Implementation of an Evidence-Based, Tai Ji Quan Fall Prevention Program in Rural West Virginia Churches: A RE-AIM Evaluation

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Dina L. Jones Department of Orthopaedics, Division of Physical Therapy, and Injury Control Research Center, West Virginia University, Morgantown, WV, USA

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https://orcid.org/0000-0002-5257-6939 *
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Terry Kit Selfe Academic Research Consulting & Services, Health Science Center Libraries, University of Florida, Gainesville, FL, USA

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Sijin Wen Department of Epidemiology and Biostatistics, School of Public Health, West Virginia University, Morgantown, WV, USA

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Jennifer L. Eicher Department of Orthopaedics, West Virginia University, Morgantown, WV, USA

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Sara Wilcox Department of Exercise Science and Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA

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Corrie Mancinelli Division of Physical Therapy, West Virginia University, Morgantown, WV, USA

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DOI:
https://doi.org/10.1123/japa.2021-0274
Keywords:
Tai Chi; exercise; fall risk; physical activity; physical function
First Published Online:
10 Jun 2022
In Print:
Volume 31: Issue 1
Page Range:
33–47
Restricted access

This study implemented a 16-week Tai Ji Quan: Moving for Better Balance® intervention for older adults in churches in hard-to-reach, medically underserved, rural communities, and evaluated the process using the RE-AIM Framework. Community-dwelling adults, aged 55 years, or older, were eligible. Data (N = 237) were collected at baseline, 16 weeks, and 32 weeks on falls efficacy, depression, physical/mental health-related quality of life, aerobic activity, gait speed, mobility, balance, and leg strength. Generalized/linear mixed models determined if outcomes improved. Eighteen churches sponsored 16 classes. Church adoption was 94%, instructor adoption was 86%, reach was 90%, and fidelity was good/fair. All outcomes improved except physical health-related quality of life and gait speed. Thirty-six percent of participants, 28% of churches, and 37% of instructors continued Tai Ji Quan: Moving for Better Balance at 32 weeks. Compared with two prior RE-AIM evaluations, adoption and reach rates, improvements in outcomes, and satisfaction were comparable; attendance, program completion, and continuation rates were lower.

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