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Technology-Driven Group Exercise Program Implementation in an Underserved Community: Multimethod Retrospective

Whitney N Neal1, Laurie A Malone2

  • 1Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, Birmingham, 35294, United States, +1 (205) 996-0825.

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Summary
This summary is machine-generated.

Technology-driven exercise programs improve physical activity access for underserved populations. Adaptability, affordability, and engagement are key, but overcoming technology and sustainability barriers is crucial for success.

Keywords:
exercisegroup fitness interventionphysical activityprogram implementationunderserved communities

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Area of Science:

  • Public Health
  • Health Technology
  • Implementation Science

Background:

  • Physical inactivity is a major public health issue for people with disabilities and older adults, especially in underserved minority communities facing access barriers.
  • Technology-driven exercise programs present scalable solutions, yet factors influencing their implementation require further investigation.

Purpose of the Study:

  • To apply the Consolidated Framework for Implementation Research (CFIR) to understand barriers and facilitators for two technology-driven exercise programs.
  • To identify lessons learned in implementing synchronous online fitness and virtual reality gaming for African American older adults with disabilities in an underserved community.

Main Methods:

  • A multimethod design was employed, including semistructured interviews and focus groups with 15 participants, staff, and administrators.
  • Implementation surveys were administered to 9 program deliverers.
  • Qualitative data were analyzed deductively using CFIR domains; survey data provided descriptive context.

Main Results:

  • Both programs demonstrated high acceptability and appropriateness; virtual reality feasibility was rated lower.
  • Key facilitators included adaptability, affordability, engaging design, and community support.
  • Barriers comprised technology/space constraints, resistance to new technology, and sustainability challenges.

Conclusions:

  • Technology-driven exercise programs can enhance physical activity access in underserved areas if adaptable, affordable, and socially engaging.
  • Addressing multilevel barriers like resource limitations, technology hesitancy, and long-term sustainability is vital for scaling interventions.