Implementation of a co-designed physical activity program for older adults: positive impact when delivered at scale

McKay, Heather; Nettlefold, Lindsay; Bauman, Adrian; Hoy, Christa L.; Gray, Samantha M.; Lau, Erica Y.; Sims‐Gould, Joanie

doi:10.1186/s12889-018-6210-2

Cited by 34 publications

(92 citation statements)

References 65 publications

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“…To address this priority, the Ministry entered into a partnership with the Active Aging Research Team (AART; comprised of university‐based researchers and highly qualified support staff; http://www.activeagingrt.ca). AART undertook a number of province‐wide initiatives to support implementation of programs to increase older adults' PA and social connectedness in community settings (McKay et al). Among them, there was a signature initiative called Choose to Move (McKay et al) and a grant program called Active Aging Grants (AAGs).…”

Section: Introductionmentioning

confidence: 99%

Community health promotion programs for older adults: What helps and hinders implementation

Sims‐Gould

Franke

Lusina-Furst

et al. 2019

Health Science Reports

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Background and Aims Despite the many known health benefits of physical activity (PA), older adults are the least active citizens in many countries. Regular PA significantly decreases the odds of functional limitation and social disengagement. However, there is a dearth of publicly funded support services for older adults. The primary objective of this study is to conduct a formative evaluation to examine the implementation of community‐driven health promotion programs for older adults in British Columbia, Canada. Methods The Active Aging Grant (AAG) initiative funded 30 community‐based organizations in British Columbia to design and deliver community‐driven health promotion programs for older adults, with an explicit focus on PA and social connectedness. Guided by the Framework for Successful Implementation, we recruited program coordinators and participants and used semistructured interview guides to focus on design, delivery, and experience within the program. Framework analysis was used with NVivo 11. Results Thirty‐six in‐depth, semistructured interviews were conducted in 2017, after program completion. Data saturation was achieved after interviewing 10 coordinators and 26 program participants from seven of the organizations. Eighteen were female; nine were male; 68% fell in the age range of 65‐84. We detail the innovation characteristics, provider characteristics, and contextual factors that facilitate and impede program implementation. Aspects that facilitate implementation include that they promote PA, foster social connectedness, and address isolation and loneliness; personal accountability; affordability; program design; providers' appropriate skills; community collaborations; and transportation support. Aspects that hinder implementation include lack of resources for marketing and communications, lack of volunteers and dedicated staff, and access to transportation. We also highlight two themes that emerged outside the theoretical framework, the roles of gender and funding in program implementation. Conclusions As part of a formative evaluation, the information will help adapt and enhance implementation of a larger scale‐out intervention aimed to increase PA and social connectedness amongst older adults in British Columbia, Canada.

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Section: Introductionmentioning

confidence: 99%

Community health promotion programs for older adults: What helps and hinders implementation

Sims‐Gould

Franke

Lusina-Furst

et al. 2019

Health Science Reports

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“…To assess whether PA and social connectedness differed by participants' loneliness status at baseline, we used general linear mixed effects models with time (0, 3, 6 months) as a categorical predictor (29). In model 1 we included sex and baseline loneliness (dichotomous measure; lonely vs. not lonely) as xed effects.…”

Section: Discussionmentioning

confidence: 99%

“…In collaboration with key community stakeholders we scaled up CTM across the province of BC, Canada in three phases [2016][2017][2018][2019][2020]. In Phases 1 and 2 (Jan 2016-May 2017) CTM effectively enhanced PA, mobility, social isolation and diminished feelings of loneliness in older adults (29). Our implementation evaluation demonstrated that CTM could be effectively adapted to context (30) and implemented at scale by trained activity coaches in collaboration with key community recreations organizations with established reach to older adults (29,30).…”

Section: Contextmentioning

confidence: 99%

“…Elsewhere we described the CTM intervention, implementation and evaluation frameworks that guide our work (28,29,31), the bene ts of CTM on PA and social connectedness (29) and factors that in uenced implementation (30). Brie y, CTM is a 6-month, choice-based health promoting PA program that supports low active older adults to become more physically active and socially connected.…”

Section: Choose To Movementioning

confidence: 99%

“…We describe our study design and implementation approach in detail elsewhere (28)(29)(30)(31). Brie y, we conducted a type 2 hybrid effectiveness-implementation study (32).…”

Section: Study Design and Settingmentioning

confidence: 99%

See 2 more Smart Citations

Choose to Move: A Health Promoting Physical Activity Intervention Can Also Enhance Social Connectedness

Franke

Sims‐Gould

Nettlefold

et al. 2020

Preprint

Self Cite

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Background: Despite the well-known health benefits of physical activity (PA), older adults are the least active citizens. Older adults are also at risk for loneliness. Given that lonely individuals are at risk for accelerated loss of physical functioning and health with age, PA interventions that aim to enhance social connectedness may decrease loneliness and increase long-term PA participation. The objectives of this mixed-method study are to: (1) evaluate whether an evidence-based PA intervention (Choose to Move; CTM) influenced PA and social connectedness differently among self-identified ‘lonely’ versus ‘not lonely’ older adults and (2) describe features of CTM that promote social connectedness.Methods: Two community delivery partner organizations delivered 56 CTM programs in 26 urban locations across British Columbia. We collected survey data from participants (n=458 at baseline) at 0 (baseline), 3 (mid-intervention) and 6 (post-intervention) months. We conducted in depth interviews with a subset of older adults at baseline (n=43), mid-intervention (n=38) and post-intervention (n=19).Results: PA increased from baseline to 3 months in lonely and not lonely participants. PA decreased from 3-6 months in lonely participants; however, PA at 6 months remained above baseline levels in both groups. Loneliness decreased from baseline to 3 and 6 months in participants identifying as lonely at baseline. Features of CTM that influence social connectedness include: Activity coach characteristics/personality traits and approaches; opportunity to share information and experiences and learn from others; engagement with others who share similar/familiar experiences; increased opportunity for meaningful interaction; and accountability.Conclusion: PA interventions that focus on social connectedness, through group-based activities can improve the health of older adults by addressing both loneliness and PA. Building social connectedness within a PA intervention for older adults may support long term changes in PA behaviours.

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Getting Ready for Scale-Up of an Effective Older Adult Physical Activity Program: Characterizing the Adaptation Process

et al. 2020

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Implementation of a co-designed physical activity program for older adults: positive impact when delivered at scale

Cited by 34 publications

References 65 publications

Community health promotion programs for older adults: What helps and hinders implementation

Community health promotion programs for older adults: What helps and hinders implementation

Choose to Move: A Health Promoting Physical Activity Intervention Can Also Enhance Social Connectedness

Getting Ready for Scale-Up of an Effective Older Adult Physical Activity Program: Characterizing the Adaptation Process

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