provincial scale-up of choose to move (ctm) phase 4

Conditions: Aging; Physical Inactivity; Mobility Limitation; 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 expand delivery of the optimized phase 4 program with large and small partner organizations and will describe and assess scale-up, implementation, and impact of ctm phase 4.

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 include even more older adults living in communities 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 either in person or online. in this study, the central support unit (csu) will work with community-based seniors' services (cbss) organizations in large and small communities across bc to deliver ctm to more older adults. the investigators will then evaluate implementation of ctm programs, and the impact of the ctm program on older adults' physical and social health. objectives: to assess whether ctm (phase 4) was implemented as planned (fidelity) and investigate factors that support or inhibit its implementation at scale across bc (part i - implementation evaluation). to assess the impact (effectiveness) of ctm (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 scale-up of ctm phase 4. 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; * non-english speaking older adults will also be invited to participate in the evaluation as long as an intermediary who has the necessary language skills to ensure effective communication/translation of the consent and surveys is present. exclusion criteria: * none

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