TY - JOUR PY - 2022// TI - Implementation of an evidence-based, Tai Ji Quan Fall Prevention Program in rural West Virginia churches: a RE-AIM evaluation JO - Journal of aging and physical activity A1 - Jones, Dina L. A1 - Selfe, Terry Kit A1 - Wen, Sijin A1 - Eicher, Jennifer L. A1 - Wilcox, Sara A1 - Mancinelli, Corrie SP - ePub EP - ePub VL - ePub IS - ePub N2 - This study implemented a 16-week Tai Ji Quan: Moving for Better Balance® intervention for older adults in churches in hard-to-reach, medically underserved, rural communities, and evaluated the process using the RE-AIM Framework. Community-dwelling adults, aged 55 years, or older, were eligible. Data (N = 237) were collected at baseline, 16 weeks, and 32 weeks on falls efficacy, depression, physical/mental health-related quality of life, aerobic activity, gait speed, mobility, balance, and leg strength. Generalized/linear mixed models determined if outcomes improved. Eighteen churches sponsored 16 classes. Church adoption was 94%, instructor adoption was 86%, reach was 90%, and fidelity was good/fair. All outcomes improved except physical health-related quality of life and gait speed. Thirty-six percent of participants, 28% of churches, and 37% of instructors continued Tai Ji Quan: Moving for Better Balance at 32 weeks. Compared with two prior RE-AIM evaluations, adoption and reach rates, improvements in outcomes, and satisfaction were comparable; attendance, program completion, and continuation rates were lower.

Language: en

LA - en SN - 1063-8652 UR - http://dx.doi.org/10.1123/japa.2021-0274 ID - ref1 ER -