Evidence mapPaperPMID 41250048Full record

ArticleBMC public health2025

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

Soonia Guna Segar, Julie Whitney, Devinder Kaur Ajit Singh

Abstract readScoping Review
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Soonia Guna SegarCentre for Healthy Ageing and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Julie WhitneyKing's College London, London, UK.
Devinder Kaur Ajit SinghCentre for Healthy Ageing and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. devinder@ukm.edu.my.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs 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?’

methodsThree 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.

resultsThe 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.

conclusionsAddressing these opportunities and challenges comprehensively is imperative to ensure the successful implementation and enduring sustainability of scaled-up programs of this nature.

Indexed as

Community Health ServicesExerciseHealth PromotionAgedHumansChallengesCommunity-basedExercise programHealth promotionImplementationOlder adultsOpportunitiesScale up

Identifiers

PMID41250048
PMCPMC12625516

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.