Table 2.
Program Adaptations of the Community Healthy Activities Model Program for Seniors (CHAMPS) II at the Three Community Organizations Participating in CHAMPS III
Original Program Features | CHAMPS II | CHAMPS IIIOrganization and Program Name | ||
---|---|---|---|---|
| ||||
Palo Alto Medical Foundation | Network for EldersSeniors in Motion for Health | On Lok's 30th Street Senior CenterAlways Active/Siempre Activo | Sequoia Hospital Health & Wellness Services Aging With Energy | |
Duration | 1 year | 6 months | 6 months | 6 months |
Functional fitness testinga | University of California, San Francisco (UCSF) staff initially conducted testing before enrollment as baseline data and as part of medical screening; repeated at 6 months (midpoint) and 12 months (endpoint). | UCSF staff offered at baseline and 6 months for evaluation as well as for educational and motivational purposes. | Offered by trained volunteers (with supervision) for recruitment, educational, and motivational purposes at baseline and 6 months for the first cohort and only at baseline for the second cohort. | Sequoia staff helped participants test one another at baseline and 6 months. Results were used in workshop discussions about improving fitness and function and making an exercise plan and at 6 months to discuss changes. |
Group workshop series | UCSF staff offered a series of 10 exercise- and health-related workshops, which provided tips to keep exercise safe and an opportunity for supervised practice of different types of exercise. Topics such as overcoming barriers were discussed in small groups. | UCSF staff offered a series of seven to eight exercise- and health-related workshops. We reduced content and provided a more interactive format. By the end of the second cohort, much of the workshop material was incorporated into the program exercise class. Additional health-related workshops were offered by guests. | UCSF staff offered a series of 6 exercise-related workshops. Additional health-related workshops were offered by staff or guests. We reduced content and provided a more interactive format to accommodate bilingual presentations and lower levels of education and literacy. | Sequoia staff offered their own series of 6 exercise- and health-related workshops at various community senior centers or sites involved with the project. These workshops included exercise demonstrations rather than participatory exercise. |
Community physical activity resource directory | A directory of ongoing physical activity (PA) resources in the community was created by program staff and provided to participants. Counselors discussed the guide with seniors who expressed interest in classes and programs. | A directory of ongoingphysical activityactivities in the community, as well as television and Web offerings, was developed and distributed to participants; it was updated every 4–6 months. | A community directory was not available; participants received a monthly calendar of program activities, and each day the center posted a list of its classes and activities on a display board. | A community directory was not available; however, each senior center promoted its own classes and offerings. These were also mentioned in some workshops. |
Newsletters | Monthly newsletters that highlighted participants' accomplishments, provided tips, announced workshops, and included other exercise- and health-related information were mailed to participants. | Although not program-specific, a monthly calendar of community physical activity opportunities and occasional exercise- or program-related articles were added to an existing community newsletter, distributed to about 300 individuals or organizations. | No program-specific newsletter was produced, but information about program activities was posted on a new Always Active bulletin board at the center. | Not offered |
Activity diaries or logs | Participants completed 2 weeks per month, mailed to counselors, and discussed during telephone support. | Not offered | Not offered | Not offered |
Personal planning session | Each participant met with an activity counselor at enrollment to discuss topics such as readiness to change, barriers, and goal setting. | Not offered | Not offered | Not offered |
Ongoing motivational telephone support | Activity counselor called participants monthly (more often initially) to discuss progress, barriers, changes in health, and upcoming program workshops. | Not offered | Not offered | Not offered |
New program features | Not applicable | A program exercise class and walking club were offered weekly. Blood pressure was measured before class, and a tracking log with recommendations such as when exercise may be contraindicated was provided. | Approximately monthly, bilingual physicians provided lectures and question-and-answer sessions related to exercise and various medical conditions. | Not offered |
A new battery of functional fitness tests for older adults was available (35), replacing those in CHAMPS II.