International Council on Active Aging

Welcome to the ICAA

Become a member now!

Whether a large or small organization, or an individual professional, the ICAA has the right membership for you.
Learn More

Online form for listing your program

Use this online form to submit your program.  Please make your descriptions short and clear. This form will become your online listing and is meant to give colleagues a brief overview of the program. You will provide more details when requested.
Thank you.
Asterisk indicates required fields.
*Name of Program:
*Primary Dimension of Wellness:
Physical
Cognitive/Intellectual
Spiritual
Emotional
Social
Professional/Vocational
*Additional Dimension of Wellness:
Physical
Cognitive/Intellectual
Spiritual
Emotional
Social
Professional/Vocational
*Developed by (person/organization):
*Contact Name:
*Company:
Address:
City:
State/Province:
Zip/Postal Code:
*Phone:
*E-mail address:
Website: http://
*Program Description:
(Please describe your program in 35 words or less. The name of the program/class/event and its purpose. This is what colleagues will see when searching. For example, XYZ program combines classes in healthy eating with a walking club. It has one session a week for 8 weeks. XYZ has been offered for 3 years.)
*Indicators of program success:
(List 3 things that indicate the program is successful. State how many people attend, how many times/years the program has been offered (is the success repeated?) and the outcomes that were achieved.)
Published articles or papers:
(If the program has been endorsed by a major national organization, name that organization. If there have been articles in a magazine or newspaper or a study published in a peer-reviewed journal, list up to 3 article titles and the publication where they appeared.)
*Program has easily available print and/or Internet resources and guidelines:
Yes
No
*Program type:  (Check all that apply)
Group program
One-to-one program
Home-based
Community-based
Hospital-based
Workplace
Other
*Program characteristics:  (Check all that apply)
Certified leader
Non-certified leader
Volunteer leader
Behavior change component
Manual/toolkit available
Web-based support
Technical assistance available
Other
*Training requirements for leaders/teachers:
Yes
No
*Program cost to organization?
Free
License or ongoing fee  
One-time purchase  
*Are fees charged to participants?
Yes
No
*Program requirements (space, equipment, etc.):
*Target participant age ranges (Check all that apply)
50-64
65-74
75-84
85+
Multiple Age Groups
*Suitable for persons with cognitive challenges?
Yes
No
*Functional level of target population:
Needs significant assistance with activities of daily living, such as eating, bathing and dressing
Needs a little help because of chronic conditions and disabilities that require assistance in some areas of functioning
Lives independently in the community with some chronic conditions and limitations
Generally healthy and active members of the community
Physically fit and very active

Physical Activity Program Checklist: (Check "Yes" or "No")
Note: This checklist is only for physical activity programs. It is not used for programs within other dimensions of wellness.
1.  Program incorporates safe and effective endurance, strength, balance, and flexibility components that are tailored to meet the needs of the participants.
   Yes
   No
2.  Program offers individual and/or group-based physical activity options with instruction in proper technique and qualified supervision.
   Yes
   No
3.  Program regularly re-assesses the recommended intensity, duration, and frequency of physical activity for all participants.
   Yes
   No
4.  Program has endurance-related components that involve large muscle groups and are sustained for at least 10 minutes for beginners with an eventual goal of 30 minutes of moderate intensity activity for most participants.
   Yes
   No
5.  Program offers opportunities for both upper and lower body resistance exercise in which the workload is re-assessed on a regular basis and increased as appropriate.
   Yes
   No
6.  Program provides opportunities for participation in flexibility and stretching activities that facilitate increased range of motion.
   Yes
   No
7.  Program includes opportunities for both static and dynamic balance activities.
   Yes
   No
8.  Program assesses the functional fitness (including cardiovascular, strength, flexibility, and balance) levels of participants on a regular (at least annual) basis.
   Yes
   No
9.  Program includes a variety of support strategies designed to maximize recruitment, increase motivation for exercise progression, and minimize attrition.
   Yes
   No
10.  Program has a systematic and approved strategy for risk management and prevention of activity-related injuries that includes a formal emergency management protocol including written emergency procedures posted in a readily accessible location and program personnel who are trained in CPR and first aid.
   Yes
   No
 
TwitterfacebookLinkedinICAA-TV