Partial examination of the public health impact of the People with Arthritis Can Exercise (PACE) program: reach, adoption, and maintenance

Public Health Nurs. Nov-Dec 2006;23(6):516-22. doi: 10.1111/j.1525-1446.2006.00591.x.


Objective: To partially evaluate the public health impact (i.e., reach, adoption, maintenance) of People with Arthritis Can Exercise (PACE) programs, which were initiated as a result of two PACE instructor-training workshops.

Design: The study design involved a one-time only, cross-sectional assessment of reach, adoption, and maintenance, conducted 6 months after the workshops.

Sample: Participants were 11 adults (n(females)=10) trained to be PACE instructors at one of the workshops.

Measurements: One-on-one phone interviews, developed using the RE-AIM framework, assessed reach, adoption, and maintenance.

Results: Eight of the 11 individuals trained as instructors subsequently began PACE in one of 10 organizations across various communities, indicating high program adoption. However, on average, only 7 individuals with arthritis participated in each PACE program, indicating a low program reach. Within 6 months of beginning PACE, only 3 organizations continued to offer PACE, indicating low program maintenance. Two primary challenges to initiating PACE included recruiting a sufficient number of people to participate in the program and in finding a convenient time to offer it so more individuals could join.

Conclusion: The public health impact, as assessed by reach, adoption, and maintenance, of PACE programs initiated as a result of 2 instructor-training workshops was low.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Advertising / methods
  • Arthritis / psychology
  • Arthritis / rehabilitation*
  • Attitude of Health Personnel*
  • Community-Institutional Relations
  • Cross-Sectional Studies
  • Exercise Therapy / organization & administration*
  • Health Promotion / organization & administration*
  • Health Services Needs and Demand*
  • Humans
  • Kansas
  • Marketing of Health Services / organization & administration
  • Nurse's Role
  • Nursing Methodology Research
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data
  • Patient Education as Topic / organization & administration*
  • Patient Selection
  • Program Development
  • Program Evaluation
  • Public Health
  • Public Health Nursing / organization & administration
  • Surveys and Questionnaires
  • Time Factors