Implementing an evidence-based Tai Ji Quan program in a multicultural setting: A pilot dissemination project

Implementing an evidence-based Tai Ji Quan program in a multicultural setting: A pilot dissemination project
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DOI:
10.1016/j.jshs.2013.10.003
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发表时间:
2014-03-01
影响因子:
11.7
通讯作者:
Houston, Kate
Houston, Kate
中科院分区:
医学1区
文献类型:
--
作者:
Fink, David;Houston, Kate

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老年人跌倒是一个重大的公共卫生问题,在明尼苏达州尤其是一个重大的健康风险。随着越来越多的研究证据表明,跌倒可以通过锻炼来预防,为老年人服务的组织正在加大公共卫生努力,将循证项目转化和传播到社区。然而,如果在有来自不同文化背景和语言的老年人的社区实施这些努力,就会面临额外的挑战。本文简要描述了一个以社区为基础的试点传播项目,包括通过美国明尼苏达州明尼阿波利斯/圣保罗大都市区的当地老龄机构开展的以证据为基础的预防跌倒(太极拳:为更好的平衡而移动,以前称为太极:移动为更好的平衡)的启动、实施、过程和结果。总体而言,该计划得到了成功的实施,导致当地社区组织采用了该计划,这些组织服务于亚洲人,在较小程度上服务于东非非英语老年人。双语社区教师接受了指导课程的培训,从而使干预目标的老年人广泛参与并改善了身体表现。这项初步研究的结果表明,太极拳:在非英语社区环境中使用双语领导者可以实现更好的平衡,并取得积极的结果。版权所有(C)2014,上海体育大学。爱思唯尔制作和主持版权所有。
Falls in older adults are a significant public health issue and a particularly significant health risk in Minnesota. With accumulating research evidence suggesting that falls can be prevented through exercise, there is an increased public health effort among organizations serving older adults to translate and disseminate evidence-based programs into the community. Such efforts, however, face additional challenges if they are implemented in communities with older adults from different cultural backgrounds and languages. This paper briefly describes a pilot community-based dissemination project, including the initiation, implementation, process, and outcomes, of an evidence-based fall prevention (Tai Ji Quan: Moving for Better Balance formerly known as Tai Chi: Moving for Better Balance) through a local Area Agency on Aging in the Minneapolis/St. Paul metropolitan area in Minnesota (USA). Overall, the program was successfully implemented resulting in adoption by local community organizations serving Asian and, to a lesser degree, East African non-English speaking older adults. Bilingual community instructors were trained to lead the classes resulting in broad participation and improved physical performance by the older adults targeted for the intervention. The results from this pilot study indicate that Tai Ji Quan: Moving for Better Balance can be implemented with positive results in non-English speaking community settings using bilingual leaders. Copyright (C) 2014, Shanghai University of Sport. Production and hosting by Elsevier B. V. All rights reserved.