The Utility of Extension to Increase Adherence to the Physical Activity Guidelines in Middle-Aged and Older Adults: A Scoping Review of Benefits and Barriers.
Background: It is well-established that physical activity (PA) can reduce risks for numerous chronic diseases across the lifespan, especially for middle-aged and older adults. However, engagement in health-enhancing PA behaviors remains suboptimal globally especially in the United States. Thus, ther...
| Publicado en: | Journal of Aging & Physical Activity Vol. 34; no. 4; pp. 521 - 540 |
|---|---|
| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
Human Kinetics Publishers, Inc.
Aug2026
|
| 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=195788315&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195788315 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10638652 0DL jtl: Journal of Aging & Physical Activity issn: 10638652 maglogo: N pubinfo: dt: Aug2026 vid: 34 iid: 4 pid: 553 pub: Human Kinetics Publishers, Inc. artinfo: ui: 195788315 10.1123/japa.2024-0376 ppf: 521 ppct: 19 formats: tig: atl: The Utility of Extension to Increase Adherence to the Physical Activity Guidelines in Middle-Aged and Older Adults: A Scoping Review of Benefits and Barriers. aug: au: Wilson, Hannah K. Williams, Ewan R. Evans, Ellen M. Berg, Alison C. affil: Department of Food, Nutrition, and Packaging Sciences, Clemson University, Florence, SC, USA Department of Health Sciences and Research, Medical University of South Carolina, Charleston, SC, USA Department of Kinesiology, Indiana University Bloomington, Bloomington, IN, USA Department of Nutritional Sciences, University of Georgia, Athens, GA, USA su: Health services accessibility Health promotion Middle age Old age Medical protocols CINAHL database Systematic reviews MEDLINE Medical databases Online information services Physical activity Psychology information storage & retrieval systems sug: subj: Health services accessibility Health promotion Middle age Old age Medical protocols CINAHL database Systematic reviews MEDLINE Medical databases Online information services Physical activity Psychology information storage & retrieval systems keyword: cooperative extension service dissemination implementation physical activity promotion cooperative extension service dissemination implementation physical activity promotion ab: Background: It is well-established that physical activity (PA) can reduce risks for numerous chronic diseases across the lifespan, especially for middle-aged and older adults. However, engagement in health-enhancing PA behaviors remains suboptimal globally especially in the United States. Thus, there is a need for dissemination and implementation of evidence-based interventions to increase adherence to PA guidelines among middle-aged and older adults. The objectives of this scoping review were to identify (a) effectiveness of Extension-delivered programs as measured by improving PA outcomes among middle-aged and older adults, (b) implementation outcomes of Extension-delivered PA program20s, and (c) implementation determinants (benefits and barriers) of Extension as a PA program delivery system. Methods: A scoping review of papers published from 2008 to 2023 was conducted. One reviewer searched the online databases, including PubMed, MEDLINE, Web of Science (Web of Knowledge), ScienceDirect, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, AgeLine, Education Resources Information Center, and Cochrane Central Register of Controlled Trials using search terms related to Extension, PA, and dissemination and implementation science. The search yielded 937 papers. After a review of titles, abstracts, and full texts 25 papers describing 18 unique programs/interventions were included in the review. Results: The PA outcomes reported in the included studies indicate improved PA levels among middle-aged and older adult participants of Extension programs. Implementation factors evaluated highlighted the high-reach and maintenance potential of Extension as a delivery system for evidence-based PA programs. Conclusions: Extension may offer a sustainable delivery system with large potential reach for implementation of evidence-based PA programs among middle-aged and older adults. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|