Assessing the implementation of a nursing home-based physical and mental training: Utilizing the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework: A Qualitative Descriptive Study

Abstract

Purpose: This study aims to evaluate the implementation of a Spirit program, which consists of physical and mental training for older adults who can perform independent activities as nursing home residents. Methods: In July 2022, the researchers interviewed seven older adults who had attended the Spirit program and two caregivers at a nursing home in Surakarta, Indonesia. The researchers applied the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework during interviews. We measured participant engagement with the Spirit program, effectiveness to assess perceived benefits, adoption to gauge nursing homes’ willingness to adopt the Spirit program, implementation to evaluate consistent execution, and maintenance to assess future program sustainability. Results: Older adults who could carry out independent activities participated in the Spirit program. The Spirit program adds new activities that they can perform, which have various benefits, including increased happiness, stamina, and sleep quality. The participants expressed receiving instructions regarding the Spirit program from caregivers without any pressure to participate, with instructors guiding the exercises and regular schedule management. Older adults move well; however, some experience obstacles while performing balance exercises. None of the participants experienced injuries while participating in the program. The continuity of a program can be supported by the availability of tools that are easily accessible to older adults. Conclusion: The program improved the quality of life of older adults who can move independently as nursing home residents.