Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Tomioka, Michiyo ; Sugihara, Naomi ; Braun, Kathryn
Tomioka, Michiyo ; Sugihara, Naomi ; Braun, Kathryn Less -
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
Source:
Prev Chronic Dis. 2012; 9.
Series:
Community Case Study
Document Type:
Journal Article
Place as Subject:
Hawaii
Location:
Oceania
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:1793a4420611b8bd7d828da3b312e53e08ab66fa187966674471ba2f87ba3894
Download URL:
https://stacks.cdc.gov/view/cdc/19813/cdc_19813_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-9-E74.nxml	txt
  	PCD-9-E74s01.gif	gif
  	PCD-9-E74s01.jpg	jpeg

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