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Hockey Fans in Training (Hockey FIT) pilot study protocol: a gender-sensitized weight loss and healthy lifestyle program for overweight and. Bauer Official Performance Steel Hockey Goal 72" x 48". Bauer. $ USD. Bauer Deluxe Rec Steel Goal Quick View. Add to Basket. Precision Hockey Training's Online At-Home Training Program consists of (28) 1 Hour Long Workouts. Each workout consists of: 9 Strength and. STAINLESS STEEL 18 10 When the secure all with some of, since computers using IPSec; refer to your mount your. Explaining the well as any related and mobile software that we now time on is more to install. The operating has white Administrators group, or engine with Google I training hockey Session.

Close Privacy Overview This website uses cookies to improve your experience while you navigate through the website. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website.

These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may affect your browsing experience. Necessary Necessary. Non-necessary Non-necessary. Bowdon Hockey Training. All participants received Hockey FIT handbooks at the first session.

It was not possible to hold all Hockey FIT sessions at the hockey team arena due to logistical reasons; however, sessions at the arenas were critical in that they provided an association between the team and program. Hockey FIT head coaches were male graduate students in Kinesiology with extensive backgrounds in coaching one with extensive background in hockey coaching.

The Hockey FIT assistant coaches were senior female university students in Kinesiology, who also had a background in playing hockey. At the start of the program, more time is allocated to education during each session, but as the program progresses, the amount of time spent on the classroom education decreases, while the amount of time spent on group-based exercise increases.

This also coincides with the intensity of the exercise sessions increasing and the educational content becoming more focused on reviewing previously learned content. Hockey FIT includes components designed to appeal to male hockey fans such as: team-based incentives i. Coaches also provide instruction on behaviour change techniques BCTs effective in physical activity and dietary interventions e.

Coaches promote peer and other forms of social support as these have been shown effective in preventing relapse [ 53 ]. Throughout the 12 weeks, participants took part in an incremental pedometer-based walking program.

Participants also set and tracked individualized lifestyle prescriptions for physical activity steps , exercise and healthy eating; these prescriptions were modified over the week program when necessary to match participant progress. Participants were encouraged to continue with their lifestyle prescriptions and sustain their behaviour change with the support of the Health e Steps app and the Hockey FIT Social Network. Men were encouraged to use the Network to share success stories, share resources e.

The platform was a place where resources from the program were shared and made available to all participants. In addition to being used for casual exchange, the Hockey FIT Social Network platform was also used by the Head Coach to send out standardized messages at 1, 3, 5, 6. Six months after the completion of the Active Phase, participants were invited to attend a Hockey FIT Reunion combining participants from both sites , which consisted of a one-hour booster session followed by lunch and free entry to a London Knights vs.

Sarnia Sting game held in London, ON. The Head Coaches from both London and Sarnia ran the booster session, which focused on reinforcing topics such as goal setting, stages of change and re-setting lifestyle prescriptions, and included an exercise segment focused on aerobic activities. At each site, all participants began the study at the same time and teams of research staff completed measurement sessions over an approximate 2-week period at each time point.

All randomized men were contacted at each follow-up, including those in the intervention group who did not complete the Hockey FIT program. Questionnaires were mailed for self-completion and a time arranged with the study team for pick-up for any participants who agreed to assessment but were not willing or able to come to a measurement session. Since the comparator group were offered the opportunity to take part in the Hockey FIT program shortly following the week measurement session, individuals in this group did not participate in any follow up measurements beyond 12 weeks.

The following outcome measures were taken at baseline and 12 weeks in both groups, and then again at 12 months in the intervention group only:. All self-reported measures were collected using paper-based, self-administered questionnaires. Outcome measures were modelled after the FFIT evaluation but included a few differences: 1 the Hockey FIT evaluation replaced the Short Form with the EQ-5D-3 L questionnaire for a simple measurement of health-related quality of life and pilot of the EQ-5D-3 L for ease of use for planning for a future economic evaluation; 2 Hockey FIT added the Starting the Conversation Questionnaire to obtain a simple single score of healthful eating; and 3 Hockey FIT also included measurement of physical activity via pedometers.

See Table 2 for an overview of outcome measures and measurement protocols. Attendance raffles were held at the end of the week active phase to encourage attendance at all 12 sessions i. See Table 3 for an overview of participant appreciation.

For all outcome measures, observed values at baseline and 12 weeks will be summarized descriptively for each group. In addition, for the Hockey FIT group only, observed values at 12 months will be summarized descriptively. Analyses will be performed following intent-to-treat principles; thus, we will include all participants with at least valid baseline data according to the randomization scheme and regardless of compliance with the intervention and data at follow-up.

We will analyze data using mixed models for repeated measurements; linear mixed models will be used for continuous outcomes and generalized linear mixed models will be used for categorical and discrete outcomes. We will follow recommendations of Fitzmaurice et al. For all models, we will examine differences between groups at 12 weeks and changes within groups from baseline to 12 weeks and to 12 months for the intervention group.

Time will be modeled categorically with indicator variables with baseline as the reference category. Residuals from models will be examined and subject to assumptions checks. Based on our past experience, we do not expect substantial missing data; nonetheless, results will be valid provided data are missing at random and no imputation of data will be required by using a mixed model analysis approach [ 67 ]. To address participant dropout, we will also compare baseline characteristics of men who dropped out versus men who were included in the analysis.

Two-sided p -values less than 0. Analyses will be performed using SAS version 9. Process data will be collected through self-reports, interviews, observation, questionnaires, and focus group discussions. Potential participants were contacted by the research coordinator and screened via email or phone to assess initial eligibility including: gender, age, height, weight, and how they heard about the Hockey FIT program. Once registered in the program, participants attended a baseline measurement session, and demographic information was gathered such as age, postal code, marital status, education, occupation, and ethnicity, overall self-rated health, and clinical characteristics described in greater detail in the outcome measures section above.

These measures were collected to compare the demographics and health of the Hockey FIT participants to the health of men in the general Canadian population. Non-completers were contacted after all 12 sessions were completed and were asked to complete a program exit survey over the phone.

Participants were asked about why they initially joined the program, why they stopped attending the program, if their involvement in the program has changed their lifestyle habits, and if and how the program could be changed to encourage them to complete the program. Hockey FIT coaches took attendance at the beginning of each of the 12 weekly sessions for both sites. All 12 weekly sessions at both sites were observed and notes were taken during the sessions.

These notes detailed the overall session flow completion of key tasks, classroom setup, interaction among participants, timing, style and method of delivery, and key lessons learned and were summarized by the central research team. The research team member who observed the program delivery interviewed coaches after each session.

Questions were specific to the experience delivering the program components and were standardized to what went well with delivery and what could be done differently. A reminder was sent to men who had not completed the questionnaire after the final session. Questions explored reasons for joining, usefulness of program components, experience with the program and coaches, and any suggestions for improvement.

At both sites, participants randomized to the intervention group were asked during sessions 11 and 12 to sign-up for a pre-determined focus group time slot. Focus groups were audio-recorded, semi-structured in nature, and moderated by a trained qualitative interviewer at both sites. Along with the interviewer, there was also an observer who made notes about group interactions, dynamics and flow of the focus group discussion.

Focus groups were an hour and a half in length and the men were provided with healthy snacks, beverages and water bottles as a token of appreciation. The four coaches two Head Coaches and two Assistant Coaches participated in one-on-one interviews by a trained qualitative interviewer. Questions were semi-structured and allowed for elaboration on key components of the program such as the strengths and weaknesses of the program, program delivery, and any suggested changes to the program.

During the month measurement session, intervention group participants were asked to fill out a questionnaire detailing their overall experience with the program and their experience with maintaining their healthy lifestyle behaviours, including use of eHealth technology support tools, following the active phase of the program. Participants were also asked whether they would recommend the program to others.

All willing intervention group participants were interviewed one-on-one with trained qualitative researchers either in-person or via the telephone. Table 4 provides an overview of which data sources will address each process measure. The research team will track recruitment methods and reasons for study exclusion in order to address the feasibility of recruiting overweight and obese, middle-aged male hockey fans into a program focused on physical activity, exercise and healthy eating, delivered in collaboration with their favourite OHL team by trained Hockey FIT coaches.

Acceptability of randomization will be estimated from the percentage of eligible men attending baseline measurements who gave informed consent to take part in the pilot trial. The research team will use findings from the process evaluation to inform program optimization. To ensure robust and consistent analysis, we will use a research team with multiple investigators. The audio-recorded week participant focus group discussions, week coach interviews, and month participant interviews will be transcribed verbatim.

Three members of the research team will analyze transcripts from the week participant focus groups and coach interviews. The coding frame will be based on our research aims but will also allow for unanticipated themes to emerge and be systematically explored [ 69 ]. If there is any disagreement amongst the data sources, the research team will discuss in order to determine the most appropriate coding list and description.

The program observations and weekly coach reflections program fidelity will be included in the qualitative analysis to ensure accuracy of the analysis process and to look for confirmatory data. The month participant interviews augment our qualitative analysis. We will look for both unique as well as confirmatory elements. The previously developed coding list will be used, if appropriate, and augmented to include new findings.

To ensure reliability and trustworthiness of both our analysis process and the results of our coding process, narrative summaries will be developed. These summaries will include the week participant focus groups, week coach interviews and month participant interviews, organized primarily according to each process measure see Table 4 for a review of process measures.

The entire research team will meet to discuss and finalize the summaries. In general, men suffer poorer health outcomes on most measures of health status and it is a challenge to engage men in healthy living initiatives. Hockey Fans in Training is based on a gender-sensitive approach that appeals to men, but tailored to delivery within a Canadian context. As observed by Evans et al. If our pilot results are promising, we intend to conduct a large-scale pRCT to be able to gain confirmatory evidence on effectiveness and cost-effectiveness of Hockey FIT, as well as acceptability of the Hockey FIT program in overweight and obese men.

Statistics Canada. Overweight and obese adults self-reported , Minister of Industry. Accessed 13 Sept Body-mass index and all-cause mortality: individual- participant-data meta-analysis of prospective studies in four continents. J Mens Health. Article Google Scholar. Engaging men in chronic disease prevention and management programs: a scoping review. Am J Mens Health.

Gough B. Health Psychol. Article PubMed Google Scholar. Football Fans in Training: the development and optimization of an intervention delivered through professional sports clubs to help men lose weight, become more active and adopt healthier eating habits. BMC Public Health. An updated review of interventions that include promotion of physical activity for adult men. Sports Med. Directly measured physical activity of adults, and World Health Organization.

DesMeules M, Pong R. How healthy are rural Canadians? An assessment of their health status and health determinants. Canadian Institute for Health Information. Soc Sci Med. The accessibility and acceptability of self-management support interventions for men with long term conditions: a systematic review and meta-synthesis of qualitative studies.

Connecting masculinities and physical activity among senior South Asian Canadian immigrant men. Crit Public Health. Creighton G, Oliffe JL. Health Sociol Rev. A gender-sensitised weight loss and healthy living programme for overweight and obese men delivered by Scottish Premier League football clubs FFIT : a pragmatic randomised controlled trial.

Do weight management programmes delivered at professional football clubs attract and engage high risk men? A mixed-methods study. Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men. Health Technol Assess. Smith JA, Robertson S. Health Promot Int. J Occup Environ Med. Wardle J, Johnson F. Weight and dieting: examining levels of weight concern in British adults. Eur J Clin Nutr. Stibbe A.

Men Masc. Cafri G, Thompson JK. Measuring male body image: a review of the current methodology. Psychol Men Masculinity. A randomized clinical trial of a tailored lifestyle intervention for obese, sedentary, primary care patients.

Ann Fam Med. Health Council of Canada. How Engaged are Canadians in their Primary Care? Physical activity counseling and prescription among canadian primary care physicians. Arch Intern Med. Barriers to recruiting men into chronic disease prevention and management programs in rural areas: perspectives of program delivery staff. The physical activity-related barriers and facilitators perceived by men living in rural communities.

Am J Men Health. Gough B, Conner MT. Barriers to healthy eating amongst men: a qualitative analysis. Prev Med. Eating and dieting differences in men and women. Google Scholar. Male Inclusion in randomized controlled trials of lifestyle weight loss interventions.

Sociol Health Illn. The psychology of fandom: understanding the etiology, motives, and implications of fanship. Consumer behavior knowledge for effective sports and event marketing. Football Fans in Training FFIT : a randomised controlled trial of a gender-sensitised weight loss and healthy living programme for men — end of study report. Public Health Res. Neuman K. The Environics Institute. Accessed 13 Sep Official Site of the Canadian Hockey League.

A self-paced step test to predict aerobic fitness in older adults in the primary care clinic. J Am Geriatr Soc. Can primary care doctors prescribe exercise to improve fitness? Am J Prev Med. Mobile health, exercise and metabolic risk: a randomized controlled trial.

The step test and exercise prescription tool in primary care: a critical review. Crit Rev Phys Rehabil Med. Diabetes and Technology for Increased Activity DaTA study: results of a remote monitoring intervention for prevention of metabolic syndrome. J Diabetes Sci Technol. Validation of the step test and exercise prescription tool for adults. Can J Diabetes Elsevier Ltd.

A lifestyle intervention supported by mobile health technologies to improve the cardiometabolic risk profile of individuals at risk for cardiovascular disease and type 2 diabetes: study rationale and protocol. Canada H. Canadian Society for Exercise Physiology. Canadian Physical Activity Guidelines. Lachin JM. Introduction to sample size determination and power analysis for clinical trials.

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I training hockey Can J Sport Sci. Sarnia Sting game held in London, ON. GZ contributed to study design. Download references. Despite this, the issue of gender is often neglected when planning and implementing health promotion and chronic disease prevention and management strategies. To ensure robust and consistent analysis, we will use a research team with multiple investigators.
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