Adult outdoor group sport play during a pandemic: Feasibility, acceptability, and program adherence results from a study of modifications to mitigate COVID-19 risk

The Centre for Activity and Ageing offers multiple physical activity programs for the general public of older adults. Using a database of 670 registrants, we tracked 541 individuals in 12 programs at the same location over a 3-year period (1992-1995). We found program differences in gender and age mix, attendance patterns, and long-term adherence. Overall, we found a 68% attendance rate and adherence rates of 59%, 51%, and 43% at 6 months, 12 months, and 36 months, respectively. About 21% of participants tried out or transferred between programs during the tracking period, and these individuals were significantly more likely to remain at the center over 3 years. Longitudinal tracking demonstrates that program adherence is not necessarily the same as exercise adherence: older adults leave, rejoin, and switch exercise classes as their commitments and interests change. We project that 50% or more of older adults joining community programs will be long-term adherents to exercise.

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What Implementation Components Predict Positive Outcomes in a Parenting Program?

Research on Social Work Practice ◽

10.1177/1049731516640903 ◽

2016 ◽

Vol 28 (2) ◽

pp. 173-187 ◽

Cited By ~ 8

Author(s):

Míriam Álvarez ◽

María José Rodrigo ◽

Sonia Byrne

Keyword(s):

At Risk ◽

Social Services ◽

Program Effectiveness ◽

Child Rearing ◽

Implementation Barriers ◽

Program Outcomes ◽

Participant Responsiveness ◽

Program Adherence ◽

Quality Of Delivery

Objectives: To examine the components affecting the quality of the implementation and their impact on the outcomes of the “Growing Up Happily in the Family” program targeted at parents with children aged 0–5. Method: At-risk and non-at-risk parents ( N = 196) participated in 26 groups in local social services. Adherence, adaptations, quality of delivery, group and participant responsiveness, and implementation barriers were examined as predictors of attendance rate and changes in parental child-rearing attitudes, parental sense of competence, and parenting stress using hierarchical linear regressions analyses. Results: Greater participant responsiveness and fewer implementation barriers predicted higher attendance rates. These implementation variables, as well as greater program adherence, fewer crucial adaptations, and better didactic functioning of the sessions, predicted positive parental changes. Conclusions: The level of implementation contributes to the program effectiveness, suggesting the need to provide a high-quality and well-coordinated implementation to achieve the intended program outcomes in child welfare populations.

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What Types of Physical Function Predict Program Adherence in Older Adults?

Rehabilitation Nursing ◽

10.1097/rnj.0000000000000284 ◽

2020 ◽

Vol 45 (5) ◽

pp. E18-E19

Keyword(s):

Older Adults ◽

Physical Function ◽

Program Adherence

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A Review of Fidelity of Implementation in Intervention Research Published in JTPE and RQES

Journal of Teaching in Physical Education ◽

10.1123/jtpe.2020-0178 ◽

2021 ◽

pp. 1-5

Author(s):

Weidong Li ◽

Lian Ma ◽

Ping Xiang ◽

Yan Tang

Keyword(s):

Physical Education ◽

Conceptual Framework ◽

Intervention Studies ◽

Intervention Research ◽

Fidelity Of Implementation ◽

Program Delivery ◽

Program Adherence ◽

C 30 ◽

Program Differentiation

Purpose: The purpose of this study was to review and evaluate the quality of fidelity of implementation (FOI) reported in experimental research in physical education pedagogy published in the Research Quarterly for Exercise and Sport and the Journal of Teaching in Physical Education using a five-component conceptual framework. Methods: Thirty-five intervention studies were coded using a five-item FOI checklist with indicators. For each of the five items, frequencies and percentages were calculated. Results: Authors of intervention studies reported components of FOI including (a) 35 studies assessing program adherence, (b) eight studies assessing dosage/program durations, (c) 30 studies assessing program delivery quality, (d) eight studies assessing participant responses to program interventions, and (e) 19 studies assessing program differentiation. The most frequently reported FOI components were program adherence, program delivery quality, and program differentiation. Conclusions: Researchers have begun to realize the critical importance of FOI in intervention research. Most researchers selected certain FOI components to assess and report at their own discretion. Researchers may need to pay more attention to FOI. The five-component conceptual framework is one method for doing this assessment.

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Understanding the Effects of Participation in a Large-scale Remote Diabetes Monitoring Program: A Qualitative Survey and Retrospective Analysis Study (Preprint)

10.2196/preprints.27851 ◽

2021 ◽

Author(s):

Yee Chieh Chew ◽

Michael Swiernik ◽

Thomas McCormick ◽

Angie Stevens

Keyword(s):

Health Outcomes ◽

Care Management ◽

Patient Monitoring ◽

Monitoring Program ◽

Care Providers ◽

Remote Patient Monitoring ◽

Kaiser Permanente ◽

Program Adherence ◽

Remote Patient ◽

Diabetic Care

BACKGROUND Remote patient monitoring has shown promise in helping management of population health by facilitating care management between providers and patients by providing real-time accurate data of relevant readings for chronic conditions from outside a medical facility. Kaiser Permanente offers remote patient monitoring as part of a holistic care management program for its members. OBJECTIVE The purpose of this study was to examine qualitative and quantitative measures of patient and provider feedback of Kaiser Permanente’s remote patient monitoring program for diabetes, patient perspectives on ability to manage diabetic care, patient health outcomes and program adherence, and utilization of Kaiser Permanente services under the program. METHODS In this study, patients who were enrolled in the RPM program in Southern California from 2017 onwards as well as care providers who had enrolled at least one patient in the program were studied. For qualitative data, online surveys were deployed. For quantitative analysis, clinical and demographic data drawn from existing data systems, which included Kaiser Permanente membership records, encounter records, electronic medical records, and administrative data repositories were used. RESULTS Providers (N=160) and patients (N=1,106) responded to the survey and reported many qualitative benefits from participating in the study, including improved coordination of clinical care and increased accountability. Patients who were enrolled in the program experienced a mean decrease of 1.25 in HbA1c results and an increase in encounters over 90 days which gradually come back to pre-enrollment encounter levels around 6 months. Those who actively upload glucose readings met the program upload goals within the first month a majority (92%) of the time. CONCLUSIONS There are many qualitative benefits for patients and providers incorporating Kaiser Permanente’s remote patient monitoring program as part of diabetic care. The quantitative descriptions of health outcomes, service utilization, and program adherence speak to the feasibility and value of deploying remote monitoring tools at scale within healthcare organizations.

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Implementation of the Secondary 2 Program of Project P.A.T.H.S.: observations based on the co-walker scheme

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2012-0036 ◽

2012 ◽

Vol 24 (3) ◽

pp. 253-260 ◽

Cited By ~ 3

Author(s):

Daniel T.L. Shek ◽

Lu Yu ◽

Vicky Y.T. Ho

Keyword(s):

Hong Kong ◽

Delivery Method ◽

Implementation Success ◽

Implementation Quality ◽

The Third ◽

Perceived Success ◽

Tier 1 ◽

Program Adherence ◽

Different Dimensions

Abstract The present study examined the implementation quality of the Tier 1 Program of Project P.A.T.H.S. (Positive Adolescent Training through Holistic Social Programmes) at Secondary 2 level in the third year of the initial phase of the project in Hong Kong. Classroom observations of 222 units in 148 schools were conducted under the co-walker scheme. Results generally showed that the overall level of program adherence was high and different dimensions of program delivery were positively correlated amongst themselves. Instructors’ use of positive and supportive feedback, degree of achievement of the objectives, and lesson preparation significantly predicted both the overall implementation quality and perceived success of the program. While instructors’ interactive delivery method and their familiarity with the students predicted overall implementation quality, student participation and involvement, and opportunity for reflection were predictive of implementation success. In conjunction with other evaluation findings, the present study lends further support to the high implementation quality of Project P.A.T.H.S. in Hong Kong.

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Medication adherence program: Adherence challenges and interventions in type 2 diabetes

Journal of the American Pharmacists Association ◽

10.1331/japha.2013.12065 ◽

2013 ◽

Vol 53 (3) ◽

pp. 267-272 ◽

Cited By ~ 17

Author(s):

Peggy Soule Odegard ◽

Gina Carpinito ◽

Dale B. Christensen

Keyword(s):

Type 2 Diabetes ◽

Medication Adherence ◽

Program Adherence

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Relationships Between Treatment Delivery, Program Attrition, and Reoffending Outcomes in an Intensive Custodial Sex Offender Program

Sexual Abuse ◽

10.1177/1079063218764886 ◽

2018 ◽

Vol 31 (4) ◽

pp. 477-499 ◽

Cited By ~ 1

Author(s):

Mark V. A. Howard ◽

Abilio C. de Almeida Neto ◽

Jennifer J. Galouzis

Keyword(s):

Sex Offenders ◽

Sex Offender ◽

Treatment Effectiveness ◽

Potential Interaction ◽

Program Completion ◽

Offender Treatment ◽

Therapist Characteristics ◽

Treatment Delivery ◽

Program Adherence ◽

Program Attrition

Retention of sex offenders to the completion of treatment is critical to program adherence to risk need responsivity (RNR) principles; however, it is also important to consider the potential interaction between attrition and treatment outcomes such as reoffending. The first aim of this study was to evaluate the influence of changes to treatment delivery in a residential sex offender treatment program (SOTP), including introduction of rolling groups and systematic emphasis on positive therapist characteristics, on likelihood of program noncompletion ( n = 652). Pooled regression modeling indicated that these operational interventions were associated with a significantly increased likelihood of program completion. We also examined whether variance in rates of participant attrition was related to reoffending outcomes for program completers ( n = 494). Incidence of attrition within completing participants’ treatment cohorts had a significant negative association with hazard of sexual reoffending that was not accounted for by pretreatment risk. Results are discussed in terms of their implications for treatment delivery processes that aim to optimize both participant retention and treatment effectiveness.

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Online delivery of a family-based dating violence prevention program for youth who have been exposed to intimate partner violence: Protocol for an acceptability and feasibility study (Preprint)

10.2196/preprints.35487 ◽

2021 ◽

Author(s):

H. Luz Reyes ◽

Natalie Blackburn ◽

Eliana Armora Langoni ◽

Rebecca Macy ◽

Kathryn Elizabeth Moracco ◽

...

Keyword(s):

Intimate Partner Violence ◽

Dating Violence ◽

Prevention Program ◽

Partner Violence ◽

Action Planning ◽

Intimate Partner ◽

Online Delivery ◽

Increased Risk ◽

Program Adherence ◽

Family Based

BACKGROUND Children who are exposed to intimate partner violence (IPV) between caregivers are at increased risk for becoming involved in dating violence during adolescence. Yet, to date, few adolescent dating violence (ADV) prevention programs have been developed for and/or evaluated with IPV-exposed youth. One exception is Moms and Teens for Safe Dates (MTSD), an evidence-based ADV prevention program for IPV-exposed mothers or maternal caregivers (moms) and their teens. MTSD consists of a series of booklets that families complete together in a home that include interactive activities to promote positive family communication and healthy teen relationships. We developed an online-adapted version of the MTSD program, entitled, eMoms and Teens for Safe Dates (eMTSD), to provide a delivery format that may: increase program appeal for digitally oriented teens; lower dissemination costs; lower reading burden for low-literacy participants; and incorporate built in cues and reminders to boost program adherence. OBJECTIVE This is a protocol for a research study that has three main objectives: (1) to assess of the acceptability of eMTSD; (2) to identify the feasibility of the research process, including program adherence and participant recruitment and assessment; and (3) to explore the acceptability, feasibility, and preliminary efficacy of two features —text reminders and the creation of an “action plan” for engaging with the program—that may increase program uptake and completion. METHODS Approximately 80 moms and their teens will be invited to complete eMTSD, which includes six 30-minute online modules, over a 6-week period. Moms will be recruited through community organizations and via social media advertising and will be eligible to participate if they have at least one 12–16-year-old teen living with them, experienced IPV after the teen was born, are not currently living with an abusive partner, and have access to an internet-enabled device. Using a factorial design, enrolled dyads will be randomized to four “adherence support” groups (n=20 dyads per group): (1) text reminders and action planning, (2) text reminders only, (3) action planning only, and (4) no adherence supports. All participants will complete brief online assessments at enrollment, after each module is completed, after the full program is completed, and 12-weeks post enrollment. Program adherence will be tracked using website usage metrics. RESULTS Data collected will be synthesized to assess acceptability of the program and feasibility of study procedures. Exploratory analysis will examine the impacts of adherence supports on program completion levels. In November 2021 ethical approval was received and recruitment was initiated. Data collection is expected to continue until December 2022. CONCLUSIONS Online delivery of a family-based healthy relationships program for IPV-exposed teens may offer a convenient, low-cost, engaging approach to preventing ADV. Findings from the study are expected to guide future research.

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Use of an Institutional Template for Annual Program Evaluation and Improvement: Benefits for Program Participation and Performance

Journal of Graduate Medical Education ◽

10.4300/jgme-d-10-00002.1 ◽

2010 ◽

Vol 2 (2) ◽

pp. 160-164 ◽

Cited By ~ 6

Author(s):

Kathryn M. Andolsek ◽

Alisa Nagler ◽

John L. Weinerth

Keyword(s):

Medical Education ◽

Program Evaluation ◽

Graduate Medical Education ◽

Tracking System ◽

University Hospital ◽

Improvement Strategy ◽

Meaningful Improvement ◽

Graduate Medical ◽

Program Adherence ◽

Duke University

Abstract Purpose The Accreditation Council for Graduate Medical Education (ACGME) expects programs to engage in ongoing, meaningful improvement, facilitated in part through an annual process of program assessment and improvement. The Duke University Hospital Office of Graduate Medical Education (OGME) used an institutional practice-based learning and improvement strategy to improve the annual evaluation and improvement of its programs. Methods The OGME implemented several strategies including the development and dissemination of a template for the report, program director and coordinator development, a reminder and tracking system, incorporation of the document into internal reviews, and use of incentives to promote program adherence. Results In the first year of implementation (summer 2005), 27 programs (37%) submitted documentation of their annual program evaluation and improvement to the OGME; this increased to 100% of programs by 2009. A growing number of programs elected to use the template in lieu of written minutes. The number of citations related to required program review and improvement decreased from 12 in a single academic year to 3 over the last 5 years. Conclusion Duke University Hospital's institutional initiative to incorporate practice-based learning and improvement resulted in increased documentation, greater use of a standardized template, fewer ACGME-related citations, and enhanced consistency in preparing for ACGME site visits.

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