Intervention Program:

Take Charge Challenge: Self-Determined Physical Activity

Program

(Community Setting)
Presented to:

Department of Psychology
College of Arts and Social Sciences
Mindanao State University- Iligan Institute of Technology (MSU-IIT)

Presented by:
Dipatuan, Rufaidah M.
Tampos, Jay Mariz T.
(OJT)

February 21, 2015

I.

Introduction
The Take Charge Challenge is a 10-week physical activity
program in which participants determine their individual readiness for
physical activity, set goals, and pursue activities that interest and
challenge them. Originally developed as a worksite health promotion
program, the New Mexico Office of Disability and Health modified the
Take Charge Challenge to meet the needs of people with disabilities
and to be an inclusive program where people of all abilities can
participate.
People with disabilities themselves need to recognize the
importance of physical activity and develop the motivation to lead
active lives. However, the environment in most communities presents
barriers to their increased physical activity. Therefore recreation
providers and community leaders also need to recognize the rights and
needs of people with disabilities for physical activity and do what they
can to eliminate barriers for people with disabilities.
Needed environmental changes typically include increasing the
accessibility of recreation facilities and outdoor spaces. These changes
include increased physical access, such as accessible parking, ramps,
smooth surfaces, Braille signage, and accessible bathrooms that
accommodate people with disabilities. It also includes access to
programs such as recreation classes and access to adaptive
equipment. The community environment also must be surveyed and
assessed to determine accessibility. Changes to improve access to
public transportation, sidewalks, and other public systems and
infrastructure also facilitate behavior changes.

These specific changes should occur as a result of the intervention:

Recognition by people with disabilities of the importance of physical

activity

Motivation of people with disabilities to increase levels of physical

activity through programs that use goal setting and incentives

Effort by people with disabilities and recreation providers to find ways

to make physical activity enjoyable

Use by people with disabilities of community recreation facilities and

outdoor spaces

Modification of environments by community members and

organizations to increase accessibility and use for people with
disabilities

MEASURE BEHAVIORS TO GATHER INFORMATION ON THE

LEVEL OF THE PROBLEM:
Physical inactivity among people with disabilities was observed directly and
reported through data. Population-based surveys document the disparity that
exists between physical activity levels of people with and without disabilities.
The 2002 National Health Interview Survey stated that 56 percent of adults
with a disability reported no leisure-time physical activity compared with 36
percent of people without a disability. Also, according to data from the
Behavioral Risk Factors Surveillance System, 25.1 percent of people with a
disability reported to have not engaged in any physical activity in the past 30
days, compared to 13.3 percent of people without a disability.
Observation shows, too, that people with disabilities are often left out of
health promotion programs and interventions. Though not purposeful, many
program designs do not address the needs of people with disabilities or offer
the flexibility that may be necessary to accommodate different abilities.
Programs specifically for people with disabilities, though sometimes
beneficial, are not always necessary and often do not allow people to be
active with family and friends.

II.

PARTICIPANTS
The intervention will benefit people with any type of disability.
As many as 49.7 million Americans, or 20 % of the population,
experience some kind of disability, including physical, mental,
emotional, cognitive, and/or sensory abilities, so the intervention
can benefit a significant portion of the population and their family,
friends, and co-workers. In a less direct way, the intervention can
benefit community members by setting an example of how simple
adaptations can create a program that includes everyone.

III.

PROBLEM
To achieve this, people with disabilities were involved in the
development and implementation of the intervention. Centers for
independent living, which primarily serve people with disabilities,
piloted the intervention and used feedback from participants to
modify the program.

IV.

ANALYZE

People with disabilities often report barriers or risk factors that

make them less likely to engage in regular physical activity:

Physical or emotional issues associated with a disability that can limit

desire to seek out opportunities

Lack of recognition from people with disabilities, family members,

and/or public health professionals of the importance of physical activity
as it relates to the health and well-being of people with disabilities

Lack of knowledge about how to be physically active, or simply what

to do

Environmental risk factors that can include community and recreation

facilities not meeting standards for accessibility; inaccessibility of
parks, trails, and other outdoor recreation areas; lack of transportation;
or lack of adaptive equipment

Physical activity programs are not tailored to meet the needs of people
with disabilities. Many physical activity programs are prescriptive (for
example, walk three times a week) and do not take into account
individual needs and abilities.

The problem of physical inactivity can be attributed to these factors, many of

which can be influenced by raising awareness and providing information.
However, environmental factors can be more difficult to change, often
requiring systems change and involvement at different levels of community
government.
People with disabilities are not the only ones responsible for the problem of
physical inactivity. Professionals in the medical and public health fields,
family members, and others who fail to promote the health of people with
disabilities also contribute to the problem. In addition, environmental barriers
often result from decisions made by government leaders, developers, and
planners. Therefore, the issue needs to be addressed on multiple levels
including the individual, family, professional, community state, and federal
levels.

V.

SET GOALS AND OBJETIVES

Physical activity should be seen as important for and by people with

disabilities, and they should have the same opportunities to be physically
active as those without disabilities.

VI.

RESEARCH

Before designing an intervention from scratch, consider existing programs

that can be adapted for use in a different situation or with a different
population. For example, the original Take Charge Challenge was a worksite
physical activity program discovered by a staff member at the New Mexico
Office of Disability and Health and was then adapted for people with
disabilities. Various organizations successfully have used this individualistic
and non-prescriptive approach that also often works well for people with
disabilities.

BRAINSTORM POTENTIAL INTERVENTIONS OF YOUR OWN:

Interventions to increase physical activity among people with
disabilities can take many forms, including:

Sports teams or recreation activities planned for specific disability

groups (e.g., wheelchair basketball, Special Olympics)

Programs that use a specific exercise protocol such as swimming

Programs that take place in a specific setting, such as a gymsponsored aerobics class

Provision of equipment and/or information to promote home exercise

Educational programs offered in worksites or other community venues

DETERMINE WHAT YOU CAN GENUINELY AFFORD TO DO

FINANCIALLY, POLITICALLY, AND IN TERMS OF TIME AND
RESOURCES.
While funding is limited to implement the intervention, the intervention costs
are limited to only the provision of incentives, which can be determined on a
case-by-case basis depending on available funds. Incentive examples include
tangible items such as tote bags, gift certificates, and T-shirts. The
interventions low cost contributed to its potential replication in a variety of
settings, thus its practicality, simplicity and effectiveness.

IDENTIFY ANTICIPATED BARRIER AND RESISTANCE AND HOW

THEY MIGHT BE OVERCOME PR DIMINISHED.
Developed as a worksite intervention, the original Take Charge Challenge has
benefits such as a captive audience and existing organizational structure
provided by the work environment. Lack of structure in some community
groups, as well as recruitment difficulties, could be potential barriers to a

community implementation of the program. Other barriers might involve

environmental factors such as inaccessible facilities that may limit where or
how a participant can be physically active.

EXPRESSLY
DISTINGUISH
CORE
ELEMENTS OF THE INTERVENTION.

COMPONENTS

AND

The programs core components include providing information, motivation,

and an individualistic approach. The following table distinguishes the
components or strategies from the elements or tactics of the
intervention.
Components

Information

Motivation

Individualistic
approach

Elements

Physical activity readiness scale

Program materials

Group leaders Coaches

Rewards

Peers

Goal setting

Choice of activities

VII. DEVELOP AN ACTION PLAN

The Take Charge Challenge can be implemented in any group setting, either
already existing or developed specifically for the intervention, involving
people with and without disabilities. Marketing the program and recruiting
participants in the community would take some effort. Using existing
community groups can help, but efforts need to be made to reach those
outside of structured groups.

When the program is implemented, participants receive information about

the challenge, the importance of physical activity, and how they can increase
their physical activity level. A physical activity readiness scale is
administered at the beginning and end of the program. An additional short
health survey is administered at the beginning and end of the program and
three months post-program for evaluation purposes. Participants set
individual goals for physical activity at the program start, and report on
progress at a midpoint and at the end of 10 weeks. Progress is tracked by the
individual using a re-useable calendar provided at the beginning of the
intervention. Incentives are given at the beginning, middle and end of the
program to motivate and reward success.
The program is implemented by a site coordinator, called a champion, and
a team head, called coach. Champions help with marketing and
recruitment and motivate the coaches, who, in turn, motivate the
participants during the program.
The New Mexico Office of Disability and Health provides resources and
support in the initial stages. The intervention is designed to be replicated,
and the Office of Disability and Health develops materials to support this
process. In the future, any person or group should be able to access these
materials on-line and implement the program with minimal funding for
incentives.

CLIENTS INTAKE FORM

AGE
SOCIOECONOMIC

SEX

RACE

MARITAL
STATUS

STATUS
47 years old
independent

Female

Filipino

Married

APPERANCE
He looks pale and underweight despite his age. He was unable
to walk and wasnt able to move his body around. He cant even
communicate well and cant hear voices in a distance.
He looked malnourish and weak, he seems dirty and was just
staring at the people around him

LIVING SITUATION
He was the eldest among 8 siblings, he was currently living with
his wife and his daughter as well, his other children was living far
away from their home having their own family as well. They were
currently living in a small wooden house at Magbanwa, Sta.
Filomena, Iligan City.

PRESENTING PROBLEM
He is a stroke person who is unable to move around without
support from his family. He was unable to communicate well and
unable to talked to anyone in a distance. He cant move his body
around and his weight is decreasing at time goes by.

HISTORY OF PRESENTING PROBLEM

The patient was a construction worker back then; he was the
eldest among 8 siblings. He was unable to finish his study so he
choose to work at his early age. She married at early age and
having 9 children.
According to his wife, he was an alcoholic person and smokes a
lot. His hobby was to go and be with his friend all night long, and
we he got home at the middle of the night, he was already been
drunk.
Before then, he was been paralyses and hospitalized for a long
time. He was also felt depress at a time when he got kicked out of
his worked because of his condition.

PSYCHOSOCIAL HISTORY
The patient was the eldest among 8n siblings, because he
was not able to finish his study, he worked at his young age and be
the bread winner in the family. Her mother abandoned them for
some reason, so he tries to be a Mother-Father to the family.
He married his current wife and decided to be together at a
younger age. He works to sustain and give the basic needs for his
family.