sportEX health - January 09 highlights by Tor Davies

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dance YDance (Scot of quality g provider Scotland. the leadin people in for young gh key education working throu e, It has been tion, cultur s in educa partnership children and sport to offer health and le young peop y rtunit the oppo their to realise potential as through individuals dance. After the success of (DISI) the the three-year ols Initiative again Dance in Scho forces once has joined t’s health company ish governmen ct with the Scott time on a new proje t this through departmen ge girls active part of to get teena As e. To Danc dance – Free rtment’s ongoing Depa h in the Healt at obesity t to comb and they commitmen Scotl of people ive to the young -year initiat g this three and are fundin between 14 girls aged ative encourage as an altern re dance 18 to explo s activities. other sport to PE and

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high risk of a group at identified as physical activity. One have been little been to Teenage girls of sport and doing problem has dropping out trying to combat this dance. A three-year in d in lved means of invo was launche girls to get tive (DISI), hildren encourage Initia oolc ools sch to all ce in Sch bring dance ent by the project, Dan Scotland to to a further investm ntly schools in led of its rece has s part ces as dance . This and its suc ernment in teenage girls ce. Scottish gov strategy aimed at to Dan tive, Free obesity launched the new initia s at DISI and of article look

ts determinan important t potentially n’. The repor , participatio people active longer-term e had been get young the schem aimed to being and showed that ry schoolgirls sense of well through among prima promote a successful ve effects: healthy living for positi ct diate a respe ool dance citing imme e of in-sch greater than d ment was a programm ive also worke Enjoy n initiat The workshops. ers had the confident anticipated that teach er and more to ensure rience and n Felt happi imagined skills, expe ty of g they had necessary sustainabili were more participatin to ensure towards dance of the resources n Attitudes ls at the end g n in dance in schoo an in-service trainin positive participatio gh of informal ion of project throu n Frequency the provis and e sed programm OMs: to cite dance increa dance CD-R more likely 8-14) ty were ages interactive (for They n physical activi anDance ! (for a favourite n AnyBodyC inated 321Go dance as A-nom BAFT l n the afterwards ns in schoo dance lesso e in ages 4-7). n Wanted competenc feeling of n Increased and figures March facts ty DiSi 2005 to physical physical activi from April in moderate . n DISI ran n Increases also found school were 2008 time dance activity in ited 12 full recru DISI n period ls ls a three year y schoolgir successful tutors for in 732 schoo Secondar rolled out to be less rities in n DISI was DISI was found dary schoolgirls. 32 local autho the secon to ing in 31 of the rs that in reach warned the Borde the authors Scotland from However, reted with d be interp people Shetland Isles findings shoul mostly represent girls 234,817 young gh they y of n DISI got 14 active throu caution as school (surve en 5 and secondary e) and aged betwe from one programm e and after dance. of atypical pupils befor a number d out that mentation pointe ation h at the imple The evalu scent Healt as issues arose and Adole , disruption ation (Child sizes U evalu CAHR d out an stage (class and lack of : Unit) carrie staff illness Research it commented a result of ct (1) and a great on the proje school: continuity). y generated girls in this ls when the ‘The DISI clearl hops as Secondary DISI works ment in schoo ers enjoy the deal of excite way. Teach n Did not were under had expected workshops of freedom much as they oted a sense 7 of pupils; felt it prom ence ced the confid and enhan

Teenage girls have been identified as a group at high risk of dropping out of sport and doing little physical activity. One means of trying to combat this problem has been to encourage girls to get involved in dance. A three-year project, Dance in Schools Initiative (DISI), was launched in schools in Scotland to bring dance to all schoolchildren and its success has led to a further investment by the Scottish government in dance as part of its recently launched obesity strategy aimed at teenage girls. This article looks at DISI and the new initiative, Free to Dance.

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online Preview of the AnyBodyCanDance and 321Go! interactive dance CD-ROMs

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swim ming

Sargent By Kate

project is a national veryday Swim Sport £3m from funded with from local over £1m teur England and ASA (Ama led by the nal partners, n, the natio Associatio with every Swimming concerned body ct governing . The proje swimming) er of element of use the numb hed beca UK has been was launc ming in the has swim le Swim peop Everyday 20 years. all pool static for of making ways new lar, and popu pioneered accessible le more ty peop activi more of getting works’ with the aim g out ‘what findin and pools. swimming le into our more peop in getting a champion ct needed The proje Duncan medallist, Gold pic and Olym role of the took on the said: Goodhew, ssador. He Swim amba Swim Everyday Everyday to support “I wanted d have the one shoul g of the because every . The feelin y to swim the opportunit the sounds, your skin, good on r so wate feeling leaves you smells, it ator.” great motiv and it’s a

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ent of an investm ss ched with leisure, fitne m was laun to swim for ryday Swi article 2006, Eve ge people an end this In January rs to encoura l wave comes to s. step three yea t r initia nex ove the for the £4m the funding lessons learned and As fun. and projects, the groups minority ethnic looks at the

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have three In the first cts (see box) pilot proje Swim, eight country, with across the focus. taken place a different ct having each proje

ability to swim ence and gain the confid onto other since gone ct even – and have ties. The proje , Bart dogs physical activi en and t their guide and childr In Telford thought abou can be left securely led people and been on disab ged communities Lucas who at Wellington and led vanta loops instal from disad made a huge, thanks to us es. “It has re Centre. famili Leisu given their It has Civic and ence to us. huge differ r and in life. sham in the wate el in Lewi confidence the water.” cts has Swimgosp different in noisiest proje on We are not of Marion One of the e the Lond the words an ham, wher These are impaired wom flooded the been in Lewis a visually ed Gospel Choir Gospel’. Sheppard, rediscover Community launch ‘Swim d who has but music to ming of from Telfor with swim pool brainchild not only for e was the rally. el a passion The schem activity gene British Gosp cal of physi nas d the also for into going Andrea Enchi she turne persuaded , with the ASA rite Marion was by her friend Arts and two favou the lessons ining her ghad not been to one of idea of comb and singin rdson, who d to – swimming was Yvonne Richa but wante pastimes amme. It for years ded a week progr where swimming Swim provi into a nineLewisham, Everyday ve rs fitting for be able to. the barrie to help impro particularly instructor in break down to is ming guide t a swim nt particular act as the targe ique and n that preve are visually their techn participatio both to use to beca able the water both were As a result impaired.

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social and in swimming g involved le from gettin ties. peop aquatic activi access a and other e to the chanc by were given n, followed singing lesso swimming 45-minute ed instructor-l cially a 30-minute were espe under 19s ts, paren lesson and their d to bring them for encourage parents with grand carers and e. the experienc

easington science in maths Maths and project saw

one pool In Easington, ed into fun d to ce incorporat and scien encourage Children were nt of sessions. the amou breaths and to get count their idea was length. The s strokes per s calculation simple math with doing along them ation their educ to improve . their health

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Short interview with Author Anna Kenrick on the Free to Dance project.

the In Kirklees, children were ‘fun for all’, ties swimming unusual activi d to more based also treate Camp (pool s, flip n fun such as Aqua bean pirate games), Carib diving) and Grab n n to (introductio the toys). (grab h Splas

in the pool r people getting olde Suffolk the Wirral and in Suffolk

l and On the Wirra getting older looked at (those over projects have into the pool people back

In January 2006, Everyday Swim was launched with an investment of £4m over three years to encourage people to swim for leisure, fitness and fun. As the funding for the initial wave comes to an end this article looks at the projects, the lessons learned and the next steps. 15

EX.ne www.sport

Video of Duncan Goodhew promoting the EverydaySwim Initiative

By Ba rry Caus er he Act ive Ste bee ps contrib n establishe Programm e has ute to d in ord n The a inactivit number of er to HE AL n Hig social y of adu TH PR h issues: lts n Hig levels of car OM OT h ION n The petrol pric use AC TIV es pressu E TR footpri res to AV EL nt. reduce our car The bon health re are ma ny risk inactivit s that are well-know n y, incl link ed to disease uding phy cor , More cancer obesity, dia onary hea sical than s. Des kilo rt betes metre ha Sutton pite this and cer res s in len lf of the , only tain great Departm idents 10.7% car jou cur gth, wa 30 min ent of Hea rently ach of ieve reducin y to incor so walking rneys in Lo lth’s rec utes of mo activity porate omme the or nd g car der exercis cycling the on are les Steps on five day ate physica nded s per comple Sutto use. This s tha e int se week. l on offe ments ar n to Active and not r other be mo ticle looks o the daily journeys ca n two incorpo in Sutton e ach initi re n ieveme rate phy to provide atives Afte ac everyd tive wh at plans to routine wh be a Active r 12 weeks nts. ay life. sical activity a way to ile als en ma get the Steps they as par will o how adv kin t of see the isor peop the WHa g trans ir was eas y have got again to T port ch le of explore Deliver Is TH on, exp y, wh e nee ed by at wa PrOJ oices 1. exp ded, NHS s diffi lore what re-eva eCT? . ress Primary Sutton and cult, and empat luate empat month Merton Care the if hy hy ir goa - exp MOTIV Tru initiativ accept towards ls. ressing partne e has st, the 12 a ance rship INTer aTIONa been and incr service use of with a thre dev cre L elo ated Sm r sho e The beh VIeWING ws 2. Dev ping a rap eases the betwe year, £5 mill arter Travel in chance elo port. en is bas avioural cha Sut ion par discrep p discre s for Lon Sutton Cou ed nge inte tnersh ton, pan ancy motiva upon the don. rview that the enable cy – dev Smarte ncil and Tra ip aims prin tional elopin s the to article intervie ciples of r nsport g necess ir present client increas reduce car Travel Sut on wing situatio to see arily fit ton centred page 10). (MI) (se e the trip would n public number s in Sut MI e like in into the valu does not transpo explori and semi-di follows of peo ton and user the futu a clie es the in the ng am rt, wa rective sho ple usin bor intrinsi bivalen lking approa nt change uld presen re. The ser y and cyc g sustain ough thro c mo ce ch vice t and , tivation This me ugh pro of able ling 3. ro not the Act the argum within increasing mo ll wit ent People transport ive Ste of pos thod allows the ind h res metho ting resista who ps adv for from sible ds. cou nce pre istance incr barrier for the ide ividual. isor. ways – roll commu ven ntificat s to cha in be sign easing the ld gain ben ing wit nication ts a bre ion efit and the which to ir act posted h Steps akdow overco nge and ivity leve s practit to the adviso between n me the ion achieva setting of ls will schem allows the Act in r screen ers such realisti m, ble goa e by the ind and the ser ive as dia c and ers, sm health ls. views. The ividual vice use betic GPs and pra oking ces retinal to exp of mo four basic r 4. sup sat lore the and tivation the 12 ctice principl port nurses ion adviso which week al inte ir es self-e efficac rs, . During have progra rviewin are bei ffic y expres the Act mme g ng facilita is a crucial acy – self sed an with those ive Ste using dur ting a spe com are: who ing interes change ps inte ponent believe cially adviso t will rventio . If trained s to r ns the like they have the individ Active meet intervie who will con ual the abi lihood Steps w and duct n Ove a mo help greatly of change lity to cha tivation the rcome nge occurri increas cycling al barrier m to: ng is ed. s to wa n Cre lking aIMs ate per or n Pro sonal The wid vide goals them er Sm as cyc Sutton with arte le and progra r Travel informa access wa aim of mme has to free lking maps tion such the cle reducin cycle and/or ar g res trainin car trip They g. s in Sut idents will ton by least n Sen also be: 5% by t at by tex weekly me promo a shif t ting ssages t tow n Pro or mail ards of sup more vided port sus with their modes tainable a ped ste n Giv ps each day ometer conseq of transpo en to cou rt, nt section a fridge improv uently that can magnet ing individ health. be use with a bla Smarte uals’ nk d to www.s r Travel plan portEX goals

More than A SM ARTE R half of the TO T WAY RAVE L car journeys in London are less than two kilometres in length, so walking or cycling these journeys can be a great way to incorporate exercise into the daily routine while also reducing car use. This article looks at plans to get the people of Sutton to be more active when making transport choices. T

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online Powerpoint presentation≠– What is Everyday Swim?

workplace health nice guidance

NIce work: IF YoU caN IMpleMeNt It

WHAT: Workplace health promotion: how to encourage employees to be physically active WHY: The Department of Health asked the National Institute for Health and Clinical Excellence (NICE) to produce public health guidance on how to encourage employees to be physically active WHEN: The guidance was published May 2008 WHO IS IT FOR: Employers and professionals in all sizes of businesses who have a responsibility for, and a direct or indirect role in, improving health in the workplace. It will also be of interest to employees, trade union representatives and members of the public. wHaT: Workplace health promotion: how to encourage employees to be physically active wHy: The Department of Health asked the National Institute for Health and Clinical Excellence (NICE) to produce public health guidance on how to encourage employees to be physically active wHeN: The guidance was published May 2008 wHO is iT FOr: Employers and professionals in all sizes of businesses who have a responsibility for, and a direct or indirect role in, improving health in the workplace. It will also be of interest to employees, trade union representatives and members of the public.

By Dr Will

The o

By Jackie cresswell

BackGrOUND

Physical inactivity in England costs an estimated £8.2 billion each year – this includes the direct costs of treating diseases linked to lack of activity and the indirect costs caused through sickness absence (1). Against these figures it is clear that a physically active workforce can lead to financial benefits for employers (as well as benefiting staff). These include increased productivity and less sickness absence as well as greater staff retention. The physical activity recommendations can be used to help improve both the physical and mental wellbeing of staff. According to NICE, physical activity contributes to both, but currently 65% of men and 76% of women in England are not active enough to benefit (2). The recommendations could also be used to help reduce the number of working days lost to work-related illnesses each year. Some musculoskeletal disorders in particular, can be alleviated by physical activity. During 2005–2006, musculoskeletal disorders alone resulted in 9.5 million days off work (3).

THe recOMMeNDaTiONs

The document makes a series of recommendations to help boost physical activity within the workplace. These include:

1. Policy and planning

Develop an organisation-wide plan or policy to encourage and support employees to be more physically active. These should: n Include measures to maximise the opportunity for all employees to participate in physical activity n Be based on consultation with staff and should ensure that staff are involved in the planning, design, as well as monitoring activities, on an ongoing basis n Any plan should be supported by management and have dedicated resources n Organisational goals need to set and be linked to www.sportEX.net

a question of balance BY Sheena Gawler and dawn Skelton

professionals resulting in The Otago Exercise Programme Leader’s Course.

the orIGInS

FallS and FraIltY

Prof John Campbell and dr Clare robertson, based in New Zealand at the University of Otago, are the authors of the OEP. They devised a programme of strength and balance exercises to help prevent falls among older people. The efficacy of the programme was tested in a series of four randomised controlled trials from 1997 to 2005 (1-4) and a recent trial involved a group exercise programme by the University of sydney (5).

falls and consequent injuries are a huge problem in the older UK population (6). There are currently over 11 million people aged 65 and over and nearly 30,000 aged over 90 years. Over a third of over 65 year olds fall every year and a staggering half of all over 85 year olds (7). Three quarters of people living in residential care fall repeatedly every year (8). There are huge associated costs to both the individual and the health service. for example, 10% of all ambulance service call outs are for people aged 65 and over who have fallen but nearly half of these are not taken to hospital. These older people are not injured but simply lack the ability to get themselves up from the floor (7). Commonly this is due to poor strength and flexibility, particularly in their legs. These components of fitness, along with balance, are targeted in the OEP. The OEP can potentially reduce the number of ambulance call outs and the associated financial cost but also improve the quality of the older person’s life by the reducing fear of falling and improving their confidence

StronG eVIdenCe BaSe These trials involved over 1,000 older participants who performed the strength and balance exercises three times a week for a year in their own homes (or 6 months in a group) with guidance on exercise technique from a trained professional (physiotherapist; nurse trained by a physiotherapist; exercise instructor). The studies showed an overall decrease in falls by about 35%. although a limited number of other research studies have shown a higher percentage decrease in falls following strength and balance exercise, these have not involved such high numbers of participants nor have the exercises been “put to the test” in such a high number of trials, therefore the OEP is considered to be the jewel in the crown of falls exercise research. it was this that led Later Life Training to contact the authors and collaborate with them to provide training courses for health and exercise 18

The Otago exercise programme (OEP) is a supported home exercise programme designed to help increase the strength and balance of older people in order to prevent falls. This article describes a highly successful collaborative project between the authors of the New Zealand based OEP and Later Life training to implement the programme in areas of the UK.

OvEr a Third Of OvEr 65 yEar OLds aNd a sTaggEriNg haLf Of aLL OvEr 85 yEar OLds faLL EvEry yEar

and ability to perform daily tasks. This may, in turn, broaden their social activities and reduce isolation and loneliness. recent work suggests group OEP exercise also improved cognitive function and quality of life among older participants (5).

StandardISed delIVerY although the OEP is available to download from the internet, LLT wanted to achieve higher standards of delivery of these exercises in terms of exercise technique, and therefore safety and effectiveness of the programme across national falls and exercise services via effective training of health and exercise professionals. The partnership between LLT and the OEP authors was therefore developed, with LLT designing the training package and writing and producing the training course materials. Much expertise was gleaned from the OEP authors not only with regard to the implementation of the intervention itself but more pertinently in terms of training OEP leaders, as they had originally sportEX health 2009;19(Jan):18-20

Technology is one avenue to tackle Poin t an increasing mean s s Pr unhealthy izes population including looking for innovative and new ways to provide incentives and excite individuals FoR o RG to lead a SUCH CLUBS, p ANISERS o HELp AS HEAL ARkS AND F SpoRT Up, TH To MoNITTH WALkS ACTIvITIE AND EIR AGE, oR WHo , CREDX S healthier W WHEN CA H THEy HERE THEyAS TURNE N D ATTEN L DED IvE life. CredX is a new system that combines technology advancements with the popularity of loyalty schemes such as Air Miles and Nectar points. This combination aims to encourage individuals to take more exercise. This article looks at CredX and how it works.

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online

n Website – Later Life Training - Otago Exercise Programme http://www.laterlifetraining.co.uk/ Otago.html n Presentation – on the Otago Exercise Programme http://tinyurl.com/5d93xy n Booklet – Otago Exercise Programme (PDF) http://tinyurl.com/5lrotl

workplace health well@work by Jackie cresswell

a working solution

wHaT was iT Well@Work was a two year national workplace health initiative comprising nine regional projects encompassing 32 workplaces of different sizes and sectors.

aiMs aND ObJecTiVes The aims were: n To assess the effectiveness of workplace health programmes in promoting the health and well being of employees in a diverse set of workplace environments n Develop an evidence base on what works in health promotion in the workplace in England. The objectives were to: n Conduct nine regional projects each implementing a healthy lifestyle programme with a core focus on physical activity, nutrition and smoking n Undertake a national evaluation n Identify factors and barriers associated with implementation, success and sustainability of workplace health programmes.

wHaT HaPPeNeD Generally the workplace health programmes did have an impact on physical activity levels and participants upped their intake of fruit and vegetables. Physical activity and nutrition were the dominant project initiatives, physical activity accounted for 49% and nutrition for 19%.

The workplace offers significant potential to promote healthy lifestyles to the adult working population. In 2004, a £1.6 million British Heart Foundation led pilot programme, Well@Work, was announced to test out what impact workplace health programmes could have. This article highlights some of the findings from the final evaluation report Well@Work: Promoting active and healthy workplaces. programme. The evaluation suggests the skill set required for a successful workplace health programme co-ordinator should not be limited to health knowledge or an ability to deliver project initiatives but should include management, planning, co-ordination and communication. Project success and sustainability was found to be less likely if co-ordination was left to employee volunteers to run and/or not provided with sufficient allocation of time and at least some resources.

cONclUsiONs The evaluation team developed a set of conclusions based on their findings.

sTarTiNG OUT Realistic timescales are needed. At least 12 months is necessary as an initial start up phase for a workplace health programme. Expectations need to be realistic and acknowledge that planning, establishing employee engagement and developing management support (at all levels) can take longer than anticipated. The following will determine both the type of benefits and timescale required: n The scale of investment n Type of programme and co-ordination n Level of management support n Employee engagement An evaluation should be undertaken to assess the impact of the programme and demonstrate effectiveness.

workplace champions The development of workplace champions is recommended to: n Help, plan and implement a workplace health programme n Encourage employee engagement n Deliver employee ownership.

Management support management support for both the programme itself and those involved in implementation (workplace champions, project co-ordinators) is essential. This support needs to be visible to employees and an advocate or sponsor within the organisation can be of great benefit.

esseNTial eleMeNTs Project co-ordinator

eleMeNTs TO cONsiDer

The role of project co-ordinator was significant to the delivery and success of projects in the Well@Work

Physical environment A comprehensive workplace health programme needs to examine how it can change the physical environment at a workplace (eg. design, facilities, amenities) to support employees in making healthy lifestyle choices. Doing so demonstrates the commitment of an organisation to support employee health. It is a mid to long-term objective and requires significant management support.

SETTInG UP AnD mAInTAInInG GooD CommUnICATIon THRoUGH mULTIPLE CHAnnELS To REACH ALL EmPLoyEES IS ESSEnTIAL FoR SUCCESS

Organisational policy

n Report - a copy of the final evaluation report http://tinyurl.com/6nt8r2 n Website - Well@Work http://tinyurl.com/58nvvt n Game - the BHF have produced a fun OfficeOlympics game if you want some work-relevant fun for a few minutes! http:// www.bhf.org.uk/thinkfit/officeolympics/

online

An organisational policy on supporting healthy lifestyles

www.sportEX.net

Motivational interviewing (MI) was initially developed as a useful method to help individuals change problem drinking behaviour. Historically, MI has an impressive history in helping individuals to change various addictive behaviours. However, since the 1990s, MI has developed an increasingly diverse profile with positive MI and trials of MI being l a Ic s y ph documented in the y It Iv t c a management of various chronic diseases such as cardiovascular disease and hypertension. This article looks at what MI is and how it can be used to help people become more physically active.

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By Charlo

oretica d of MI that, The metho the transthe nt to note ponent of it is importa eloped at change com However, d have dev change (1). dent MI metho behaviour ely indepen theory and the TTM are complet two d tan the although e, unders same tim help us to be roughly the TTM may MI should ther. The we nge, while cha how ur of of one ano avio ding ses of beh understan the proces uting to our practice. as contrib change in considered behaviour facilitating go about e or applied of Mi on someon the spirit hnique that is used particularly as se that are a tec Indeed, as MI is not sion to tho developed otivated. of persua is s initially m pletely unm wa a method ble I) perhaps it com as (M pro red ing people, conside tion change erviewing ls int istant or ua role of help res al has motiva the ivid ive ne on in ind ss lved everyo impre Motivati to help an d viduals invo sider that s elicit these indi con tho ha to to is r me MI ctitione productive various a useful torically, skilful pra ge cative and His far more a an evo of ur. ch ve, vio role rati ha . The spirit is collabo has ividuals to for change to as the drinking be nner that 1990s, MI is referred helping ind s in a ma of MI motivation my (2). This history in integration r, since the with positive ient autono ental to the g the . Howeve honours pat te MI usin red fundam behaviours erse profile nagement to integra is conside are addictive of MI and singly div Attempting the spirit ma e. rea out ctic the inc pra with ay an of MI ’ mented in into everyd ascular methods out music. developed ciples and being docu s such as cardiov ‘dancing with guiding prin at being like trials of MI S rred to as disease looks at wh often refe d Method us chronic is article

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ng Underpinni tions namely: reflex own motiva the righting person’s 1) To resist explore a erstand and optimism. 2) To und empathy hope and g with n agin our 3) To liste client, enc power the innate 4) To em rs to our reflex refe helping The righting harm. In the ting reflex. trap of e away from 1. the righ ct someon fall into the to dire y tyle to eas desire larly ealthy lifes , it is particu cate an unh could professions ors that indi rnative behaviour those fact help how an alte identifying ntion is to d to explain lth. The inte lth cee hea hea in pro s and rnative ement to improv choose alte the they may contribute wledge in erstand how r, ice and kno und eve adv m nts How clie tly. r the gs differen and to offe e thin urs d eas avio tan incr beh unders ds to they may is that it ten hope that response y with this nge. tifying cha Iden to . the difficult tion istance tiva od of res oner ’s own mo ual ctiti pra ivid the likeliho a ind ws tanding an change allo ngthen 2. unders behaviour s and stre reasons for motivation and individual dy, willing son’s own tand a per vidual is rea to these indi an t to unders rs ges s that sug nge. MI refe statement aviour cha ertake beh ussions able to und nge talk’. pathic disc s as ‘cha rative, em to change statement hy. Collabo their ability with empat ception of 3. listen per ’s a person uld sho strengthen r one ctiti skilful pra behaviour. client. A ering the changes. 4. empow to make the client empower sistent of an MI con o.a.r.S form the typical style ds Four metho ion, namely: (Oct):10-12 conversat lth 2009;19 sportEX

n Website – Motivational Interviewing Network of Trainers – www.motivationalinterview.org n Videos - Check out Tor’s YouTube playlist of motivational interviewing clips at http://tinyurl.com/5zaot9 – if you have others share them with Tor on YouTube n Presentations - a couple of presentation resources on SlideShare http://www.slideshare.net/group/ sportex-health – background on MI and an idea for creating a motivational interviewing inspired booklet.

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CONTACT +44 (0)845 652 1906 www.sportex.net