Implementing a digital physical activity intervention for older adults; a qualitative study (IDA) (Preprint)

BACKGROUND Physical activity (PA) in older adults can prevent, treat, or offset symptoms and deterioration from various health conditions and help maintain independence. However, most older adults are insufficiently active. Digital interventions have the potential for high reach at low cost. OBJECTIVE This paper reports on the implementation of ‘Active Lives’, a digital intervention developed specifically for older adults. METHODS This study had a qualitative design. The implementation team approached a range of National Health Service (NHS), public health, community, and third-sector organisations in the UK to offer Active Lives to as large and diverse a group of older adults as possible. Alongside real-world implementation activities, research was conducted to explore what supports and inhibits the implementation of a digital intervention for PA in older adults. Data collection involved interviews with implementation partners (n=15) and the implementation team (n=3) plus extensive field notes from stakeholder communications. Inductive thematic analysis was used to analyse the data. RESULTS Five broad themes were developed, capturing implementation barriers and facilitators. These were: I) Complex and opaque networks and influencers, II) Forming an understanding of Active Lives and its fit, III) A landscape of competition and conflicting interests, IV) Navigating unclear approval processes, and V) Shifting strategies: small and effortful to high reach and passive. Identifying key decision-makers proved arduous, consuming significant time and resources, and proposals from enthusiastic implementation partners often proved impractical or overly burdensome. Healthcare professionals demonstrated a comprehensive understanding of the potential benefits of digital interventions in alleviating operational burdens and improving patient care. However, stakeholders from disparate sectors held reservations about digital intervention and had different views on the best approaches to supporting physical activity among older adults. This discord was exacerbated by conflicts with existing local initiatives, such as group exercise programs, which occasionally hindered the implementation of Active Lives. Furthermore, bureaucratic hurdles within NHS trust approval processes acted as formidable obstacles, dampening progress, and resolve, highlighting the need for guidance in identifying sustainable and scalable practices. CONCLUSIONS The findings highlight important implementation challenges to digital physical activity interventions for older adults such as bureaucratic barriers and alignment with ongoing initiatives. This research emphasises the necessity for strategic direction and multi-level guidance to efficiently implement digital interventions for physical activity among community-dwelling older adults. CLINICALTRIAL N/A. Qualitative study