Promoting Active Aging: Lessons Learned in an Implementation Pilot in Primary Care.
BACKGROUND Physical activity (PA) preserves mobility, but few practices screen older adults for mobility impairment or counsel on PA. DESIGN "Promoting Active Aging" (PAA) was a mixed‐methods randomized‐controlled pilot, to test the feasibility and acceptability of a video‐based PA counseling tool a...
| Publicado en: | Journal of the American Geriatrics Society Vol. 69; no. 2; pp. 373 - 381 |
|---|---|
| Autores principales: | , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Feb2021
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=148453865&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 148453865 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00028614 20Q jtl: Journal of the American Geriatrics Society issn: 00028614 maglogo: Y pubinfo: dt: Feb2021 vid: 69 iid: 2 pid: 480 pub: Wiley-Blackwell artinfo: ui: 148453865 10.1111/jgs.16838 ppf: 373 ppct: 8 formats: tig: atl: Promoting Active Aging: Lessons Learned in an Implementation Pilot in Primary Care. aug: au: Callahan, Kathryn E. Willard, James Foley, Kristie L. Miller, Michael E. Houston, Denise K. Kritchevsky, Stephen B. Williamson, Jeff D. Applegate, William B. Girma, Feben Whitehead, Sarah E. Rejeski, W. Jack affil: Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston‐Salem North Carolina Sticht Center for Healthy Aging and Alzheimerʼs Prevention, Wake Forest School of Medicine, Winston‐Salem North Carolina Center for Healthcare Innovation, Wake Forest School of Medicine, Winston‐Salem North Carolina Division of Public Health Sciences, Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston‐Salem North Carolina Division of Public Health Sciences, Department of Implementation Science, Wake Forest School of Medicine, Winston‐Salem North Carolina Wake Forest School of Medicine, Wake Forest Translational Science Institute, Winston‐Salem North Carolina Cancer Prevention and Control Program, Wake Forest Comprehensive Cancer Center, Winston‐Salem North Carolina Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston‐Salem North Carolina Department of General Internal Medicine, Wake Forest School of Medicine, Winston‐Salem North Carolina Paris View Family Practice, Bon Secours St. Francis Health System, Greenville South Carolina Department of Health and Exercise Science, Wake Forest University, Winston‐Salem North Carolina Department of Psychology, Wake Forest University, Winston‐Salem North Carolina su: Medical screening Active aging Health promotion Primary health care Physical mobility Walking sug: subj: Medical screening Active aging Health promotion Primary health care All Other Miscellaneous Ambulatory Health Care Services Physical mobility Walking keyword: implementation science mobility assessment physical activity implementation science mobility assessment physical activity ab: BACKGROUND Physical activity (PA) preserves mobility, but few practices screen older adults for mobility impairment or counsel on PA. DESIGN "Promoting Active Aging" (PAA) was a mixed‐methods randomized‐controlled pilot, to test the feasibility and acceptability of a video‐based PA counseling tool and implementation into practice of two mobility assessment tools. SETTING Three primary care practices affiliated with Wake Forest Baptist Health. PARTICIPANTS Adults aged 65 years and older who presented for primary care follow‐up and were willing and able to answer self‐report questions and walk 4 meters (n = 59). INTERVENTION Video‐based PA counseling intervention versus control video, "Healthy Eating." MEASUREMENTS Potential participants completed mobility assessments: self‐report (Mobility Assessment Tool‐short form (MAT‐sf)) and performance based (4‐meter walk test). We assessed PAAʼs implementation—feasibility, acceptability, and value—via interviews and surveys. Effectiveness was measured via participant attendance at a PA information session. RESULTS: Of 92 patients approached, 89 (96.7%) agreed to mobility assessment. Eighty‐nine completed MAT‐sf, and 97.8% (87/89) completed 4‐meter walk test. Sixty‐seven (75%) met eligibility criteria, and 59 (88%) consented to be randomized either to the PA counseling intervention (Video‐PA) or to active control (Video‐C). Most participants viewed the walk test positively (51/59; 86.4%). Staff reported that completion of patient surveys, MAT‐sf, and videos required significant staff time and support (median = 26 minutes for all), resulting in low acceptability of MAT‐sf and the videos. Attendance at a PA information session did not differ by randomization group (Video‐PA = 11/29 (37.9%); Video‐C = 12/30 (40%); 95% confidence interval for difference in proportion = −0.29 to 0.25). CONCLUSIONS: Mobility assessment, particularly a 4‐meter walk test, was feasible in primary care. Tablet‐based assessment (MAT‐sf) and video counseling tools, selected to reduce staff effort, instead required significant time to implement. Future work to promote PA should identify effective ways to facilitate adoption of PA in sedentary older adults that do not burden staff. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|