Optimizing Adherence: Barriers & Facilitators to Regular Participation in Zoom-based Evidence-Based Fall Prevention Programs

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The pivot to remote delivery of evidence-based programs has increased participant reach across previously insurmountable geographic or transportation barriers. Despite the perceived convenience of participation in one’s own home, numerous challenges and barriers to both reach and adherence remain. This session will provide an overview of the research surrounding exercise adherence motivation in older adults. The presenters will highlight a number of motivational theories including the Health Action Process Approach and Affective Response as frameworks to understand and motivate behavior change. The presenters will discuss how these frameworks shaped motivational strategies in their organization’s fall-prevention programs and the impact on participant adherence. Both qualitative and quantitative data from participants will be presented documenting the responses to these strategies to increase adherence. The presenters will discuss how these behavioral models can be replicated and applied to other communities and/or within other organizations to address the key issues of adherence and engagement.

Margaret Danilovich, DPT, PhD

Senior Director, Leonard Schanfield Research Institute

CJE Senior Life

Dr. Margaret Danilovich is the senior director of the Leonard Schanfield Research Institute at CJE and an adjunct assistant professor at Northwestern where she directs the dual degree program in public health and physical therapy. She earned a doctorate in physical therapy from Northwestern, a PhD in Public Health with a focus in Gerontology from UIC and is board certified in geriatric physical therapy. Margaret's research focuses on exercise interventions for older adults with frailty and has been funded by a variety of private foundations and the NIH. She currently is the recipient of 2 falls-prevention grants from the Administration for Community Living. She serves on the NIH study section review panel, has written over 20 peer reviewed publications, has authored columns on topics in aging for Crain's Chicago Business, the Huffington Post, and CNN, and frequently lectures and consults nationally on best practices in the care of older adults, especially related to the areas of frailty, fall-prevention, and exercise programming.

Andy Rapport

Project Manager, Leonard Schanfield Research Institute

CJE SeniorLife

Andy Rapoport is a Project Manager at the Leonard Schanfield Research Institute at CJE SeniorLife. He earned a Master’s in Public Health (MPH) from Northwestern University, with a concentration in Community Health Research. His undergraduate degrees are from the University of Chicago, in Biology (Neuroscience specialization) and Public Policy (Health, Inequality, & Society specialization). Andy is a co-author on a published population health research article. Andy has experience in community health at a local government’s health department. In this role, he engaged in partnership building with community-based organization, qualitative data collection & analysis, as well as the gathering & analysis of maps and data from the Census and other such sources. He also has past professional experience in research and operations at healthcare technology startup companies, one of which pertained to older adults and dementia. In that role, he helped to write and coordinate NIH grant submissions & build partnerships.

Susan Stiles (Moderator)

Senior Director, Healthy Aging Innovations

National Council on Aging

Susan Stiles, PhD, provides leadership in the design and development of consumer products that inspire, educate, and activate older adults. She’s been instrumental in bringing the Aging Mastery Program® to market and scaling it nationwide via strategic alliances and business partnerships. Stiles has 20+ years of experience in design thinking, multimedia, strategic communications, and management consulting.