Multilevel perspectives on diffusing a physical activity promotion program to reach diverse older adults.

Area of Science:

• Public Health
• Community Health Interventions
• Health Disparities

Background:

• Underserved communities, including minority and lower-income older adults, face significant health challenges.
• Research-based physical activity programs hold potential for improving health outcomes in these populations.
• Effective diffusion strategies are crucial for program success in diverse community settings.

Purpose of the Study:

• To explore attitudes, resources, needs, and barriers related to physical activity in underserved communities.
• To assess the potential for diffusing a physical activity promotion program among minority and lower-income older adults.
• To identify community sector perspectives on facilitating program adoption and sustainability.

Main Methods:

• A multilevel, community-based formative research approach was employed.
• Qualitative data were collected through focus groups and individual interviews with various community stakeholders (N=197).
• Analysis of 47 transcripts identified key themes regarding program diffusion and community needs.

Main Results:

• Community sectors highlighted the need for culturally diverse resources and promotion of existing programs.
• Participants emphasized the importance of demonstrating cost savings and utilizing culturally tailored outreach.
• The proposed program was viewed favorably, particularly when integrated with existing community resources.
• Collaboration and resource linking across sectors were identified as essential but complex.

Conclusions:

• Culturally tailored physical activity interventions are vital for improving health in underserved populations.
• Successful diffusion requires addressing specific community needs, resource integration, and stakeholder collaboration.
• Findings offer guidance for communities aiming to implement and sustain health promotion programs.