A scoping review on the implementation dynamics of scaling up a community-based health promotion and exercise program for older adults: opportunities and challenges

Background As the global population of older adults continues to rapidly increase, there is a pressing need to address diverse concerns related to their physical, cognitive, and psychosocial well-being. In this scoping review, we aimed to map the existing literature on opportunities and challenges i...

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Vydáno v:BMC public health Ročník 25; číslo 1; s. 4006 - 13
Hlavní autoři: Segar, Soonia Guna, Whitney, Julie, Singh, Devinder Kaur Ajit
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 17.11.2025
BioMed Central Ltd
BMC
Témata:
Biostatistics
Challenges
Community health services
Community-based
Environmental Health
Epidemiology
Health aspects
Health promotion
Implementation
Medicine
Medicine & Public Health
Methods
Opportunities
Psychological aspects
Public Health
Scale up
Social networks
Vaccine
United Kingdom
Scale up
Health promotion
Challenges
Opportunities
Exercise program
Older adults
Implementation
Community-based
ISSN:1471-2458, 1471-2458
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Shrnutí:Background As the global population of older adults continues to rapidly increase, there is a pressing need to address diverse concerns related to their physical, cognitive, and psychosocial well-being. In this scoping review, we aimed to map the existing literature on opportunities and challenges inherent in the implementation dynamics of scaling up a community-based health promotion and exercise programs designed for older adults. The research question is ‘What are the opportunities and challenges of successfully scaling up a community-based health promotion and exercise program for older adults?’ Methods Three databases (EBSCO Host Medline, The Cochrane Library, and Scopus) were searched for articles published between January 2013 to December 2023. Utilizing a three-step screening process, 17 articles describing the opportunities and challenges of implementing a community-based health promotion and exercise program for older adults at scale were selected for inclusion in this scoping review. Opportunities and challenges were categorized through the lens of the RE-AIM (reach, evaluation, adoption, implementation, maintenance) framework. Results The multifaceted key opportunities and challenges identified on the implementation dynamics of scaling up a community-based health promotion and exercise program for older adults across the RE-AIM framework encompassed issues related to engagement, participation, recruitment, accessibility, awareness, inclusivity, evaluation, adherence, baseline predictors, complexity, motivation, responsiveness, partnership, planning, viability, adaptation, optimization, training, infrastructure, resources, stewardship, and retention. Conclusions Addressing these opportunities and challenges comprehensively is imperative to ensure the successful implementation and enduring sustainability of scaled-up programs of this nature.
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SourceType-Scholarly Journals-1
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ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-025-25245-z