title: "Fit and fabulous": mixed-methods research on processes, perceptions, and outcomes of a yearlong gym program with assisted-living residents.
abstract: This study's mixed-methods design sought to understand how to encourage assisted-living (AL) residents to initiate and continue exercise in a gym setting. Ten residents participated in this yearlong program. Processes developed and perceived benefits were understood through interviews and observations. Changes in active time, lower body strength, and workload were evaluated using direct measures. Findings indicated that AL residents regularly used exercise machines (mean participation = 53.8%) and increased active time and lower body strength (p = .02) when adequately prepared and supported. Participants prioritized gym time and developed pride and ownership in the program. They described themselves as exercisers and developed a sense of belonging to their new home. Friendships with one another, staff, and university partners were nurtured in the gym setting. When provided space, equipment, trained staff, and additional resource support, AL residents' quality of life and life satisfaction were enhanced in several domains.
authors.affiliation: Beth-El College of Nursing and Health Sciences, University of Colorado - Colorado Springs, Colorado Springs, CO.
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Kluge
authors.forename: Michelle
authors.initials: M
authors.lastname: LeCompte
authors.forename: Lisa
authors.initials: L
authors.lastname: Ramel
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001007:Anxiety / Q000517:prevention & control; D040561:Assisted Living Facilities / Q000379:methods* / Q000458:organization & administration; D002908:Chronic Disease / Q000517:prevention & control / Q000523:psychology / Q000534:rehabilitation; D003863:Depression / Q000517:prevention & control; D005081:Exercise Therapy / Q000458:organization & administration* / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008134:Long-Term Care / Q000379:methods* / Q000458:organization & administration; D008297:Male; D016730:Program Development; D015397:Program Evaluation; D011788:Quality of Life / Q000523:psychology*; D055070:Resistance Training / Q000379:methods / Q000458:organization & administration; D012649:Self Concept