Implementation of an Evidence-Based Exercise Program for Older Adults in South Florida

Abstract EN

Introduction.

This study aimed to examine how well an evidence-based physical activity program could be translated for wide scale dissemination and adoption to increase physical activity among community-dwelling older adults.

Methods.

Between October 2009 and December 2012, reach, fidelity, dosage, ease of implementation, and barriers to translation of EnhanceFitness (EF) were assessed.

To assess effectiveness, a pretest-posttest design was used to measure increases in functional fitness (chair stands, arm curls, and the up-and-go test).

Results.

Fourteen community-based agencies offered 126 EF classes in 83 different locations and reached 4,490 older adults.

Most participants were female (72%).

Thirty-eight percent of participants did not complete the initial 16-week EF program.

The 25% who received the recommended dose experienced an increase in upper and lower body strength and mobility.

Further, participants reported high satisfaction with the program.

Conclusion.

EF was successfully implemented in a variety of settings throughout South Florida and reached a large number of older adults.

However, challenges were encountered in ensuring that those who participated received a program dose that would lead to beneficial gains in functional fitness.