TY - JOUR PY - 2019// TI - Older adults' utilization of community resources targeting fall prevention and physical activity JO - Gerontologist A1 - McMahon, Siobhan K. A1 - Park, Young Shin A1 - Lewis, Beth A1 - Guan, Weihua A1 - Oakes, J. Michael A1 - Wyman, Jean F. A1 - Rothman, Alexander J. SP - 436 EP - 446 VL - 59 IS - 3 N2 - BACKGROUND AND OBJECTIVES: Despite the availability of community resources, fall and inactivity rates remain high among older adults. Thus, in this article, we describe older adults' self-reported awareness and use of community resources targeting fall prevention and physical activity. RESEARCH DESIGN AND METHODS: In-depth, semistructured interviews were conducted in Phase 1 with community center leaders (n = 5) and adults (n = 16) ≥70 years old whose experience with community programs varied. In Phase 2, surveys were administered to intervention study participants (n = 102) who were ≥70 years old, did not have a diagnosis of dementia, and reported low levels of physical activity.

RESULTS: Four themes emerged from Phase 1 data: (a) identifying a broad range of local community resources; (b) learning from trusted sources; (c) the dynamic gap between awareness and use of community resources; and (d) using internal resources to avoid falls. Phase 2 data confirmed these themes; enabled the categorization of similar participant-identified resources (10); and showed that participants who received encouragement to increase community resource use, compared to those who did not, had significantly greater odds of using ≥1 resource immediately postintervention, but not 6 months' postintervention.

DISCUSSION AND IMPLICATIONS: Although participants in this study were aware of a broad range of local community resources for physical activity, they used resources that support walking most frequently. Additionally, receiving encouragement to use community resources had short-term effects only.

FINDINGS improve our understanding of resources that need bolstering or better dissemination and suggest researchers identify best promotion, dissemination, implementation strategies.

Language: en

LA - en SN - 0016-9013 UR - http://dx.doi.org/10.1093/geront/gnx210 ID - ref1 ER -