Prog Community Health Partnersh. 2022;16(3):297-306. doi: 10.1353/cpr.2022.0047.
The National Council on Aging's Aging Mastery Program (AMP) aims to help older adults implement health behavior and lifestyle changes to promote healthy aging. The purpose of this community-partnered evaluation was to assess the effectiveness of the implementation in Los Angeles, and understand participant outcomes beyond the findings of a randomized waitlist controlled trial.
The purpose of this qualitative process evaluation was to deepen our understanding of participant outcomes and potential site-level implementation issues with the randomized waitlist controlled trial, as participant and site lead satisfaction ratings were very high.
After the intervention was completed, interviews were conducted with site directors to understand potential challenges or barriers in the implementation of AMP, participant feedback were reviewed for common themes, and focus groups were conducted to elicit additional insight feedback.
Analysis of interviews with site directors revealed that the study design was characterized by its complexity, but that the overall AMP program was very compatible with the sites' goals and met the needs of the participants. The participants reported greater interest in nutrition and healthy eating, the importance of exercise and 'preparing' for important life decisions, which were not captured through the measures used in the waitlist controlled trial.
Future evaluations of the AMP should continue the use of mixed methods evaluation designs in order to understand both the quantitative and qualitative outcomes of the program, and consider including measures of other constructs, such as socialization, that have been identified by the participants.
国家老龄化委员会的老龄化掌握计划（AMP）旨在帮助老年人实施健康行为和生活方式的改变，以促进健康老龄化。这项社区合作伙伴评估的目的是评估在洛杉矶的实施效果，并了解参与者的结果，超越随机等待名单对照试验的发现。
这项定性过程评估的目的是深化我们对参与者结果的理解和可能存在的随机等待名单对照试验的实施问题，因为参与者和现场领导的满意度评分非常高。
干预完成后，对现场主任进行了访谈，以了解 AMP 实施过程中的潜在挑战或障碍，审查参与者的反馈以了解共同主题，并进行焦点小组讨论以获得更多的反馈。
对现场主任访谈的分析表明，研究设计的特点是其复杂性，但总体 AMP 计划非常符合现场的目标，并满足了参与者的需求。参与者报告了对营养和健康饮食的更大兴趣，对锻炼和“为重要生活决策做准备”的重要性，这些都没有通过等待名单对照试验中使用的措施来捕捉。
未来对 AMP 的评估应继续使用混合方法评估设计，以了解该计划的定量和定性结果，并考虑纳入其他已被参与者确定的结构，如社会化的措施。
