Replicating the Enhance Fitness Physical Activity Program in Hawai`i’s Multicultural Population, 2007-2010

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Tomioka, Michiyo ; Sugihara, Naomi ; Braun, Kathryn
• Description:
  Background
  
  Despite evidence of the benefits of regular physical activity, many older adults are not physically active. Health professionals are challenged to replicate evidence-based programs to address low levels of physical activity among members of their communities.
  
  Community Context
  
  EnhanceFitness is an evidence-based group exercise program developed in Seattle to increase the strength, flexibility, and balance of older adults. Hawai`i's Healthy Aging Partnership supported the rural island of Kaua`i to select, adapt, implement, and evaluate EnhanceFitness to increase physical activity among older adult residents (75% Asian/Pacific Islander [API]).
  
  Methods
  
  Evaluation measures of the replication of EnhanceFitness included fidelity of EnhanceFitness delivery and participants' attendance, satisfaction with the program, confidence to exercise regularly, and pre-post fitness check measures of physical performance (chair stands, arm curls, and the up-and-go test).
  
  Outcomes
  
  Between July 2007 and December 2010, 223 Kaua`i residents enrolled in EnhanceFitness; 178 (80%) participated at least 4 months and completed the 4-month fitness checks. EnhanceFitness classes were offered with a high degree of fidelity, and both API and white participants significantly improved their physical performance (chair stands, t = −11.06, P < .001; arm curls, t = −6.66, P < .001; and up-and-go test, t = 6.56, P < .001). Participants reported high satisfaction with the program and instructors and high confidence to continue to exercise regularly.
  
  Interpretation
  
  EnhanceFitness is replicable in Hawai`i and increased physical performance among API and white older adults. This case study outlines a replication process that other communities can follow.
  
  
• Subjects:
  Aged Aging Asian Chronic Disease Community Health Services Cultural Diversity Exercise Humans Motor Activity Native Hawaiian Or Other Pacific Islander Physical Fitness White People

  More +
• Source:
  Prev Chronic Dis. 2012; 9.
• Series:
  Community Case Study
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  Hawaii
• Location:
  Oceania
• Volume:
  9
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:baef3868c834e19dc5be3bf03944e895bdbc3853b7070aad73baf9171907105a07a70978bccd394a8cd128d49c88312dc75028a503969a47446b9a52445024fb
• Download URL:
  https://stacks.cdc.gov/view/cdc/19813/cdc_19813_DS1.pdf
• File Type:
  [PDF - 227.01 KB ]