{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T11:16:52Z","timestamp":1767871012361,"version":"3.49.0"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Many older adults relocate to retirement communities to age in place, particularly when facing health declines or disability. Task-oriented resistance exercise, which integrates functional daily activities into exercise, has shown benefits in reducing late-life disability. However, little is known about how such programs can be embedded within the existing fitness infrastructure of retirement communities to support residents who are at risk of disability. This study explored fitness staff\u2019s perspectives on the compatibility and complexity of implementing a task-oriented exercise program in their communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative descriptive design was applied. Fourteen fitness staff members from 14 various retirement communities across Florida participated in individual semi-structured interviews. Prior to the interviews, participants were provided with a primer on the task-oriented resistance exercise program, as none were previously familiar with it. Interview data were analyzed using inductive content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Four themes emerged: (1)\n                      <jats:italic>whether to screen or not<\/jats:italic>\n                      , (2)\n                      <jats:italic>small versus large group formats<\/jats:italic>\n                      , (3)\n                      <jats:italic>should work but cannot work<\/jats:italic>\n                      , and (4)\n                      <jats:italic>I value it, but someone should do it<\/jats:italic>\n                      . While staff expressed positive impressions of the program and its potential to benefit at-risk residents, these themes reflect instructors\u2019 ambivalence regarding program procedures (e.g., conducting screening), structural considerations (e.g., class size and exercise intensity), scope of practice (e.g., delivering exercise in residents\u2019 homes), and resource constraints (e.g., limited fitness personnel).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Fitness staff shared a positive impression of the program and recognized its potential to support at-risk residents. Nonetheless, they also identified several potential implementation challenges, including competing job responsibilities, limited staffing, and the lack of collaboration with healthcare professionals. These findings underscore the need for targeted strategies to address these challenges.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1718945","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:36:22Z","timestamp":1767854182000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cI value it, but someone should do it\u201d: fitness staff\u2019s perspectives on task-oriented resistance exercise in retirement communities"],"prefix":"10.3389","volume":"13","author":[{"given":"Chiung-ju","family":"Liu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Mansuy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maren","family":"Jorgensen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nichole","family":"Stetten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1080\/02763893.2012.754815","article-title":"Retirement communities: we know what they are \u2026 or do we?","volume":"27","author":"Glass","year":"2013","journal-title":"J Hous Elderly"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1017\/S0714980820000045","article-title":"Push and pull factors surrounding older adults\u2019 relocation to supportive housing: a scoping review","volume":"40","author":"Franco","year":"2021","journal-title":"Can J Aging"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e035876","DOI":"10.1136\/bmjopen-2019-035876","article-title":"Health profile of residents of retirement villages in Auckland, New Zealand: findings from a cross-sectional survey with health assessment","volume":"10","author":"Broad","year":"2020","journal-title":"BMJ Open"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1071\/HC22103","article-title":"Opportunities to be active in retirement villages and factors associated with physical activity in residents","volume":"15","author":"Yoshihara","year":"2022","journal-title":"J Prim Health Care"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1016\/j.jamda.2015.02.006","article-title":"Sarcopenia is associated with incident disability, institutionalization, and mortality in community-dwelling older men: the Concord health and ageing in men project","volume":"16","author":"Hirani","year":"2015","journal-title":"J Am Med Dir Assoc"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"83","DOI":"10.5430\/cns.v7n1p83","article-title":"Prevalence of older adults with low muscle mass living in a residential continuing care retirement community in Florida","volume":"7","author":"Hunt","year":"2018","journal-title":"CNS"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1111\/ajag.13005","article-title":"Prevalence of frailty and mobility disability in older people living in retirement villages","volume":"41","author":"Cobden","year":"2022","journal-title":"Australas J Ageing"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1221","DOI":"10.1177\/0733464819879015","article-title":"Moving to a continuing care retirement community or staying in the community? A comparison between American and Israeli older adults","volume":"39","author":"Shinan-Altman","year":"2020","journal-title":"J Appl Gerontol"},{"key":"ref9","article-title":"Prevention strategies","volume-title":"StatPearls","author":"Kisling","year":"2023"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity and sedentary behaviour","volume":"54","author":"Bull","year":"2020","journal-title":"Br J Sports Med"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"2687","DOI":"10.1080\/09638288.2019.1570357","article-title":"Fitness coordinators\u2019 and fitness instructors\u2019 perspectives on implementing a task-oriented community exercise program within a healthcare-recreation partnership for people with balance and mobility limitations: a qualitative study","volume":"42","author":"Skrastins","year":"2020","journal-title":"Disabil Rehabil"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1064266","DOI":"10.3389\/fresc.2023.1064266","article-title":"Conditions and strategies influencing sustainability of a community-based exercise program incorporating a healthcare-community partnership for people with balance and mobility limitations in Canada: a collective case study of the together in movement and exercise (TIME\u2122) program","volume":"4","author":"Aravind","year":"2023","journal-title":"Front Rehabil Sci"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1186\/s13104-018-3313-x","article-title":"Considerations for expanding community exercise programs incorporating a healthcare-recreation partnership for people with balance and mobility limitations: a mixed methods evaluation","volume":"11","author":"Salbach","year":"2018","journal-title":"BMC Res Notes"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1141","DOI":"10.2147\/CIA.S136678","article-title":"Promoting ADL independence in vulnerable, community-dwelling older adults: a pilot RCT comparing 3-step workout for life versus resistance exercise","volume":"12","author":"Liu","year":"2017","journal-title":"Clin Interv Aging"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1123\/japa.2015-0070","article-title":"Task-oriented exercise to reduce activities of daily living disability in vulnerable older adults: a feasibility study of the 3-step workout for life","volume":"24","author":"Liu","year":"2016","journal-title":"J Aging Phys Act"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1097\/MRR.0000000000000396","article-title":"Feasibility of staff-led 3-step workout for life to reduce late-life activities of daily living disability: a community-based translational study","volume":"43","author":"Liu","year":"2020","journal-title":"Int J Rehabil Res"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"2333393617742282","DOI":"10.1177\/2333393617742282","article-title":"Employing a qualitative description approach in health care research","volume":"4","author":"Bradshaw","year":"2017","journal-title":"Glob Qual Nurs Res"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.outlook.2005.03.005","article-title":"Developing and refining interventions in persons with health disparities: the use of qualitative description","volume":"53","author":"Sullivan-Bolyai","year":"2005","journal-title":"Nurs Outlook"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1186\/1748-5908-4-50","article-title":"Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science","volume":"4","author":"Damschroder","year":"2009","journal-title":"Implement Sci"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"111","DOI":"10.11157\/fohpe.v23i1.544","article-title":"Inductive content analysis: a guide for beginning qualitative researchers","volume":"23","author":"Vears","year":"2022","journal-title":"Focus Health Profess Educ"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1111\/nhs.12048","article-title":"Content analysis and thematic analysis: implications for conducting a qualitative descriptive study","volume":"15","author":"Vaismoradi","year":"2013","journal-title":"Nurs Health Sci"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"Hsieh","year":"2005","journal-title":"Qual Health Res"},{"key":"ref23","first-page":"152","article-title":"Application of constant comparison method in social sciences: a useful technique to analyze interviews","volume":"51","author":"Memon","year":"2017","journal-title":"Grassroots"},{"key":"ref24","volume-title":"Qualitative research: A guide to design and implementation","author":"Merriam","year":"2016"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1177\/1558689815570092","article-title":"Investigator triangulation","volume":"10","author":"Archibald","year":"2016","journal-title":"J Mix Methods Res"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"2069","DOI":"10.1007\/s40520-021-01802-5","article-title":"Evidence-based recommendations for resistance and power training to prevent frailty in community-dwellers","volume":"33","author":"Coelho-J\u00fanior","year":"2021","journal-title":"Aging Clin Exp Res"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1016\/j.amepre.2018.07.022","article-title":"Muscle-strengthening exercise among 397,423 U.S. adults: prevalence, correlates, and associations with health conditions","volume":"55","author":"Bennie","year":"2018","journal-title":"Am J Prev Med"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1123\/japa.2015-0289","article-title":"Motivators and barriers for older people participating in resistance training: a systematic review","volume":"25","author":"Burton","year":"2017","journal-title":"J Aging Phys Act"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1123\/japa.2014-0108","article-title":"Older adults\u2019 uptake and adherence to exercise classes: instructors\u2019 perspectives","volume":"24","author":"Hawley-Hague","year":"2016","journal-title":"J Aging Phys Act"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1025","DOI":"10.1111\/hsc.13288","article-title":"Exercise and chronic health conditions in the community: a qualitative study of patients and fitness instructors","volume":"30","author":"Sheill","year":"2022","journal-title":"Health Soc Care Community"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"3086","DOI":"10.1080\/09638288.2023.2246890","article-title":"Understanding the experience of community-based fitness professionals supporting people with disability to engage in sport and exercise: a national survey","volume":"46","author":"Hill","year":"2024","journal-title":"Disabil Rehabil"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"105","DOI":"10.22540\/JFSF-03-105","article-title":"Enablers and barriers to older people\u2019s participation in strength and balance activities: a review of reviews","volume":"3","author":"Cavill","year":"2018","journal-title":"J Frailty Sarcopenia Falls"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1177\/0091415019871207","article-title":"How do older adults define successful aging? A scoping review","volume":"91","author":"Teater","year":"2020","journal-title":"Int J Aging Hum Dev"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"2305","DOI":"10.1111\/jgs.16102","article-title":"What matters? The valued life activities of older adults undergoing elective surgery","volume":"67","author":"Kata","year":"2019","journal-title":"J Am Geriatr Soc"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1249\/01.mss.0000183200.64996.ef","article-title":"Weight training to activities of daily living: helping older adults make a connection","volume":"38","author":"Martin Ginis","year":"2006","journal-title":"Med Sci Sports Exerc"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1172","DOI":"10.1186\/s12889-022-13547-5","article-title":"Rapidly adapting an effective health promoting intervention for older adults-choose to move-for virtual delivery during the COVID-19 pandemic","volume":"22","author":"Gray","year":"2022","journal-title":"BMC Public Health"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1718945\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:36:23Z","timestamp":1767854183000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1718945\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,8]]},"references-count":36,"alternative-id":["10.3389\/fpubh.2025.1718945"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1718945","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,8]]},"article-number":"1718945"}}