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, male hockey fans with overweight or obesity, 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 and the United States. 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 have overweight or obesity.
The overall goal of this study is to reduce preventable chronic diseases in 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 men who have overweight or obesity. 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 sites in Canada and the United States 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 Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
997
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.
Dort Federal Credit Union Event Center
Flint, Michigan, United States
Saginaw Valley State University
Saginaw, Michigan, United States
Veterans Memorial Coliseum
Portland, Oregon, United States
City of Brooks
Brooks, Alberta, Canada
Mount Royal University
Calgary, Alberta, Canada
University of Lethbridge
Weight loss (absolute)
Measured using a digital weight scale (in kg)
Time frame: 12 months
Weight loss (absolute)
Measured using a digital weight scale (in kg)
Time frame: 3 months
Weight loss (percent change)
Measured using a digital weight scale (% change from baseline)
Time frame: 3 months & 12 months
Predicted maximal oxygen uptake (VO2max)
Calculated from sub-maximal fitness test (in mL/kg/min)
Time frame: 3 months & 12 months
Systolic blood pressure
Measured using an automated blood pressure monitor (in mm Hg)
Time frame: 3 months & 12 months
Diastolic blood pressure
Measured using an automated blood pressure monitor (in mm Hg)
Time frame: 3 months & 12 months
Body mass index
Calculated from weight (digital weight scale) and height (portable stadiometer) (in kg/m2)
Time frame: 3 months & 12 months
Waist circumference
Measured using tape measure (in cm)
Time frame: 3 months & 12 months
Glycated hemoglobin (A1c)
Measured using a point-of-care analyzer (%)
Time frame: 3 months & 12 months
Daily steps
Measured using a waist-worn accelerometer-based step counter over 7 days (average steps/day)
Time frame: 3 months & 12 months
Total physical activity MET-minutes/week
Measured using the International Physical Activity Questionnaire (IPAQ) - Short Form (sum of Walking + Moderate + Vigorous MET-minutes/week)
Time frame: 3 months & 12 months
Vigorous physical activity MET-minutes/week
Measured using the International Physical Activity Questionnaire (IPAQ) - Short Form (calculated as 8.0 \* vigorous-intensity activity minutes \* vigorous-intensity days)
Time frame: 3 months & 12 months
Moderate physical activity MET-minutes/week
Measured using the International Physical Activity Questionnaire (IPAQ) - Short Form (calculated as 4.0 \* moderate-intensity activity minutes \* moderate-intensity days)
Time frame: 3 months & 12 months
Walking MET-minutes/week
Measured using the International Physical Activity Questionnaire (IPAQ) - Short Version (calculated as 3.3 \* walking minutes \* walking days)
Time frame: 3 months & 12 months
Total time spent sitting (on a week day)
Measured using the Marshall Questionnaire (in minutes)
Time frame: 3 months & 12 months
Healthful eating score
Measured using the Starting the Conversation (STC) Questionnaire (summary score of 8 items; score range, 0-16; lower score indicates more healthful eating)
Time frame: 3 months & 12 months
Fruit and vegetable intake
Measured using the Canadian Community Health Survey
Time frame: 3 months & 12 months
Sweetened sugary beverages intake
Measured using the Behavioral Risk Factor Surveillance System Questionnaire
Time frame: 3 months & 12 months
Total alcohol intake (weekly)
Measured using a 7-day recall diary
Time frame: 3 months & 12 months
Smoking status
Measured using questions adapted from the Canadian Community Health Survey
Time frame: 3 months & 12 months
Overall self-rated health status
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)
Time frame: 3 months & 12 months
Well-being score
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)
Time frame: 3 months & 12 months
Social connectedness score
Measured using the Duke Social Support Index (total score range, 11-33; higher values indicate higher levels of support)
Time frame: 3 months & 12 months
Sleep quality global score
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)
Time frame: 3 months & 12 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
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