The Conversion of a Practice-Based Lifestyle Enhancement Program into a Formalized, Testable Program: From Texercise Classic to Texercise Select

Abstract

Little is known about the structure, content, and benefits of practice-based or grass roots health programs that have been widely delivered by a variety of community organizations and stakeholders. This perspective will document the natural history of Texercise Classic, a state-endorsed but previously untested lifestyle health promotion program. It will: (1) discuss Texercise Classic’s participant reach and adoption over time; (2) describe the rationale and processes employed to formalize Texercise Classic into a more structured program known as Texercise Select; (3) outline the essential elements and activities included in Texercise Select and contrast them with those included in Texercise Classic; and (4) highlight key components for uniform facilitator training. The discussion will reflect upon the evolution of Texercise, compare and contrast the benefits and challenges of each program, and review the “next steps” for Texercise Select. In contrasting Texercise Classic and Select, it is important to understand the benefits and challenges of both programs. Preliminary results indicate that Texercise Select is effective, yet its ability to sustain the same reach as Texercise Classic remains unknown and an area for future study.

Community Case Study Article Type: Criteria for Submission and Peer Review

“…Health programs and practices are often conceived and delivered by community-based practitioners to address specific community health education and promotion needs ( 1 ). Although, initially untested, such programs can provide important lessons for researchers and practitioners, alike.…”

Cost-Effectiveness of a Community Exercise and Nutrition Program for Older Adults: Texercise Select

“…The Texercise Select community program was an adaptation of the existing state’s Texercise Classic program [36]. It was developed with the primary goal of evaluating and establishing the evidence base for the on-going Texercise health promotion program in terms of reach and effectiveness.…”

Research, Practice, and Policy Perspectives on Evidence-Based Programing for Older Adults

“…Adaptations to a variety of physical activity programs for older adults are being further evaluated. Processes involved in the conversion of a practice-based lifestyle program to a formalized, testable evidence-based program are described ( 91 ). Such translations require an understanding of the benefits and challenges of both approaches as related to balancing program reach and sustainability.…”