159050 Implementing a physical exercise curriculum for residents of Woodside Juvenile Rehabilitation Center

Monday, November 5, 2007

Travis Beville , University of Vermont College of Medicine, Burlington, VT
Anna Bramley , University of Vermont College of Medicine, Burlington, VT
Katherine Costello , University of Vermont College of Medicine, Burlington, VT
Jonathan Donson , University of Vermont College of Medicine, Burlington, VT
Patrick Lenehan , University of Vermont College of Medicine, Burlington, VT
Gilda Ngo , University of Vermont College of Medicine, Burlington, VT
Virginia Vanduyne , University of Vermont College of Medicine, Burlington, VT
Judith Christensen, PhD , Woodside Juvenile Rehabilitation Facility, Colchester, VT
Jan K. Carney, MD MPH , Department of Medicine, University of Vermont College of Medicine, Burlington, VT
We describe an innovative exercise curriculum for residents of a detention and treatment facility. Woodside Juvenile Rehabilitation Center, a unit of the Vermont State Department of Children and Families, is a detention and treatment facility for delinquent adolescents. Facility objectives include returning residents to appropriate community settings, and reducing likelihood of recurring aggressive behavior. Individualized treatment and education plans for each Woodside resident are developed at intake. Although the need to promote healthy nutrition and physical activity was recognized, specific structure and educational content of physical education curriculum was lacking. Study methods included assessment of currently available resources and equipment, and staff and resident surveys. Staff perspectives, barriers to resident's participation in activities, current educational interventions, and areas needed for improvement were assessed. Resident surveys focused on specific needs and reasons for participation. Staff surveys showed evidence program would benefit residents' self esteem, physical health and improved interpersonal relations. Resident surveys provided preferences for activities. Data was used to develop a holistic physical activity curriculum, including evaluation tools. A program was initiated that educated residents about benefits of exercise, included modules of stretching, aerobic activity, strength training, and in-the-room training. The curriculum allows for a personalizable fitness program, maintained competition (an identified reason for being active), but directed this to self-driven challenges. Our program was consistent with American Academy of Pediatrics goals, included personalized activity goals, and fostered teamwork through a common curriculum. Finally, the program was designed to prepare residents to maintain activity during transition to a community setting.

Learning Objectives:
1. Describe barriers to physical activity at a juvenile detention facility 2. Discuss a program designed based on data collected from surveys from staff and residents 3. identify characteristics of a physical activity program that can link a residential curriculum to community transition

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.