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  1. Belza, Basia PhD, RN, FAAN
  2. Snyder, Susan MS
  3. Thompson, Meghan
  4. LoGerfo, James MD, MPH, FACP


Successful health promotion and disease prevention efforts require not only the development of evidence-based programs but also the broad dissemination of those programs. In this article, we trace the development and dissemination of an evidence-based exercise program for older adults, EnhanceFitness (EF). We summarize its effectiveness, describe its adoption by partners, and highlight best practices related to program maintenance. We organize the article around a program planning and evaluation framework called RE-AIM. The EF enterprise remains robust because of its scientific evidence (it works), easy replicability, low-cost, strong advocates, timely technical assistance, and affiliation with an academic partner.