Program Factors Affecting Weight Loss and Mobility in Older Adults: Evidence From the Mobility and Vitality Lifestyle Program (MOVE UP).
Background. The Mobility and Vitality Lifestyle Program (MOVE UP) is a behavioral weight-management intervention for improving mobility among community-dwelling older adults. We examined program factors that affect implementation outcomes and participant-level health outcomes. Methods. The MOVE UP p...
| Publicado en: | Health Promotion Practice Vol. 25; no. 3; pp. 492 - 504 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
May2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176929952&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176929952 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15248399 IS2 jtl: Health Promotion Practice issn: 15248399 maglogo: Y pubinfo: dt: May2024 vid: 25 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 176929952 162718135 176929952 176929952 10.1177/15248399231162377 176929952 ppf: 492 ppct: 12 formats: tig: atl: Program Factors Affecting Weight Loss and Mobility in Older Adults: Evidence From the Mobility and Vitality Lifestyle Program (MOVE UP). aug: au: Liu, Xinran Kieffer, Lori A. King, Jennifer Boak, Brandi Zgibor, Janice C. Smith, Kenneth J. Burke, Lora E. Jakicic, John M. Semler, Linda N. Danielson, Michelle E. Newman, Anne B. Venditti, Elizabeth M. Albert, Steven M. affil: University of Pittsburgh, Pittsburgh, PA, USA sug: subj: Weight Reduction Programs Evaluation Program Evaluation Weight Loss In Old Age Physical Mobility In Old Age Community Living In Old Age Health Promotion Health Behavior Human Aged Male Female Implementation Science Program Implementation Lower Extremity Physiology Physical Performance In Old Age Life Style Self Assessment Body Weight Diet Physical Activity Linear Regression Outcomes (Health Care) Demography Therapeutic Exercise Community Health Workers Data Analysis Software Prospective Studies Descriptive Statistics Aged: 65+ years Male Female ab: Background. The Mobility and Vitality Lifestyle Program (MOVE UP) is a behavioral weight-management intervention for improving mobility among community-dwelling older adults. We examined program factors that affect implementation outcomes and participant-level health outcomes. Methods. The MOVE UP program was implemented in the greater Pittsburgh area from January 2015 to June 2019 to improve lower extremity performance in community-dwelling older adults who were overweight or obese. Thirty-two sessions were delivered over 13 months. All sessions were designed to be 1-hour in length, on-site, group-based, and led by trained and supported community health workers (CHWs). Participants completed weekly Lifestyle Logs for self-monitoring of body weight, diet, and physical activity. We evaluated the MOVE UP program using the RE-AIM framework, and collected quantitative data at baseline, 5-, 9-, and 13-months. Multilevel linear regression models assessed the impacts of program factors (site, CHW, and participant characteristics) on implementation outcomes and participant-level health outcomes. Results. Twenty-two CHWs delivered MOVE UP program to 303 participants in 26 cohorts. Participants were similar to the target source population in weight but differed in some demographic characteristics. The program was effective for weight loss and lower extremity function in both intervention and maintenance periods (p s <.01), with an independent effect for Lifestyle Logs submission but not session attendance. Discussion. CHWs were able to deliver a multi-component weight loss intervention effectively in community settings. CHW and site characteristics had independent impacts on participants' adherence. Lifestyle Log submission may be a more potent measure of adherence in weight loss interventions than attendance. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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