Week 2

Question 1

6 Steps of the CSEP-PATH sequence

Answer 1

• Step 1 - ASK: get to know client
• Step 2 - ASSESS: Conduct physical activity, fitness, and/or lifestyle assessment
• Step 3 - ADVISE: Summarize results and discuss
• Step 4 - AGREE: Devise plan of action
• Step 5 - ASSIST: Increase motivation and overcome barriers
• Step 6 - ARRANGE: Provide Continuing support (follow ups)

Question 2

Objectives of Step 1 - ASK

Answer 2

• Gain insight on client’s goals and interests
• Explain CSEP-PATH options and confirm the scope of the assessment
• Complete informed consent
• Discuss pre-meeting info
• Complete pre-participation screening process including the GAQ, RHR, RBP, and collection of relevant medical history

Question 3

Def: Physical Activity

Answer 3

Any movement intentional or not

Question 4

Def: Exercise

Answer 4

Intentional movement with structure

Question 5

Def: Fitness

Answer 5

Measurement of variable related to body’s ability to preform movement
- Many different fitness variables
- Don’t always measure (can make plan based on history)

Question 6

What aspects of fitness should you gain an understanding of what the client thinks about them?

Answer 6

• Knowledge of the importance of physical activity to health
• Primary motivation (Goals) and drivers (intrinsic or extrinsic)
• Level of commitment (readiness for change)
• Confidence that he/she can initiate and stick with physical activity plan (Self-efficacy)

Question 7

Def: Self-efficacy

Answer 7

Own belief in how well you can do something

Question 8

What are some potential questions to ask your client about motivation

Answer 8

• What brings you in to see me today?
• What made you sign up for the appointment

Question 9

What are some potential questions for learning about a clients current activity levels

Answer 9

• How active are you?
• Does you job require you to sit for long periods of time?
• How about your commute?
• How do you spend your leisure time?

Question 10

Potential questions to learn about clients history

Answer 10

• Was there a time when you were more active
• Have you ever worked with a personal trainer before? what did you like/not?

Question 11

Physical activity readiness screening

Answer 11

• Pre-assessment instructions
• Informed consent
• Get Active Questionnaire (if applicable, physician guidance for physical activity or GAQ for pregnancy)
• Observations (Daily circumstances like sick)
• Collection of relevant medial history
• Pre-exercise heart rate and pre-exercise blood pressure

Question 12

Preliminary Instructions for clients (The welcome letter)

Answer 12

Dress Requirements
- Light clothes and walking shoes
Food & Beverages
- No food 2 hours prior
- No caffeinated beverages 2 hours prior
- No alcohol 6 hours prior
Smoking
- No smoking 2 hours prior
Exercise
- no exercise 6 hours prior

Question 13

Informed Consent

Answer 13

• Describe assessment (written and verbal)
• Signed in pen before anything else done
• Not a waiver form
• <18 years - youth consent form signed by guardians
• Must be witnessed at the time of signing by a 3rd party independent of the association you are working with
• Must be signed by client prior to collecting personal information

Question 14

Role of QEP in pre-participation health screening

Answer 14

• Conducts prescreening to reduce liability and inform exercise program
• At minimum: evidence-based screening tool, medial history, RHR and RBP, assessment of current PA levels
• Works withing their knowledge skills and abilities
• Charts information about client’s medical history
• Considers client’s risk of an adverse event

Question 15

Get Active Questionnaire

Answer 15

• Client must read and answer questions on GAQ without interpretation form CPT
• Form must be signed with ink pen and witnessed by 3rd party
• Client’s answer determine whether client falls within the CSEP-CPT scope of practice or requires clearance from a physician before either doing the active portions of the fitness assessment or starting an exercise program
• Form is valid for 12 months or unless health condition changes

Question 16

What is on page 1 and 2 of the GAQ

Answer 16

Page 1
- 4 questions to identify clients who may need t seek advice from an appropriate health care professional before becoming more physically active
Page 2
- Assessment of current physical activity levels
- General advice for becoming more physically active
-Declaration

Question 17

Why is it important to understand the client’s current PA levels

Answer 17

• The cardiovascular risk associated with exercise lessens as individuals become more physically active
• Clients who do regular physical activity, can usually begin at a level of physical activity that they are currently doing and progress appropriately
• Clients who are inactive should begin with light to moderate physical activity and progress gradually as tolerated
• Clients who have a lower risk medical condition and are interested in vigorous activity, should be referred to a CSEP-CEP

Question 18

Limitations of the GAQ

Answer 18

• Possible for clients to have a diagnosed condition or take medications despite answering NO to all of the questions on page 1
  MUST ASK all clients about their medical history
• Any suspected or diagnosed conditions
• Taking any medications (over the counter or prescribed)

Question 19

CSEP-CPT Health Screening Tool

Answer 19

• Used when clients identify as part of the pre-screening process that they have one medical condition
• tool helps CPT determine if client’s medical condition is low risk (stable)
• Not a substitute for the GAQ

Question 20

Apparently Healthy Clients

Answer 20

• No diagnosed medical condition
• No overt signs and symptoms suggesting any potential underlying medical conditions
• Able to exercise independently

Question 21

Low risk medical condition clients

Answer 21

• Condition is being medically managed and client is asymptomatic
• No change in meds or treatment plan in the past 6 months
• Client can exercise independently
• Benefits of physical activity clearly outweigh risks

Question 22

Higher risk medical condition clients

Answer 22

Considered is meet any of follow (can’t work with)
- May not be medically managed
- May be symptomatic
- Treatment may have recently changes
- May not be able to exercise independently
- Benefits of physical activity may not outweigh risks

Question 23

What medical conditions are included on the CSEP-CPT Health Screening Tool

Answer 23

• Asthma
• Heart Disease
• Hypertension
• Osteoarthritis
• Osteoporosis
• Type 2 diabetes

Question 24

Reasons to refer a client elsewhere

Answer 24

• Client not able to exercise independently
• Client at risk for an adverse event or has an unstable health condition
• Client wishes to engage in maximal or near-maximal exercise
• Client has 2 or more co-morbid conditions
• Client has resting HR or BP above screening requirements
• You do not feel that you have the knowledge, skills or abilities to work with the client

Question 25

What form should be used when referring a client to a physician?

Answer 25

Physician Guidance for physical activity form - Pafe 1-2 is to be completed and signed by the physician - Page 3 provides additional information about the CSEP-CPT qualifications, the PATH and the 24h movement guide

Question 26

Day of observations of client that would lead to postponed assessment

Answer 26

- Difficult breathing at rest - Cough persistently - Ill or have a fever - low extremity swelling - clearly ignored preliminary instructions - predisposed to unnecessary risk - Is there any reason to believe you could be pregnant

Question 27

Cut offs for pre-exercise blood pressure

Answer 27

SBP >160 DBP >90 * if not previously diagnosed with hypertension by SBP 140-160 you may proceed by should be encouraged to discuss their resting BP with their physician

Question 28

Cut offs for pre-exercise heart rate

Answer 28

>100 bpm

Question 29

What optional questionnaires may be useful

Answer 29

- Abilities for active living questionnaire - Physical activity & sedentary behaviour - Healthy sleep assessment - Stages of change - Inventory of lifestyle needs and activity preferences

Question 30

Working with clients with disabilities

Answer 30

- Most appropriate terminology is usually that used by the client in describing his/her disability - Avoid using negative value judgements - Use normal conversational phrases that refer to specific activities - If a client is offended by the use of a particular term or phrase, ask for an alternative

Question 31

Abilities for active living questionnaire

Answer 31

- Used to identify a disability that may require some accommodation on the part of the facility or qualified exercise professional to facilitate a successful first meeting - Not a risk screening device

Question 32

Physical activity and sedentary behaviour questionnaire

Answer 32

- Provides an approximation of clients' physical activity and sedentary behaviour for a typical week - Use in conjunction with health benefit ratings

Question 33

Healthy sleep assessment

Answer 33

- Questions provides an indication of whether the client has good or poor sleep habits - Question banks for age ranges (Toddler 3-4, children and youth 5-17, adults 18+)

Question 34

Stages of change questionaire

Answer 34

- Propose is to identify a client's stage of motivational readiness for change - Knowing this allows you to decide appropriate strategies for enhancing their commitment to change