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Health Promotion Practice, Vol. 5, No. 4, 451-458 (2004)
DOI: 10.1177/1524839903257312
© 2004 Society for Public Health Education

Building a Foundation for Systems Change: Increasing Access to Physical Activity Programs for Older Adults

Sue Lachenmayr, MPH, CHES

Older Adult Health and Wellness Program in the Division of Aging and Community Services, New Jersey Department of Health and Senior Services, in Trenton, New Jersey.

Geraldine Mackenzie, MSS, MLSP

Older Adult Health and Wellness Program, Division of Aging and Community Services, New Jersey Department of Health and Senior Services, in Trenton, New Jersey.

Although 25% of U.S. adults are physically inactive, this percentage increases dramatically for older adults. Organizational change theory guided a state health department in identifying system gaps and developing strategies to expand programming for seniors. A survey of provider agencies in New Jersey assessed (a) capacity for physical activity programs for older adults, (b) accessibility of programs, and (c) barriers to providing programs. One hundred sixty agencies provided physical activity programs to almost 184,000 individuals annually. Fewer than one half of the agencies provided exercise programs for people with disabilities, and only 44% provided in-home programs. Eighty-two percent of program providers wanted to expand programming but cited lack of trained instructors and peer leaders, inadequate facility space, insufficient funding, and limited transportation resources as barriers. Sustaining older adult behavior change requires infrastructure that will ensure access to diverse physical activities. This article provides strategies to expand access to physical activity programs for older adults.

Key Words: older adults • physical activity • systems change


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