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Informed Adaptations of a Strength-Training Program through a Research-Practice Partnership.
Meghan L Wilson1, Thomas E Strayer2, Rebecca Davis3
1Department of Human Nutrition, Foods, and Exercise, Blacksburg, VA, United States.
Frontiers in Public Health
|March 20, 2018
Summary
Integrated research-practice partnerships (IRPP) can adapt strength-training programs for older adults. The adapted program, Lifelong Improvements through Fitness Together (LIFT), showed higher delivery rates and suitability compared to the original program.
Area of Science:
- Gerontology
- Public Health
- Implementation Science
Background:
- Despite established efficacy, strength-training programs for older adults have limited public health impact, with ~90% not meeting recommendations.
- Interventions developed in controlled settings often fail to translate to real-world practice.
- Integrated research-practice partnerships (IRPP) offer a strategy to enhance intervention relevance and adoption.
Purpose of the Study:
- To describe the IRPP methodology for adapting evidence-based strength-training programs for older adults.
- To evaluate the adaptation of the 'Stay Strong, Stay Healthy' (SSSH) program into 'Lifelong Improvements through Fitness Together' (LIFT).
- To assess the adoption, implementation, and maintenance of the adapted program within a practice setting.
Main Methods:
- Utilized an IRPP model involving academic and practice representatives.
- Employed the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework with AIM dimensions.
- Adapted the SSSH program into the LIFT program and randomized health educators to deliver either SSSH or LIFT.
Main Results:
- 80% of health educators delivered the adapted LIFT program, compared to 50% delivering the original SSSH program.
- Health educators found LIFT more suitable for delivery and reported high fidelity.
- A majority of educators intended to continue delivering the LIFT program in the subsequent year.
Conclusions:
- The IRPP method provides a transparent approach for adapting interventions to fit practice settings.
- The adapted LIFT program demonstrated improved adoption and implementation outcomes.
- This partnership model shows promise for increasing the public health impact of strength-training for older adults.
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