Translational Behavioral Medicine

, Volume 1, Issue 2, pp 208–215

Sustainability of evidence-based community-based physical activity programs for older adults: lessons from Active for Life


    • Department of Human Nutrition, Foods, and ExerciseTranslational Obesity Research Program, Virginia Tech
  • Renae L Smith-Ray
    • Institute for Health Research and PolicyUniversity of Illinois at Chicago
  • David A Dzewaltowski
    • Department of KinesiologyKansas State University
  • Diane Dowdy
    • School of Rural Public HealthTexas A&M University System
  • Diana Lattimore
    • Exercise and Sport ScienceUniversity of San Francisco
  • Carol Rheaume
    • Arnold School of Public HealthUniversity of South Carolina
  • Marcia G Ory
    • School of Rural Public HealthTexas A&M University System
  • Terry Bazzarre
    • Robert Wood Johnson Foundation
  • Sarah F Griffin
    • Public Health SciencesClemson University
  • Sara Wilcox
    • Arnold School of Public HealthUniversity of South Carolina

DOI: 10.1007/s13142-011-0039-x

Cite this article as:
Estabrooks, P.A., Smith-Ray, R.L., Dzewaltowski, D.A. et al. Behav. Med. Pract. Policy Res. (2011) 1: 208. doi:10.1007/s13142-011-0039-x


Program sustainability in community and healthcare settings is critical to realizing the translation of research into practice. The purpose of this study is to describe the implementation and assessment of an intervention to increase organizational maintenance of evidence-based physical activity programs and the factors that impede or facilitate sustainability. All organizations implemented a sustainability action plan that included identifying factors related to sustainability, examining resources available, identifying program modifications to enhance sustainability, and long-term action planning. A mixed methods approach was used. Organizational (n = 12 sites) ability to demonstrate program effectiveness, align priorities with the organizational mission, and integrate the program within the existing infrastructure were strengths related to sustainability. Sites were more optimistic about program sustainability when they had less reliance on internal financial, but more reliance on internal human resources to run the program post-funding. The study resulted in a number of tools that can help community organizations plan for sustainability of physical activity programs.


Physical activityOlder adultsEvidence-based programsSustainabilityTranslational research

Copyright information

© Society of Behavioral Medicine 2011