270657 Characteristics of adopting and non-adopting sites: Evidence from the Fit and Strong! Program

Tuesday, October 30, 2012

Renae Smith-Ray, PhD , Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL
Pankaja Desai, PhD , Institute for Health Research and Policy, Center for Research on Health and Aging, University of Illinois at Chicago, Chicago, IL
Susan Hughes, PhD , Center for Research on Health and Aging, University of Illinois Chicago, Chicago, IL
There is growing need to understand factors that influence the dissemination of evidence-based (EB) programs. The National Council on Aging recommends that organizational readiness to adopt EB programs should be assessed by examining two constructs; willingness and capacity to adopt. Willingness assesses the organization's motivation, whereas capacity assesses organizational resources and demand for the program. We surveyed the universe (N =226) of potential adopters of Fit and Strong! - an EB physical activity (PA) program for older adults with osteoarthritis (OA) - to examine the characteristics of organizations that did and did not adopt the program. Adopting providers (N=26) were more rural (35%) and less urban (65%) relative to non-adopters (15% and 85%, respectively). Adopting providers were more likely to be medical centers (23% vs. 5%) and senior centers (46% vs. 25%) and less likely to be private gyms (0% vs. 10%), rehabilitation/PT centers (0% vs. 4%), or senior housing facilities (0% vs. 9%). Capacity to adopt Fit & Strong! among non-adopters was high - 85% of organizations had clients who would be interested in the program and 84% had clients with OA. Almost all non-adopter providers had space to conduct exercise programs (90%), employed exercise instructors, and 97% were definitely or probably willing to adopt the program. Findings showed that both willingness and capacity to adopt a program like Fit and Strong! were more pervasive across providers than anticipated and indicate that stepped up marketing efforts should be made increase awareness of the program.

Learning Areas:
Assessment of individual and community needs for health education
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Public health or related research

Learning Objectives:
1. Describe the adoption of an evidence-based program by community-based providers. 2. Examine characteristics associated with providers' willingness and capacity to adopt evidence-based programs.

Keywords: Exercise, Aging

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am part of the Fit and Strong! team and have contributed substantially to data analyses and development of the abstract.
Any relevant financial relationships? No

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.