TY - JOUR
T1 - Translating a functional exercise program for fall prevention among diverse older adults in urban medically underserved areas
T2 - A mixed methods study
AU - Hu, Yi Ling
AU - Keglovits, Marian
AU - Somerville, Emily
AU - Snyder, Makenna
AU - Stark, Susan
N1 - Funding Information:
The study was supported by the St. Louis Project Grant from the Civic Engagement Fund of the Gephardt Institute for Civic and Community Engagement at Washington University in St. Louis, MO. Special thanks to Jamie Tate, Kristina Vance, Kaitlin Kaufmann, and Kelsey Filippini for assisting with the studies.
Publisher Copyright:
© 2021 Human Kinetics, Inc.
PY - 2021/8
Y1 - 2021/8
N2 - The Lifestyle-integrated Functional Exercise Program (LiFE) is proven to have high adherence rates and can significantly reduce falls, but it has not yet been implemented for diverse older adults residing in urban medically underserved (MU) areas. An exploratory sequential mixed methods study was conducted to adapt LiFE and test the adapted program's preliminary feasibility. Focus groups with MU older adults and service providers were conducted to identify modifications. The new adapted program, Diverse Older Adults Doing LiFE (DO LiFE), was then evaluated with older adults. Thematic analysis revealed health literacy and lack of racial representation as barriers to implementing LIFE in this population. The pilot study showed that DO LiFE was feasible with good retention (89%) and high adherence (81.27%) rates. DO LiFE demonstrated preliminary feasibility for diverse MU older adults. Researchers should proceed to larger studies for translating DO LiFE from research to the community.
AB - The Lifestyle-integrated Functional Exercise Program (LiFE) is proven to have high adherence rates and can significantly reduce falls, but it has not yet been implemented for diverse older adults residing in urban medically underserved (MU) areas. An exploratory sequential mixed methods study was conducted to adapt LiFE and test the adapted program's preliminary feasibility. Focus groups with MU older adults and service providers were conducted to identify modifications. The new adapted program, Diverse Older Adults Doing LiFE (DO LiFE), was then evaluated with older adults. Thematic analysis revealed health literacy and lack of racial representation as barriers to implementing LIFE in this population. The pilot study showed that DO LiFE was feasible with good retention (89%) and high adherence (81.27%) rates. DO LiFE demonstrated preliminary feasibility for diverse MU older adults. Researchers should proceed to larger studies for translating DO LiFE from research to the community.
KW - Habit formation
KW - Translational research
KW - Vulnerable population
UR - http://www.scopus.com/inward/record.url?scp=85111963540&partnerID=8YFLogxK
U2 - 10.1123/JAPA.2019-0159
DO - 10.1123/JAPA.2019-0159
M3 - Article
C2 - 33361502
AN - SCOPUS:85111963540
SN - 1063-8652
VL - 29
SP - 612
EP - 619
JO - Journal of Aging and Physical Activity
JF - Journal of Aging and Physical Activity
IS - 4
ER -