Implementation of a Community Walking Program (Walk On!) for Functionally-Limited Older Adults.

Area of Science:

• Gerontology
• Public Health
• Exercise Science

Background:

• Walking interventions enhance physical function and reduce fall risk in older adults.
• Most studies occur in controlled settings, lacking community-based programs for mobility-limited or socially isolated seniors.

Purpose of the Study:

• Assess the feasibility and acceptability of the community-based 'Walk On!' program for functionally limited older adults.
• Evaluate changes in physical function among program attendees.

Main Methods:

• Pilot implementation study conducted at a local church.
• 49 participants (mean age >75, 71% female, 30.6% using assistive devices) completed the 12-week program.
• Data collected via physical function tests, satisfaction surveys, and focus groups.

Main Results:

• High program satisfaction (100% recommendation) and positive focus group feedback.
• Average attendance was 77%, with 63% attending at least 75% of sessions.
• Significant improvements observed: 6-min walk distance (+8.9%), SPPB score (+15.4%), Timed-Up-Go (-9.0%), and usual gait speed (+11.4%).

Conclusions:

• The 'Walk On!' program demonstrates high feasibility, acceptability, and efficacy in improving physical function for older adults.
• Further research is needed to optimize delivery for wider implementation and confirm effectiveness on broader health outcomes.