The Take Charge Challenge is a physical activity behavior change program that was adapted from the 1996 Centers for Disease Control and Prevention Director's Challenge. This behavior change program is a ten week, team and incentive based intervention. Individual and team goals are set, and evaluation is done using pre and post "stage of change" assessments. It is designed to collect data that meets the following Healthy People 2010 Physical Activity Objectives: 22-1,-2,-3, and 22-13. In 1998, the National Coalition to Promote Physical Activity piloted this intervention with 15,000 participants in 38 national sites, with 45% participation and 70% goal completion.
In 1998 the Tuba City Indian Medical Center adopted this intervention as a community strategy to prevent and reduce type II diabetes. The community strategy is designed in three phases. The first phase involves the medical center employees and family. During the last three years employee participation has increased from approximately 40% to over 65% and physical activity goal completion from 50% to 70%. There was a 34% pre-contemplation/contemplation stage of change movement to action/maintenance in 2000.
The second phase will expand the intervention to schools, tribal employees and other agencies. A community/patient outreach model will be developed for the third phase. In addition to physical activity, the behaviors of fruit and vegetable consumption and dietary fat intake will be included in the second and third phases. The components of this intervention can be adapted to a variety of settings and population groups.
Learning Objectives: 1. Construct a physical activity intervention for the workplace that is based on individual goal-setting and team participation. 2. Evaluate a behavior change intervention using the "stages of change" approach. 3. Apply a defined physical activity intervention across a variety of community groups, tribal agencies and social structures.
Keywords: Behavior Modification, Community-Based Health Promotion
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