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Participant Variation by Delivery Site Type in an Evidence-Based Physical Activity Program
Marlana J Kohn1, Basia Belza, Miruna Petrescu-Prahova
1Department of Health Services, Health Promotion Research Center, University of Washington, Seattle, WA.
Journal of Aging and Physical Activity
|August 20, 2014
Summary
Older adults in residential settings showed poorer physical function in EnhanceFitness programs compared to senior centers. Tailoring programs to participant needs and abilities is crucial for effective community-based health promotion.
Area of Science:
- Gerontology
- Public Health
- Exercise Science
Background:
- EnhanceFitness is an evidence-based physical activity program designed for older adults.
- Understanding participant characteristics is key to optimizing program effectiveness.
Purpose of the Study:
- To examine demographic and physical function characteristics of EnhanceFitness participants.
- To compare physical function across different program site types.
Main Methods:
- Analysis of data from 19,964 older adults in the EnhanceFitness program.
- Inclusion of self-reported health, demographics, and physical function tests (chair stand, arm curls, timed up-and-go).
- Linear regression models used to compare physical function test results among eight program site types.
Main Results:
- Participants averaged 72 years old, were predominantly female, and had one chronic condition.
- Residential site participants demonstrated significantly poorer baseline performance on chair stand and timed up-and-go tests.
- Poorer timed up-and-go performance persisted at four-month follow-up for residential site participants compared to senior centers.
Conclusions:
- Community-based health promotion programs should assess participant characteristics to tailor interventions.
- Programmatic adjustments based on participant function and ability are recommended while maintaining fidelity.
- Site-specific differences in physical function highlight the need for targeted approaches within broader programs.
