Implementation of Enhance®Fitness: a scoping review using the RE-AIM framework.
Background and Objectives Enhance®Fitness (EF) is an evidence-based group exercise program shown to promote physical and mental health among older adults. The scoping review aims to systematically map and synthesize the literature on EF using the RE-AIM framework (Reach, Effectiveness, Adoption, Imp...
| Published in: | Gerontologist Vol. 66; no. 7; pp. 1 - 13 |
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| Main Authors: | , , , , , , , |
| Format: | Article |
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Oxford University Press / USA
Jul2026
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195281430&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195281430 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Jul2026 vid: 66 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195281430 10.1093/geront/gnag102 ppf: 1 ppct: 12 formats: tig: atl: Implementation of Enhance®Fitness: a scoping review using the RE-AIM framework. aug: au: Peng, Wenting McKiddy, Sarah Tomioka, Michiyo Maruca, Dina L Gell, Nancy M Smith, Matthew L Maloy, Caitlin Belza, Basia affil: School of Nursing, University of Washington, Seattle, Washington, United States Center on the Family, University of Hawaii, Honolulu, Hawaii, United States Department of Orthopaedics and Division of Physical Therapy, West Virginia University, Morgantown, West Virginia, United States Rehabilitation and Movement Science, University of Vermont, Burlington, Vermont, United States Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, Indiana, United StatesCenter for Health by Design, School of Public Health, Indiana University, Bloomington, Indiana, United States Health Sciences Library, University of Washington, Seattle, Washington, United States su: Competency assessment (Law) Elder care Corporate culture Exercise Evaluation of human services programs Physical fitness Technology Health promotion Social support Social participation Old age Medical information storage & retrieval systems Medical care use Research funding Independent living CINAHL database Systematic reviews MEDLINE Conceptual structures Medical databases Online information services Medical needs assessment Psychology information storage & retrieval systems Physical activity sug: subj: Competency assessment (Law) Elder care Corporate culture Exercise Evaluation of human services programs Physical fitness Technology Health promotion Social support Social participation Old age Continuing Care Retirement Communities Fitness and Recreational Sports Centers Offices of Mental Health Practitioners (except Physicians) Other Individual and Family Services Medical information storage & retrieval systems Medical care use Research funding Independent living CINAHL database Systematic reviews MEDLINE Conceptual structures Medical databases Online information services Medical needs assessment Psychology information storage & retrieval systems Physical activity keyword: aged community copyrightHolder:The Gerontological Society of America copyrightYear:2026 embase equity evidence-based practice Evidence-based programs exercise follow-up health care use health outcomes healthy aging https://dx.doi.org/10.1093/geront/gnag102 implementation science inLanguage:en mental health Older adults publisher:Oxford University Press RE-AIM sameAs:https://pubmed.ncbi.nlm.nih.gov/42108557/ social engagement aged community copyrightHolder:The Gerontological Society of America copyrightYear:2026 embase equity evidence-based practice Evidence-based programs exercise follow-up health care use health outcomes healthy aging https://dx.doi.org/10.1093/geront/gnag102 implementation science inLanguage:en mental health Older adults publisher:Oxford University Press RE-AIM sameAs:https://pubmed.ncbi.nlm.nih.gov/42108557/ social engagement ab: Background and Objectives Enhance®Fitness (EF) is an evidence-based group exercise program shown to promote physical and mental health among older adults. The scoping review aims to systematically map and synthesize the literature on EF using the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance). Research Design and Methods We conducted a scoping review of implementation studies focusing on EF or its predecessor, the Lifetime Fitness Program. Searches were conducted in 6 databases (PubMed, Embase, CINAHL, SCOPUS, Web of Science, and PsycINFO) and supplemented with EF-related publications listed on the program's official website. The search included all publications from January 1, 1980 through July 1, 2025. Results We included 33 publications. Reach showed EF primarily engaged community-dwelling older adults, typically female. Effectiveness outcomes were generally positive, including improved physical and mental health and reduced health care utilization. Adoption occurred across varied settings, supported by trained instructors and organizational alignment. Implementation typically followed the standard EF protocol of three 60-min sessions per week, delivered in person or remotely. Facilitators included instructor training, organizational support, and social engagement, while barriers included attendance challenges, resource needs, and technology issues. Maintenance was demonstrated through sustained program delivery across diverse community settings, and participant-level maintenance was reflected in follow-up assessments of health outcomes at common time points of 4, 6, or 12 months. Discussion and Implications EF is a widely adopted program with demonstrated benefits for older adults. Greater attention to equity and long-term sustainability is needed to strengthen future dissemination and support healthy aging. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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