The purpose of this research is to implement and evaluate the feasibility of the HAT- TRICK Program, a gender- sensitive intervention program targeting physical activity, healthy eating and connectedness in men living in the Okanagan Region, BC.
Despite the benefits associated with lifestyle changes, men are less likely than women to engage in healthy lifestyle behaviours. Many men are reluctant and/or 'hard-to-reach', making it difficult to implement chronic illness prevention initiatives. Traditionally, a central challenge associated with engaging men in their health were perceptions that attention to one's health ran counter to masculine ideals of strength, self-reliance and independence. Thus, many men refrain from engaging in health promotion behaviors, such as PA and healthy eating. Research has highlighted the potential for professional sports teams/clubs to attract and engage men in healthy lifestyle behaviours. Such a strategy has been recognised as very powerful due to the traditional male environment within these clubs and the social-cultural connections the men often make with particular teams in terms of loyalty, identity and belonging. Thus, the purpose of this research is to develop and evaluate the feasibility of the HAT-TRICK Program, a gender-sensitive intervention program targeting PA, healthy eating and connectedness in men living in Kelowna, BC. This program will be delivered as a collaborative effort between the research team and the Kelowna Rockets, a major junior ice hockey team in Kelowna, BC. The Kelowna Rockets play in a centre with a capacity of over 6,000 and have one of the most loyal season ticket holders base in the Western Hockey League, with 4,500; the majority being men and between the ages of 40-70 years old. With assistance from the Rockets, participants (N=30) will be recruited via season ticket holders, at hockey games, though the Rockets webpage and local print and electronic media. Participants meeting all eligibility criteria will be invited to participate in the 12 week HAT-TRICK Program which will consist of a once a week, 90 minute combined physical activity (e.g., resistance training, "boot-camp" training, floor hockey, stair climbing) and health education session (e.g., goal setting, self-monitoring, barriers and benefits to PA, dealing with set-backs, healthy eating, alcohol consumption, etc.) to be held at the Kelowna Rockets game and training facility. Kelowna Rockets personnel (e.g., athletic therapist, nutritionist) and community experts (e.g., chef, fitness trainer) will be invited to lead some of the PA and nutrition sessions. Kelowna Rockets players will also visit the group during selected sessions to engage in the PA training with the men, further encouraging social support, connectedness and camaraderie. Primary (feasibility and acceptability) and secondary (PA, nutrition, quality of life, connectedness, anthropometrics) outcome measures will be evaluated using a mix-methods approach including; focus groups, self-reported questionnaires and objective physical activity and anthropometric methods. All measures will be collected at baseline, post-intervention (12 weeks) and at 9-month follow-up. Findings from the primary and secondary outcome measures will be used to refine the HAT-TRICK program in preparation for a full-scale evaluation (RCT). Innovative prevention and health promoting approaches are needed to better serve this 'hard to reach' population. This innovative program utilizes a gender sensitive approach to attract and engage men, providing them with a program that recognises their masculine values and interests. Furthermore, the collaborative (i.e., Kelowna Rockets) nature of this program is poised to reach a large proportion of men in the Okanagan by capitalizing on the social-cultural connections men often make with sports teams and using this as the lynchpin to engaging men in health behaviours.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
61
Participants are provided with the HAT TRICK Playbook, a resource manual including weekly healthy eating and physical activity challenges and tracking logs. Each face-to-face session is facilitated by trained research staff, community partners, and health care professionals. Weekly sessions include information on physical activity, healthy eating, and behaviour change techniques (e.g., social support, goal setting, self-monitoring) and include an opportunity to be active/exercise.
Prospera Place
Kelowna, British Columbia, Canada
Program Feasibility
Program feasibility will be evaluated using mixed-methods to explore program delivery, recruitment, participant and facilitator satisfaction, challenges and issues faced during the program, and recommended changes to the program. Methods for collecting feasibility data will include: 1) program satisfaction/acceptability questionnaire for all participants; 2) semi-structured telephone interviews with a sub-sample of the HAT TRICK participant (telephone interviews provide rich qualitative data and are time \& resource efficient; 3) semi-structured interviews with guest presenters and club 'insiders'.
Time frame: Post-Intervention (12-weeks)
Dietary Behaviour
Measured by the Dietary Instrument for Nutrition Education (DINE) questionnaire.
Time frame: Baseline, Post-Intervention (12-weeks), and 9-month follow-up
Physical Activity Behaviour
Measured using the Actigraph GT3X+© accelerometer and Godin's Leisure Time Exercise Questionnaire (GLTEQ). The Actigraph GT3X+©, which is the 'gold standard' measure of physical activity in adults, will be worn by all participants during all waking hours over 7 consecutive days.
Time frame: Baseline, Post-Intervention (12-weeks), and 9-month follow-up
Anthropometrics
Measures of height, weight, waist circumference, and blood pressure
Time frame: Baseline, Post-Intervention (12-weeks), and 9-month follow-up
Health-Related Quality of Life
Health-related quality of life will be assessed using the validated SF-12V2 Health Survey.
Time frame: Baseline, Post-Intervention (12-weeks), and 9-month follow-up
Social Connectedness
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Measured using the Abbreviated Duke Social Support Scale.
Time frame: Baseline, Post-Intervention (12-weeks), and 9-month follow-up
Alcohol Consumption
Measured using a 7-day alcohol recall.
Time frame: Baseline, Post-Intervention (12-weeks), and 9-month follow-up
Sedentary Behaviour
Measured using the Marshall Sitting Questionnaire.
Time frame: Baseline, Post-Intervention (12-weeks), and 9-month follow-up
Risk of Depression
Measured using the Male Depression Risk Scale.
Time frame: Baseline, Post-Intervention (12-weeks), and 9-month follow-up