1. 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

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

3. Reconstruction or Prevention

4. 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, 2006. Effective treatment of chronic back pain Cochrane Database of Systematic Reviews. 3, 2006.

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

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

7. 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

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

9. MethodsAmbassador training program Ambassador + Ambassador Support the participants

10. Workshop, Q&A and Evaluation Sessions

11. Method Phase I2000 - 2002Degenerative arthritis, back pain, osteoporosis, shoulder care, foot care, fall prevention Phase II2002-2003OA knee Shoulder problems FSC Ambassador and participants

12. 89 Ambassador from NGO were trained 501 participants 89 Ambassador from NGO Results

13. 688 participants from NGOs

14. Physiotherapist in Workshop

15. Maintenance 1 Ambassador to 7 participants

16. 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%

17. Barriers of education

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

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

20. 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

21. Support Peer support Group exercise Maintenance exercise

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

23. Healthy Bone Project 2006 FSC

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

25. Musculoskeletal Health Promotion Program Better educational tools

26. Special designed exercise

27. Tai Chi

28. 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