INCREASING PHYSICAL ACTIVITY OF ELDERS IN THE COMMUNITY

越来越多的证据表明，缺乏身体活动是 导致健康状况不佳、功能不佳和幸福感下降 在老年人中。 这反过来又增加了使用 保健服务和机构化。 保护战略 增强老年人的体能， 主要的健康和成本节约效益。 我们提出一个为期三年的项目， 实施和评估一项计划，以提高身体活动水平 非机构化的老年人。 该计划利用了许多 社区现有的体育活动课程（帕洛阿尔托， 加州）。 此功能最大限度地降低了程序成本，使人们能够 在赠款期后继续开展新的活动， 该计划的可移植性到其他社区。 该计划将 针对两个类似社区老年住房的所有居民 在Palo Alto的设施 该计划是基于社会学习 和相关的干预办法，重点是鼓励 参与者开始并保持更高水平的身体活动 通过增加对现有社区项目的利用。 干预将包括小组会议，个人咨询，同伴 倡导者，参与者与其他感兴趣的人建立伙伴关系， 活动和加强参与的环境战略。 它 还包括社区一级的战略，如利用媒体， 医生的建议，要更加积极。 在L阶段， 计划将在一个设施（N= 120）中实施，第二个设施 作为对照组的设施（N=80）。 方案评价 将基于这两组的比较，使用 准实验设计评价的主要结果是 参加体育活动课程和更普遍的水平 体力活动。 次要结局侧重于综合概况 功能和健康的基础。 在第二阶段，参与者 在实验组，以维持体力活动水平后， 计划结束后，将进行第二个6个月的评估， 该方案的可复制性将在第二个设施进行测试。 我们 目标是建立一个以社区为基础和社区可持续的模式， 帮助老年人利用现有健身资源的计划， 保持对这些项目的兴趣和参与， 足以获得所需的健康益处。

Increasing evidence suggests that physical inactivity is a prime contributor to poor health, poor functioning, and diminished well-being in older adults. This in turn leads to increased likelihood of use of health care services and institutionalization. Strategies to preserve and enhance the physical capabilities of older people may thus provide major health and cost-saving benefits. We propose a 3-year project to implement and evaluate a program to increase the physical activity levels of noninstitutionalized older adults. The program makes use of the many existing physical activity classes in the community (Palo Alto, California). This feature minimizes program costs, enables people to continue their new activities beyond the grant period, and facilitates the program's transferability to other communities. The program will be targeted to all residents in two similar community senior housing facilities in Palo Alto. The program, which is based on social learning and related approaches to intervention, focuses on encouraging participants to initiate and maintain higher levels of physical activity through increased utilization of already available community programs. The intervention will include group sessions, individual counseling, peer advocates, partnering participants with others interested in the same activities, and environmental strategies to enhance participation. It also includes community-level strategies such as the use of media and physician recommendations to become more active. In phase L the 6-month program will be implemented in one facility (N= 120) with the second facility serving as a comparison group (N=80). Evaluation of the program will be based on a comparison of these two groups using a quasi-experimental design. Primary outcomes of the evaluation are participation in physical activity classes and more general levels Of physical activity. Secondary outcomes focus on a comprehensive profile of functioning and well-being. In Phase II, the ability of participants in the experimental group to maintain physical activity levels after the program ends will be evaluated for a second 6-month period, and the replicability of the program will be tested in the second facility. Our goal is to develop a model for community-based and community-sustained programs to help older adults utilize existing fitness resources and maintain interest and participation in those programs at a level sufficient to obtain desirable health benefits.