Corporate Fitness and Active Aging

Making Healthy Lifestyle Changes

The Transtheoretical Model (TTM) takes place every day in everyone’s life. It’s up to you, though, to move up the ladder on that model and make a healthy lifestyle change. The TTM is based on six stages. There is another stage that doesn’t appear on the model that people talk about, but we’ll get to that later.

The stages of the TTM in order are the following.

GettyImages-664155982.jpgPrecontemplation

This stage is where someone doesn’t see themselves changing within the next six months. Nothing will motivate the individual to become healthy at this point. This becomes a problem because some of these people are underinformed or not informed of what risk factors they are carrying. These people are just unmotivated and very resistant about talking or doing anything else that will essentially help increase their quality of life.

Contemplation

Contemplation is where individuals are ready to start exercising and realize that they need to make a change in their habits. These people want to take charge of the situation within the next six months because they understand the benefits of healthy living and that they need to decrease their risk factors in order to increase their quality of life. With that said, people start to do some research to figure out the costs involved in becoming healthy. A fair amount of people tend to stay in this stage due to the costs involved. These people are individuals who don’t have a lot of money to spare. So people tend to get stuck and go into what is called chronic contemplation.

Preparation

Preparation is the stage in which people will be ready to start making a change within a month. These people are individuals who have purchased workout equipment, joined a gym, talked to or made an appointment with their physician, and have bought other necessary essentials to get off to a great start. These individuals are very serious about change and take the right steps to be well prepared for it.

Action

The action stage is where people have made several changes to their lifestyle within the last six months that have significantly reduced the risks of disease. This stage is one of the most important stages because six months can determine whether an individual wants to achieve more, or it can be that breaking point in which that person decides to quit altogether. This is known as relapse.

Relapse

Relapse is a stage that anyone could hit. People will stop what they’re trying to achieve because their mindset is that they’re missing what they used to have, and what they’re doing is taking up too much time or is becoming difficult. In this case, exercising got too hard to complete. This usually happens within the first three months.

I myself have seen this occur when something unfortunate happens in someone’s life. These unfortunate events include loss of a job, loss of a loved one, not enough time in the day, exercise is not motivating anymore, and so on. Of course those things make you unmotivated to do anything. I get it, but when quitting anything, there are consequences. When losing a job, you’re out of a job and have no income. With no motivation, you tend to eat more and exercise less. Relapse can also happen after the maintenance stage. Someone might just want to take a break after getting into great shape, and then they’ll slowly go back to where they started.

Maintenance

Maintenance is where people have made a lot of changes in their lifestyle and are working even harder to maintain what they’ve been doing so that they don’t end up relapsing. People in the action stage are far more likely to relapse than someone in maintenance. The maintenance phase can last an estimated six months to five years. What people tend to do within that time is build up more confidence in order to make sure they are consistent with exercise and keeping away from poor habits. So although the action stage is the more likely time for someone to relapse, it’s still important for people to realize that a single craving and action to cater to that craving is more likely to happen at 12 months rather than five years.

Termination

This stage is a good stage in which to be. Termination is where someone is 100 percent into what they are doing and they don’t want to change because of the benefits of what they’re getting out of their choices in life. They are driven and confident individuals who don’t want to go back to what they once had where nothing motivated them (the Precontemplation stage).

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It’s up to you what you want to do with your life, but remember that one decision can change everything. Make your weaknesses strengths, get involved in your community, exercise with a friend or spouse to help you stay motivated, and talk to your doctor, a counselor and a personal trainer to help get you on the right track to a better life. 

Start the New Year right and set some goals and get started!

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Topics: motivation equipment healthy lifestyle change quality of life

Starting an Exercise Plan

GettyImages-625675312-1.jpgThe most important part about fitness is starting an exercise plan to begin your journey. Making a fitness journal/plan is a way of keeping track of your goals and records. You can also use a fitness journal to keep track of your diet and what meals will need prepared. Fitness does not just come in the gym, but most importantly, fitness is started in your plan. Using the simple steps that follow will lead you on the path to success.

One way that you can use a fitness journal is to keep track of your short-term and long-term goals. For example, before I go to the gym I make a monthly list of all the goals I want to accomplish in that month. These goals include, but are not limited to, bench press weight, leg press weight, and how many miles I need to walk/run on the treadmill by the end of the month. At the end of the first month, I will then set long-term goals for the end of the year. These goals will be under the same gym exercise, but more weight and more miles. In my opinion, this is the most important part about keeping a fitness journal because it helps you know where you need to be.

Keeping track of your diet and meals is another way to incorporate a fitness journal. In your fitness journal, each day should have what foods you will be eating that day and how many calories. Doing this will help you know how many calories you are taking in each day and also what food needs to be prepared that day. For example, in my fitness journal I write down what I will be eating for breakfast, lunch, and dinner. Then, once that is done, I will write how many calories are in each meal. By keeping track of my meals each day, I can plan ahead for what I need to have prepared.

The last thing I write in my fitness journal is how much I weigh at the beginning of every day. By weighing myself each day, this lets me know where I need to be. For example, if you want to lose weight or gain weight, weighing yourself at the start of the day will let you know where you are goal wise. Doing this will also help you know if your diet or gym exercises need to be adjusted.

As you can see, using a fitness journal can be very helpful in many aspects of the fitness life. Using a fitness journal will help you achieve your goals in the easiest and most efficient ways possible. In order for your goals to be achieved, follow the steps above and you will love the outcome.

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Should We Still Use BMI and Body Composition in Corporate Fitness?

GettyImages-844045822.jpgFor years, fitness professionals have been trained to use Body Mass Index (BMI) as a prescreening tool when individuals join a fitness program. It was part of the recommendations by the American College of Sports Medicine (ACSM) for evaluating health risks; tobacco use, cholesterol profile, and family history for cardiovascular disease were also part of that process. In 2015, the ACSM updated their guidelines, and guess what? No BMI screening was included.

(Find out more about the changes to exercise prescreening in this FAQ.)

Why Is BMI No Longer a Screening Tool?

The changes to the ACSM guidelines were positioned largely around decreasing barriers for individuals to start an exercise program. After years of research, what they found was that BMI was not a driver of cardiovascular events during exercise. Anecdotally, I can say from experience that I had a lot of (sometimes angry) individuals wanting to join the corporate fitness center who needed a medical release because their BMI was "too high" and they had one other risk factor, such as not knowing their cholesterol or current tobacco use. So for our staff and their members in corporate fitness environments across the country, I thought this was a positive change.

But it leaves me wondering if we should be looking at BMI at all. There's a lot of back and forth in the wellness community about the "value" of BMI. The screening tool was always meant to be a field test to determine appropriateness of weight for a given height. And truly, it's an easy measure to determine; there are BMI calculators all over the internet. But that may be the end of its utility as a screening tool. There are a lot of questions about how meaningful the information really is to either the individual being assessed or the practitioner with whom they're working.

If We Don't Use BMI, What Should We Use?

This is something of a loaded question and points to our cultural obsession with "healthy" body weight. Do we need to screen for fatness? What's the value in those figures? Certainly measuring percent body fat or circumference might provide more meaningful ways to track an individual's desire to lose weight. But there are caveats on providing that information, too. Our staff members are providing those measures as field tests in our clients' corporate fitness centers, and the accuracy can be questionable, particularly for body fat assessed by skinfold testing.

We have a responsibility in our clients' fitness center environments to help the members live well in the ways that are meaningful to each individual. That might mean helping someone work on gradual, healthy weight loss. It might also mean working with someone to help them learn to appreciate the difference between feeling good when they move their body and feeling bad when they step on the scale.

The goal for our staff is to help the members they serve improve their health in all the ways that are articulated. When tools like BMI are so limiting (and potentially harmful to the psyche), we have to take a hard look at whether those tools are helping us achieve that goal. With so many other fantastic programs in our books to help people move more, try new areas of healthy living, and even remember what it felt like to play at recess, I think we have just what we need to create positive, successful, healthy environments for our corporate and senior living clients.

Check out our creative and effective programming to help keep your members active.

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Topics: weight loss BMI body composition senior fitness healthy living prescreening tools corporate fitness center risk factors

Debunking the Myths About Personal Trainers

 

TRX Cher (2).jpgThere are a number of misconceptions these days about personal trainers and what it’s like to be one. Don’t all personal trainers have perfect bodies and eat nothing but fruits, vegetables, and protein shakes? Sure, you’ll have a select number of trainers who eat, sleep, and breathe fitness, but the vast majority of us are just normal people. Let’s debunk some of these common myths about personal trainers.

  • We eat healthy foods every day of the week. While most trainers enjoy a nutritious, well-balanced diet, most have no problem mixing in a few splurge meals throughout the week. I personally follow extremely strict nutrition Monday morning through Friday afternoon, and then reward myself with fresh pasta or pizza and breadsticks for a Friday dinner. You better believe I’m getting up early on Saturday morning for a long bout of cardio to put those extra carbs to good use!
  • We work out two or three times a day. It’s true, trainers should practice what they preach; however, most of us only work out once a day, most days of the week. One big misconception is that trainers and fitness specialists spend most of their workday working out. I actually had a friend ask me, “What do you do all day at work, just work out?” I was flabbergasted with my friend’s question. Whether I’m delivering fitness and nutrition presentations, making workouts for group exercise classes and clients, or creating fun and exciting fitness challenges, most fitness professionals don’t spend all day “just working out.”
  • We love all types of exercise. Variety in your workouts is essential, but any trainer would be lying if they said they love all modes of fitness. Most trainers have been working out long enough to recognize what they enjoy, so they generally stick to those methods of exercise to maintain a healthy weight. The key is understanding your client’s needs, and providing them with a variety of options that work for their likes and dislikes. For example, I have two left feet in Zumba class and feel like I might drown in a pool, but I understand that some clients thrive in a choreographed class or swimming freestyle.
  • We never get hurt. It’s true that trainers should be demonstrating impeccable technique and injury prevention form while exercising. The truth is that even trainers can overdo it with too much weight or too many repetitions. Furthermore, trainers can sometimes feel like Superman or Superwoman and try things outside of traditional exercises that could potentially hurt them. I learned this the hard way recently while thinking I could ski all day for four days straight in Colorado. The second to last day of my vacation I severely tweaked my back, making the long plane ride home almost unbearable. I credit my consistent core training for my quick recovery; however, I learned my lesson that anyone can overdo it.
  • We’ve never had issues with our weight or body. Believe it or not, trainers can be even more self-conscious than their clients. We have problem areas and imperfections. We look in the mirror and wish a certain part of the body was more defined or had less fat. We set such high standards for ourselves; it’s easy to be extra critical of the way we look. Most good trainers can relate to these insecurities and use these feelings to help empathize with clients. Eventually trainers and clients alike have to learn to accept imperfections and embrace the beautiful qualities of their body.

Now that you know a little more about what it’s like to be a personal trainer, you can learn more about personal training at NIFS, and even get a free 30-minute assessment.

 

 

Topics: nutrition NIFS personal trainers injury prevention workouts personal training

Health and Wellness: Healthy Doesn’t Mean Perfect

GettyImages-842336990.jpgWhen people think of the word “healthy,” they typically have a vision or an expectation in their heads. We equate “healthy” with having the perfect body (which, by the way, means something different to everyone), making the perfect food choices, getting a certain amount of exercise each week, getting a certain amount of sleep each night, and having very little stress.

Everyone Makes Health and Wellness Mistakes

But this isn’t always reality. It’s not uncommon for people to begin making healthy lifestyle changes and developing healthy habits, only to give up once they realize how incredibly difficult it is to maintain "perfect" nutrition and exercise. In fact, I would argue that this level of perfectionism is impossible to achieve.

Your journey to health will not be perfect. And your efforts to maintain your health will not be perfect. We’re all imperfect. You won’t always make the healthiest food choices. You won’t always get 150 minutes of moderate to high-intensity exercise each week. You won’t always dedicate enough time to stretching, or practicing meditation on a regular basis. Wouldn’t it be a dream if we could all get eight hours of sleep every night? And we all have different body types; we come in all different shapes and sizes.

What Does It Mean to Be “Healthy”?

Everyone has expectations, and being a fitness coach and personal trainer for the last 15 years, I’m no exception to this rule. Even I have struggled with finding my healthy. So what does healthy mean? What does healthy look like

Merriam-Webster’s dictionary defines healthy as

The condition of being sound in mind, body, or spirit; a condition in which someone or something is thriving or doing well.

The World Health Organization defines healthy as

A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”

What’s truly important when becoming healthy is how you feel mentally and physically. Healthy people tend to have more energy; feel well rested, have fewer aches, pains, and illnesses; and just generally feel good about themselves. And that right there is, by definition, healthy. Healthy really doesn’t mean you always make perfect choices or have the “perfect” body; it means you feel well.

My healthy means I occasionally eat chicken nuggets with my kids for dinner so we have time to go outside to play basketball before it gets dark. My healthy is going to bed at 9:30pm and waking up at 5:30am to get some work done, so once my kids go to school I can work out. My healthy means I have wrinkly, stretched out skin on my belly from having two kids, but I’m at a weight where I feel great. I’m not perfect, but once I stopped trying to be perfect, and just was healthy, it made life and achieving mental and physical health so much easier.

At the end of the day, being healthy is not about fitting into a certain mold. It’s not about following the latest diet or exercise trends. It’s about finding your definition of healthy that allows you to thrive physically, mentally, and spiritually. Practice healthy eating as often as possible, get exercise whenever you can, go to bed when you’re tired, and try not to compare yourself to other people’s definition of health. Remember, each individual is different and healthy looks different to everyone. Focus on feeling well!

Benefits of meeting with a nutrition coach >

Topics: nutrition health and wellness perfectionism healthy habits

How to Build an at-Home Gym: What Is Essential Equipment?

509255562.jpgOpen 24 hours a day, no membership fees, and no commute; this is what you have to look forward to after you complete your at-home gym! This can be an exciting time, but also overwhelming if you don’t know where to get started on your quest to exercise at home.

Planning Your Equipment

If you build a home gym the right way, it should take a couple of years. You don’t want to build the picture-perfect gym with no money left in your pocket and lots of equipment acquiring dust. Make a plan to grow your gym as your workouts progress. You will commit to more complicated workouts, and will need heavier weights and more equipment to mix up your workouts. When you purchase a piece of equipment, you want to know you are going to use it and it is going to be part of your routine. When planning, think of the cost vs. benefit for each piece in your home gym.

If you are a runner and know you will complete most of your workouts in the winter months on the treadmill, you know the workouts you put in will outweigh the cost of the treadmill. You should splurge on this item and buy a state-of-the-art treadmill. If you are just getting into weightlifting, the benefit of an extravagant dumbbell set might not outweigh the cost. Think about what your workouts look like now, purchase that equipment, and build over the next few years.

If there are pieces of equipment that are more of a want than a need or you are working on a smaller budget, look into purchasing used equipment. Lots of websites sell gently used gym equipment. Ask your family, friends, and coworkers if they have equipment they don’t use or have suggestions on brands to purchase.

Home Gym Essentials

If you have no idea where to start, here is a list of a few essentials that are seen in most home fitness centers.

  • Adjustable bench: A sturdy, comfortable bench is vital to your workouts. An adjustable bench can be used in so many different ways.
  • Power rack: If you are looking to lift heavy and do it safely, this piece is a no-brainer. You will bench, squat, press, and deadlift using this machine.
  • Barbell and plates: These can be used for free-standing exercises or along with the power rack. Purchase the weights you know you will use and you can add to your collection over the years.
  • Adjustable dumbbells: They are an investment but will save you money and space in the long run.
  • Piece of cardio equipment: Pick a piece that you enjoy or is right for your budget. These pieces will be pricier, so choose one you know you and your family members will use.

After you have the essentials you can purchase some extra fun pieces of equipment that are typically lower cost. These may include jump ropes, resistance bands, stability balls, etc.

Planning the Space

You will also want to think about where you place your gym, what kind of flooring you use, paint color, windows, display case with awards, motivational quotes, posters, TV, etc. These are things that will be personal preference but are important and will make your gym unique. Include items that motivate you and fit your workout personality. You want your gym to be a place that you can escape to and feel motivated to work toward your goals!

 What is your favorite in home piece of equipment?  Comment below and share with us!

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Topics: exercise at home Fitness Center equipment weightlifting resistance winter

Running in retirement

It's more common than you think - folks well into their 70's and 80's still running for exercise. (I hope it's my story when I'm 80 years old!) Below are accounts from two resident who live in a community where NIFS provides fitness center management services. We were so impressed with these two residents, we asked to spotlight their stories:

Judy Carlson

She was born in New Jersey, but lived in Honolulu, Hawaii with her husband RJudy Carlson Marathon Quilt.jpguss, for almost 50 years before becoming a Timber Ridge resident. 

Throughout her running career (she started at age 35), she's competed in 42 marathons, all across Hawaii. Although she says she's run her last full marathon, she continues to run races and has a group of friends with whom she runs the Hawaii Pacific Health’s Women’s 10k every year. She has also picked up races local to Seattle and she plans to complete the Seattle Half Marathon this Thanksgiving weekend.

Judy loves running because it brings people together and creates a sense of community.

I used to meet with a running a group and it was nice because there was no age discrimination; you just show up and run, nobody cared how old you were.

She told us that despite all of her long distance running, she's never seriously trained; she's in it for the enjoyment.  You can see Judy pictured next to a quilt she made from some of the t-shirts she received during marathons she's completed.

Dan Anderson

Dan Anderson Marathon.jpgShortly after Dan graduated from MIT, he married the love of his life, Portia, and they moved to Southern California where he began taking classes at USC and started work at the Hughes Research Laboratory.  He's had quite a career - not only did he play a large role in the development of the modern day laser, he later went on to serve as the Chief Patent Counselor at Boeing. Now, at the age of 89, Dan resides with his wife Timber Ridge.

When Dan wasn't in school, developing lasers, or working through patent law, he was running.  He finished his first marathon, the Palos Verdes Marathon, at the age of 24, and he went on to run marathons in Boston, Tri Cities, Culver City, Northern California’s “Avenue of the Giants” (his favorite), Vancouver, Memphis, Austin, Los Angeles, Athens, among others.  

In his earlier years, Dan enjoyed training others using his 6x6 training method that helped his trainees go from walking to running a 10k at the end of six months. He trained his colleagues from Boeing, including the President of Boeing at the time.

All told, he completed 116 marathons.  He ran his last marathon at 80 years old, but he's not done running; he's led and participates in the running group at Timber Ridge.

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Topics: fitness programs for seniors senior fitness older adult running

Get Kids Interested in Staying Active: Sports and Activities

GettyImages-607485814.jpgChildren come in all shapes and sizes and with many unique interests. Keeping a child active is a good way to instill a love for movement. Once kids lose interest in playgrounds, what’s the next thing you can do to help them with staying active and healthy?

There are many options, such as recreational hiking, skateboarding, tennis, walking a pet, and organized sports. For example, if your child loves the outdoors, visiting a park with unpaved paths can be a great motivation to get everyone in the family moving.

Sports and Competition

Is your kid an athlete, or does he or she enjoy competition? Help them focus on a sport that is fun, yet challenging. Pressuring children into a sport they don’t enjoy could potentially lead to them quitting and not wanting to be involved in other sports or competitive activities. Supporting your child through their exploration of activities can help foster a positive relationship with their competitive interests.

Activities for Kids Who Don’t Like Sports

Team sports aren’t an option for all kids, though, and that’s okay. Less traditional ways of being active can also increase health benefits for your child. Doing volunteer work for an animal shelter by being a dog walker can help your child while helping the shelter and their animals. This will get your child moving, and they won’t even realize they are exercising. Volunteering with an organization that cleans up trash around the community or helps build homes can also be ways to get a child interested in different types of activities that get them moving.

Just getting the opportunity to be active can motivate kids to get involved. If they are having fun, they will have greater interest in doing those sports, activities, or competitions on a regular basis.

 How do you get your kids moving in the winter months? 

Comment below and share with us!

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Topics: motivation staying active kids sports

What happened when I stepped (way) out of my comfort zone for #GivingTuesday

GivingTuesday sign-213254-edited.jpeg

Today is #GivingTuesday, and for our NIFS family, we're celebrating NIFS 30th birthday by giving back in our communities. Several weeks ago, I challenged our team, which is spread throughout the country, to consider giving back in ways that were meaningful to them. I offered a few suggestions and then left it to them to come up with what what hit home personally. But I knew I couldn't leave it there; I knew I had to show them that I was in for this giving thing too.

So I thought about the ways I typically give, but none of those usual suspects really struck me.  I guess that's because they're my norm and part of my routine commitment to my community. 

That's when it hit me...FREE HUGS.

You don't know me, so let me say here for the record that I am not anti-hug.  I am however, a little hesitant on hugging strangers.  But before I could back out of my own idea to set up a free hug event, I told a colleague, and then I emailed the team to share that I would be giving free hugs for #GivingTuesday.

I just got back to my desk from that adventure. Despite trying to talk myself out of it twice this morning (I'm not kidding), I grabbed my "free hugs" sign (thank you, Kara Gootee-Robinson), and my coworker, Ashley Smith (and her camera!), and headed out to the IUPUI campus.

My stomach was in knots because I was so afraid that I would be rejected...that no one would want a hug.  Most of us fear rejection, right?  What if I was standing on that corner calling out for free hugs for #GivingTuesday and everyone just looked down at their phones, earbuds in, and tried to ignore the crazy lady on the corner?

Giving Tuesday NIFS Free Hugs

Not only were my fears quickly erased as several good natured souls stepped up for their hug, when my time was up, I walked away feeling great about spreading a little love and goodwill.

For the full hug effect, watch this video.

While hugs are not how I typically give back in my community, it was a great reminder that it doesn't take a lot of time or money to put a smile on someone's face. We also don't have to wait around for the first Tuesday after Thanksgiving to see and respond to needs in the community.  We're all busy...too busy, and if we wait for the right time to start contributing, it will NEVER happen.  There is richness gained in giving to others, and all it takes is a willingness to put yourself out there. 

Topics: NIFS Giving Tuesday Free Hugs

Brain Training in Your Senior Living Community

517993851-1.jpgMany seniors fear cognitive decline more than any other disease associated with aging. The good news is that engaging in activities that support brain health and brain function can reduce seniors’ risk for cognitive decline and dementia. In fact, training your brain is kind of like training your body with regular exercise, and it can really complement your fitness programs with proper planning. Not sure where to start? Here are five steps to create a focus on brain training in your senior living  community.

  • Do your homework – Learn as much as you can about cognitive health, dementia, and brain training. The Alzheimers Association website is a great resource, and a quick search on the AARP website yields lots of great information on brain health for seniors. There are also many wonderful books on these topics, such as Spark! by John Ratey. This book really does a good job of connecting the dots between exercise, physical health, and cognitive health.
  • Involve the residents – Share the things that you’re learning with residents as you learn them. This can be as simple as teaching a quick fact about the brain at the beginning of exercise classes. Use this opportunity to let the residents know that you’re starting to look into bolstering your cognitive health programming in your community. Ask for their input early to help with your program design. Ask what they already do to train their brains, what kinds of mentally engaging things they enjoy doing, and what topics they would like to learn more about or take a class on.
  • Evaluate your programs and make a plan – Take a look at the current activities that you offer in your community. Do you have many mentally challenging, educational, and social opportunities on your calendar? Are there ways you can enhance your current offerings to make them more engaging? Do you have opportunities for individual brain training (i.e. using the Dakim) as well as brain training in a group setting (i.e. brain fitness class)? Determine activities you can enhance or add to your calendar, and make a plan for these changes utilizing resident input from Step two. Also, brainstorm ways that you can include brain training in your group exercise classes. For example, during cardiovascular exercise, you could assign numbers to five different exercises, and cue the exercises using their assigned numbers instead of the exercise names. Then mix it up!
  • Provide education – Hold lectures to educate residents on how the brain works and what they can do to strengthen their brains and reduce their risk for cognitive decline. Be sure to point out all the ways they can participate in brain training activities at your community and let them know what new activities and enhancements are coming their way. You might also want to hold a lecture on memory strategies (or just teach one strategy at a time at the end of your exercise classes). Don’t forget to promote your fitness programs as one of the easiest ways to get started with brain training!
  • Launch your program – Launch your program soon after you hold the educational lectures – consider using a brain health fair or other fun activity to get started. Begin holding your newly planned activities and enhancements on a regular basis and make sure they stand out on your calendar. Then, use a fun challenge that includes incentives for participating in mentally engaging activities and exercise to tie it all together. Once the challenge ends, celebrate residents’ success and communicate with the residents that the new opportunities for brain training will continue even though the challenge has ended.

Editor's note:  Rachel did a fantastic job launching a "Mental Muscle" initiative for the residents in her community.  Download the impact report from the program to get a snapshot of how well the residents received the offering and how wellness program participation was affected.

Get in touch with us to find out more about how NIFS can support brain training and other programming for your residents.

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Topics: senior living brain fitness