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Implementing a Digital Physical Activity Intervention for Older Adults: Qualitative Study.

Cherish Boxall^1,2, Laura Dennison², Sascha Miller²

¹Southampton Clinical Trials Unit, University of Southampton, Southampton, United Kingdom.

|August 21, 2025

Summary

Implementing digital physical activity interventions for older adults faces challenges like complex networks and bureaucratic hurdles. Strategic direction and multilevel guidance are crucial for successful adoption in community settings.

Keywords:

aging digital health digital intervention digital technology exercising implementation mobile app older adult older people physical activity physical exercise smartphone

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Area of Science:

Gerontology
Digital Health
Public Health

Background:

Physical activity (PA) is vital for older adults' health and independence, yet most remain insufficiently active.
Digital interventions offer a scalable and cost-effective solution to increase PA in this demographic.
The "Active Lives" digital intervention was developed to address this need.

Purpose of the Study:

To report on the implementation of the "Active Lives" digital intervention for older adults.
To explore factors supporting and inhibiting the implementation of digital PA interventions for this population.

Main Methods:

Qualitative study design involving implementation in UK health and community organizations.
Data collected through interviews with implementation partners (n=15) and the implementation team (n=3), alongside field notes.
Inductive thematic analysis used to identify implementation barriers and facilitators.

Main Results:

Five themes emerged: complex networks, understanding the intervention's fit, competing interests, unclear approval processes, and shifting strategies.
Key decision-makers were difficult to identify, and partner proposals were often impractical.
Stakeholders had varied views on digital interventions, and conflicts with existing programs and NHS bureaucratic hurdles hindered implementation.

Conclusions:

Digital PA interventions for older adults face significant implementation challenges, including bureaucracy and alignment with existing initiatives.
Strategic direction and multilevel guidance are essential for the efficient implementation of digital PA interventions for community-dwelling older adults.