Multilevel perspectives on diffusing a physical activity promotion program to reach diverse older adults.
Diffusing research-based physical activity programs in underserved communities could improve the health of ethnically diverse populations. We utilized a multilevel, community-based approach to determine attitudes, resources, needs, and barriers to physical activity and the potential diffusion of a physical activity promotion program to reach minority and lower-income older adults. Formative research using focus groups and individual interviews elicited feedback from multiple community sectors: community members, task force and coalition members, administrators, service implementers, health care providers, and physical activity instructors. Using qualitative data analysis, 47 transcripts (N = 197) were analyzed. Most sectors identified needs for culturally diverse resources, promotion of existing resources, demonstration of future cost savings, and culturally tailored, proactive outreach. The program was viewed favorably, especially if integrated into existing resources. Linking sectors to connect resources and expertise was considered essential. Complexities of such large-scale collaborations were identified. These results may guide communities interested in diffusing health promotion interventions.
Stewart
Anita L
AL
University of California, San Francisco, Institute for Health and Aging, San Francisco, CA 94118, USA.
Grossman
Melanie
M
Bera
Nathalie
N
Gillis
Dawn E
DE
Sperber
Nina
N
Castrillo
Martha
M
Pruitt
Leslie
L
McClellan
Barbara
B
Milk
Martha
M
Clayton
Kate
K
Cassady
Diana
D
D000367:Age Factors; D000368:Aged; D001291:Attitude of Health Personnel; D015444:Exercise; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006295:Health Resources / Q000600:supply & distribution; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D008913:Minority Groups / Q000523:psychology*; D020380:Needs Assessment; D010342:Patient Acceptance of Health Care; D012495:San Francisco