Evidence-Based Programs for Older Adults: A Disconnect Between U.S. National Strategy and Local Senior Center Implementation. Issue 1 (1st January 2017)

• Record Type: Journal Article
• Authors: Bobitt, Julie; Schwingel, Andiara
• Is Part Of: Journal of aging & social policy. Volume 29:Issue 1(2017)
• Page Start: 3
• Page End: 19
• Publication Date: 2017-01-01
• Subjects: Aging -- chronic disease -- implementation -- physical activity -- policy; Older people -- United States -- Periodicals; Older people -- Government policy -- United States -- Periodicals; Older people -- Periodicals; Older people -- Medical care -- United States -- Periodicals; 362.605
• DOI: 10.1080/08959420.2016.1186465
• Languages: English
• ISSNs: 0895-9420

Abstract

ABSTRACT: While U.S. national policies have been developed to support evidence-based (EB) lifestyle programs for older adults, there has been limited research to determine the extent to which these programs actually reach local communities. This study sought to identify factors that impact the implementation of EB physical activity, nutrition, and chronic disease management programs at regional (Area Agencies on Aging [AAAs]) and community levels (senior Centers [SCs]). Interviews were conducted with directors of four AAAs and 12 SCs to understand their perspectives on EB program implementation. Narratives revealed differences between AAAs and SCs regarding knowledge about EB programs and reasons to promote and adopt these programs. The only agreement occurred when discussing concerns about funding and program inflexibility. Substantial gaps exist between how EB lifestyle programs are promoted and implemented at the regional and community levels.