Barriers in motion: a multi-methods approach to exploring physical activity, physical function, and program challenges in adult day services

Findings reflect broader systemic challenges that influence PA programming at ADCs. The directors cited barriers such as staffing limitations, funding constraints, and safety concerns, emphasizing the need for and desire to receive additional support. These challenges were also reflected in the ADC participants' PA and physical function. It is imperative to support ADCs in delivering evidence-based programming as they can be key to retaining physical functional status and improving the quality of life of ADC participants. Future studies should consider community-based strategies involving liaisons and PA experts to support ADC staff, increase PA training, and reduce staff burden and turnover.