158482 Impact of Best Practice Physical Activity Programs for Older Adults: Findings and lessons learned

Tuesday, November 6, 2007: 5:00 PM

Susan Hughes, DSW , Center for Research on Health and Aging, University of Illinois Chicago, Chicago, IL
Rachel Seymour, PhD , Institute for Health Research and Policy, Center for Research on Health and Aging, Chicago, IL
Richard T. Campbell, PhD , Center for Population Health and Health Disparities, UIC Cancer Center, University of Illinois at Chicago, Chicago, IL
Karumah Cosey, BA , Center for Research on Health and Aging, University of Illinois Chicago, Chicago, IL
Nancy Whitelaw, PHD , The National Council on the Aging, Washington, DC
Terry L. Bazzarre, PhD , The Robert Wood Johnson Foundation, Princeton, NJ
Little is known about the impact of best practice physical activity (PA) programs that are offered to older adults in the community in the U.S. We collaborated with the National Council on Aging and the Healthy Aging Research Network with support from the Robert Wood Johnson Foundation to study the impact of three best practice PA programs for older adults so they can be widely disseminated into community settings to enhance healthy aging. A national competition was held to identify best practice PA programs in 2003. Of ten best practice programs identified, three were selected to participate in a randomized impact study. All three programs provided flexibility, strength and aerobic training three times per week. Five hundred and forty-four (289 treatment, 255 control) participants enrolled in the study across the three program sites. Seventy-seven percent of participants were female and 17% were minorities. Their mean age was 65.9 (range 51-88), and 67% of participants were overweight or obese at baseline. Data were collected at baseline, 5, and 10 months. Analyses found significant differences favoring the treatment group at 5 months with respect to self-efficacy for adherence to exercise over time (p = 0.000), self-efficacy for barriers adherence (p = 0.011), upper and lower body strength (p = 0.022; p=0.001), and participation in exercise (0.010). These benefits were maintained at 10 months, at which time significant benefits on self-efficacy for exercise (0.023) was also seen. Baseline-ten month findings, attendance patterns, and recruitment strategies will be presented and discussed.

Learning Objectives:
At the end of this session, participants will be able to: 1. Describe components of high quality exercise programs for older adults. 2. Discuss implications of the development and implementation of best practice community-based exercise programs with respect to the health and well being of older adults.

Keywords: Evidence Based Practice, Physical Activity

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.