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RESEARCH AND PRACTICE |
Sara Wilcox, Marsha Dowda, Sarah F. Griffin, and Carol Rheaume are with the University of South Carolina, Columbia. Marcia G. Ory and Diane Dowdy are with Texas A&M University, College Station. Laura Leviton, Terry Bazzarre, and Robin Mockenhaupt are with The Robert Wood Johnson Foundation, Princeton, NJ. Abby C. King and Cynthia M. Castro are with the Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, Calif. Andrea Dunn is with Klein Buendel, Inc, Golden, Colo. David M. Buchner is with the Centers for Disease Control and Prevention, Atlanta, Ga. Paul A. Estabrooks is with Kaiser Permanente-Colorado, Denver. Kimberly Campbell-Voytal is with the Greater Detroit Area Health Council and Wayne State University, Detroit, Mich. Jenny Bartlett-Prescott is with the Church Health Center, Memphis, Tenn. Ruth Ann Carpenter is with The Cooper Institute, Dallas, Texas. David A. Dzewaltowski is with Kansas State University, Manhattan.
Correspondence: Requests for reprints should be sent to Sara Wilcox, PhD, Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208 (e-mail: swilcox{at}sc.edu).
Objectives. Translating efficacious interventions into practice within community settings is a major public health challenge. We evaluated the effects of 2 evidence-based physical activity interventions on self-reported physical activity and related outcomes in midlife and older adults.
Methods. Four community-based organizations implemented Active Choices, a 6-month, telephone-based program, and 5 implemented Active Living Every Day, a 20-week, group-based program. Both programs emphasize behavioral skills necessary to become more physically active. Participants completed pretest and posttest surveys.
Results. Participants (n=838) were aged an average of 68.4 ±9.4 years, 80.6% were women, and 64.1% were non-Hispanic White. Seventy-two percent returned posttest surveys. Intent-to-treat analyses found statistically significant increases in moderate-to-vigorous physical activity and total physical activity, decreases in depressive symptoms and stress, increases in satisfaction with body appearance and function, and decreases in body mass index.
Conclusions. The first year of Active for Life demonstrated that Active Choices and Active Living Every Day, 2 evidence-based physical activity programs, can be successfully translated into community settings with diverse populations. Further, the magnitudes of change in outcomes were similar to those reported in the efficacy trials.
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