ArticleThe Gerontologist2026
Implementation of Enhance®Fitness: a scoping review using the RE-AIM framework.
Article in The Gerontologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled 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.
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.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- How is housing insecurity measured among older adults? A systematic review.The Gerontologist · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
objectivesEnhance®Fitness (EF) is an evidence-based group exercise program shown to promote physical and mental health among older adults. The scoping review aims to systematically map and synthesize the literature on EF using the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance). RESEARCH DESIGN AND
methodsWe conducted a scoping review of implementation studies focusing on EF or its predecessor, the Lifetime Fitness Program. Searches were conducted in 6 databases (PubMed, Embase, CINAHL, SCOPUS, Web of Science, and PsycINFO) and supplemented with EF-related publications listed on the program's official website. The search included all publications from January 1, 1980 through July 1, 2025.
resultsWe included 33 publications. Reach showed EF primarily engaged community-dwelling older adults, typically female. Effectiveness outcomes were generally positive, including improved physical and mental health and reduced health care utilization. Adoption occurred across varied settings, supported by trained instructors and organizational alignment. Implementation typically followed the standard EF protocol of three 60-min sessions per week, delivered in person or remotely. Facilitators included instructor training, organizational support, and social engagement, while barriers included attendance challenges, resource needs, and technology issues. Maintenance was demonstrated through sustained program delivery across diverse community settings, and participant-level maintenance was reflected in follow-up assessments of health outcomes at common time points of 4, 6, or 12 months. DISCUSSION AND IMPLICATIONS: EF is a widely adopted program with demonstrated benefits for older adults. Greater attention to equity and long-term sustainability is needed to strengthen future dissemination and support healthy aging.
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Registered trials
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.