Der Ananian Cheryl, Smith-Ray Renae, Meacham Brad, Shah Amy, Hughes Susan
J Aging Phys Act. 2017 Oct 1;25(4):628-638. doi: 10.1123/japa.2016-0256. Epub 2017 Sep 22.
This study evaluated the feasibility and effectiveness of translating the evidence-based program, Fit & Strong!, into a Spanish program, ¡En Forma y Fuerte!. A single-group, quasi-experimental design (n = 34, mean age = 58.8 [8.1], 87.2% female, 87.2% reported speaking mostly Spanish) was used to assess implementation feasibility and the impact of ¡En Forma y Fuerte! on arthritis-related outcomes in Hispanics with arthritis. Significant improvements in lower-extremity strength, perceived physical function, and pain were observed from baseline to 8 weeks (p < .05); these improvements were maintained at 6 months. Significant improvements in aerobic endurance and stiffness were observed from baseline to 6 months (p < .05). No major program adaptations (other than language) were observed or reported. However, the instructors provided several suggestions for program improvements, including adjusting the literacy level and length of the program. Findings suggest ¡En Forma y Fuerte! is feasible and effective, potentially providing a much-needed program for older Hispanics with arthritis.
本研究评估了将循证项目“Fit & Strong!”翻译成西班牙语项目“¡En Forma y Fuerte!”的可行性和有效性。采用单组准实验设计（n = 34，平均年龄 = 58.8 [8.1]，87.2%为女性，87.2%报告主要说西班牙语）来评估实施可行性以及“¡En Forma y Fuerte!”对患有关节炎的西班牙裔人群关节炎相关结局的影响。从基线到8周，观察到下肢力量、感知身体功能和疼痛有显著改善（p < 0.05）；这些改善在6个月时得以维持。从基线到6个月，观察到有氧耐力和僵硬程度有显著改善（p < 0.05）。未观察到或报告有重大的项目调整（除语言外）。然而，指导教师提出了一些项目改进建议，包括调整项目的读写水平和时长。研究结果表明“¡En Forma y Fuerte!”是可行且有效的，可能为患有关节炎的老年西班牙裔人群提供一个急需的项目。
