{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T02:28:56Z","timestamp":1777602536020,"version":"3.51.4"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,10,2]],"date-time":"2020-10-02T00:00:00Z","timestamp":1601596800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"The National Cancer Institute","doi-asserted-by":"publisher","award":["P30\u2010CA012197"],"award-info":[{"award-number":["P30\u2010CA012197"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1\u2010TR001420"],"award-info":[{"award-number":["UL1\u2010TR001420"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K76\u2010AG059986"],"award-info":[{"award-number":["K76\u2010AG059986"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30\u2010AG021332"],"award-info":[{"award-number":["P30\u2010AG021332"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Physical activity (PA) preserves mobility, but few practices screen older adults for mobility impairment or counsel on PA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>\u201cPromoting Active Aging\u201d (PAA) was a mixed\u2010methods randomized\u2010controlled pilot, to test the feasibility and acceptability of a video\u2010based PA counseling tool and implementation into practice of two mobility assessment tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>Three primary care practices affiliated with Wake Forest Baptist Health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS<\/jats:title>\n                    <jats:p>Adults aged 65\u2009years and older who presented for primary care follow\u2010up and were willing and able to answer self\u2010report questions and walk 4 meters (n = 59).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>INTERVENTION<\/jats:title>\n                    <jats:p>Video\u2010based PA counseling intervention versus control video, \u201cHealthy Eating.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MEASUREMENTS<\/jats:title>\n                    <jats:p>Potential participants completed mobility assessments: self\u2010report (Mobility Assessment Tool\u2010short form (MAT\u2010sf)) and performance based (4\u2010meter walk test). We assessed PAA\u02bcs implementation\u2014feasibility, acceptability, and value\u2014via interviews and surveys. Effectiveness was measured via participant attendance at a PA information session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Of 92 patients approached, 89 (96.7%) agreed to mobility assessment. Eighty\u2010nine completed MAT\u2010sf, and 97.8% (87\/89) completed 4\u2010meter walk test. Sixty\u2010seven (75%) met eligibility criteria, and 59 (88%) consented to be randomized either to the PA counseling intervention (Video\u2010PA) or to active control (Video\u2010C). Most participants viewed the walk test positively (51\/59; 86.4%). Staff reported that completion of patient surveys, MAT\u2010sf, and videos required significant staff time and support (median = 26\u2009minutes for all), resulting in low acceptability of MAT\u2010sf and the videos. Attendance at a PA information session did not differ by randomization group (Video\u2010PA = 11\/29 (37.9%); Video\u2010C = 12\/30 (40%); 95% confidence interval for difference in proportion = \u22120.29 to 0.25).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Mobility assessment, particularly a 4\u2010meter walk test, was feasible in primary care. Tablet\u2010based assessment (MAT\u2010sf) and video counseling tools, selected to reduce staff effort, instead required significant time to implement. Future work to promote PA should identify effective ways to facilitate adoption of PA in sedentary older adults that do not burden staff.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.16838","type":"journal-article","created":{"date-parts":[[2020,10,2]],"date-time":"2020-10-02T09:53:01Z","timestamp":1601632381000},"page":"373-380","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Promoting Active Aging: Lessons Learned in an Implementation Pilot in Primary Care"],"prefix":"10.1111","volume":"69","author":[{"given":"Kathryn E.","family":"Callahan","sequence":"first","affiliation":[{"name":"Section on Gerontology and Geriatric Medicine, Department of Internal Medicine Wake Forest School of Medicine  Winston\u2010Salem North Carolina"},{"name":"Sticht Center for Healthy Aging and Alzheimer\u02bcs Prevention Wake Forest School of Medicine  Winston\u2010Salem North Carolina"},{"name":"Center for 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