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Journal of Aging Research
Volume 2016, Article ID 9630241, 7 pages
Research Article

Implementation of an Evidence-Based Exercise Program for Older Adults in South Florida

1Robert Stempel College of Public Health and Social Work, 11200 SW 8th Street, Miami, FL 33199, USA
2College of Nursing and Health Sciences, 11200 SW 8th Street, Miami, FL 33199, USA

Received 23 May 2016; Revised 31 August 2016; Accepted 14 September 2016

Academic Editor: Elke Bromberg

Copyright © 2016 Richard C. Palmer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. This study aimed to examine how well an evidence-based physical activity program could be translated for wide scale dissemination and adoption to increase physical activity among community-dwelling older adults. Methods. Between October 2009 and December 2012, reach, fidelity, dosage, ease of implementation, and barriers to translation of EnhanceFitness (EF) were assessed. To assess effectiveness, a pretest-posttest design was used to measure increases in functional fitness (chair stands, arm curls, and the up-and-go test). Results. Fourteen community-based agencies offered 126 EF classes in 83 different locations and reached 4,490 older adults. Most participants were female (72%). Thirty-eight percent of participants did not complete the initial 16-week EF program. The 25% who received the recommended dose experienced an increase in upper and lower body strength and mobility. Further, participants reported high satisfaction with the program. Conclusion. EF was successfully implemented in a variety of settings throughout South Florida and reached a large number of older adults. However, challenges were encountered in ensuring that those who participated received a program dose that would lead to beneficial gains in functional fitness.