Implementation and Maintenance of a Community-Based Older Adult Physical Activity Program

Petrescu-Prahova, Miruna; Belza, Basia; Kohn, Marlana; Miyawaki, Christina E.

doi:10.1093/geront/gnv024

Cited by 39 publications

(40 citation statements)

References 23 publications

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“…The literature showed that financial resources/reimbursement, time available, professionals' attitude and support from organization are frequently cited influencing factors to the implementation of a physical activity (promotion) programme in rehabilitation care (18)(19)(20)(21)(22) or in primary healthcare (15,23,24). These factors were also reported by professionals involved in the current study to hamper and/or facilitate the implementation process.…”

Section: Discussionmentioning

confidence: 72%

Professionalsâ€™ perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study

Hoekstra

Hettinga

Breejen³

et al. 2017

J Rehabil Med

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Section: Discussionmentioning

confidence: 72%

Professionalsâ€™ perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study

Hoekstra

Hettinga

Breejen³

et al. 2017

J Rehabil Med

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“…Review of the references of one paper led to the discovery of additional papers on older adults' attitudes to falls prevention programmes, which were included [6][7][8] to present views specific to falls prevention activities. So in total, seventeen papers were included: five systematic reviews 5,7,9,10,11 ; three reviews 6,12,13 ; and nine primary studies for context 8,[14][15][16][17][18][19][20][21] .…”

Section: Resultsmentioning

confidence: 99%

“…The remaining primary studies [14][15][16][17][18]20,21 were all qualitative studies that set out to explore attitudes towards different types of strength and balance activities. The study participants were mainly people taking part in specific programmes of resistance exercise; falls prevention programmes; bone strength programmes or general activity programmes with a specific component targeting strength.…”

Section: Sense Of Belonging 4 Increase Social Activity 2 Observing Otmentioning

confidence: 99%

Enablers and barriers to older people’s participation in strength and balance activities: A review of reviews

Cavill¹,

Foster²

2018

JFSF

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Encouraging physical activity is a key aspect of public health, with links to significant health benefits, including reducing the risk of a range of diseases, e.g. coronary heart disease, stroke, type 2 diabetes, and helping to maintain a healthy weight 1,2. The UK Chief Medical Officers' (CMOs) guidelines for physical activity present evidence-based, age-specific recommendation for physical activity to improve public health 3. Alongside recommendations for aerobic physical activity (150 minutes per week of at least moderate intensity physical activity, or 75 minutes per week of vigorous intensity physical activity) are specific recommendations for enhancing strength and balance (Table 1): Mainstream planning and delivery on physical activity typically focusses on the general physical activity guideline, with the strength and balance aspect largely considered for specific populations and outcomes, such as programmes aimed at older adults, or programmes aiming to prevent falls. It is unclear whether this lack of focus on the strength and balance aspect of the recommendations is driven by a professional bias (e.g. if the public health community was uncertain of the importance of the recommendations or unsure how to implement them) or barriers to implementation faced by older adults themselves 4. This review therefore Abstract Objectives: This review sought to investigate the question: what are the key barriers to, and enablers for, older adults undertaking muscle strengthening and balance activities, and how can these be addressed by individuals and practitioners? Methods: A search of PubMed for review-level evidence on professional and personal barriers and motivators for strength and balance activities among older people. Results: The search and expert consultation found 46 studies; after screening, twelve papers were included. Many of the barriers and motivators to strength and balance activities are familiar ones that can also apply to physical activity more generally, such as not having the time. More specific barriers to strength and balance activities for older people were perceived risk of a heart attack, stroke, or death, and fear of looking too muscular; with motivators being improved ability to complete daily activities, preventing deterioration and disability, and decreasing the risk or fear of falling. Conclusions: This review of reviews has found a small but consistent body of literature describing the motivators and barriers to older adults taking part in strength and balance activities. This may be used as the basis for planning and delivering physical activity programmes for older adults.

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“…(F4: P3) Thus, to effectively increase PA participation within this population, health-promotion strategies should go further than merely educating and raising awareness about potential health benefits, and should also advocate for the provision of low-cost, and easy reachable PA opportunities regardless of financial status (Petrescu-Prahova et al, 2015;Borodulin et al, 2016). It is worth noting that for the participants recruited from the assisted living retirement home, any PA sessions delivered were included within the cost of the overall living fee, and hence lack of financial resources was rejected as a potential barrier for PA participation (Baert et al, 2016).…”

Section: Enabling Correlatesmentioning

confidence: 99%

Using formative research with older adults to inform a community physical activity programme: Get Healthy, Get Active

Sanders

Roe

Knowles

et al. 2018

Prim Health Care Res Dev

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Between March and June 2016, 34 participants took part in one of six focus groups as part of a descriptive formative study. A homogenous purposive sample of 28 community dwelling white, British older adults (six male), aged 65-90 years (M=78, SD=7 years) participated in one of five focus group sessions. An additional convenience pragmatic sub-sample of six participants (three male), aged 65-90 years (M=75, SD=4 years), recruited from an assisted living retirement home participated in a sixth focus group. Questions for focus groups were structured around the PRECEDE stage of the PRECEDE-PROCEDE model of health programme design, implementation and evaluation. Questions addressed knowledge, attitudes and beliefs towards physical activity, as well as views on barriers and opportunities for physical activity participation. All data were transcribed verbatim. Thematic analysis was then conducted with outcomes represented as pen profiles.FindingsConsistent views regarding both the potential physical and psychosocial benefits of physical activity were noted regardless of living status. The themes of, opportunities and awareness for physical activity participation, cost, transport, location and season/weather varied between participants living in an assisted living retirement home and community dwelling older adults. Further comparative research on the physical activity requirements of older adults living in assisted living versus community settings are warranted.

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Implementation and Maintenance of a Community-Based Older Adult Physical Activity Program

Abstract: Assessing the readiness of organizations for program delivery and the match between program goals and the needs of organizations and participants would help facilitate the successful implementation and maintenance of physical activity programs in community settings.

Cited by 39 publications

References 23 publications

Professionalsâ€™ perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study

Professionalsâ€™ perceptions of factors affecting implementation and continuation of a physical activity promotion programme in rehabilitation: A qualitative study

Enablers and barriers to older people’s participation in strength and balance activities: A review of reviews

Using formative research with older adults to inform a community physical activity programme: Get Healthy, Get Active

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