Ip F K, J Ko, Ban CM, Wong WK, Cheng A

Department of Orthopaedics & TraumatologyPamela Youde Nethersole Eastern Hospital

Healthy Bone Project -experience sharing for

community health programme

Healthy Bone Project -experience sharing for

community health programme

Introduction

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

Reconstruction or Prevention

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.

How to prescribe exercise

Clinic 10min

Therapist 1 week

Home Exercise???Whole life

Time

Barriers of exercise education

Health knowledge information Exercise demonstration Convenient location Social support or peer support Sense of Participation Question and answer opportunities

Healthy Bone Ambassador 2000Pilot

Orthopaedic department Pamelar Youde Nethersole Eastern HospitalPatients Resource Center, Pamelar Youde Nethersole Eastern Hospital Hong Kong Young Women’s Christian AssociationTung Wah Group Hospital FSCHong Kong Society for the Aged

Objective: Health Ambassador

Promotion musculoskeletal health knowledge Target

Volunteer– Health Ambassador training program Participant from NGO

Series of education talks & exercise demonstration

Methods

Ambassador Ambassador training program training program

Ambassador Ambassador training program training program +

Ambassador Ambassador Support the Support the participantsparticipants

Workshop, Q&A and Evaluation Sessions

Method

Phase I 2000 - 2002 Degenerative arthritis, back pain, osteoporosis, shoulder care, foot care, fall prevention

Phase II 2002-2003 OA kneeShoulder problems

FSC

Ambassador and participants

89 Ambassador from NGO were trained

501 participants

89 Ambassador from NGO

Results

Results

688 participants from NGOs

Physiotherapist in Workshop

Maintenance1 Ambassador to 7 participants

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%

Barriers of education

Health information

Education talks in series Pathology of diseases Importance of exercise

Exercise demonstration Video Allied staff Ambassador ( pre-trained ) as

demonstrators Ambassador continue maintain exercise

classes and home visits

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

Support

Peer support Group exercise Maintenance exercise

Question & answer

Friendly medical consultation Clarification of concerns Reassurance Encouragement Triage

Healthy Bone Project 2006Healthy Bone Project 2006

FSC

Musculoskeletal Health Promotion Program

Therapists available in NGO More mature volunteer programme in NGO Support from HAHO & Social Welfare

Department More volunteer medical staff

Musculoskeletal Health Promotion Program

Better educational tools

Special designed exercise

Tai Chi

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