topic 9: barriers - EXER 2101

barriers

addressing these are an initial assessment to identify challenges, and make personalized strategies 

• language, age, interest, religion, trust, time constraints, injury, culturally appropriate

• ex: real life translate, senior communities

• women’s position affect the way some view exercise

• perceptions in body type: petite curvy small vs strong muscular scary

• limited time: family/household responsibilities

• luxury over necessity 

clinical settings

• cardiac rehab: improving CV fitness, strength, reduce risk factors

• cancer rehab: strength, energy, mobility, overall quality

• pulmonary rehab: respiratory function and endurance

• muscular dystrophy association: maintain mobility and independence

barriers:

• lack of interest/knowledge barriers, people on different skill levels, can be adapted to individual abilities

• walking groups, run club

healthy

“not diseased” — complete wellness across physical, mental, and social aspects

• increasing lifestyle modifications and decrease barriers

• regular exercise, balanced nutrition, sleep, stress management

• someone can be healthy medically, but still experience poor QOL

2020 health literacy definition (2020)

“The degree to which individuals have the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions.”

• focuses mainly on understanding, not how to find or use it

2030 health literacy definition (2030)

“The degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.”

• emphasize ability to use health info

• well-informed decisions over appropriate

• a public health perspective

• organizations have this responsibility

organizational health literacy (organizational)

“The degree to which organizations equitably enable individuals to find, understand, and use information and services to inform health-related decisions and actions for themselves and others”

• use plain language

• recruit translation tech and staff

• be clear and concise when giving directions

tips

• don’t blame the patient/client

• formal education ≠ high health literacy

• physicians often limited by time constraints

• patient may be embarrassed

risks

of low health literacy

• poor health outcomes

• hospital stays and ER visits

• medication errors

• trouble managing chronic diseases

• skip preventive services