Appraisal

PATH Appraisal Steps

1. Ask

2. Assess

3. Advise

4. Agree

5. Assist

6. Arrange

Step 1 - Ask

• get to know the client

• PA readiness screening

• establish rapport

• gather information

• PA background

• knowledge and interests

• welcome letter

• abilities for active living questionnaire

• GAQ

• physician physical activity readiness clearance

• informed consent

• quick reference (interview notes)

• client information sheet

• resting HR and BP

Step 2 - Assess

• Determine client’s Health Benefit Ratings

• PA + Sedentary Behaviour Questionnaire

• Stages of Change Questionnaire (SOC-Q)

• Healthy Sleep Assessment

• Body Comp, Aerobic, Musculoskeletal tests

• Aerobic test data collection worksheets (4 options)

• RPE chart

Step 3 - Advise

• Evaluation Report and Discussion

• Discuss the assessment findings

• Use these to move clients towards commitment to change

• Help client see benefits and risks of current status + how/where changes in lifestyle may be beneficial

• CSEP PATH Evaluation Summary

• Canadian Physical Activity Guidelines

• Canada’s Food Guide

Goals of Step 3 - Advise

• Education

• discuss assessment results with clients

  • put results in perspective of health benefits

  • explain how changes in their PA can help them achieve better health and wellbeing

• use results to help client move towards making a commitment to making needed changes congruent with goals discussed in Step 1

• also consider readiness for change, motivation, and knowledge

Step 4 - Agree

• examine options for realizing client’s commitment to change

• develop (together) an action plan with SMART goals and tactics

• PATH Inventory of Lifestyle Needs & PA Preferences  

• Goal Setting Worksheet

• Estimating Maximum Heart Rate

• Estimating 1-RM and Resistance Prescription

• CSEP-PATH Prescription Card

• Consider Prescription Principles & FITT

SMART Goals

• Specific

• Measurable

• Actionable

• Relevant

• Time-based

Prescription Principles

• overload

• progression

• specificity

• reversibility

• individuality

Step 4 - Agree to-do list

• SMART Goals

• Aerobic training prescription (FITT)

• Resistance training prescription (FITT)

• flexibility prescription

Step 5 - Assist

• Increase motivation and overcome barriers

• Use motivational interviewing, discuss barriers and solutions

• Barriers to PA

• Decision Balance Worksheet

• First Step Planning Worksheet

• Alternatives for Action Worksheet

Step 6 - Arrange

• Provide continuing support

• Establish timing and format to follow-up and continue support

• Encourage tracking & schedule follow-ups

• Weekly Activity Planner & Log

• Relapse Planning Worksheet

• Connecting clients to community -  Social connections

4 Appraisal Categories

• Full Appraisal

  • complete all 3 components of appraisal

  • body comp, aerobic, musculoskeletal

• Partial Appraisal with regrets

  • positive GAQ

• Partial Appraisal by choice

• Help, Tips, and Advice only

Interpretation of Results

• percentile distributions

• estimated benefit ratings

• poor → excellent

• health benefit ratings (excellent, VG, G, Fair, Poor)

Pre-Testing Interview

• Introduce yourself and role

• What brings you in today?

• Goal for today and longer term goals

• How are you feeling today?

• Make sure GAQ and Informed Consent filled out

• Any alcohol or vigorous/strenuous exercise in the last 6 hours?

• Have you had any nicotine products, eaten, or had caffeine in the last 2 hours?

• Any chance you may be pregnant?

• Explain what you’ll be doing with them

• HR and BP