Laura E. Balis
Pacific Institute for Research and Evaluation
Hannah F. Fuerniss
Texas Beef Council
Drew T. Brown
University of Arkansas
Chance Marshall
University of Wyoming
Samantha M. Harden
Virginia Tech


physical activity
chronic disease

How to Cite

Balis, L. E., Fuerniss, H. F., Brown, D. T., Marshall, C., & Harden, S. M. (2021). Move More, Sit Less: Applying the Physical Activity Guidelines for Americans to Extension Programs. Journal of Human Sciences and Extension, 9(2), 165-179. Retrieved from


Extension enhances the lives of Americans by translating research-based information related to existing needs into programming that is practical and accessible to the general public. Evidence clearly indicates that physical activity is correlated to positive health outcomes, but despite this conclusion, the majority of Americans do not meet the recommendations for physical activity. The 2nd Edition of the Physical Activity Guidelines for Americans provides guidance for Extension professionals to implement physical activity interventions. We recommend training and technical assistance strategies based on the Interactive Systems Framework to integrate physical activity promotion into all Extension areas.



Auld, G., Baker, S., Conway, L., Dollahite, J., Lambea, M., & McGirr, K. (2015). Outcome effectiveness of the widely adopted EFNEP curriculum Eating Smart-Being Active. Journal of Nutrition Education and Behavior, 47(1), 19–27.

Balis, L. E., & Harden, S. M. (2019). Scaling out a 4-H healthy meeting initiative: Challenges in implementation and comprehensive evaluation. Journal of Nutrition Education and Behavior, 51(8), 1020–1024.

Balis, L. E, & Strayer, T., III. (2019). Evaluating “Take the Stairs, Wyoming!” through the RE-AIM framework: Challenges and opportunities. Frontiers of Public Health, 7, Article 368.

Balis, L. E., Strayer, T., III, Ramalingam, N., & Harden, S. M. (2018). Beginning with the end in mind: Contextual considerations for scaling-out a community-based intervention. Frontiers in Public Health, 6, Article 357.

Balis, L. E., Strayer, T., III, Ramalingam, N., Wilson, M., & Harden, S. M. (2018). Open-access physical activity programs for older adults: A pragmatic and systematic review. The Gerontologist, 59(4), e268–e278.

Beidas, R., Edmunds, J., Marcus, S., & Kendall, P. (2012). Training and consultation to promote implementation of an empirically supported treatment: A randomized trial. Psychiatric Services, 63(7), 660–665.

Blair, C. K., Madan-Swain, A., Locher, J. L., Desmond, R. A., de Los Santos, J., Affuso, O., Glover, T., Smith, K., Carley, J., Lipsitz, M., Sharma, A., Krontiras, H., Cantor, A, & Demark-Wahnefried, W. (2013). Harvest for Health gardening intervention feasibility study in cancer survivors. Acta Oncologica, 52(6), 1110–1118.

Braun, B., Bruns, K., Cronk, L., Kirk Fox, L., Koukel, S., Le Menestrel, S., Monroe Lord, L., Reeves, C., Rennekamp, R., Rice, C., Rodgers, M., Samuel, J., Vail, A., & Warren, T. (2014). Cooperative Extension’s national framework for health and wellness.

Brownson, R., & Jones, E. (2009). Bridging the gap: Translating research into policy and practice. Preventive Medicine, 49(4), 313–315.

Centers for Disease Control and Prevention. (2019). High Obesity program.

Community Preventive Services Task Force. (n.d.). The community guide.

Dallman, A., Abercrombie, E., Drewette-Card, R., Mohan, M., Ray, M., & Ritacco, B. (2009). Elevating physical activity as a public health priority: Establishing core competencies for physical activity practitioners in public health. Journal of Physical Activity and Health, 6(6), 682–689.

Durstine, L., Gordon, B., Wang, Z., & Luo, X. (2013). Chronic disease and the link to physical activity. Journal of Sport and Health Science, 2(1), 3–11.

Economos, C. D., Anzman-Frasca, S., Koomas, A. H., Bakun, P. J., Brown, C. M., Brown, D., Folta, S. C., Fullerton, K. J., Sacheck, J. M., Sharma, S., & Nelson, M. E. (2019). Dissemination of healthy kids out of school principles for obesity prevention: A RE-AIM analysis. Preventive Medicine, 119, 37–43.

Edmunds, J. M., Beidan, R. S., & Kendall, P. (2014). Dissemination and implementation of evidence-based practices: Training and consultation as implementation strategies. Clinical Psychology, 20(2), 152–165.

Everette, A., & Harden, S. M. (2015). Food and Fitness Initiative! Program evaluation final report. Virginia Tech.

Folta, S., Koomas, A., Metayer, N., Fullerton, K., Hubbard, K., Anzman-Frasca, S., Hofer, T., Nelson, M., Newman, M., Sacheck, J., & Economos, C. (2015). Engaging stakeholders from volunteer-led out-of-school time programs in the dissemination of guiding principles for healthy snacking and physical activity. Preventing Chronic Disease, 12, Article 150270.

Frieden, T. (2010). A framework for public health: The health impact pyramid. American Journal of Public Health, 100(4), 590–595.

Greaves, C., Sheppard, K., Abraham, C., Hardeman, W., Roden, M., Evans, P., Schwarz, P., & The IMAGE Study Group. (2010). Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Public Health, 11, Article 119.

Harden, S. M., Balis, L. E., Strayer, T., III, Prosch, N., Carlson, B., Lindsay, A., Estabrooks, P., Dzewaltowski, D., & Gunter, K. (2020). Strengths, challenges, and opportunities for physical activity promotion in the century-old national Cooperative Extension System. Journal of Human Sciences and Extension, 8(3), 104–124.

Harden, S. M., Gunter, K., & Lindsay, A. (2018). How to leverage your state’s land grant Extension system: Partnering to promote physical activity. Translational Journal of the American College of Sports Medicine, 3(15), 113–118.

Harden, S. M., Ramalingam, N., Breig, S., & Estabrooks, P. (2019). Walk this way: Our perspectives on challenges and opportunities for Extension statewide walking promotion programs. Journal of Nutrition Education and Behavior, 51(1), 636–643.

Harden, S. M., Steketee, A., Glasgow, T., Glasgow, R., & Estabrooks, P. (2020). Suggestions for advancing pragmatic solutions for dissemination: Potential updates to evidence-based repositories. American Journal of Health Promotion, 35(2), 289–294.

Heath, G., Parra, D., Sarmiento, O., Andersen, L., Owen, N., Goenka, S., Montes, F., & Brownson, R. C. (2012). Evidence-based intervention in physical activity: Lessons from around the world. Lancet, 380(9838), 272–281.

Holston, D., Stroope, J., Cater, M., Kendall, M., & Broyles, S. (2020). Implementing policy, systems, and environmental change through community coalitions and Extension partnerships to address obesity in rural Louisiana. Preventing Chronic Disease, 17, Article 190284.

Horodyska, K., Luszczynska, A., van den Berg, M., Hendriksen, M., Roos, G., De Bourdeaudhuij, I., & Brug, J. (2015). Good practice characteristics of diet and physical activity interventions and policies: An umbrella review. BMC Public Health, 15, Article 19.

National Cancer Institute and Substance Abuse and Mental Health Services Administration. (n.d.). Research-tested intervention programs.

Noonan, R. K., Wilson, K. M., & Mercer, S. L. (2012). Navigating the road ahead: Public health challenges and the interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 50(3-4), 572–580.

Palmer-Keenan, D., & Corda, K. (2014). Should physical activity be included in nutrition

education? A comparison of nutrition outcomes with and without in-class activities. Journal of Extension, 52(4).

Peña-Purcell, N., Bowen, E., Zoumenou, V., Schuster, E., Boggess, M., Manore, M., & Gerrior, S. (2012). Extension professional’s strengths and needs related to nutrition and health programs. Journal of Extension, 50(3).

Physical Activity Guidelines Advisory Committee. (2018). 2018 physical activity guidelines advisory committee scientific report. Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services.

Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M., Proctor, E. K., & Kirchner, J. E. (2015). A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC)

project. Implementation Science, 10, Article 21.

Proctor, E. K, Powell, B. J., & McMillen, J. C. (2013). Implementation strategies: Recommendations for specifying and reporting. Implementation Science, 8, Article 139.

Rabin, B. A., Brownson, R. C., Haire-Joshu, D., Kreuter, M. W., & Weaver, N. L. (2008). A glossary for dissemination and implementation research in health. Journal of Public Health Management and Practice, 12(2), 117–123.

Ramalingam, N. S., Strayer, T. E., III, Breig, S. A., & Harden, S. M. (2019). How are community health workers trained to deliver physical activity to adults? A scoping review. Translational Journal of the American College of Sports Medicine, 4(6), 34–44.

Spear, M., Rowland, B., Vincent, J., Brown, T., McElfish, P., Long, C., Presley, J., Wilson, A., Palenske, C., & Balis, L. E. (2020). A feasibility demonstration for built environment changes to increase physical activity: Results of a community-based traffic calming event. [manuscript submitted for publication]

Strayer, T. E., III, Kennedy, L. E., Balis, L. E., Ramalingam, N. S., Wilson, M. L., & Harden, S. M. (2020). Cooperative Extension gets moving, but how? Exploration of Extension health educators’ sources and channels for information-seeking practices. American

Journal of Health Promotion, 34(2), 198–205.

Tabak, R., Khoong, E. C., Chambers, D. A., & Brownson, R. (2012). Bridging research and practice models for dissemination and implementation research. American Journal of Preventive Medicine, 43(3), 337–350.

Thompson, P., Arena, R., Riebe, D., Pescatello, L., & American College of Sports Medicine. (2013). ACSM’s new preparticipation health screening recommendations from ACSM’s guidelines for exercise testing and prescription (9th ed.). Current Sports Medicine Reports, 12(4), 215–217.

U.S. Department of Agriculture. (n.d.). Extension.

U.S. Department of Agriculture. (2010). Healthy, Hunger-Free Kids Act of 2010.

U.S. Department of Agriculture. (2015). The Farm Bill.

U.S. Department of Agriculture. (2019). SNAP-Ed toolkit: Obesity prevention interventions and evaluation framework.

U.S. Department of Health and Human Services. (2018). Physical activity guidelines (2nd ed.).

U.S. Department of Health and Human Services. (2020). Move Your Way campaign.

Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K., Stillman, L., Blachman, M., Dunville, R., & Saul, J. (2008). Bridging the gap between prevention research and practice: The interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 41(3-4), 171–181.

Warburton, D., Nicol, C., & Bredin, S. (2006). Health benefits of physical activity: The evidence. Canadian Medical Association Journal, 174(6), 801–809.

Ward, B. W., Schiller, J. S., & Goodman, R. A. (2014). Multiple chronic conditions among US adults: A 2012 update. Preventing Chronic Disease, 11, Article 130389.

Wilson, M. L., Strayer, T. E., III, Davis, R., & Harden, S. M. (2018a). Informed adaptations of a strength-training program through a research-practice partnership. Frontiers in Public Health, 6, Article 58.

Wilson, M. L., Strayer, T. E., III, Davis, R., & Harden, S. M. (2018b). Use of an integrated research-practice partnership to improve outcomes of a community-based strength-training intervention for older adults: Reach and effect of Lifelong Improvements through Fitness Together (LIFT). International Journal of Environmental Research and Public Health, 15(2), Article 237.

Winkels, R., Artrip, R., Tupinio, M., Veldheer, S., Dandekar, S. C., & George, D. R. (2020). Opportunities for growth: Evaluating the feasibility of a community gardening intervention pairing adolescent and young adult cancer survivors with experienced gardeners. Journal of Adolescent and Young Adult Oncology, 9(1), 115–119.

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