The Utility of Extension to Increase Adherence to the Physical Activity Guidelines in Middle-Aged and Older Adults: A Scoping Review of Benefits and Barriers.
Hannah K Wilson, Ewan R Williams, Ellen M Evans, Alison C Berg
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引用次数: 0
Abstract
Background: It is well-established that physical activity (PA) can reduce risks for numerous chronic diseases across the lifespan, especially for middle-aged and older adults. However, engagement in health-enhancing PA behaviors remains suboptimal globally especially in the United States. Thus, there is a need for dissemination and implementation of evidence-based interventions to increase adherence to PA guidelines among middle-aged and older adults. The objectives of this scoping review were to identify (a) effectiveness of Extension-delivered programs as measured by improving PA outcomes among middle-aged and older adults, (b) implementation outcomes of Extension-delivered PA program20s, and (c) implementation determinants (benefits and barriers) of Extension as a PA program delivery system.
Methods: A scoping review of papers published from 2008 to 2023 was conducted. One reviewer searched the online databases, including PubMed, MEDLINE, Web of Science (Web of Knowledge), ScienceDirect, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, AgeLine, Education Resources Information Center, and Cochrane Central Register of Controlled Trials using search terms related to Extension, PA, and dissemination and implementation science. The search yielded 937 papers. After a review of titles, abstracts, and full texts 25 papers describing 18 unique programs/interventions were included in the review.
Results: The PA outcomes reported in the included studies indicate improved PA levels among middle-aged and older adult participants of Extension programs. Implementation factors evaluated highlighted the high-reach and maintenance potential of Extension as a delivery system for evidence-based PA programs.
Conclusions: Extension may offer a sustainable delivery system with large potential reach for implementation of evidence-based PA programs among middle-aged and older adults.
背景：体力活动（PA）可以降低一生中许多慢性疾病的风险，特别是对于中老年人。然而，在全球范围内，特别是在美国，参与促进健康的个人行为仍然是次优的。因此，有必要传播和实施以证据为基础的干预措施，以提高中老年人对PA指南的依从性。本综述的目的是确定(a)推广项目的有效性，通过改善中老年人的PA结果来衡量，(b)推广项目的实施结果，以及(c)推广项目作为PA项目实施系统的实施决定因素（利益和障碍）。方法：对2008 - 2023年发表的文献进行范围综述。一名审稿者检索了在线数据库，包括PubMed、MEDLINE、Web of Science （Web of Knowledge）、ScienceDirect、护理及相关健康文献累积索引、PsycINFO、AgeLine、教育资源信息中心和Cochrane中央对照试验注册库，检索词与扩展、PA和传播与实施科学相关。搜索产生了937篇论文。在回顾了题目、摘要和全文后，共纳入了25篇描述18个独特项目/干预措施的论文。结果：在纳入的研究中报告的PA结果表明，扩展计划的中老年成人参与者的PA水平有所改善。评估的实施因素突出了扩展作为循证PA项目的交付系统的高覆盖和维护潜力。结论：推广可能为中老年人实施循证PA项目提供一个可持续的交付系统，具有很大的潜力。
期刊介绍：
The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults.
In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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