Maintenance of Change in the Active-for-Life Initiative

Wilcox, Sara; Dowda, Marsha; Wegley, Stacy; Ory, Marcia G.

doi:10.1016/j.amepre.2009.07.016

Cited by 18 publications

(10 citation statements)

References 16 publications

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“…Similarly, prior telephone-assisted counseling for PA studies reported the increased PA in cancer population (Pinto, Rabin, Abdow, & Papandonatos, 2008), general population aged 50 and older (Wilcox, Dowda, Wegley, & Ory, 2009), and low active older people aged 65 (Kolt, Schofield, Kerse, Garrett, & Oliver, 2007). Although the treatment group participants appeared to be less active than the participants in the control group at pretest, the majority of treatment group participants were adherent to PA as recommended throughout the intervention compared with baseline measurement, and two participants in the treatment group exhibited low levels of PA over the 8-week intervention (<30 minutes/day of walking).…”

Section: Discussionmentioning

confidence: 94%

Telephone-Delivered Physical Activity Intervention for Individuals With Serious Mental Illness

Lee

Kane

Brar

et al. 2014

J Am Psychiatr Nurses Assoc

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Section: Discussionmentioning

confidence: 94%

Telephone-Delivered Physical Activity Intervention for Individuals With Serious Mental Illness

Lee

Kane

Brar

et al. 2014

J Am Psychiatr Nurses Assoc

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“…44,45 For this reason, health plans could provide coverage of PA programs, such as Active Living Every Day and Active Choices, which offer either group-based or one-on-one counseling to support PA through daily activities. 46,47 Study limitations include that our focus groups were primarily Caucasian and relatively well-educated. 48 Though these demographics appear to be common among other PA studies that rely on volunteer participation [49][50][51][52] and are representative of the racial/ethnic profile of King County and Washington State, 53 these sample characteristics may limit the generalizability of our study.…”

Section: Discussionmentioning

confidence: 99%

Barriers to and Facilitators of Physical Activity Program Use Among Older Adults

Bethancourt

Rosenberg

Beatty

et al. 2014

Clinical Medicine & Research

285

233

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Objective: Regular physical activity (PA) is important for maintaining long-term physical, cognitive, and emotional health. However, few older adults engage in routine PA, and even fewer take advantage of programs designed to enhance PA participation. Though most managed Medicare members have free access to the Silver Sneakers and EnhanceFitness PA programs, the vast majority of eligible seniors do not utilize these programs. The goal of this qualitative study was to better understand the barriers to and facilitators of PA and participation in PA programs among older adults.Design: This was a qualitative study using focus group interviews.Setting: Focus groups took place at three Group Health clinics in King County, Washington.Participants: Fifty-two randomly selected Group Health Medicare members between the ages of 66 to 78 participated. Methods:We conducted four focus groups with 13 participants each. Focus group discussions were audio-recorded, transcribed, and analyzed using an inductive thematic approach and a social-ecological framework.Results: Men and women were nearly equally represented among the participants, and the sample was largely white (77%), well-educated (69% college graduates), and relatively physically active. Prominent barriers to PA and PA program participation were physical limitations due to health conditions or aging, lack of professional guidance, and inadequate distribution of information on available and appropriate PA options and programs. Facilitators included the motivation to maintain physical and mental health and access to affordable, convenient, and stimulating PA options. Conclusion:Older adult populations may benefit from greater support and information from their providers and health care systems on how to safely and successfully improve or maintain PA levels through later adulthood. Efforts among health care systems to boost PA among older adults may need to consider patient-centered adjustments to current PA programs, as well as alternative methods for promoting overall active lifestyle choices.

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“…Organizations of the original program developers and all organizations that served in the RWJF translational study were not included in the sample since they received additional technical support, resources and evaluation. [32–34] A total of 186 organizations were identified as cases (i.e., adopters) by HK’s ALED program staff that provided contact information for most of these organizations. Klein Buendel (KB) research staff verified and/or updated email addresses for organizational directors.…”

Section: Methodsmentioning

confidence: 99%

“…A subsequent Robert Wood Johnson Foundation (RWJF) translational trial, Active for Life, showed effectiveness of ALED in community settings. [17,32]…”

mentioning

confidence: 99%

Adopting an evidence-based lifestyle physical activity program: dissemination study design and methods

Dunn

Buller

Dearing

et al. 2011

Behav. Med. Pract. Policy Res.

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Background There is a scarcity of research studies that have examined academic-commercial partnerships to disseminate evidence-based physical activity programs. Understanding this approach to dissemination is essential because academic-commercial partnerships are increasingly common. Private companies have used dissemination channels and strategies to a degree that academicians have not, and declining resources require academicians to explore these partnerships. Purpose This paper describes a retrospective case-control study design including the methods, demographics, organizational decision-making, implementation rates, and marketing strategy for Active Living Every Day (ALED), an evidence-based lifestyle physical activity program that has been commercially available since 2001. Evidence-based public health promotion programs rely on organizations and targeted sectors to disseminate these programs although relatively little is known about organizational-level and sector-level influences that lead to their adoption and implementation. Methods Cases (n=154) were eligible if they had signed an ALED license agreement with Human Kinetics (HK), publisher of the program’s textbooks and facilitator manuals, between 2001 and 2008. Two types of controls were matched (2:2:1) and stratified by sector and region. Active controls (Control 1; n=319) were organizations that contacted HK to consider adopting ALED. Passive controls (Control 2; n=328) were organizations that received unsolicited marketing materials and did not initiate contact with HK. We used Diffusion of Innovations Theory (DIT) constructs as the basis for developing the survey of cases and controls. Results Using the multi-method strategy recommended by Dillman, a total of n=801 cases and controls were surveyed. Most organizations were from the fitness sector followed by medical, nongovernmental, governmental, educational, worksite and other sectors with significantly higher response rates from government, educational and medical sectors compared with fitness and other sectors, (p=0.02). More cases reported being involved in the decision to adopt ALED (p<0.0001). Data indicate that a low percentage of controls had ever heard of ALED despite repeated marketing and offering other types of physical activity programs and services. Finally, slightly over half of the adopters reported they had actually implemented the ALED program. Conclusion Dissemination research requires new perspectives and designs to produce valid insights about the results of dissemination efforts. This study design, survey methods and theoretically-based questions can serve as a useful model for other evidence-based public health interventions that are marketed by commercial publishers to better understand key issues related to adoption and implementation of evidence-based programs.

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Maintenance of Change in the Active-for-Life Initiative

Cited by 18 publications

References 16 publications

Telephone-Delivered Physical Activity Intervention for Individuals With Serious Mental Illness

Telephone-Delivered Physical Activity Intervention for Individuals With Serious Mental Illness

Barriers to and Facilitators of Physical Activity Program Use Among Older Adults

Adopting an evidence-based lifestyle physical activity program: dissemination study design and methods

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