Factors that influence implementation at scale of a community-based health promotion intervention for older adults
department or school: Other UBC
department or school: Non UBC
data provider: DSpace
identifier citation: BMC Public Health. 2019 Dec 03;19(1):1619
contributor: Centre for Hip Health and Mobility
rights copyright: The Author(s).
creator: Sims-Gould, Joanie
creator: McKay, Heather Anne, 1954-
creator: Hoy, Christa L.
creator: Nettlefold, Lindsay
creator: Gray, Samantha M.
creator: Lau, Erica Y.
creator: Bauman, Adrian
issued: 2019-12-03T22:37:47Z
issued: 2019-12-03
description: Background: Despite the many known benefits of physical activity (PA), relatively few older adults are active on a regular basis. Older adult PA interventions delivered in controlled settings showed promising results. However, to achieve population level health impact, programs must be effectively scaled-up, and few interventions have achieved this. To effectively scale-up it is essential to identify contextual factors that facilitate or impede implementation at scale. Our aim is to describe factors that influence implementation at scale of a health promotion intervention for older adults (Choose to Move). This implementation evaluation complements our previously published study that assessed the impact of Choose to Move on older adult health indicators. Methods: To describe factors that influenced implementation our evaluation targeted five distinct levels across a socioecological continuum. Four members of our project team conducted semi-structured interviews by telephone with 1) leaders of delivery partner organizations (n = 13) 2) recreation managers (n = 6), recreation coordinators (n = 27), activity coaches (n = 36) and participants (n = 42) [August 2015 – April 2017]. Interviews were audio-recorded and professionally transcribed and data were analyzed using framework analysis. Results: Partners agreed on the timeliness and need for scaled-up evidence-based health promotion programs for older adults. Choose to Move aligned with organizational priorities, visions and strategic directions and was deemed easy to deliver, flexible and adaptable. Partners also noted the critical role played by our project team as the support unit. However, partners noted availability of financial resources as a potential barrier to sustainability. Conclusions: Even relatively simple evidence-based interventions can be challenging to scale-up and sustain. To ensure successful implementation it is essential to align with multilevel socioecological perspectives and assess the vast arr…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/72530
note: RESEARCH ARTICLE Open AccessFactors that influence implementation atscale of a community-based healthpromotion intervention for older adultsJoanie Sims-Gould1*† , Heather A. McKay1†, Christa L. Hoy1, Lindsay Nettlefold1, Samantha M. Gray1,Erica Y. Lau1 and Adrian Bauman2AbstractBackground: Despite the many known benefits of physical activity (PA), relatively few older adults are active on aregular basis. Older adult PA interventions delivered in controlled settings showed promising results. However, toachieve population level health impact, programs must be effectively scaled-up, and few interventions haveachieved this. To effectively scale-up it is essential to identify contextual factors that facilitate or impedeimplementation at scale. Our aim is to describe factors that influence implementation at scale of a healthpromotion intervention for older adults (Choose to Move). This implementation evaluation complements ourpreviously published study that assessed the impact of Choose to Move on older adult health indicators.Methods: To describe factors that influenced implementation our evaluation targeted five distinct levels across asocioecological continuum. Four members of our project team conducted semi-structured interviews by telephonewith 1) leaders of delivery partner organizations (n = 13) 2) recreation managers (n = 6), recreation coordinators (n =27), activity coaches (n = 36) and participants (n = 42) [August 2015 – April 2017]. Interviews were audio-recordedand professionally transcribed and data were analyzed using framework analysis.Results: Partners agreed on the timeliness and need for scaled-up evidence-based health promotion programs forolder adults. Choose to Move aligned with organizational priorities, visions and strategic directions and wasdeemed easy to deliver, flexible and adaptable. Partners also noted the critical role played by our project team asthe support unit. However, partners noted availability of financial resources as a potential b…
has type: Article
is shown at: 10.14288/1.0386723
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: BioMed Central
publisher DOI: 10.1186/s12889-019-7984-6
rights: Attribution 4.0 International (CC BY 4.0)
rights URI: http://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
subject: Physical activity
subject: Public health
subject: Seniors
subject: Implementation science
type: Text
identifier URI: http://hdl.handle.net/2429/72530