Conference Agenda

Purpose: Extensive research shows that community-based physical activity (PA) programmes improve physical, clinical and psychological wellbeing in individuals with Long-Term Conditions (LTCs). However, evaluations typically focus on participant outcomes, with limited attention given to the wider social impacts on families, staff and other stakeholders. ExWell is a nationwide community-based PA programme in Ireland designed for people living with LTCs. This study aimed to explore the broader social impact of ExWell across multiple stakeholder groups.

Methods: A qualitative exploratory design embedded within a Social Return on Investment Framework was used. Stakeholders including ExWell participants (n=28), significant others (n=4), and staff members (n=12) participated in interviews (n=6) or focus groups (n=7) online and in-person. Interviews and focus groups were audio-recorded, transcribed verbatim and analysed using thematic analysis for Theory of Change development.

Results: Preliminary findings outlined distinct yet intertwined outcomes across stakeholder groups. Participants experienced enhanced quality of life, sustained social connection and reduced healthcare utilisation. ExWell staff described increased confidence, sense of purpose, career and skill development from programme delivery. Preliminary findings from significant others suggest improved relationships and mental wellbeing linked to participant engagement.

Conclusion: Findings suggest that community-based PA programmes generate meaningful social impact beyond direct participant outcomes. Recognising these wider benefits can support more informed decision-making, improved programme design and stronger justification for investment in community-based health enhancing PA initiatives. These findings highlight the broader value of community-based programmes and may support more effective and sustainable implementation of such health-enhancing PA intiatives.

Funding: SETU Co-fund and Active Carlow