Use of an Integrated Research-Practice Partnership to Improve Outcomes of a Community-Based Strength-Training Program for Older Adults: Reach and Effect of Lifelong Improvements Through Fitness Together (LIFT)

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2018 Feb 1

PMID 29385024

Citations 8

Authors

Meghan L Wilson

Thomas E Strayer

Rebecca Davis

Samantha M Harden

Affiliations

Soon will be listed here.

Abstract

Only 17% of older adults meet the recommendations for two days of full body strength training that is associated with improved functional fitness; reduced risk of falls; and reduced morbidity and mortality rates. Community-based interventions are recommended as they provide supportive infrastructure to reach older adults and impact strength training behaviors. Scalability and sustainability of these interventions is directly linked with setting-level buy-in. Adapting an intervention through an integrated research-practice partnership may improve individual and setting-level outcomes. The purpose of this study was to evaluate the initial reach and effect of a locally adapted, health educator-led strength-training intervention; Lifelong Improvements through Fitness Together (LIFT). LIFT was compared to an evidence-based exercise program, Stay Strong; Stay Healthy (SSSH). Intervention dose and mode were the same for LIFT and SSSH, but LIFT included behavioral change strategies. Older adult functional fitness was assessed before and after the 8-week strength training intervention. Health educators who delivered LIFT and SSSH were able to reach 80 and 33 participants, respectively. Participants in LIFT were able to significantly improve in all functional fitness measures whereas SSSH participants were only able to significantly improve in 5 of the 7 functional fitness measures. In conclusion, this study provides preliminary evidence that the locally adapted program reached more individuals and had improvements in functional fitness.

Citing Articles

Exploring physical activity preferences and motivation in long-term cardiac prevention: An Austrian cross-sectional survey.

McGowan H, Gutenberg J, Leitner V, Muhlhauser K, Breda A, Fischer M PLoS One. 2024; 19(5):e0302226.

PMID: 38753841 PMC: 11098351. DOI: 10.1371/journal.pone.0302226.

Mindfulness and Understanding of Self-Care for Leaders of Extension: Promoting Well-Being for Health Educators and Their Clients.

Dysart A, Harden S Front Public Health. 2022; 10:862366.

PMID: 35646779 PMC: 9136216. DOI: 10.3389/fpubh.2022.862366.

Assess, Plan, Do, Evaluate, and Report: Iterative Cycle to Remove Academic Control of a Community-Based Physical Activity Program.

Harden S, Balis L, Strayer 3rd T, Wilson M Prev Chronic Dis. 2021; 18:E32.

PMID: 33830914 PMC: 8051858. DOI: 10.5888/pcd18.200513.

Evaluating "Take the Stairs, Wyoming!" Through the RE-AIM Framework: Challenges and Opportunities.

Balis L, Strayer 3rd T Front Public Health. 2020; 7:368.

PMID: 31921736 PMC: 6929518. DOI: 10.3389/fpubh.2019.00368.

Beginning With the End in Mind: Contextual Considerations for Scaling-Out a Community-Based Intervention.

Balis L, Strayer 3rd T, Ramalingam N, Harden S Front Public Health. 2019; 6:357.

PMID: 30619802 PMC: 6296236. DOI: 10.3389/fpubh.2018.00357.

References

Chase J . Physical activity interventions among older adults: a literature review. Res Theory Nurs Pract. 2013; 27(1):53-80. PMC: 4523118. DOI: 10.1891/1541-6577.27.1.53. View

Hughes S, Seymour R, Campbell R, Pollak N, Huber G, Sharma L . Impact of the fit and strong intervention on older adults with osteoarthritis. Gerontologist. 2004; 44(2):217-28. DOI: 10.1093/geront/44.2.217. View

Harden S, Beth Johnson S, Almeida F, Estabrooks P . Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial. Transl Behav Med. 2017; 7(1):28-38. PMC: 5352632. DOI: 10.1007/s13142-015-0380-6. View

Estabrooks P, Glasgow R . Translating effective clinic-based physical activity interventions into practice. Am J Prev Med. 2006; 31(4 Suppl):S45-56. DOI: 10.1016/j.amepre.2006.06.019. View

Estabrooks P, Bradshaw M, Dzewaltowski D, Smith-Ray R . Determining the impact of Walk Kansas: applying a team-building approach to community physical activity promotion. Ann Behav Med. 2008; 36(1):1-12. DOI: 10.1007/s12160-008-9040-0. View

Mor V, Murphy J, Willey C, Razmpour A, Jackson M, Greer D . Risk of functional decline among well elders. J Clin Epidemiol. 1989; 42(9):895-904. DOI: 10.1016/0895-4356(89)90103-0. View

Seguin R, Economos C, Hyatt R, Palombo R, Reed P, Nelson M . Design and national dissemination of the StrongWomen Community Strength Training Program. Prev Chronic Dis. 2007; 5(1):A25. PMC: 2248774. View

Nelson M, Fiatarone M, Morganti C, Trice I, Greenberg R, Evans W . Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. A randomized controlled trial. JAMA. 1994; 272(24):1909-14. DOI: 10.1001/jama.1994.03520240037038. View

Klesges L, Estabrooks P, Dzewaltowski D, Bull S, Glasgow R . Beginning with the application in mind: designing and planning health behavior change interventions to enhance dissemination. Ann Behav Med. 2005; 29 Suppl:66-75. DOI: 10.1207/s15324796abm2902s_10. View

10.

Brown M, Sinacore D, Host H . The relationship of strength to function in the older adult. J Gerontol A Biol Sci Med Sci. 1995; 50 Spec No:55-9. DOI: 10.1093/gerona/50a.special_issue.55. View

11.

Thompson P, Arena R, Riebe D, Pescatello L . ACSM's new preparticipation health screening recommendations from ACSM's guidelines for exercise testing and prescription, ninth edition. Curr Sports Med Rep. 2013; 12(4):215-7. DOI: 10.1249/JSR.0b013e31829a68cf. View

12.

Volaklis K, Halle M, Meisinger C . Muscular strength as a strong predictor of mortality: A narrative review. Eur J Intern Med. 2015; 26(5):303-10. DOI: 10.1016/j.ejim.2015.04.013. View

13.

Chase J . Interventions to Increase Physical Activity Among Older Adults: A Meta-Analysis. Gerontologist. 2014; 55(4):706-18. PMC: 4542588. DOI: 10.1093/geront/gnu090. View

14.

Brand T, Pischke C, Steenbock B, Schoenbach J, Poettgen S, Samkange-Zeeb F . What works in community-based interventions promoting physical activity and healthy eating? A review of reviews. Int J Environ Res Public Health. 2014; 11(6):5866-88. PMC: 4078553. DOI: 10.3390/ijerph110605866. View

15.

Wilson M, Strayer 3rd T, Davis R, Harden S . Informed Adaptations of a Strength-Training Program through a Research-Practice Partnership. Front Public Health. 2018; 6:58. PMC: 5840863. DOI: 10.3389/fpubh.2018.00058. View

16.

Glasgow R, Emmons K . How can we increase translation of research into practice? Types of evidence needed. Annu Rev Public Health. 2006; 28:413-33. DOI: 10.1146/annurev.publhealth.28.021406.144145. View

17.

Baker P, Francis D, Soares J, Weightman A, Foster C . Community wide interventions for increasing physical activity. Cochrane Database Syst Rev. 2011; (4):CD008366. DOI: 10.1002/14651858.CD008366.pub2. View

18.

Balis L, Strayer T, Ramalingam N, Wilson M, Harden S . Open-Access Physical Activity Programs for Older Adults: A Pragmatic and Systematic Review. Gerontologist. 2018; 59(4):e268-e278. DOI: 10.1093/geront/gnx195. View

19.

Baron R, Kenny D . The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986; 51(6):1173-82. DOI: 10.1037//0022-3514.51.6.1173. View

20.

Shubert T, Smith M, Schneider E, Wilson A, Ory M . Commentary: Public Health System Perspective on Implementation of Evidence-Based Fall-Prevention Strategies for Older Adults. Front Public Health. 2016; 4:252. PMC: 5111173. DOI: 10.3389/fpubh.2016.00252. View