"HOPE-FIT" in Action: A Hybrid Effectiveness-Implementation Protocol for Thriving Wellness in Aging Communities

Area of Science:

• Gerontology and Public Health
• Implementation Science
• Digital Health Equity

Background:

• Global aging population faces rising chronic conditions, social isolation, and digital exclusion.
• Multidimensional interventions are needed to address physical, psychological, and social well-being in older adults.
• Existing health promotion systems often exclude digitally underserved and mobility-restricted populations.

Purpose of the Study:

• To introduce the HOPE-FIT (Hybrid Outreach Program for Exercise and Follow-up Integrated Training) and SAGE (Senior Active Guided Exercise) programs.
• To present a scalable meta-model for inclusive aging that bridges diverse older adult groups into mainstream health promotion.
• To address health disparities and promote active, dignified aging across healthcare, community, and policy domains.

Main Methods:

• Development of HOPE-FIT using a formative, multi-phase process grounded in the RE-AIM framework and Hybrid Type II effectiveness-implementation design.
• Integration of professional health coaching, home-based/digital exercise, Acceptance and Commitment Performance Training (ACPT), and smart-home monitoring.
• Incorporation of empirical data from pilot studies, large-scale surveys (N=1000), and user evaluations, with culturally tailored content and participatory feedback.

Main Results:

• The HOPE-FIT model was refined through pilot data, large-scale surveys, and user feedback, enhancing validity and contextual adaptation.
• The program's hybrid framework effectively integrates exercise, psychosocial support, and technology for older adults.
• Institutional partnerships facilitated real-world translation and implementation within diverse aging contexts.

Conclusions:

• HOPE-FIT offers a scalable, inclusive meta-model for promoting healthy and dignified aging.
• The program addresses critical health disparities by bridging digital and mobility divides.
• Dissemination strategies aim to inform policy, empower practitioners, and advance digital health equity in aging populations.