Seguin Rebecca A, Economos Christina D, Hyatt Raymond, Palombo Ruth, Reed Peter N T, Nelson Miriam E
John Hancock Center for Physical Activity and Nutrition, Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Ave, Room 227, Boston, MA 02111, USA.
Prev Chronic Dis. 2008 Jan;5(1):A25. Epub 2007 Dec 15.
Physical activity is essential for maintaining health and function with age, especially among women. Strength training exercises combat weakness and frailty and mitigate the development of chronic disease. Community-based programs offer accessible opportunities for strength training.
The StrongWomen Program is an evidence-informed, community-based strength training program developed and disseminated to enable women aged 40 or older to maintain their strength, function, and independence. The StrongWomen Workshop and StrongWomen Tool Kit are the training and implementation tools for the StrongWomen Program. Program leaders are trained at the StrongWomen Workshop. They receive the StrongWomen Tool Kit and subsequent support to implement the program in their communities.
Program dissemination began in May 2003 with a three-part approach: recruiting leaders and forming key partnerships, soliciting participant interest and supporting implementation, and promoting growth and sustainability.
We conducted site visits during the first year to assess curriculum adherence. We conducted a telephone survey to collect data on program leaders, participants, locations, and logistics. We used a database to track workshop locations and program leaders. As of July 2006, 881 leaders in 43 states were trained; leaders from 35 states had implemented programs.
Evidence-informed strength training programs can be successful when dissemination occurs at the community level using trained leaders. This research demonstrates that hands-on training, a written manual, partnerships with key organizations, and leader support contributed to the successful dissemination of the StrongWomen Program. Results presented provide a model that may aid the dissemination of other community-based exercise programs.
体育活动对于随着年龄增长维持健康和身体机能至关重要,对女性而言尤其如此。力量训练运动可对抗虚弱和脆弱,减轻慢性病的发展。基于社区的项目为力量训练提供了便利机会。
“强壮女性计划”是一个基于证据的、以社区为基础的力量训练项目,其开发和推广旨在使40岁及以上的女性保持力量、身体机能和独立性。“强壮女性工作坊”和“强壮女性工具包”是“强壮女性计划”的培训和实施工具。项目负责人在“强壮女性工作坊”接受培训。他们会收到“强壮女性工具包”以及后续支持,以便在其社区实施该项目。
项目推广于2003年5月开始,采用了三管齐下的方法:招募负责人并建立关键合作伙伴关系、激发参与者兴趣并支持项目实施,以及促进项目发展和可持续性。
我们在第一年进行了实地考察,以评估课程的依从性。我们进行了电话调查,以收集有关项目负责人、参与者、地点和后勤方面的数据。我们使用一个数据库来跟踪工作坊地点和项目负责人。截至2006年7月,43个州的881名负责人接受了培训;来自35个州的负责人已实施了该项目。
当通过受过培训的负责人在社区层面进行推广时,基于证据的力量训练项目可以取得成功。这项研究表明,实践培训、书面手册、与关键组织的合作以及对负责人的支持有助于“强壮女性计划”的成功推广。所呈现的结果提供了一个模型,可能有助于其他基于社区的锻炼项目的推广。