Hockey Fans in Training (Hockey FIT): Improving Men's Health Through the Power of Sport
Study Details
Study Description
Brief Summary
Hockey Fans in Training (Hockey FIT) is a 12-month (3-month active phase and 9-month minimally-supported phase) weight loss and healthy lifestyle program for middle-aged, overweight/obese male hockey fans, delivered by trained coaches in collaboration with major junior or professional hockey teams and implementation partners (e.g., YMCAs, local fitness facilities, and universities) in Canada.
In the proposed study, a minimum of 32 sites (affiliated with hockey teams and local implementation partners) will be randomly assigned to either immediate delivery (Hockey FIT program) or delayed delivery (wait-list control). At each site, male hockey fans at risk for chronic diseases will be recruited to take part in the study (note: the goal is to recruit approximately 40 men/site). Sites assigned to the delayed delivery group will offer the Hockey FIT program to their enrolled participants after 12 months.
Through the Hockey FIT program, the investigators aim to promote weight loss, increase physical activity levels, and improve other health measures through a cost-effective solution that is acceptable and appealing to men who are overweight or obese.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
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N/A |
Detailed Description
The overall goal of this study is to reduce preventable chronic diseases in Canadian men by improving health behaviours and health indicators. To achieve this goal, following a successful pilot study providing strong evidence to proceed with a definitive trial, the investigators are conducting a pragmatic, cluster randomized controlled trial (RCT) of the Hockey FIT program.
The primary specific aim is to conduct an outcome evaluation to evaluate the effectiveness of Hockey FIT in middle-aged Canadian men who are overweight or obese. Specifically, the investigators will: examine whether Hockey FIT (vs. wait-list control) leads to: greater weight loss at 12 months (primary outcome), as well as improved health behaviours (physical activity; sedentary time; eating habits) and health indicators (physiological measures; health & psychosocial measures) at 3 and 12 months.
Following the pilot study, the investigators will use the affiliation of being a fan of hockey as a powerful draw to engage men. Sites will be selected based on availability of both a major junior (or professional) hockey team and an implementation partner (e.g., YMCA branch, fitness facility, University) located in the city. A minimum of 32 Canadian sites will be randomized to the intervention (Hockey FIT program: immediately delivery) or comparator (wait-list control: delayed delivery); at each site, men will be recruited to participate (with the goal of recruiting approximately 40 men/site). Intervention sites will begin Hockey FIT immediately while comparator sites will offer Hockey FIT after a 12-month delay. The measurement sessions involving both groups will take place at 0 (baseline), 3 and 12 months.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Hockey FIT Program (Immediate Delivery) Hockey FIT Program: A gender-sensitized, weight loss and healthy lifestyle program that engages men using the power of being a sports fan. |
Behavioral: Hockey FIT Program (Immediate Delivery)
Hockey FIT is comprised of a 3-Month Active Phase and a 9-Month Minimally-Supported Phase.
Active Phase: 12 weekly, 90-minute group-based sessions consisting of classroom-based education and exercise. Outside of sessions, participants follow their individualized lifestyle prescriptions for healthy eating, physical activity (steps), and exercise. Participants are encouraged to regularly use health technology support tools customized to Hockey FIT. Minimally-supported phase: Participants are encouraged to continue with their healthy lifestyle behaviour changes and to regularly use the health technology support tools.
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No Intervention: Wait-List Control (Delayed Delivery) No intervention for 12 months. After 12 months, Hockey FIT program is offered. |
Outcome Measures
Primary Outcome Measures
- Weight loss (absolute) [12 months]
Measured using a digital weight scale (in kg)
Secondary Outcome Measures
- Weight loss (absolute) [3 months]
Measured using a digital weight scale (in kg)
- Weight loss (percent change) [3 months & 12 months]
Measured using a digital weight scale (% change from baseline)
- Predicted maximal oxygen uptake (VO2max) [3 months & 12 months]
Calculated from sub-maximal fitness test (in mL/kg/min)
- Systolic blood pressure [3 months & 12 months]
Measured using an automated blood pressure monitor (in mm Hg)
- Diastolic blood pressure [3 months & 12 months]
Measured using an automated blood pressure monitor (in mm Hg)
- Body mass index [3 months & 12 months]
Calculated from weight (digital weight scale) and height (portable stadiometer) (in kg/m2)
- Waist circumference [3 months & 12 months]
Measured using tape measure (in cm)
- Glycated hemoglobin (A1c) [3 months & 12 months]
Measured using a point-of-care analyzer (%)
- Daily steps [3 months & 12 months]
Measured using a waist-worn accelerometer-based step counter over 7 days (average steps/day)
- Total physical activity MET-minutes/week [3 months & 12 months]
Measured using the International Physical Activity Questionnaire (IPAQ) - Short Form (sum of Walking + Moderate + Vigorous MET-minutes/week)
- Vigorous physical activity MET-minutes/week [3 months & 12 months]
Measured using the International Physical Activity Questionnaire (IPAQ) - Short Form (calculated as 8.0 * vigorous-intensity activity minutes * vigorous-intensity days)
- Moderate physical activity MET-minutes/week [3 months & 12 months]
Measured using the International Physical Activity Questionnaire (IPAQ) - Short Form (calculated as 4.0 * moderate-intensity activity minutes * moderate-intensity days)
- Walking MET-minutes/week [3 months & 12 months]
Measured using the International Physical Activity Questionnaire (IPAQ) - Short Version (calculated as 3.3 * walking minutes * walking days)
- Total time spent sitting (on a week day) [3 months & 12 months]
Measured using the Marshall Questionnaire (in minutes)
- Healthful eating score [3 months & 12 months]
Measured using the Starting the Conversation (STC) Questionnaire (summary score of 8 items; score range, 0-16; lower score indicates more healthful eating)
- Fruit and vegetable intake [3 months & 12 months]
Measured using the Canadian Community Health Survey
- Sweetened sugary beverages intake [3 months & 12 months]
Measured using the Behavioral Risk Factor Surveillance System Questionnaire
- Total alcohol intake (weekly) [3 months & 12 months]
Measured using a 7-day recall diary
- Smoking status [3 months & 12 months]
Measured using questions adapted from the Canadian Community Health Survey
- Overall self-rated health status [3 months & 12 months]
Measured using the EQ-5D 5 level version, specifically using the EQ visual analogue scale (EQ-VAS; range, 0-100; higher score indicates better self-rated health where 100 = best imaginable health state)
- Well-being score [3 months & 12 months]
Measured using the World Health Organization (Five) Well-Being Index (raw score is calculated from totalling 5 items and is converted to a percentage score when multiplied by 4; percentage score range, 0-100; higher score indicates better better quality of life where 100 represents best possible quality of life)
- Social connectedness score [3 months & 12 months]
Measured using the Duke Social Support Index (total score range, 11-33; higher values indicate higher levels of support)
- Sleep quality global score [3 months & 12 months]
Measured using the Pittsburgh Sleep Quality Index (calculated by totalling the sum of 7 component scores; score range, 0-21; higher scores indicate worse sleep quality)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Male;
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Between 35 and 65 years of age;
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Objectively-measured body-mass index of at least 27 kg/m2
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Deemed safe to participate in physical activity [i.e., clear the 2018 Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) or receive written clearance from a health care provider].
Exclusion Criteria:
- Advised by a health care provider to not participate in the program
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Dort Federal Credit Union Event Center | Flint | Michigan | United States | 48503 |
2 | Saginaw Valley State University | Saginaw | Michigan | United States | 48710 |
3 | Veterans Memorial Coliseum | Portland | Oregon | United States | 97227 |
4 | City of Brooks | Brooks | Alberta | Canada | |
5 | Mount Royal University | Calgary | Alberta | Canada | |
6 | University of Lethbridge | Lethbridge | Alberta | Canada | T1K 3M4 |
7 | Downtown Medicine Hat YMCA | Medicine Hat | Alberta | Canada | T1A 3A9 |
8 | Northside Community Centre YMCA of Northern Alberta | Red Deer | Alberta | Canada | T4P 3E9 |
9 | Club XO Fitness | Chilliwack | British Columbia | Canada | V2P 8G1 |
10 | YMCA Kamloops | Kamloops | British Columbia | Canada | V2C 2L7 |
11 | YMCA Okanagan | Kelowna | British Columbia | Canada | V1Y 6V8 |
12 | YMCA-YWCA Westhills | Langford | British Columbia | Canada | V9B 0S2 |
13 | Langley Events Centre | Langley | British Columbia | Canada | V2Y 3J4 |
14 | Penticton Community Centre | Penticton | British Columbia | Canada | V2A 7K9 |
15 | YMCA of Northern BC | Prince George | British Columbia | Canada | V2L 4V7 |
16 | Shaw Centre | Salmon Arm | British Columbia | Canada | V1E 2S4 |
17 | Avenir Centre | Moncton | New Brunswick | Canada | E1C 0V2 |
18 | Afterburn Performance | Saint John | New Brunswick | Canada | E2J 1A2 |
19 | YMCA of Halifax and Dartmouth | Halifax | Nova Scotia | Canada | B3J 1L2 |
20 | Barrie YMCA | Barrie | Ontario | Canada | L4N 1M7 |
21 | YMCA of Central Eastern Ontario - Belleville Branch | Belleville | Ontario | Canada | K8N 2G1 |
22 | Les Chater Family YMCA | Hamilton | Ontario | Canada | L8P 2Z1 |
23 | YMCA of Kingston | Kingston | Ontario | Canada | K7L 4T9 |
24 | A.R. Kaufman Family YMCA | Kitchener | Ontario | Canada | N2G 3C5 |
25 | Bostwick YMCA | London | Ontario | Canada | N6K 3X4 |
26 | Mississauga Burnhamthorpe Rd. YMCA Centre | Mississauga | Ontario | Canada | L5B 3R2 |
27 | YMCA of North Bay | North Bay | Ontario | Canada | P1B 6G2 |
28 | Oshawa Mary Street YMCA Centre | Oshawa | Ontario | Canada | L1G 8C1 |
29 | YMCA of Owen Sound Grey Bruce | Owen Sound | Ontario | Canada | N4K 0C6 |
30 | Balsillie Family YMCA | Peterborough | Ontario | Canada | K9J 3H8 |
31 | YMCA Jerry McCaw Family Centre | Sarnia | Ontario | Canada | N7S 6G5 |
32 | YMCA of Sault Ste Marie | Sault Ste Marie | Ontario | Canada | P6B 1Y3 |
33 | Walker Family YMCA | St. Catharines | Ontario | Canada | L2N 7P9 |
34 | YMCA Sudbury | Sudbury | Ontario | Canada | P3E 3M7 |
35 | YMCA at Central Park Athletics | Windsor | Ontario | Canada | N7G 4H5 |
36 | University of Prince Edward Island | Charlottetown | Prince Edward Island | Canada | C1A 4P3 |
37 | CBI Health Centre | Prince Albert | Saskatchewan | Canada | S6W 1A1 |
38 | University of Regina | Regina | Saskatchewan | Canada | S4S 0A2 |
39 | YMCA of Saskatoon | Saskatoon | Saskatchewan | Canada | S7K 0C7 |
40 | Lt. Colonel Clifton Centre | Swift Current | Saskatchewan | Canada | S9H 3W1 |
Sponsors and Collaborators
- Western University, Canada
- Canadian Institutes of Health Research (CIHR)
- Public Health Agency of Canada (PHAC)
Investigators
- Principal Investigator: Robert Petrella, MD, PhD, Western University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 111881