Levinger Pazit, Dunn Jeremy, Panisset Maya, Dow Briony, Batchelor Frances, Biddle Stuart J H, Duque Gustavo, Hill Keith D
National Ageing Research Institute, Royal Melbourne Hospital, PO Box 2127, Melbourne, Victoria, 3050, Australia.
Institute for Health and Sport, Victoria University, Melbourne, Australia.
BMC Public Health. 2021 Jun 22;21(1):1192. doi: 10.1186/s12889-021-11224-7.
The physical environment has been shown to have a positive effect on the promotion of physical activity of older people. Outdoor environments that incorporate specialised exercise equipment suitable for older people are uniquely placed to promote physical activity and social connectedness amongst older people. The ENJOY project included the installation of specialised outdoor exercise equipment (the Seniors Exercise Park) and the delivery of a physical and social activity program for older people as part of a prospective pre-post research design. The installation of the specialised equipment in public sites and an aged care facility was also aimed at increasing usage of the equipment by older people from the wider community and to increase physical and social activities.
A conceptual framework for implementation and several engagement methods were utilised to guide the research and to support the participating partners throughout the project. This paper is a reflective narrative describing the collaborative process and approach utilised to engage local governments and community, and reports the challenges and the lessons learnt to inform future strategies for implementation.
The conceptual framework for the implementation process that guided the conduct and delivery of the ENJOY project included the core elements of the Interactive Systems Framework and the ecologic framework. These models incorporate elements of research-to-practice and community-centred implementation to accommodate the unique perspectives of a range of stakeholders.
Partner characteristics such as local governments' structure and policy as well as community factors can impact on implementation. Partnership with local governments with effective communication, strategic planning and community and seniors engagement approaches are recommended for successful implementation. The lessons learnt can further assist public health research design around changes to the built environment to positively impact on older people's physical activity levels.
Trial registration number ACTRN12618001727235. Date of registration 19th October 2018, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=375979.
已证明物理环境对促进老年人身体活动具有积极作用。包含适合老年人的专门运动器材的户外环境,在促进老年人身体活动和社会联系方面具有独特优势。“享受”项目包括安装专门的户外健身器材(老年健身公园),并为老年人提供一项身体和社交活动计划,作为前瞻性前后对照研究设计的一部分。在公共场所和一家老年护理机构安装专门器材,也是为了增加更广泛社区中老年人对器材的使用,并增加身体和社交活动。
利用一个实施概念框架和几种参与方法来指导研究,并在整个项目中支持参与伙伴。本文是一篇反思性叙述文,描述了用于与地方政府和社区互动的协作过程和方法,并报告了所面临的挑战和吸取的经验教训,以为未来的实施策略提供参考。
指导“享受”项目实施和开展的实施过程概念框架,包括互动系统框架和生态框架的核心要素。这些模型纳入了从研究到实践以及以社区为中心的实施要素,以适应一系列利益相关者的独特观点。
地方政府结构和政策等伙伴特征以及社区因素会影响实施。建议与地方政府建立伙伴关系,并采用有效的沟通、战略规划以及社区和老年人参与方法,以实现成功实施。吸取的经验教训可进一步协助围绕建筑环境变化开展公共卫生研究设计,从而对老年人的身体活动水平产生积极影响。
试验注册号ACTRN12618001727235。注册日期2018年10月19日,https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=375979。