scholarly journals The HAT TRICK programme for improving physical activity, healthy eating and connectedness among overweight, inactive men: study protocol of a pragmatic feasibility trial

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016940 ◽  
Author(s):  
Cristina M Caperchione ◽  
Joan L Bottorff ◽  
John L Oliffe ◽  
Steven T Johnson ◽  
Kate Hunt ◽  
...  

IntroductionPhysical activity, healthy eating and maintaining a healthy weight are associated with reduced risk of cardiovascular disease, type 2 diabetes and cancer and with improved mental health. Despite these benefits, many men do not meet recommended physical activity guidelines and have poor eating behaviours. Many health promotion programmes hold little appeal to men and consequently fail to influence men’s health practices. HAT TRICK was designed as a 12-week face-to-face, gender-sensitised intervention for overweight and inactive men focusing on physical activity, healthy eating and social connectedness and was delivered in collaboration with a major junior Canadian ice hockey team (age range 16–20 years). The programme was implemented and evaluated to assess its feasibility. This article describes the intervention design and study protocol of HAT TRICK.Methods and analysisHAT TRICK participants (n=60) were men age 35 years, residing in the Okanagan Region of British Columbia, who accumulate 150 min of moderate to vigorous physical activity a week, with a body mass index of >25 kg/m2and a pant waist size of >38’. Each 90 min weekly session included targeted health education and theory-guided behavioural change techniques, as well as a progressive (ie, an increase in duration and intensity) group physical activity component. Outcome measures were collected at baseline, 12 weeks and 9 months and included the following: objectively measured anthropometrics, blood pressure, heart rate, physical activity and sedentary behaviour, as well as self-reported physical activity, sedentary behaviour, diet, smoking, alcohol consumption, sleep habits, risk of depression, health-related quality of life and social connectedness. Programme feasibility data (eg, recruitment, satisfaction, adherence, content delivery) were assessed at 12 weeks via interviews and self-report.Ethics and disseminationEthical approval was obtained from the University of British Columbia Okanagan Behavioural Research Ethics Board (reference no H1600736). Study findings will be disseminated through academic meetings, peer-reviewed publication, web-based podcasts, social media, plain language summaries and co-delivered community presentations.Trial registration numberISRCTN43361357,Pre results

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Suzanne M. McDonough ◽  
Sarah C. Howes ◽  
Maurice Dillon ◽  
Judith McAuley ◽  
John Brady ◽  
...  

Abstract Background People with severe mental illness (SMI) are less physically active and more sedentary than healthy controls, contributing to poorer physical health outcomes in this population. There is a need to understand the feasibility and acceptability, and explore the effective components, of health behaviour change interventions targeting physical activity and sedentary behaviour in this population in rural and semi-rural settings. Methods This 13-week randomised controlled feasibility trial compares the Walking fOR Health (WORtH) multi-component behaviour change intervention, which includes education, goal-setting and self-monitoring, with a one-off education session. It aims to recruit 60 inactive adults with SMI via three community mental health teams in Ireland and Northern Ireland. Primary outcomes are related to feasibility and acceptability, including recruitment, retention and adherence rates, adverse events and qualitative feedback from participants and clinicians. Secondary outcome measures include self-reported and accelerometer-measured physical activity and sedentary behaviour, anthropometry measures, physical function and mental wellbeing. A mixed-methods process evaluation will be undertaken. This study protocol outlines changes to the study in response to the COVID-19 pandemic. Discussion This study will address the challenges and implications of remote delivery of the WORtH intervention due to the COVID-19 pandemic and inform the design of a future definitive randomised controlled trial if it is shown to be feasible. Trial registration The trial was registered on clinicaltrials.gov (NCT04134871) on 22 October 2019.


Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Katya M Herman ◽  
Gilles Paradis ◽  
Marie-Eve Mathieu ◽  
Jennifer O'Loughlin ◽  
Angelo Tremblay ◽  
...  

Background: Sedentary behaviour has detrimental health consequences, distinct from those of physical inactivity. An individual can be both highly active and highly sedentary: While the displacement hypothesis proposes that time spent active displaces time that would otherwise be spent sedentary, the compensation hypothesis suggests that increased physical activity (PA) may be associated with increased sedentary behaviour (SED) in non-active time. Objectives: The aim was to assess whether higher levels of childhood participation in moderate to vigorous PA (MVPA) are associated with higher levels of SED, or whether time spent in SED is displaced by higher levels of MVPA. Methods: Participants were 290 boys and 245 girls aged 8–10 years in the QUebec Adipose and Lifestyle InvesTigation in Youth (QUALITY) study. PA and SED were assessed by accelerometer over a 1-week period (SED ≤ 100 cpm, MVPA ≥ 2296 cpm), and quantified as mean time spent per day. Total PA was the sum of light PA + MVPA. Self-reported data included sports participation (number of teams), television viewing and computer/video game use (hours/day). Spearman correlations and multiple linear regression (adjusting for age, sex, body mass index, Tanner stage, parental education, accelerometer wear-time) were used to assess associations between PA and SED variables. Results: Higher MVPA and VPA were negatively correlated with SED (r=−0.44 and −0.35; p<0.001), and positively correlated with total PA (r=0.58 and 0.45; p<0.001). SED was negatively correlated with TPA (r=−0.65, p<0.001). Only weak correlations were found between MVPA and sports participation, the latter not associated with SED. MVPA and VPA were not significantly correlated with TV, computer/video or total screen time; objectively measured SED was only weakly associated with specific sedentary behaviours. On average, for each additional 10 minutes of MVPA, children spent 14 minutes less in SED, or for each additional 5 minutes of VPA, 10 minutes less in SED. Associations were stronger in overweight/obese children compared to healthy weight children. Conclusions: Higher levels of MVPA in children displace SED, and are also associated with higher total PA over and above the additional amount of MVPA. The SED displacement benefits of higher MVPA may be greatest in overweight/obese children. Public health strategies should focus on both increasing PA and decreasing SED as essential targets to improve overall PA in children.


2018 ◽  
Vol 12 (6) ◽  
pp. 2157-2166 ◽  
Author(s):  
Paul Sharp ◽  
Joan L. Bottorff ◽  
Kate Hunt ◽  
John L. Oliffe ◽  
Steven T. Johnson ◽  
...  

Men in high income countries have poorer dietary habits and higher rates of overweight and obesity than women. A major challenge with engaging men in health promotion is the perception that attention to one’s health runs counter to masculine identities. Contemporary health promotion programs are believed to hold little “manly” appeal and often fail to engage and retain men. The HAT TRICK program was designed to engage men with their health by delivering an intervention in collaboration with a semi-professional ice hockey team. The program included 12 weekly sessions promoting healthy eating, active living, and social connectedness among men. Gender-sensitized elements were reflected in the program design, setting, content, and delivery. Semistructured telephone interviews were conducted with 23 men to explore perspectives of their participation in the gender-sensitized intervention. Participants were white (100%) with a mean age of 53 years ( SD ± 9.9), Body Mass Index (BMI) of 37 kg/m2 ( SD ± 6.8), and waist circumference of 127 centimeters ( SD ± 14.5). Inductive thematic analysis revealed three overarching themes, including: (a) Harnessing nostalgia for past masculinities: “Closet athletes from 30 years ago,” (2) Offsetting resistance to change with sensible health advice: “Don’t give up drinking beer, just have less,” and (3) Gendered social spaces for doing health: “A night out with the guys,” The findings support the value of gender-sensitized approaches to men’s health promotion. Further research is needed to identify which gender-sensitized elements are critical to engaging men in healthy lifestyle changes.


2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Lina A Ricciardelli ◽  
David Mellor ◽  
Marita P McCabe ◽  
Alexander J Mussap ◽  
David J Hallford ◽  
...  

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Mine Yıldırım ◽  
Maïté Verloigne ◽  
Ilse de Bourdeaudhuij ◽  
Odysseas Androutsos ◽  
Yannis Manios ◽  
...  

2019 ◽  
Author(s):  
Cristina M Caperchione ◽  
Nicole Hargreaves ◽  
Catherine M Sabiston ◽  
Stephen Berg ◽  
Kent C Kowalski ◽  
...  

BACKGROUND Adolescents are highly susceptible to negative self-perceptions, likely due to their social cues and environment. The presence of these negative self-perceptions has been shown to adversely impact levels of physical activity (PA). Although PA has the ability to foster improved self-perceptions, the rates of PA among adolescents continue to descend, with girls appearing to be most susceptible to these declines. At-risk adolescent girls, who may experience a number of negative preceding lifestyle conditions, may be exceptionally vulnerable to declines in PA. There are a high number of adolescent girls from low-income and abusive households in British Columbia, Canada, thus indicating a need for a program to relay the importance of PA and healthy lifestyle behaviors. OBJECTIVE This paper aims to describe the protocol of the Girls United and on the Move (GUM) pragmatic intervention, an integrated PA and psychosocial program aimed at improving self-compassion, social connectedness, and overall self-perceptions among at-risk adolescent girls. METHODS Using a quasi-experimental mixed methods approach, the GUM intervention was conducted in 5 schools in British Columbia, Canada. Adolescent girls aged 11 to 15 years who were identified as at risk were included in the study. The 9-week intervention, co-delivered by a PA/health promotion–trained researcher and a registered social worker, involved a PA component and a psychosocial component with evidence-based topics addressing the concerns of the adolescent girls. The following outcomes were evaluated: PA, self-compassion, social support, leader supportiveness, and sport enjoyment and commitment. Program acceptability and satisfaction was also examined. Outcome measures were assessed at baseline (week 1), week 6, and postintervention (week 9), and interview data concerning program acceptability and satisfaction were collected at postintervention from a subsample of participants. RESULTS A total of 101 participants were invited to participate in the GUM intervention. Reporting of the results is projected for the fall of 2020. CONCLUSIONS It is anticipated that the GUM intervention will enhance PA while also improving self-compassion, social connectedness, and overall self-perceptions among at-risk adolescent girls. The findings of this research will contribute to the literature concerning PA and various psychosocial factors that impact the physical and mental health of at-risk adolescent girls. CLINICALTRIAL Clinicaltrials.gov NCT03567200; https://clinicaltrials.gov/ct2/show/NCT03567200. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/15302


2019 ◽  
Author(s):  
Sarah Moore ◽  
Patricia McCue ◽  
Silvia Del Din ◽  
Heather Hunter ◽  
Sue Lord ◽  
...  

Abstract Background Mobility problems are present in 70-80% of stroke survivors, and can result in impaired gait and reduced physical activity limiting independent living. Auditory rhythmic cueing (ARC) has been used to provide auditory feedback and shows promise in improving a variety of walking parameters following stroke. The aim of this pilot study is to assess the feasibility of conducting a multi-centre, observer blind, randomised controlled trial of auditory rhythmical cueing (ARC) intervention in home and community settings in North East England. Methods This pilot observer blind randomised controlled feasibility trial aims to recruit 60 participants over 15 months from community stroke services in the North East of England. Participants will be within 24 months of stroke onset causing new problems with mobility. Each participant will be randomised to the study intervention or control group. Intervention treatment participants will undertake 18 auditory rhythmical cueing (ARC) treatment sessions over six weeks (3 x 30 minutes per week, 6 supervised (physiotherapist/research associate)/ 12 self-managed) in a home/community setting. A metronome will be used to provide ARC during a series of balance and gait exercises, which will be gradually progressed. The control treatment participants will undertake the same duration balance and gait exercise training programme as the intervention group but without the ARC. Feasibility will be determined in terms of recruitment, retention, adverse events, adherence, collection of descriptive clinical and accelerometer motor performance data at baseline, six weeks and ten weeks and description of participant, provider and clinical therapists’ experiences. As well as using questionnaires to collate participant views, qualitative interviews will be undertaken to further understand how the intervention is delivered in practice in a community setting and to identify aspects perceived important by participants. Discussion The ACTIVATE study will address an important gap in the evidence base by reporting whether it is feasible to deliver auditory rhythmical cueing in the home and community to improve gait and balance parameters following stroke. The feasibility of the study protocol will be established and results will inform the design of a future multi-centre randomised controlled trial. Trial Registration: Trial register: ISRCTN, Trial identifier: ISRCTN10874601: Date of registration: 12/03/2018, URL http://www.isrctn.com/search?q=ISRCTN10874601


Sign in / Sign up

Export Citation Format

Share Document