Program location
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City's recreation and parks department gymnasium |
On site |
On site initially, then at four senior centers in Sequoia's service area |
Trained staff and volunteers
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No one with the needed expertise was available for one-on-one program components. University of California, San Francisco (UCSF) staff conducted a series of nine 1.5-hour training sessions for volunteers to serve this role. Eight volunteers completed training but were better prepared for and preferred to help with transportation and recruitment. Student interns trained by UCSF staff assisted with program implementation. A licensed practical nurse worked 15 hours per week as program coordinator and assisted with implementation and reminder and check-in phone calls. |
No one with the needed expertise was available for one-on-one program components. UCSF staff conducted a series of nine 1.5-hour training sessions for volunteers to serve this role (plus two follow-up sessions and three extra sessions for fitness testers). Twenty volunteers completed training but were better prepared for and preferred to help with recruitment, fitness testing, and reminder phone calls. A program and activities coordinator helped organize program events and recruit participants; an assistant helped advertise events and track activities. |
Sequoia had staff members with the needed expertise but decided to eliminate one-on-one program components because they were too labor-intensive. An exercise physiologist coordinated and conducted the program with assistance from other staff (a nurse and dietitian). Staff and volunteers at the various senior center sites (where they conducted their program) helped with recruitment, promotion, and reminder telephone calls. |
Outreach strategies
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Recruited participants initially through volunteer membership; later presented information on physical activity and health at several community venues. Promoted also through word of mouth, articles in existing newsletter and local paper, and affiliated community exercise classes. |
Organized special events to enhance awareness, including plays in which seniors dramatized the benefits of the program and how physical activity could improve their health. 30th Street and UCSF staff personally invited many individuals at the center to attend program events. |
The senior centers (where programs were provided) recruited through flyers and word of mouth. The program was advertised in the Sequoia Hospital Community Calendar, local newspapers, and the city's recreation guide. A videotaped talk by a popular geriatrician on a local television channel provided program contact information. |
Medical screening procedures
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Initially required physician consent but progressed to a medical screening form and blood pressure measurements that allowed lower-risk participants to start the program while their physicians were notified of their enrollment. Staff reviewed safety tips and other items in newcomers' folders as they enrolled. Safety aspects covered in workshops were added to each program exercise class. |
A medical screening determined whether physician consent was required for functional fitness testing, but physician consent was required to perform (versus observe) the moderate-intensity exercise portion of the workshops. Early workshops involved only light stretching; thus, participation was allowed while consent was obtained. |
Medical screening questions and blood pressure screening determined if physician consent was required for functional fitness testing. However, all workshops were lecture based without participatory exercise, so physician consent was not required for the program. Sequoia used these procedures to reduce staff burden and avoid the potential barrier associated with requiring physician consent. |