Fit and Strong!: Translating an Evidence-Based Multi-component Exercise Program

健康强壮！：转化循证多成分锻炼计划

• 批准号: 7405279
• 负责人: Susan L Hughes
• 金额: $ 44.75万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2010-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7405279
• 关键词: Fit; Strong; Translating; Evidence; Based

DESCRIPTION (provided by applicant): Abstract Osteoarthritis (OA) is the most common chronic condition among older adults, is a major barrier to their participation in physical activity, and is a known risk factor for disability and institutionalization. Fit and Strong! is an evidence-based physical activity/behavior change program that targets this high risk group. It addresses documented strength and aerobic deficits in this population and is inexpensive and simple to replicate. Results from a randomized trial show that Fit and Strong! has significantly decreased participants' lower extremity joint pain and stiffness while increasing their self efficacy for exercise and their maintenance of exercise over time (Hughes et al, 2004 and Hughes et al., 2006). Fit and Strong! is currently being replicated in Chicago, in Charlotte, NC and in WVA. It is ready for broad, community-based diffusion to persons who can benefit from it. Because little is currently known about the most effective ways of translating and diffusing physical activity programs for older adults, this study will examine the effectiveness of partnering with existing Area Agencies on Aging (AAAs) in two states (IL and NC) to translate and diffuse the program to senior centers within two AAA catchment areas per state. This translation study will use Glasgow's Re-Aim model and Greene et al.'s work on evaluation (Glasgow, Vogt and Bowles, 1999; Green and Glasgow, 2006) to identify facilitators and barriers to the reach, effectiveness, adoption, implementation and maintenance of Fit and Strong!. We will train a T Trainer and Master Trainers and will work with them to train certified exercise instructors to conduct Fit and Strong at senior centers in 4 AAA catchment areas (target Ns = 1 T trainer, 2 master trainers, 30 sites, 30 certified instructors and a minimum of 1,200 participants). The study will use mixed methods including secondary analyses of census and BRFS data (reach), pre-postest participant outcome measures (effectiveness), surveys of all senior centers in each catchment area (adoption), site visits to all participating Centers to develop and refine fidelity/adaptation checklists and procedures (implementation), and in-depth interviews with upper level senior center managers at the conclusion of each iteration of Fit and Strong! (maintenance) to evaluate the effectiveness of this diffusion process along with facilitators and barriers experienced within and across the two states. Study funds will also be used to develop a Fit and Strong! website and an interactive web-based support hotline, to finalize training materials, to support the cost of the trainings and to provide financial incentives for participation among the first sites that sign up to participate. Study activities will both advance the development of Fit and Strong as a high quality, turnkey evidence based program and also obtain new data on factors that facilitate the adoption, implementation, and maintenance of PA programs for older adults.

描述（由申请人提供）： 摘要 骨关节炎（OA）是老年人中最常见的慢性疾病，是老年人参与身体活动的主要障碍，也是已知的导致残疾和住院的危险因素。 健康又强壮！是一项针对这一高风险群体的基于证据的身体活动/行为改变计划。 它解决了该人群中已记录的力量和有氧缺陷，并且成本低廉且易于复制。 随机试验的结果表明，健康且强壮！显着减少了参与者的下肢关节疼痛和僵硬，同时提高了他们运动的自我效能和随着时间的推移维持运动的能力（Hughes 等人，2004 年和 Hughes 等人，2006 年）。健康又强壮！目前正在芝加哥、北卡罗来纳州夏洛特和西弗吉尼亚州进行复制。 它已准备好在社区内广泛传播给可以从中受益的人。由于目前对为老年人转化和传播身体活动计划的最有效方法知之甚少，因此本研究将检验与两个州（伊利诺伊州和北卡罗来纳州）现有老龄化地区机构 (AAA) 合作将该计划转化和传播到每个州两个 AAA 服务区内的老年人中心的有效性。 这项翻译研究将使用 Glasgow 的 Re-Aim 模型和 Greene 等人的评估工作（Glasgow、Vogt 和 Bowles，1999；Green 和 Glasgow，2006）来确定 Fit and Strong! 的影响力、有效性、采用、实施和维护的促进因素和障碍。 我们将培训一名 T 培训师和高级培训师，并与他们合作培训认证运动教练，以便在 4 个 AAA 服务区的老年人中心进行 Fit and Strong 训练（目标 Ns = 1 名 T 培训师、2 名高级培训师、30 个地点、30 名认证教练和至少 1,200 名参与者）。 该研究将使用混合方法，包括人口普查和 BRFS 数据的二次分析（覆盖范围）、事前参与者结果测量（有效性）、对每个服务区域的所有老年中心进行调查（采用）、对所有参与中心进行实地考察以制定和完善保真度/适应检查表和程序（实施），以及在每次迭代结束时对高层高级中心管理人员进行深入访谈！ （维护）评估这一传播过程的有效性以及两国内部和之间经历的促进因素和障碍。 学习资金也将用于培养健康强健的人！网站和基于网络的交互式支持热线，以最终确定培训材料，支持培训费用，并为第一批报名参加的网站提供经济激励。研究活动将推动 Fit and Strong 作为高质量、交钥匙循证计划的发展，并获得有关促进老年人采用、实施和维持 PA 计划的因素的新数据。