pattern

11. Noon Exercise Pilot Achieves Positive Results Freeing up lunch time for exercise works Freeing up lunch time for exercise works Management-employee agreement secures the time slot Management-employee agreement secures the time slot Storyboard serves as good reminder to everyone Storyboard serves as good reminder to everyone Data shows very consistent progression in daily exercise record from the beginning of the interventionFeb 14 (roughly midway on the horizontal axis) Data shows very consistent progression in daily exercise record from the beginning of the interventionFeb 14 (roughly midway on the horizontal axis) Confidence in move to secure permanent results Confidence in move to secure permanent results

12. What Is Next? Success with one personal improvement project can lead to other improvements. In this case, two possible projects are being considered, and have a high probability of being implemented. Success with one personal improvement project can lead to other improvements. In this case, two possible projects are being considered, and have a high probability of being implemented. One is an alternative to noon exercise and a change that may be necessary to avoid excessive sun and high temperatures, so that a consistent exercise pattern may continue uninterrupted. During the hot months, exercising before work in the morning is a viable option. It can be done either at home or at work, because there are showers at work. Piloting one and then the other is possible. One is an alternative to noon exercise and a change that may be necessary to avoid excessive sun and high temperatures, so that a consistent exercise pattern may continue uninterrupted. During the hot months, exercising before work in the morning is a viable option. It can be done either at home or at work, because there are showers at work. Piloting one and then the other is possible. The second improvement is further diet changes. This improvement requires more definition and environmental change ideas, but certain steps are already known and can be implemented immediately. These steps are, daily: Eat 5 fruits and vegetables; Drink 80 ounces of water; Drink no sweetened drinks; Eat only low fat/high fiber food and, dont overeat. The combined effect of these efforts should to be beneficial. The second improvement is further diet changes. This improvement requires more definition and environmental change ideas, but certain steps are already known and can be implemented immediately. These steps are, daily: Eat 5 fruits and vegetables; Drink 80 ounces of water; Drink no sweetened drinks; Eat only low fat/high fiber food and, dont overeat. The combined effect of these efforts should to be beneficial.

13. Describe in detail the next steps for organization wide implementation. Describe in detail the next steps for organization wide implementation. Describe timing of next improvement cycles. Describe timing of next improvement cycles.