SNAP-Ed instructors innovations to recruit for the stay strong stay healthy fall prevention fitness program

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The purpose of this study was to describe the innovations for recruitment used by the University of Missouri Extension's Nutrition and Health Specialists to enroll low-income, SNAP-Ed eligible, older adult Missourians in the Stay Strong Stay Healthy (SSSH) fall prevention fitness program. The research questions were: 1. What factors contribute to the learning milieu of implementing SSSH for Missouri SNAP-Ed older adult eligible audiences? 2. What innovations for recruitment do Nutrition and Health Specialists use to provide access to SSSH for Missouri SNAP-Ed eligible older adult audiences? 3. What further recommendations do Nutrition and Health Specialists advise for improving access to SSSH for Missouri SNAP-Ed eligible older adult audiences? Two asynchronous online focus group interviews were conducted with 14 current SSSH instructors. The asynchronous online focus group transcriptions were coded by deductive reasoning, referencing the social-ecological model for themes. The study findings 1. described three factors of the SSSH learning milieu: the university institution, the county office politics, and the community environment; 2. organized the SSSH instructor recruitment innovations into the five spheres of the social-ecological model; and 3. presented the instructors' advice: to develop strategic referral/cross-promotion systems, to redesign marketing assets and policy, to establish ongoing best-practice research and training, and to expand the availability of instructors to offer more SSSH courses. Actions should be taken throughout the program learning milieu to effectively disseminate and replicate the innovations used by SSSH SNAP-Ed instructors and increase access for the older adult Missouri SNAP-Ed audience.

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