Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Jones, Dina L. ; Starcher, Rachael W. ; Eicher, Jennifer L. ; Wilcox, Sara
Jones, Dina L. ; Starcher, Rachael W. ; Eicher, Jennifer L. ; Wilcox, Sara Less -
Description:
Background

Translating evidence-based, community-delivered, fall-prevention exercise programs into new settings is a public health priority.

Community Context

Older adults (aged ≥65 y) are at high risk for falls. We conducted a community engagement project in West Virginia to evaluate the adoption of a tai chi exercise program, Tai Ji Quan: Moving for Better Balance, by rural faith-based organizations (FBOs) and exercise instructors by recruiting 20 FBOs and 20 or more exercise instructors and by obtaining input from key stakeholders (representatives of FBOs, community representatives, exercise instructors) regarding potential barriers and facilitators to program adoption.

Methods

We used both multistage, purposeful random sampling and snowball sampling to recruit FBOs and exercise instructors in 7 West Virginia counties. Two forums were held with stakeholders to identify barriers and facilitators to program adoption. We calculated separate adoption rates for organizations and exercise instructors.

Outcome

It took up to 3 months to recruit each FBO with an adoption rate of 94%. We made 289 telephone calls, sent 193 emails and 215 letters, distributed brochures and flyers to 69 FBOs, held 118 meetings, and made 20 trips over a period of 31 days (8,933 miles traveled). Nineteen of 22 trained exercise instructors started classes, an instructor adoption rate of 86%. Key issues regarding adoption were the age requirement for participants, trust, education, and competing priorities.

Interpretation

Although we had recruitment challenges, our adoption rates were similar to or higher than those reported in other studies, and the objectives of the community engagement project were met. Clustering the FBOs and having them located closer geographically to our location may have reduced our resource use, and using a recruitment coordinator from the local community may have enabled us to gain the trust of congregants and clergy support.


Subjects:
[+]
Accidental Falls/prevention & Control Aged Aged, 80 And Over Exercise Faith-Based Organizations Patient Selection Postural Balance Rural Population Tai Ji
Source:
Prev Chronic Dis. 13.
Pubmed ID:
27418214
Pubmed Central ID:
PMC4951076
Document Type:
Journal Article
Funding:
R49 CE002109/CE/NCIPC CDC HHS/United States
Place as Subject:
West Virginia
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:579d07f37ad9404531fda243d5f46c9ca016a35a8cb893d63b568dab5fa2f3fd
Download URL:
https://stacks.cdc.gov/view/cdc/40766/cdc_40766_DS1.pdf
File Type:

Supporting Files

• 	PCD-13-E92.nxml	bin
  	PCD-13-E92s01.gif	gif
  	PCD-13-E92s01.jpg	jpeg

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