Cargando…

Adoption of a Tai Chi Intervention, Tai Ji Quan: Moving for Better Balance, for Fall Prevention by Rural Faith-Based Organizations, 2013–2014

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Jones, Dina L., Starcher, Rachael W., Eicher, Jennifer L., Wilcox, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4951076/
https://www.ncbi.nlm.nih.gov/pubmed/27418214
http://dx.doi.org/10.5888/pcd13.160083
_version_ 1782443639843061760
author Jones, Dina L.
Starcher, Rachael W.
Eicher, Jennifer L.
Wilcox, Sara
author_facet Jones, Dina L.
Starcher, Rachael W.
Eicher, Jennifer L.
Wilcox, Sara
author_sort Jones, Dina L.
collection PubMed
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.
format Online
Article
Text
id pubmed-4951076
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Centers for Disease Control and Prevention
record_format MEDLINE/PubMed
spelling pubmed-49510762016-08-10 Adoption of a Tai Chi Intervention, Tai Ji Quan: Moving for Better Balance, for Fall Prevention by Rural Faith-Based Organizations, 2013–2014 Jones, Dina L. Starcher, Rachael W. Eicher, Jennifer L. Wilcox, Sara Prev Chronic Dis Community Case Study 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. Centers for Disease Control and Prevention 2016-07-14 /pmc/articles/PMC4951076/ /pubmed/27418214 http://dx.doi.org/10.5888/pcd13.160083 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Community Case Study
Jones, Dina L.
Starcher, Rachael W.
Eicher, Jennifer L.
Wilcox, Sara
Adoption of a Tai Chi Intervention, Tai Ji Quan: Moving for Better Balance, for Fall Prevention by Rural Faith-Based Organizations, 2013–2014
title Adoption of a Tai Chi Intervention, Tai Ji Quan: Moving for Better Balance, for Fall Prevention by Rural Faith-Based Organizations, 2013–2014
title_full Adoption of a Tai Chi Intervention, Tai Ji Quan: Moving for Better Balance, for Fall Prevention by Rural Faith-Based Organizations, 2013–2014
title_fullStr Adoption of a Tai Chi Intervention, Tai Ji Quan: Moving for Better Balance, for Fall Prevention by Rural Faith-Based Organizations, 2013–2014
title_full_unstemmed Adoption of a Tai Chi Intervention, Tai Ji Quan: Moving for Better Balance, for Fall Prevention by Rural Faith-Based Organizations, 2013–2014
title_short Adoption of a Tai Chi Intervention, Tai Ji Quan: Moving for Better Balance, for Fall Prevention by Rural Faith-Based Organizations, 2013–2014
title_sort adoption of a tai chi intervention, tai ji quan: moving for better balance, for fall prevention by rural faith-based organizations, 2013–2014
topic Community Case Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4951076/
https://www.ncbi.nlm.nih.gov/pubmed/27418214
http://dx.doi.org/10.5888/pcd13.160083
work_keys_str_mv AT jonesdinal adoptionofataichiinterventiontaijiquanmovingforbetterbalanceforfallpreventionbyruralfaithbasedorganizations20132014
AT starcherrachaelw adoptionofataichiinterventiontaijiquanmovingforbetterbalanceforfallpreventionbyruralfaithbasedorganizations20132014
AT eicherjenniferl adoptionofataichiinterventiontaijiquanmovingforbetterbalanceforfallpreventionbyruralfaithbasedorganizations20132014
AT wilcoxsara adoptionofataichiinterventiontaijiquanmovingforbetterbalanceforfallpreventionbyruralfaithbasedorganizations20132014