Evidence map›Paper›PMID 26035891›Full record

ArticleThe Gerontologist2016

Implementation and Maintenance of a Community-Based Older Adult Physical Activity Program.

Miruna Petrescu-Prahova, Basia Belza, Marlana Kohn, Christina Miyawaki

Open access · bronzeAbstract read
In one paragraph

Article in The Gerontologist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Adoption, Implementation, and Maintenance of Evidence-Based Falls Prevention Programs.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Overcoming Barriers toHealth promotion practice · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. The health of Saudi older adults; results from the Saudi National Survey for Elderly Health (SNSEH) 2006-2015.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Miruna Petrescu-PrahovaHealth Promotion Research Center, University of Washington, Seattle. mirunapp@uw.edu.
Basia BelzaHealth Promotion Research Center, University of Washington, Seattle.
Marlana KohnHealth Promotion Research Center, University of Washington, Seattle.
Christina MiyawakiHealth Promotion Research Center, University of Washington, Seattle.
University of Washington · US

Funding

HEALTH PROMOTION RESEARCH CENTERU48DP001911 · DP · UNIVERSITY OF WASHINGTON · PI HARRIS, JEFFREY RANDALL · 2009 to 2013
$14.3M
Health Care Improvement for Aging WomenT32AG027677 · NIA · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI LACROIX, ANDREA Z. · 2007 to 2016
$1.4M
NCCDPHP CDC HHS U48 DP001911NIA NIH HHS T32 AG027677
6 · The paper itself

Abstract

purpose of the studyWe examine facilitators and barriers to the implementation and maintenance of Enhance®Fitness (EF), a group exercise program for older adults, at early-adopter YMCA-affiliated sites, and summarize strategies employed by EF instructors and staff to overcome challenges. DESIGN AND

methodsThis qualitative study used semi-structured phone interviews with 32 instructors, staff members, and master trainers from 24 different YMCA-affiliated sites. Interviews were digitally recorded, transcribed, and analyzed with a focus on the implementation and maintenance components of the RE-AIM framework.

resultsWe identified a series of factors affecting the implementation and maintenance of EF at YMCA-affiliated sites, which can be categorized into program-specific (such as instructor training, the structure of the program, reporting requirements, and insurance coverage), and organizational (such as organizational support and infrastructure for program delivery, champions, and funding to cover the costs of program delivery). Strategies used to overcome challenges associated with these factors include identifying parts of the program that can be adapted, hiring staff and instructors that understand and support the program, and educating staff and instructors about the importance of evidence-based programs and of data collection for program evaluation. IMPLICATIONS: Assessing the readiness of organizations for program delivery and the match between program goals and the needs of organizations and participants would help facilitate the successful implementation and maintenance of physical activity programs in community settings.

Indexed as

Attitude of Health PersonnelCommunity Health ServicesExerciseAdultAgedEvidence-Based PracticeFemaleHumansInsurance CoverageMaleMiddle AgedPersonnel SelectionProgram DevelopmentProgram EvaluationQualitative ResearchDisseminationEvidence-based practiceHealthy agingPhysical activityRE-AIM

Identifiers

PMID26035891
PMCPMC6282690
OpenAlexW2076165289

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.