Implementation of Enhance®Fitness: A scoping review using the RE-AIM framework
Clicks: 3
ID: 313927
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
Steady Performance
0.6
/100
3 views
0 readers
AI Quality Assessment
Not analyzed
Readership in this journal
SteadyRanked #83 of 155 articles by views in the gerontologist
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 155 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
BACKGROUND AND OBJECTIVE: Enhance®Fitness (EF) is an evidence-based group exercise program shown to promote physical and mental health among older adults. The scoping review aims to systematically map and synthesize the literature on EF using the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance). RESEARCH DESIGN AND METHODS: We conducted a scoping review of implementation studies focusing on EF or its predecessor, the Lifetime Fitness Program. Searches were conducted in six databases (PubMed, Embase, CINAHL, SCOPUS, Web of Science, and PsycINFO) and supplemented with EF-related publications listed on the program's official website. The search included all publications from January 1, 1980 through July 1, 2025. RESULTS: We included 33 publications. Reach showed EF primarily engaged community-dwelling older adults, typically female. Effectiveness outcomes were generally positive, including improved physical and mental health and reduced health care utilization. Adoption occurred across varied settings, supported by trained instructors and organizational alignment. Implementation typically followed the standard EF protocol of three 60-minute sessions per week, delivered in person or remotely. Facilitators included instructor training, organizational support, and social engagement, while barriers included attendance challenges, resource needs, and technology issues. Maintenance was demonstrated through sustained program delivery across diverse community settings, and participant-level maintenance was reflected in follow-up assessments of health outcomes at common time points of 4, 6, or 12 months. DISCUSSION AND IMPLICATIONS: EF is a widely adopted program with demonstrated benefits for older adults. Greater attention to equity and long-term sustainability is needed to strengthen future dissemination and support healthy aging.
| Reference Key |
openalex_W7160872029
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Wenting Peng, Sarah McKiddy, Michiyo Tomioka, Dina Maruca, Nancy Gell, M Hamblin Smith, Caitlin Maloy, Basia Belza |
| Journal | the gerontologist |
| Year | 2026 |
| DOI |
10.1093/geront/gnag102
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.