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Scaling up an Evidence-Based Exercise Intervention for Wide-Scale Implementation: A Conceptual Roadmap Using the

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This study outlines a roadmap for implementing home-based exercise programs for multiple sclerosis (MS) patients in community settings. The goal is to increase accessibility to evidence-based interventions and promote sustained physical activity for improved well-being.

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Area of Science:

  • Neurology
  • Rehabilitation Science
  • Public Health

Background:

  • Exercise is crucial for managing multiple sclerosis (MS) symptoms and enhancing well-being.
  • Evidence-based exercise programs, like Project GEMS, exist but face challenges in real-world implementation.
  • Translating research findings into community settings is essential for broader impact.

Purpose of the Study:

  • To present a conceptual roadmap for implementing a validated home-based exercise intervention for people with MS in community contexts.
  • To adapt the remote GEMS program for a diverse MS population using the PRACTIS framework.
  • To ensure long-term sustainability through collaborative partnerships.

Main Methods:

  • Utilizing the PRACTIS framework for scaling up physical activity interventions.
  • Developing strategic adaptations for a remote, home-based exercise program.
  • Integrating community stakeholder input and fostering researcher-stakeholder partnerships.

Main Results:

  • A conceptual roadmap and strategic adaptations for community-based implementation of the GEMS program.
  • A model for tailoring interventions to diverse populations with neurological conditions.
  • A pathway for bridging the gap between research and practice in exercise interventions.

Conclusions:

  • The proposed design offers a pathway for expanding access to evidence-based exercise programs.
  • This approach can serve as a scalable model for promoting exercise in other neurological conditions.
  • Successful implementation requires strategic adaptation and collaborative partnerships.