PA and Health. Lecture 2 part 2

winniesmith2's version from 2017-10-16 16:39

Section 1

Question Answer
Definition of surveillance/monitoring Surveillance is the ongoing collection, analysis and use of health data for the planning, implementation, and assessment of disease control “Information for action”
What are the 4 primary purposes of population monitoring • Prevalence - is there a problem? • Trends - is it getting worse/better? • Programme planning and targeting - what should be done, which population groups, address inequalities? • Evaluation - have strategies to intervene made a difference, have population PA levels increased?
What does effective population measurement allow• Baseline prevalence of physical activity (PA) to be assessed • Assessment of trends over time for tracking national targets • Tracking of PA patterns throughout the lifespan • Identification of subgroups at high risk • Development of population-specific PA interventions • Evaluation of interventions, policies and programmes • Budgeting of public health resources
How do we monitor the population• Collect data from a large representative sample and extrapolate to estimate the whole population • Repeat over time to obtain trend data • Methods and measures MUST remain the same!
Methodological issues of population monitoring – Which sampling frame to use (to get a representative sample)? – What mode of data collection and which instrument? – Over what timeframe (weeks, months, year(s))? – Cost?
What are the 5 key large scale population surveys • Allied Dunbar National Fitness Survey (1990) • Health Survey for England (since 1991 – ongoing) • Active People – Sport England (2005/6-2015/16) • Active Lives – Sport England (2015/16 – ongoing) • National Travel Survey (1995 - ongoing)

Section 2

Question Answer
What was the Allied Dunbar National Fitness Survey 1990• Household survey - fieldwork February to November 1990 • Interviews with >4,000 people • Physical assessment
What were the aims of the Allied Dunbar National Fitness survey – Measure and assess in detail the physical activity patterns and fitness levels in the adult population in England – Assist government in developing policies and setting targets for increasing the activity and fitness levels of the population – Help agencies promoting health, fitness and sport to develop more effective policies and programmes – Provide a benchmark for measuring change – Develop scientific understanding and identify possibilities for further research – Increase individual awareness of the benefits of active living
What was the Health Survey for England study • Commenced 1991 • Representative sample • Interview / nurse visit • Core topics – general health, social care, smoking and drinking, – objective measures: height, weight and blood pressure • Modules – cardiovascular disease, physical activity or respiratory conditions – modules vary from year to year depending on the survey focus
In Health survey for england; what were the barriers for physical activity Work commitments (45% males, approx 35% females). Not enough leisure time (both around 36/37%). Caring for children/older people (male 12% BUT female 25%). Not motivated (female 25%, male 21%), not the 'sporty' type (female 21%, male 14%) too shy (female 10%)
What did the Allied Dunbar survey and the health survey for england find as Motivators for PA • Health benefits • To feel in good shape • Having more (leisure) time • Have an activity I am capable of • Sense of achievement • Enjoyment / fun • Having someone to do it with / social support Allied Dunbar National Fitness Sur
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