evaluating implementation and impact of provincial scale-up of the adapted choose to move (ctm) program

Conditions: Aging; Mobility Limitation; Physical Inactivity; Loneliness; Social Isolation

Summary: choose to move (ctm) is a 3-month, choice-based health-promoting program for low active older adults being scaled-up across british columbia (bc), canada. in this project, the investigators will support community-based seniors' services (cbss) organizations across bc through a readiness-building process so they can adapt ctm and deliver the program to more diverse groups of underserved older adults than have previously participated in ctm.

choose to move (ctm) a 3-month, choice-based health-promoting program for low active older adults being scaled-up in phases across british columbia (bc), canada. to date (phases 1-4), ctm participants have included mostly white older women living in large urban centres. in this project, the investigators aim to expand the reach of ctm to more diverse populations of underserved older adults across bc. within ctm (phase 4), trained activity coaches support older adults in two ways. first, in a one-on-one consultation, activity coaches help participants to set goals and create action plans for physical activity tailored to each person's interests and abilities. older adults can choose to participate in individual or group-based activities. second, activity coaches facilitate 8 group meetings with small groups of participants. in this study, the central support unit (csu) will work with community-based seniors' services (cbss) organizations across bc to adapt the ctm phase 4 program to 'best fit' the population of underserved older adults they serve, and build capacity in these organizations to deliver ctm. the investigators will then evaluate the implementation of the adapted programs, and the impact of the adapted programs on older adults' physical and social health. objectives: 1. to assess whether ctm (adapted phase 4) was implemented as planned (fidelity) and investigate factors that support or inhibit its implementation at scale across bc (part i - implementation evaluation). 2. to assess the impact (effectiveness) of ctm (adapted phase 4) on the physical activity, mobility, and social connectedness of older adult participants (part ii - impact evaluation). study design: the investigators use a hybrid type 2 effectiveness-implementation (curran et al. 2012) pre-post study design to evaluate the adapted ctm phase 4 program. the investigators use mixed methods (quantitative and qualitative) and collect data at 0 (baseline) and 3 (post-intervention) months to assess implementation and impact of ctm.

Eligibility criteria:
inclusion criteria: * central support unit staff member * activity coach hired by delivery partner organization (activity coaches must speak english to participate in the evaluation); * english-speaking older adults (aged \>=50 years) who participate in ctm (recruited by delivery partner organizations) will be invited to participate in the evaluation; * punjabi-speaking older adults will also be invited to participate in the evaluation if they can read english or punjabi and/or if the activity coach or a member of the research team has the necessary language skills to ensure effective communication of the punjabi language translated consent form and surveys. exclusion criteria: * non-english speaking activity coaches * ctm participants \< 50 years * ctm participants who do not speak either english or punjabi

Keywords: older adults physical activity mobility social isolation loneliness social connectedness behavior change implementation adaptation scale-up health equity