JHSE Volume 8, Number 3 Cover
Samantha M Harden
Virginia Tech
Laura Balis
University of Wyoming Extension
Thomas Strayer, III
Virginia Tech
Nikki Prosch
South Dakota State University Extension
Breanne Carlson
Michigan State University Extension
Anne Lindsay
University of Nevada Reno Extension
Paul A Estabrooks
University of Nebraska Medical Center
David A Dzewaltowski
University of Nebraska Medical Center
Katherine B Gunter
Oregon State University


policy response

How to Cite

Harden, S. M., Balis, L., Strayer, T., Prosch, N., Carlson, B., Lindsay, A., Estabrooks, P. A., Dzewaltowski, D. A., & Gunter, K. B. (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. Retrieved from https://www.jhseonline.com/article/view/834


The need for physical activity promotion is ubiquitous, and offering physical activity interventions in community settings may reach people where they live, work, and play. Reaching people and providing evidence-based programming is exactly what the Cooperative Extension System has accomplished over the last century. In 2014, federal policy brought physical activity promotion into the mission of Extension. Although this policy marks the beginning of concerted efforts for physical activity promotion, several states have had strong success in this area. Borrowing from these efforts, this paper reports strengths, challenges, and opportunities for physical activity promotion in Extension.



Auld, G., Baker, S., Conway, L., Dollahite, J., Lambea, M. C., & 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. https://doi.org/10.1016/j.jneb.2014.07.001

Balis, L., & 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. https://doi.org/10.1016/j.jneb.2019.05.288

Balis, L., John, D., & Harden, S. (2019). Beyond evaluation: Using the RE-AIM framework for program planning in Extension. Journal of Extension, 57(2), Article v57-2tt1. https://www.joe.org/joe/2019april/tt1.php

Balis, L. E., Strayer, T. E., 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. https://doi.org/10.3389/fpubh.2018.00357

Balis, L. E., Strayer, T., Ramalingam, N., Wilson, M., & Harden, S. M. (2019). Open-access physical activity programs for older adults: A pragmatic and systematic review. The Gerontologist, 59(4), e268–e278. https://doi.org/10.1093/geront/gnx195

Ball, S., Gammon, R., Kelly, P. J., Cheng, A.-L., Chertoff, K., Kaume, L., Abreu, E. L., & Brotto, M. (2013). Outcomes of Stay Strong, Stay Healthy in community settings. Journal of Aging and Health, 25(8), 1388–1397. https://doi.org/10.1177/0898264313507318

Bergen, G., Stevens, M. R., & Burns, E. R. (2016). Falls and fall injuries among adults aged ≥65 years - United States, 2014. Morbidity and Mortality Weekly Report, 65(37), 993–998. https://doi.org/10.15585/mmwr.mm6537a2

Besculides, M., Zaveri, H., Hanson, C., Farris, R., Gregory-Mercado, K., & Will, J. (2008). Best practices in implementing lifestyle interventions in the WISEWOMAN program: Adaptable strategies for public health programs. American Journal of Health Promotion, 22(5), 322–328. https://doi.org/10.4278/ajhp.22.5.322

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. https://doi.org/10.3109/0284186X.2013.770165

Block, G., Wakimoto, P., Mandel, R., Metz, D., Fujii, M. L., Feldman, N., & Sutherland, B. (2004). A randomized trial of the Little by Little CD-ROM: Demonstrated effectiveness in increasing fruit and vegetable intake in a low-income population. Preventing Chronic Disease, 1(3). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1253473/

Braun, B., Bruns, K., Cronk, L., Fox, L. K., Koukel, S., Le Menestrel, S., Lord, L. M., Reeves, C., Rennekamp, R., Rice, C., Rodgers, M., Samuel, J., Vail, A., & Warren, T. (2014). National framework for health and wellness. National Institute of Food and Agriculture. https://nifa.usda.gov/resource/national-framework-health-and-wellness

Brownson, R. C., Eyler, A. A., Harris, J. K., Moore, J. B., & Tabak, R. G. (2018). Getting the word out: New approaches for disseminating public health science. Journal of Public Health Management and Practice, 24(2), 102–111. https://doi.org/10.1097/PHH.0000000000000673

Bull, N. H., Cote, L. S., Warner, P. D., & McKinnie, M. R. (2004). Is Extension relevant for the 21st century? Journal of Extension, 42(6), Article 6COM2. https://www.joe.org/joe/2004december/comm2.php

Burke, S. M., Shapcott, K. M., Carron, A. V., Bradshaw, M. H., & Estabrooks, P. A. (2010). Group goal setting and group performance in a physical activity context. International Journal of Sport and Exercise Psychology, 8(3), 245–261. https://doi.org/10.1080/1612197X.2010.9671952

Buscemi, J., Odoms-Young, A., Stolley, M. L., Blumstein, L., Schiffer, L., Berbaum, M. L., McCaffrey, J., Montoya A. M., Braunschweig, C., & Fitzgibbon, M. L. (2014). Adaptation and dissemination of an evidence-based obesity prevention intervention: Design of a comparative effectiveness trial. Contemporary Clinical Trials, 38(2), 355–360. https://doi.org/10.1016/j.cct.2014.06.007

Callahan, L. F., Shreffler, J. H., Altpeter, M., Schoster, B., Hootman, J., Houenou, L. O., Martin, K. R., & Schwartz, T. A. (2011). Evaluation of group and self-directed formats of the Arthritis Foundation’s Walk with Ease program. Arthritis Care & Research, 63(8), 1098–1107. https://doi.org/10.1002/acr.20490

Cases, M. G., Frugé, A. D., de Los Santos, J. F., Locher, J. L., Cantor, A. B., Smith, K. P., Glover, T. A., Cohen, H. J., Daniel, M., Morrow, C. D., Moellering, D. R., & Demark-Wahnefried, W. (2016). Detailed methods of two home-based vegetable gardening intervention trials to improve diet, physical activity, and quality of life in two different populations of cancer survivors. Contemporary Clinical Trials, 50, 201–212. https://doi.org/10.1016/j.cct.2016.08.014

Chen, S., Dzewaltowski, D. A., Rosenkranz, R. R., Lanningham-Foster, L., Vazou, S., Gentile, D. A., Lee, J. A., Braun, K. J., Wolff, M. M., &Welk, G. J. (2018). Feasibility study of the SWITCH implementation process for enhancing school wellness. BMC Public Health, 18, Article 1119. https://doi.org/10.1186/s12889-018-6024-2

Cull, B. J., Dzewaltowski, D. A., Guagliano, J. M., Rosenkranz, S. K., Knutson, C. K., & Rosenkranz, R. R. (2018). Wellness-promoting practices through Girl Scouts: A pragmatic superiority randomized controlled trial with additional dissemination. American Journal of Health Promotion, 32(7), 1544–1554. https://doi.org/10.1177/0890117118754825

Doerksen, S. E., & Estabrooks, P. A. (2007). Brief fruit and vegetable messages integrated within a community physical activity program successfully change behaviour. The International Journal of Behavioral Nutrition and Physical Activity, 4, Article 12. https://doi.org/10.1186/1479-5868-4-12

Downey, S. M., Wages, J., Jackson, S. F., & Estabrooks, P. A. (2012). Adoption decisions and implementation of a community-based physical activity program: A mixed methods study. Health Promotion Practice, 13(2), 175–182. https://doi.org/10.1177/1524839910380155

Dunifon, R., Duttweiler, M., Pillemer, K., Tobias, D., & Trochim, W. M. K. (2004). Evidence-based Extension. Journal of Extension, 42(2), Article 2FEA2. https://www.joe.org/joe/2004april/a2.php

Dunn, C., Thomas, C., Ward, D., Webber, K., Cullitan, C., Pegram, L., & Webber, K. (2006). Design and implementation of a nutrition and physical activity curriculum for child care settings. Preventing Chronic Disease, 3(2), Article 58. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1563947/

Dwyer, J. W., Contreras, D., Eschbach, C. L., Tiret, H., Newkirk, C., Carter, E., & Cronk, L. (2017). Cooperative Extension as a framework for health extension: The Michigan State University model. Academic Medicine, 92(10), 1416–1420. https://doi.org/10.1097/ACM.0000000000001640

Dzewaltowski, D. A., Estabrooks, P. A., & Glasgow, R. E. (2004). The future of physical activity behavior change research: What is needed to improve translation of research into health promotion practice? Exercise and Sport Sciences Reviews, 32(2), 57–63. https://doi.org/10.1097/00003677-200404000-00004

Dzewaltowski, D., Estabrooks, P., Gyurcsik, N., & Johnston, J. (2002). Promotion of physical activity through community development. In Exploring sport and exercise psychology (2nd ed., pp. 209–223). American Psychological Association.

Dzewaltowski, D. A., Estabrooks, P. A., & Johnston, J. A. (2002). Healthy youth places promoting nutrition and physical activity. Health Education Research, 17(5), 541–551. https://doi.org/10.1093/her/17.5.541

Dzewaltowski, D. A., Estabrooks, P. A., Welk, G., Hill, J., Milliken, G., Karteroliotis, K., & Johnston, J. A. (2009). Healthy youth places: A randomized controlled trial to determine the effectiveness of facilitating adult and youth leaders to promote physical activity and fruit and vegetable consumption in middle schools. Health Education & Behavior, 36(3), 583–600. https://doi.org/10.1177/1090198108314619

Dzewaltowski, D. A., McElroy, M., Musch, T. I., Poole, D. C., & Harms, C. A. (2015). Kansas State University physical activity systems framework: Integration of the discipline of kinesiology and public health. Kinesiology Review, 4(4), 346–354. https://doi.org/10.1123/kr.2015-0034

Dzewaltowski, D. A., Rosenkranz, R. R., Geller, K. S., Coleman, K. J., Welk, G. J., Hastmann, T. J., & Milliken, G. A. (2010). HOP’N after-school project: An obesity prevention randomized controlled trial. The International Journal of Behavioral Nutrition and Physical Activity, 7, Article 90. https://doi.org/10.1186/1479-5868-7-90

Ensle, K. M. (2005). Burnout: How does Extension balance job and family? Journal of Extension, 43(3), Article 3FEA5. https://www.joe.org/joe/2005june/a5.php

Estabrooks, P. A., Bradshaw, M., Dzewaltowski, D. A., & Smith-Ray, R. L. (2008). Determining the impact of Walk Kansas: Applying a team-building approach to community physical activity promotion. Annals of Behavioral Medicine, 36(1), 1–12. https://doi.org/10.1007/s12160-008-9040-0

Estabrooks, P. A., Bradshaw, M., Fox, E., Berg, J., & Dzewaltowski, D. A. (2004). The relationships between delivery agents’ physical activity level and the likelihood of implementing a physical activity program. American Journal of Health Promotion, 18(5), 350–353. https://doi.org/10.4278/0890-1171-18.5.350

Estabrooks, P. A., Brownson, R. C., & Pronk, N. P. (2018). Dissemination and implementation science for public health professionals: An overview and call to action. Preventing Chronic Disease, 15. https://doi.org/10.5888/pcd15.180525

Estabrooks, P. A., & Gyurcsik, N. C. (2003). Evaluating the impact of behavioral interventions that target physical activity: Issues of generalizability and public health. Psychology of Sport and Exercise, 4(1), 41–55. https://doi.org/10.1016/S1469-0292(02)00016-X

Exercise is Medicine, Community Health Subcommittee. (2016, June). Exercise Is Medicine (EIM) for community health: Linking clinics and communities through Cooperative Extension. Presented at the American College of Sports Medicine, Boston, Massachusetts.

Farm Service Agency. (2014). Farm bill. United States Department of Agriculture. https://www.fsa.usda.gov/programs-and-services/farm-bill/index

Fetsch, R. J., & Kennington, M. S. (1997). Balancing work and family in Cooperative Extension: History, effective programs, and future directions. Journal of Extension, 35(1), Article 1FEA2. https://www.joe.org/joe/1997february/a2.php

Fetsch, R. J., MacPhee, D., & Boyer, L. K. (2012). Evidence-based programming: What is a process an Extension Agent can use to evaluate a program’s effectiveness? Journal of Extension, 50(5), Article v50-5a2. https://www.joe.org/joe/2012october/a2.php

Folta, S. C., Lichtenstein, A. H., Seguin, R. A., Goldberg, J. P., Corbin, M. A., Wiker, N., Gauker, J., Chui, K., & Nelson, M. E. (2015). The StrongWomen–Healthy Hearts program in Pennsylvania: RE-AIM analysis. Translational Behavioral Medicine, 5(1), 94–102. https://doi.org/10.1007/s13142-014-0286-8

Franz, N., & Townson, L. (2008). The nature of complex organizations: The case of Cooperative Extension. In M. T. Braverman, M. Engle, M. E. Arnold, & R. A. Rennekamp (Eds.), Program evaluation in a complex organizational system: Lessons from Cooperative Extension. New Directions for Evaluation 2008(120), 5–14. https://doi.org/10.1002/ev.272

Freedman, D. A., Peña-Purcell, N., Friedman, D. B., Ory, M., Flocke, S., Barni, M. T., & Hébert, J. R. (2014). Extending cancer prevention to improve fruit and vegetable consumption. Journal of Cancer Education, 29(4), 790–795. https://doi.org/10.1007/s13187-014-0656-4

Glasgow, R. E., & Estabrooks, P. E. (2018). Pragmatic applications of RE-AIM for health care initiatives in community and clinical settings. Preventing Chronic Disease, 15, E02. https://doi.org/10.5888/pcd15.170271

Glasgow, R. E., Harden, S. M., Gaglio, B., Rabin, B. A., Smith, M. L., Porter, G. C., Ory, M. G., & Estabrooks, P. A. (2019). RE-AIM planning and evaluation framework: Adapting to new science and practice with a twenty-year review. Frontiers in Public Health- Public Health Education and Promotion. https://doi.org/10.3389/fpubh.2019.00064

Gunter, K. B., Nader, P. A., Armington, A., Hicks, J. C., & John, D. (2017). Evaluation of an Extension-delivered resource for accelerating progress in childhood obesity prevention: The BEPA-Toolkit. Journal of Extension, 55(2), Article v55-2a5. https://www.joe.org/joe/2017april/a5.php

Gunter, K., Harden, S., Lindsay, A., John, D., Satterlee, D., & Morgan, K. (2018, June). Promoting physical activity Via Cooperative Extension: What do the data tell us? Presented at the American College of Sports Medicine, Minneapolis, MN.

Harden, S. M., Johnson, S. B., Almeida, F. A., & Estabrooks, P. A. (2017). Improving physical activity program adoption using integrated research-practice partnerships: An effectiveness-implementation trial. Translational Behavioral Medicine, 7(1), 28–38. https://doi.org/10.1007/s13142-015-0380-6

Harden, S. M., Lindsay, A., Everette, A., & Gunter, K. B. (2016). Systematic review of physical activity objectives in Extension strategic plans: Findings and implications for improved public health impact. Journal of Extension, 54(5), Article v54-5rb2. https://joe.org/joe/2016october/rb2.php

Harden, S. M., Lindsay, A., & Gunter, K. B. (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. https://journals.lww.com/acsm-tj/toc/2018/08010

Harden, S., Washburn, L., Berg, A., Pena-Purcell, N., Norman-Burgdolf, H., & Franz, N. (2020). A brief report on a facilitated approach to connect Cooperative Extension southern region state-level health specialists. Journal of Human Sciences and Extension, 8(1), 191–205. https://www.jhseonline.com/article/view/1007/810

Haynes, M., League, P., & Neault, G. (2014). A Matter of Balance: Older adults taking control of falls by building confidence. Frontiers in Public Health, 2, Article 274. https://doi.org/10.3389/fpubh.2014.00274

Janicke, D. M., Lim, C. S., Mathews, A. E., Shelnutt, K. P., Boggs, S. R., Silverstein, J. H., & Brumback, B. A. (2013). The Community-based Healthy-lifestyle Intervention for Rural Preschools (CHIRP) study: Design and methods. Contemporary Clinical Trials, 34(2), 187–195. https://doi.org/10.1016/j.cct.2012.11.004

Jessani, N., Kennedy, C., & Bennett, S. (2016). The human capital of knowledge brokers: An analysis of attributes, capacities and skills of academic teaching and research faculty at Kenyan schools of public health. Health Research Policy and Systems, 14(1), Article 58. https://doi.org/10.1186/s12961-016-0133-0

Johnson, S. B., Harden, S. M., & Estabrooks, P. A. (2016). Uptake of evidence-based physical activity programs: Comparing perceptions of adopters and nonadopters. Translational Behavioral Medicine, 6(4), 629–637. https://doi.org/10.1007/s13142-015-0371-7

Kaiser, L., Martinez, J., Horowitz, M., Lamp, C., Johns, M., Espinoza, D., Byrnes, M., Gomez, M. M., Aguilera, A., & de la Torre, A. (2015). Adaptation of a culturally relevant nutrition and physical activity program for low-income, Mexican-origin parents with young children. Preventing Chronic Disease, 12. https://doi.org/10.5888/pcd12.140591

Kaufman, A., Boren, J., Koukel, S., Ronquillo, F., Davies, C., & Nkouaga, C. (2017). Agriculture and health sectors collaborate in addressing population health. Annals of Family Medicine, 15(5), 475–480. https://doi.org/10.1370/afm.2087

King, D. (2018) Hey, Siri, what is the future of Extension? Journal of Extension, 56(5), Article v56-5comm1. https://joe.org/joe/2018september/comm1.php

Klerkx, L., Schut, M., Leeuwis, C., & Kilelu, C. (2012). Advances in knowledge brokering in the agricultural sector: Towards innovation system facilitation. IDS Bulletin, 43(5), 53–60. https://doi.org/10.1111/j.1759-5436.2012.00363.x

MacKenzie Whetstone, L., Kolasa, K. M., Dunn, C., Jayaratne, K. S. U., Aggarwal, S., Vodicka, S., Schneider, L., Thomas, C., van Staveren, M. &Lackey, C. (2011). Effects of a behavior-based weight management program delivered through a state cooperative extension and local public health department network, North Carolina, 2008-2009. Preventing Chronic Disease, 8(4), Article 81. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136981/

Manore, M. M., Larson-Meyer, D. E., Lindsay, A. R., Hongu, N., & Houtkooper, L. (2017). Dynamic energy balance: An integrated framework for discussing diet and physical activity in obesity prevention—is it more than eating less and exercising more? Nutrients, 9(8), Article 905. https://doi.org/10.3390/nu9080905

McNamara, A., & Gunter, K. (2012). The influence of participation in Better Bones and BalanceTM on skeletal health: Evaluation of a community-based exercise program to reduce fall and fracture risk. Osteoporosis International, 23(6), 1813–1822. https://doi.org/10.1007/s00198-011-1816-6

Michigan Department of Health and Human Services (n.d.). Health statistics and reports. https://www.michigan.gov/mdhhs/0,5885,7-339-73970_2944---,00.html

Memmott, M. (2019). Minutes of Western Region Family and Consumer Science Program Leaders meeting. Oregon State University: Virtual.

Nasca, T. J., & Philibert, I. (2009). Communities of practice and learning: Disseminating their work. Journal of Graduate Medical Education, 1(1), 164–165. https://doi.org/10.4300/01.01.0028

Oregon Department of Education. (2017). Report on House Bill 3141 Codified ORS 329.498 & 329.499, Fifth biennial report on physical education. https://www.oregon.gov/ode/educator-resources/standards/physicaleducation/Documents


Palmer-Keenan, D. M., & 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), Article v52-4a8. https://www.joe.org/joe/2014august/a8.php

Park Rx: A Prescription for a Day in the Park! (n.d.). https://healthysd.gov/park-rx-prescribe-a-day-in-the-park/

Peña-Purcell, N., Bowen, E., Zoumenou, V., Schuster, E. R., Boggess, M., Manore, M. M., & Gerrior, S. A. (2012). Extension professionals’ strengths and needs related to nutrition and health programs. Journal of Extension, 50(3), Article v50-3rb2. https://www.joe.org/joe/2012june/rb2.php

Perkins, D. F., Chilenski, S. M., Olson, J. R., Mincemoyer, C. C., & Spoth, R. (2014). Knowledge, attitudes, and commitment concerning evidence-based prevention programs: Differences between family and consumer sciences and 4-H youth development educators. Journal of Extension, 52(3), Article v52-3a6. https://www.joe.org/joe/2014june/a6.php

Phillips, R. L., Kaufman, A., Mold, J. W., Grumbach, K., Vetter-Smith, M., Berry, A., & Burke, B. T. (2013). The primary care Extension program: A catalyst for change. The Annals of Family Medicine, 11(2), 173–178. https://doi.org/10.1370/afm.1495

Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., George, S. M., & Olson, R. D. (2018). The physical activity guidelines for Americans. JAMA, 320(19), 2020–2028. https://doi.org/10.1001/jama.2018.14854

Promoting healthy living in South Dakota: South Dakota State University’s High Obesity Program. (n.d.). https://www.cdc.gov/nccdphp/dnpao/state-local-programs/pdf/high-obesity-program/South-Dakota-062018-508.pdf

Reed, D., Lester, D., Danberry, K., Fink, P. L., & Owens, S. (2016). Perceptions of the role of West Virginia’s Cooperative Extension Service in tobacco control coalitions. Frontiers in Public Health, 4, Article 83. https://doi.org/10.3389/fpubh.2016.00083

Rogers, E. M. (1962). Diffusion of innovations. Free Press of Glencoe.

Senate Bill 4, S. 4-A, 79th Oregon Legislative Assembly-2017 Regular Session. (2017). https://olis.leg.state.or.us/liz/2017R1/Downloads/MeasureDocument/SB4

Shapcott, K. M., Carron, A. V., Burke, S. M., Bradshaw, M. H., & Estabrooks, P. A. (2006). Member diversity and cohesion and performance in walking groups. Small Group Research, 37(6), 701–720. https://doi.org/10.1177/1046496406294545

South Dakota’s Steps to Wellness program gets employees moving at work. (n.d.). Retrieved February 22, 2019, from https://healthysd.gov/south-dakotas-steps-to-wellness-program-gets-employees-moving-at-work/

Strayer, T. (2019). Dissemination of health promotion information in Cooperative Extension: A multi-study exploration of channels, sources, and characteristics that influence intervention uptake [Unpublished doctoral dissertation]. Virginia Tech, Blacksburg, U.S.

Strayer, T., Kennedy, L., Ramalingam, N., Balis, L., Wilson, M. L., & Harden, S. M. (2018). Cooperative Extension gets moving, but how? Explorations of Extension health educators dissemination strategies for health promotion program adoption. American Journal of Health Promotion, 34(2),198–205. https://doi.org/10.1177/0890117119879606

Tabak, R. G., Khoong, E. C., Chambers, D. A., & Brownson, R. C. (2012). Bridging research and practice: Models for dissemination and implementation research. American Journal of Preventive Medicine, 43(3), 337–350. https://doi.org/10.1016/j.amepre.2012.05.024

Taylor, N., & Gunter, K. B. (2019). Translating innovative curriculum to promote physical activity in the school setting through partnerships with Cooperative Extension. Presented at the American Public Health Association Physical Activity Twitter Conference.

Uhlig, T., Fongen, C., Steen, E., Christie, A., & Ødegård, S. (2010). Exploring Tai Chi in rheumatoid arthritis: A quantitative and qualitative study. BMC Musculoskeletal Disorders, 11(1), Article 43. https://doi.org/10.1186/1471-2474-11-43

Wages, J. G., Jackson, S. F., Bradshaw, M. H., Chang, M., & Estabrooks, P. A. (2010). Different strategies contribute to community physical activity program participation in rural versus metropolitan settings. American Journal of Health Promotion, 25(1), 36–39. https://doi.org/10.4278/ajhp.080729-ARB-143

Wang, S. L. (2014). Cooperative Extension System: Trends and economic impacts on U.S. agriculture. Choices, Quarter 1. http://www.choicesmagazine.org/choices-magazine/submitted-articles/cooperative-extension-system-trends-and-economic-impacts-on-us-agriculture

Ward, V., House, A., & Hamer, S. (2009). Knowledge brokering: The missing link in the evidence to action chain? Evidence & Policy: A Journal of Research, Debate and Practice, 5(3), 267–279. https://doi.org/10.1332/174426409X463811

Welk, G. J., Chen, S., Nam, Y. H., & Weber, T. E. (2015). A formative evaluation of the SWITCH® obesity prevention program: Print versus online programming. BMC Obesity, 2, Article 20. https://doi.org/10.1186/s40608-015-0049-1

World Health Organization. (2018). The global action plan on physical activity 2018 – 2030: More active people for a healthier world. https://www.who.int/news-room/initiatives/gappa

Wilson, M. L., Strayer, T. E., Davis, R., & Harden, S. M. (2018). Informed adaptations of a strength-training program through a research–practice partnership. Frontiers in Public Health, 6. https://doi.org/10.3389/fpubh.2018.00058

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