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Results from the Active for Life process evaluation: program delivery fidelity and adaptations
Sarah F Griffin1, Sara Wilcox, Marcia G Ory
1Department of Public Health Sciences, Clemson University, 507 Edwards Hall, Clemson, SC 29634, USA. sgriffi@clemson.edu
Health Education Research
|March 28, 2009
Summary
Active for Life (AFL) successfully increased physical activity in adults. Community organizations adapted evidence-based programs, maintaining fidelity while fitting them to diverse participants.
Area of Science:
- Public Health
- Translational Research
- Behavioral Science
Background:
- Translational research emphasizes real-world application alongside efficacy.
- Physical activity (PA) is crucial for midlife and older adults' health.
- The Active for Life (AFL) initiative aimed to increase PA in this demographic.
Purpose of the Study:
- To describe the process evaluation design and findings of the AFL initiative.
- To understand how findings inform the translational process in community settings.
- To offer recommendations for community-based translational research.
Main Methods:
- A large-scale (n=8159) translational initiative implementing two evidence-based PA programs.
- Programs based on the transtheoretical model and social cognitive theory.
- Process evaluation of implementation fidelity and adaptation by diverse community organizations.
Main Results:
- High-dose program delivery and implementation fidelity were observed across varied organizations.
- Most variation in implementation occurred in participant-engaging program elements.
- Collaborative adaptation allowed programs to fit specific participant bases while maintaining core fidelity.
Conclusions:
- Community organizations can successfully implement and adapt evidence-based PA programs.
- Balancing program fidelity with contextual adaptation is key in translational research.
- Process evaluation provides valuable insights for optimizing community-based health initiatives.
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