It is important for clinicians to recognize that not everyone has equal access to safe and affordable ways to include physical activity in their lives.
Clinicians must take the certain challenges into consideration:
- Physical differences and disabilities.
- Ability to find activities and facilities nearby.
- Lack of transportation.
- Access to safe and ADA compliant spaces.
- Limited finances to pay for certain facilities and/or activities.
- Time to participate in exercise.
- Weight loss and stress relief through physical activity can be more difficult for obese patients.
How to talk to patients about the health benefits of physical activity
It’s important for clinicians to empower patients to lead healthier lives, and discussing the benefits of physical activity is a key aspect of that. Physical activity isn’t just about staying fit; it’s a powerful tool for improving overall health and well-being.
Research has found that when patients engage in exercise, there is a reduction in physical health challenges and an improvement in mood. Through open and informative conversations, clinicians can inspire patients and families to take charge of their health and incorporate exercise into their routine.
Use the following tips to help guide your conversation:
- Tell your patients, “Physical activity can help with stress and mood. What are some ways we can incorporate it into your daily schedule?”
- Encourage patients to brainstorm ways to make regular activities more active.
- For example, can they opt for the stairs instead of the elevators? Can they go on a 10-minute walk when they get home from school?
- Collaborate to create a SMART goal:
- SMART stands for: Specific, Measurable, Achievable, Relevant, and Timely
- An example of a physical activity SMART goal can be: I will go for a 15-minute every day walk after school on Mondays and Tuesdays.
- Consider connecting them to a mental health provider or case manager that can help link them with services and support.
- Ultimately, encourage patients to be kind to themselves and reduce the blame and shame they may feel.
What does trauma-informed physical activity look like?
Safety
Exercise programs should make sure that everyone taking part feels safe. It’s important to set clear expectations and respect personal and physical boundaries, as well as making sure everyone understands and agrees to what is happening. Exercise programs should consider a “no-touch” policy or asking for permission if there is a clear therapeutic need to.
Communication
Consider using the acronym C-L-E-A-R for clear communication:
- Calm voice.
- Listen deeply.
- Explain actions.
- Ask engaging questions.
- Reduce outside noise.
Modifications and adaptations
Programs should allow people to adapt movements and offer the choice of whether they want to engage with an exercise or opt out, until the next movement
Instructor training
Instructors, coaches, and trainers should be trained in trauma-informed practices in order to understand the lens of how stress and trauma can impact behaviors as they relate to physical activity
Mindful awareness
Programs can include activities like meditation and mindfulness, encouraging participants to be aware of the present moment. Physical activity can be used as a means for individuals to reconnect with their bodies.
Connection
Physical activity can serve as a reparative experience with coaches, trainers, or teammates when the relationship is built on consistency, trust, autonomy, and choice. This can happen by identifying the participant’s strengths and praising them for it.
