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Rock Street, San Francisco

Situation: •OA is
one of the most common chronic diseases •OA is
the primary cause of disability among older adults•OA causes
joint pain, swelling, stiffness and often decreased physical function

•Physical
activity can help alleviate these symptoms
(2,6)

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Priorities:

•Sedentary
adults

•Joints
in lower portion
of the body
(2) 

•Site
program directors

•Trained
fitness instructors

•Assistants
to the instructors

•Director/
instructor time

•Funding

•Open
area for walking

•Large room

•Exercise equipment  

•Fit
& Strong! Manuals

•Music

(2,4)

•In-program warm-up
and cool-down,

•In-program
flexibility, balance, strength/ resistance and aerobic exercises

•Goal setting

•Instructor
feedback

•Participant-instructor discussions
to create tailored exercise plans

•Signing of exercise contracts

•Graduation ceremony
(2,4)

•Adults
with OA

•Site
program directors

•Fitness
instructors and assistants
(2,4)

•Provide
space and equipment to exercise during program

•Increase
knowledge
of benefits of exercise for OA

•Increase
knowledge of
beneficial exercises

•Develop
tailored exercise plans
(2,4)

•Increase
physical activity during program

•Increase
self-efficacy
to exercise post-program

•Alleviate
OA  symptoms (pain, swelling and stiffness)
(2,4)

•Increase
physical
activity post-program

•Improve
physical
function
and overall wellbeing
(2,4)

Assumptions:
Adults
with OA are
reached, exercises
are
appropriate and
manageable for each
participant,
instructor feedback
will increase motivation toward exercise goals, tailored exercise
plans will increase
adherence to plans,
exercise benefits are accepted
and understood,
participants want
improved physical function,
fitness instructors
will provide most beneficial and easy-to-follow exercise regimes

External Factors:
Participants
will have access to spaces to exercise post-program, partners and
families of participants will
be supportive
of their exercise endeavors,
participants do
not have injuries or disabilities preventing them from exercising

 

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